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A Collaboratively Designed Child Mental Health Service Model: Multiple Family Groups for Urban Children with Conduct
Mary McKernan McKay1, Geetha Gopalan, Lydia Franco
1Mount Sinai School of Medicine. New York City.
Insights
This study explored Multiple Family Group (MFG) therapy for childhood behavioral issues in urban clinics. Preliminary results show potential for reducing oppositional behavior and parenting stress.
Area of Science:
- Child and Adolescent Psychiatry
- Mental Health Services Research
- Family Therapy
Background:
- Childhood behavioral difficulties are a primary reason for referrals to urban outpatient mental health clinics.
- Existing services often struggle with family engagement and retention.
- There is a need for effective, adaptable service models in real-world urban settings.
Purpose of the Study:
- To present preliminary outcomes of a Multiple Family Group (MFG) service delivery approach.
- To examine changes in child oppositional behavior and parenting stress over time.
- To assess the feasibility of MFG in diverse urban child mental health settings.
Main Methods:
- A longitudinal study was conducted across thirteen urban outpatient clinics.
- The study focused on parent reports of child oppositional behavior and parenting stress.
- Multiple Family Group (MFG) is a flexible, protocol-driven intervention developed with community input.
Main Results:
- Preliminary data indicates potential positive outcomes for child oppositional behavior.
- Parenting stress trends are being analyzed over the study's duration.
- The MFG approach was designed to enhance family engagement and treatment retention.
Conclusions:
- The Multiple Family Group (MFG) approach shows promise for addressing childhood behavioral difficulties in urban settings.
- Collaborative development with families and providers is key to real-world implementation.
- Further research is needed to confirm the efficacy and long-term impact of MFG services.
Abstract:
This paper presents preliminary outcomes associated with an experimental, longitudinal study of a Multiple Family Group (MFG) service delivery approach set within thirteen urban outpatient clinics serving children and their families living in inner-city, primarily African American and Latino communities. Specifically, this paper focuses on parent reports of child oppositional behavior and parenting stress over time. MFG is a flexible, protocol-driven approach designed to address the most common reason for referral to outpatient child mental health clinics, childhood behavioral difficulties. The MFG also aims to enhance family-level engagement and retention in ongoing care. Further, the service delivery model was collaboratively developed with intensive input from parents rearing children with conduct difficulties, parent advocates, community-based child mental health providers and services research staff in order to ultimately expand the number of effective service models that can be situated within "real world," urban child mental health settings.
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