多层次服务交付框架的核心组成部分和实施决定因素 跨儿童心理健康服务设置
Stephanie A Moore1, Jennifer McGrory Cooper2, JoAnne Malloy3
1School of Education, University of California Riverside, Riverside, CA, 92521, USA. stephanie.moore@ucr.edu.
多层次服务提供框架组织基于证据的心理健康服务. 识别核心组件和实施因素可以改善它们的战略支持和跨设置的高质量交付.
科学领域:
- 儿童和青少年心理健康
- 医疗保健服务研究 医疗服务研究
- 实施科学 实施科学
背景情况:
- 多层次服务提供框架为儿童心理健康的当地环境构建了基于证据的服务.
- 尽管这些框架具有潜力,但高质量的实施仍然是一个挑战.
- 现有的框架包括积极的行为干预和支持,协作护理和护理系统.
研究的目的:
- 提出一个概念基础,为多层次的服务交付框架在不同的心理健康设置.
- 在示例框架中识别共同的核心组件.
- 要突出与每个核心组件相关的实施决定因素.
主要方法:
- 关于儿童心理健康领域三种多层次服务提供框架的文献综述.
- 识别共同的核心组件.
- 分析实现决定因素与核心组件的接口.
主要成果:
- 确定了六个相互关联的核心组件:系统层面的方法,数据驱动的决策,多个服务强度级别,交叉链接的部门,多学科的团队和内置的实施策略.
- 在每个上下文层面确定了实施决定因素,与核心组件接口.
- 制定了一个概念基础,以指导战略实施支持.
结论:
- 概念基础可以加强跨部门的知识共享和框架泛化.
- 它为研究人员,系统领导者和从业人员提供了指导,以支持高质量的实施.
- 战略实施支持对于有效提供多层次服务框架至关重要.
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