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Transforming Systems for Parental Depression and Early Childhood Developmental Delays: Findings and Lessons Learned from the Helping Families Raise Healthy Children Initiative [Minkštas viršelis]

  • Formatas: Paperback / softback, 196 pages, aukštis x plotis: 280x216 mm
  • Išleidimo metai: 21-Mar-2013
  • Leidėjas: RAND
  • ISBN-10: 0833079964
  • ISBN-13: 9780833079961
  • Formatas: Paperback / softback, 196 pages, aukštis x plotis: 280x216 mm
  • Išleidimo metai: 21-Mar-2013
  • Leidėjas: RAND
  • ISBN-10: 0833079964
  • ISBN-13: 9780833079961
The Helping Families Raise Healthy Children initiative addressed depression among parents of children with early childhood developmental delays, aligning the early intervention and behavioral health systems with a focus on relationship-based care. The initiative focused on identification of at-risk families, referral, and engagement in services that addressed the needs of parents and young children in the context of their relationship.

Preface iii
Figures
ix
Tables
xi
Summary xiii
Abbreviations xxv
Glossary xxvii
Chapter One Introduction
1(14)
Background on the Allegheny County Maternal and Child Health Care Collaborative
1(1)
The Collaborative's Prior Work
2(1)
Phase I: Planning Process, 2002-2004
2(1)
Phase II: Pilot Testing, 2004-2006
2(1)
Phase III: Maternal Depression Initiative, 2007-2010
3(1)
The Broad Context for the Collaborative's Focus on Depression
3(1)
Prevalence and Symptoms of Maternal Depression
4(1)
Prevalence and Risk Factors of Maternal Depression for Low-Income Populations
4(1)
Prevention and Intervention Effects for Women at Risk for Depression
5(1)
Link Between Maternal Depression and Early Childhood Development
5(1)
System Challenges to Addressing Maternal Depression
6(1)
Maternal Depression Screening
7(1)
Actions Taken Following Positive Screens
8(1)
Engagement in Behavioral Health Treatment
8(1)
The Need for a Cross-System Response to Maternal Depression in Allegheny County
9(2)
The Helping Families Raise Healthy Children Initiative
11(1)
Aims and Focus of the Initiative
11(1)
Roles and Responsibilities of Key Stakeholder Groups
12(1)
Strategies for Implementation
13(1)
Initiative Timeline
14(1)
Organization of This Report
14(1)
Chapter Two Methods
15(16)
The Initiative's Framework for System Change
15(1)
Initiative Partners and Organization
15(3)
Implementation Protocols and Procedures
18(1)
Screening and Identification of At-Risk Families
18(1)
Relationship-Based Service Coordination and Referrals
19(1)
Engagement in Relationship-Based Services
20(1)
Strategies to Support Initiative Implementation
21(1)
Conducting Cross-System Provider Training
21(1)
Supporting the Screening and Referral Processes
22(1)
Convening a Learning Collaborative for Providers
23(1)
Developing Community Partnerships
23(1)
Assessing Progress to Inform Ongoing Implementation
23(1)
Evaluation Plan
24(1)
Data Collection for Process, Individual Outcome, and System Impact Measures
24(4)
Data Collection Activities
28(2)
Data Analysis
30(1)
Chapter Three Results
31(38)
Section A. Assessment of the Implementation Process: Screening and Identification, Referral, and Engagement in Services
32(1)
Screening and Identification Results
33(5)
Referral Results
38(4)
Engagement-in-Services Results
42(4)
Summary of the Process Measure Results
46(1)
Section B. System Impact Results
47(1)
Screening and Identification
48(1)
Cross-System Networking and Referrals
49(1)
Engagement in Services for At-Risk Families
50(2)
Tracking Implementation Progress and Costs
52(1)
Summary of Factors Driving System Change
53(1)
Section C. Individual-Level Outcome Results
54(1)
Depression Screening
54(6)
Parenting Stress
60(2)
Health and Safety
62(4)
Summary of the Individual Outcome Measure Results
66(2)
Summary of the Results of the Overall Initiative
68(1)
Chapter Four Discussion
69(6)
Lessons Learned
69(1)
Screening and Identification
69(1)
Referrals
70(1)
Engagement in Services for At-Risk Families
70(1)
Education, Training, and Support
71(1)
Current Policy Context
71(1)
Limitations
72(3)
Chapter Five Conclusions, Recommendations, and Next Steps
75(4)
Sustainability of the Initiative's Components
75(1)
Recommendations
76(1)
Next Steps
77(2)
Appendixes
A Training Assessments
79(50)
B Data Collection Tools
129(22)
C Outcome Measure Linkages
151(2)
D Reference Studies
153(6)
Bibliography 159