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Collective Impact on Prevention: Let's Talk About Children Service Model and Decrease in Referrals to Child

Mika Niemelä1,2,3, Hannu Kallunki4, Jaana Jokinen5

  • 1Center for Life Course Health, Research, University of Oulu, Oulu, Finland.

Frontiers in Psychiatry
|March 6, 2019
PubMed
Summary

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This summary is machine-generated.

The Let's Talk about Children Service Model (LT-SM) reduced child protection referrals by 6.9% in Finland. This community-based approach supports families and stakeholders, showing promising results for early intervention in child welfare.

Area of Science:

  • Child and Adolescent Psychiatry
  • Public Health
  • Social Work

Background:

  • Parental mental health issues present complex challenges requiring multi-level interventions.
  • The Let's Talk about Children Service Model (LT-SM) is a community-based approach designed to address population needs in child protection services.
  • Three municipalities in Finland's Raahe District implemented the LT-SM.

Purpose of the Study:

  • To describe the LT-SM approach.
  • To evaluate the initial impact of the LT-SM on child protection service referrals.
  • To assess the effectiveness of a collaborative, community-based service model.

Main Methods:

  • The LT-SM integrates stakeholders (parents, teachers, health, social, educational services) to support children's daily lives.
Keywords:
Let's Talk about Children Service ModelLet's Talk about Children interventionchild protection servicescollective impactfamily adversityparental mental health disordersprevention

Related Experiment Videos

  • An infrastructure for collaboration, decision-making, monitoring, training, and feedback was established.
  • Referral data to child protection services in the Raahe District were compared pre- (2009-2013) and post-implementation (2013-2016) using joinpoint regression analysis.

    • Main Results:

    • A significant decrease in child protection referrals for underage individuals was observed in the Raahe District (AAPC = -6.9%, p = 0.013) between 2013 and 2016.
    • This contrasts with a nationwide increase in referrals during the same period (AAPC = 1.9%, p = 0.020).
    • The LT-SM demonstrated a promising reduction in the need for formal child protection interventions.

    Conclusions:

    • The LT-SM effectively utilizes a common goal and integrated service structure to focus on prevention within children's everyday environments.
    • Early results indicate a significant reduction in child protection referrals, highlighting the model's potential.
    • Further research with longer follow-up periods and broader implementation is recommended to validate these findings.