CMHSR Project List
To advance methodology for studying the sustainability of evidence-based care once implemented in routine care, a new transdisciplinary team is conducting pilot work on four methodological challenges: measurement, study design, data sources, and data analysis. Data collection on treatments ends at grant termination, so the team is identifying ways to mine existing data on sustainability and developing external grant proposals to advance research methods on this translational medicine challenge.
Children coming into contact with child welfare agencies constitute what has been described as the dominant public mental health problem when it comes to children. These approximately 5.8 million children are disproportionately non-white, and display considerable race/ethnic disparities in their utilization of mental health services. For the first time in the field of child welfare research, members of this research team are assembling a unique data set that links the respondents of a national survey of children in child welfare to their Medicaid claims data, along with information on Medicaid and mental health policies within their counties of residence.
This small conference grant proposal addresses one of the most significant translational research problems of our time: in spite of rapid advances in evidence-based medicine, we know very little about how well or under what conditions healthcare innovations are sustained once they are put into practice. Building on recommendations from a 2010 AHRQ-supported conference on scale up and spread, we propose a working meeting to coalesce public policy leaders, donors, practitioners, and researchers around the topic of "sustaining the gains".
Children in the child welfare system are at high risk for serious disruptive behavior problems, including conduct disorder. Therefore, the prevention or reduction of early behavior problems is critical to improving long term outcomes for the vulnerable population of children in the child welfare system. The purpose of our project is to: (a) determine if Pathways Triple P results in better behavioral and safety outcomes than treatment as usual (TAU) for African American and European American children in the child welfare system and (b) evaluate how the cost-effectiveness of Pathways Triple P compares to TAU. Specifically, the aims of this study are to: (1) conduct a longitudinal, randomized control trial with 140 parents in the metro-St. Louis child welfare system (whose children are in their care at the time of study entry) to test the effectiveness of Pathways Triple P at improving child disruptive behavior among children between the ages of 5 and 10 compared to TAU. (2) Test the effectiveness of Pathways Triple P at preventing maltreatment recidivism; and (3) Measure and evaluate the costs and benefits associated with Pathways Triple P and TAU.
The objectives of the scientific meetings comprising this conference, titled "Adapting Interventions for Diverse Ethnocultural Families," are to advance knowledge and methods on integrating cultural constructs into extant interventions. We propose to bring together leading scholars in child and adolescent mental health, behavioral sciences, and intervention research to address five objectives: (1) to generate and refine conceptual models for adaptation that can generalize to diverse groups; (2) to identify and develop theoretically based methodologies for adapting extant interventions; (3) to foster dialogue among intervention developers and intervention adapters on navigating between the core elements of interventions and adaptation processes; (4) to support the development and testing of models, theories and methods for intervention adaptation by investigators, especially junior researchers; and (5) disseminate meeting content through print and state-of-theart electronic media made accessible to the public, clinicians, and investigators around the world through our interactive website. Through the proposed series of annual meetings we can address several challenges for advancing adaptation science.
This dissertation study examines partnerships among a network of children’s behavioral health organizations and is a first step of a research agenda focused on the evolutionary dynamics of mental health service delivery systems and the impact on service delivery. The specific aims are to (1) Describe the network of partnerships among members of the Children’s Service Coalition and assess capacity of the system to provide coordinated service delivery, and (2) Examine partnership development by testing how patterns of organizational characteristics influence the conditions that facilitate and inhibit partnerships among a coalition of children’s behavioral health organizations.
Effective, family-friendly treatments for youth mental health problems languish on the shelf unused while Missouri’s young people receive substandard and ineffective mental health treatment. Often this is because training in these interventions is complex, limited, out-of-state, expensive and requires continuing supports. The Missouri Therapy Network – a new practice network of Missouri Medicaid mental health providers – proposes to use a package of web technologies to disseminate highly effective mental health treatments to private Medicaid mental health practitioners across the Missouri Foundation for Health’s (MFH) service area.
Since the inception of the Center for Disease Control and Prevention (CDC) surveillance system of U.S. high schools in 1991 called the Youth Risk Behavior Surveillance System (YRBSS), Hispanic youth have consistently reported among the highest rates of suicidal behavior of any major ethnic/racial groups including African Americans and Whites. Rates for suicide attempts are higher for U.S.-born Hispanic youth compared to their foreign-born counterparts suggesting that processes related to acculturation or immigration may be related to suicidal behaviors among Hispanics. However, the exact nature of these mechanisms remains to be understood in part because of lack of knowledge regarding suicide attempt rates, risk factors, and protective factors from Hispanic youth's countries of heritage. Our study will increase scientific knowledge of socio-cultural factors related to suicidal behaviors among D.R. youth and how they compare to their Dominican counterparts in NYC.
Young children served by child welfare (CW) have very high rates of behavioral, mental health, and cognitive delays, yet these children are rarely connected to early childhood intervention (Cicchetti, & Curtis, 2005; Jonson- Reid, Drake et al, 2004; Leslie et al, 2005a). Parents served by CW are known to have a high rate of maternal depression (Leschied, Chiodo, Whitehead & Hurley, 2005; Wolfe, 1999). Among the CW parent population, however, drop-out from typical parenting programs is high (Chaffin, 2007) and participation in mental health services is low (Jonson-Reid, Drake, & Kohl, Under Review). "Early Childhood Connections" (ECC) is a novel service delivery system designed collaboratively by community agencies and the research team. Using a randomized design, this R34 tests ECC's ability to prevent child developmental delay and later mental health disorders, prevent recurrent maltreatment, and prevent or ameliorate maternal depression and stress in families with young children served by CW. ECC is innovative in its modification of existing services through coordination, collaboration and co-location (joint CW and ECC home visit) in this high risk population.
- 10 |