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Related Experiment Video

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Use of a Video Scoring Anchor for Rapid Serial Assessment of Social Communication in Toddlers
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Testing the 4Rs and 2Ss Multiple Family Group intervention: study protocol for a randomized controlled trial.

Mary Acri1, Emily Hamovitch2, Maria Mini1

  • 1McSilver Institute for Poverty Policy and Research, New York University Silver School of Social Work, 41 East 11th Street, 7th floor, New York, NY, 10003, USA.

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|December 6, 2017
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Summary

This study examines how to improve access to effective treatments for childhood Oppositional Defiant Disorder (ODD) in low-income communities. Findings aim to enhance the implementation and sustainability of evidence-based practices (EBPs) for ODD in public mental health clinics.

Keywords:
Child mental healthFamily functioningImplementation and sustainabilityOppositional defiant disorder

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Area of Science:

  • Implementation science
  • Child mental health
  • Public health interventions

Background:

  • Oppositional Defiant Disorder (ODD) is prevalent in children from poverty-impacted communities.
  • Access to effective ODD treatments is limited due to barriers in service delivery and evidence-based practice (EBP) adoption.
  • Existing challenges hinder the uptake and sustained use of EBPs in community mental health settings.

Purpose of the Study:

  • To investigate implementation processes influencing the uptake of an EBP for childhood ODD.
  • To assess the impact of a Clinic Implementation Team (CIT)-driven adaptation on treatment fit within public mental health clinics.
  • To evaluate the effectiveness and mediating factors of the 4Rs and 2Ss Multiple Family Group (MFG) intervention.

Main Methods:

  • A Hybrid Type II effectiveness-implementation research trial was conducted.
  • Quantitative data on child outcomes, organizational factors, and implementation fidelity were collected from caregivers and providers.
  • Mediation analysis using multi-level Structural Equation Modeling (MSEM) was employed to examine study hypotheses.

Main Results:

  • The study is examining the impact of the 4Rs and 2Ss MFG intervention on child outcomes.
  • Clinic/provider-level mediators of implementation and the effect of CITs on uptake and utilization are being analyzed.
  • Data collection involves a large sample of clinics, providers, and caregiver/child dyads across New York City public mental health clinics.

Conclusions:

  • The study aims to generate knowledge on ODD treatment effectiveness and mediating factors in family functioning.
  • An innovative CIT adaptation and implementation model is proposed to enhance intervention uptake and sustainability.
  • The model has the potential to increase the availability and impact of effective interventions for children with serious behavior problems.