Evaluation of a University-Community Partnership to Provide Home-Based, Mental Health Services for Children from Families Living in Poverty

Fox, Robert; Mattek, Ryan; Gresl, Brittany Lynn

doi:10.1007/s10597-012-9545-7

Cited by 20 publications

(30 citation statements)

References 31 publications

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“…Additionally, 48 articles [ 39 – 41 , 43 , 44 , 48 – 53 , 55 , 57 – 68 , 71 – 80 , 82 , 83 , 86 – 93 , 96 – 99 ] discussed a single intervention; 6 [ 47 , 54 , 81 , 84 , 85 , 94 ] discussed multiple interventions related to the same health problem; and 7 [ 42 , 45 , 46 , 56 , 69 , 70 , 95 ] discussed issues related to the implementation of interventions associated with a specific health problem more generally. Regarding the issues interventions sought to address: 27 [ 42 – 44 , 47 – 50 , 52 , 54 , 55 , 58 – 61 , 63 , 68 , 69 , 73 , 82 , 86 , 87 , 91 , 93 – 95 , 97 ] discussed behavioral health, mental health, or substance use interventions; 16 [ 45 , 51 , 56 , 57 , 62 , 64 , 67 , 72 , 76 , 79 , 81 , 85 , 88 , 89 , 96 , 99 ] discussed public health or prevention interventions; 7 [ 53 ,…”

Section: Resultsmentioning

confidence: 99%

“…Several factors related to the target population’s motivation to engage with the intervention were identified. For instance, Fox et al [ 50 ] noted that a number of clients did “not see the value of participating in short-term follow-up evaluation” (p. 608) as part of the behavioral health intervention known as Parenting Young Children. Other issues mentioned that could negatively impact motivation of the target population included stigma [ 62 ], mistrust of the system an intervention is embedded in [ 53 ], and feeling as though they did not have enough time to participate fully [ 68 ].…”

Section: Resultsmentioning

confidence: 99%

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Defining the external implementation context: an integrative systematic literature review

Watson

Adams

Shue

et al. 2018

BMC Health Serv Res

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BackgroundProper implementation of evidence-based interventions is necessary for their full impact to be realized. However, the majority of research to date has overlooked facilitators and barriers existing outside the boundaries of the implementing organization(s). Better understanding and measurement of the external implementation context would be particularly beneficial in light of complex health interventions that extend into and interact with the larger environment they are embedded within. We conducted a integrative systematic literature review to identify external context constructs likely to impact implementation of complex evidence-based interventions.MethodsThe review process was iterative due to our goal to inductively develop the identified constructs. Data collection occurred in four primary stages: (1) an initial set of key literature across disciplines was identified and used to inform (2) journal and (3) author searches that, in turn, informed the design of the final (4) database search. Additionally, (5) we conducted citation searches of relevant literature reviews identified in each stage. We carried out an inductive thematic content analysis with the goal of developing homogenous, well-defined, and mutually exclusive categories.ResultsWe identified eight external context constructs: (1) professional influences, (2) political support, (3) social climate, (4) local infrastructure, (5) policy and legal climate, (6) relational climate, (7) target population, and (8) funding and economic climate.ConclusionsThis is the first study to our knowledge to use a systematic review process to identify empirically observed external context factors documented to impact implementation. Comparison with four widely-utilized implementation frameworks supports the exhaustiveness of our review process. Future work should focus on the development of more stringent operationalization and measurement of these external constructs.Electronic supplementary materialThe online version of this article (10.1186/s12913-018-3046-5) contains supplementary material, which is available to authorized users.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Defining the external implementation context: an integrative systematic literature review

Watson

Adams

Shue

et al. 2018

BMC Health Serv Res

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“…As an initial effort to determine whether the PITS-TC scores and subscale scores would be sensitive to change following participation in an in-home, trauma-informed treatment specifically designed for very young children in poverty (Fox, 2018), we conducted a separate pilot study with 93 children referred to our clinic. This treatment program has been analyzed for efficacy through four separate randomized controlled studies (Carassco & Fox, 2012; Fung & Fox, 2014; Harris, Fox, & Love, 2015; Love & Fox, 2019) with similar samples of children.…”

Section: Resultsmentioning

confidence: 99%

Assessment of Trauma Symptoms in Toddlers and Preschoolers Living in Poverty

Bollens

Fox

2019

Child Maltreat

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A first-line screening instrument, the Preschool Inventory of Trauma Symptoms (PITS), was developed to assess trauma symptoms with a diverse sample of 150 toddlers and preschoolers ( M = 2.49 years; SD = 1.12). Items reflected the current trauma literature, assessment measures, and diagnostic criteria for very young children. A principal component analysis produced a 34-item, four-factor model: Arousal and Hyper-Reactivity, Fearful Attachment, Intrusion and Re-Experiencing, and Avoidance and Negative Cognition and Mood. One validity scale, Response Style, was also developed. All scales significantly correlated ( r = .45 to .81; p < .01) with preestablished trauma measures and demonstrated adequate internal consistency (α = .68 − .87). A receiver operating characteristics curve analysis identified a cut-score with good discrimination ability (.88), sensitivity (.81), and specificity (.81). In a preliminary pilot study, PITS also was found to be sensitive to trauma symptom change following participation in an evidence-based trauma informed treatment program. A copy of the PITS is included in the Appendix for free use by qualified professionals.

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“…The Early Pathways (EP) Program: Home-Based Therapy for Young Children in Poverty was developed specifically to address externalizing behaviors in young children living in impoverished backgrounds. This program has been field tested in two large-scale, community-studies with diverse families living in poverty (Fox, Mattek, & Gresl, 2013; Gresl, Fox, & Fleischmann, 2014) and the initial outcomes were positive for the children and their caregivers. Additionally, a culturally adapted version of the EP program was implemented with successful outcomes with an all Latino sample using a randomized control methodology (Fung & Fox, 2014).…”

Section: Interventions For Young Children With Externalizing Behaviorsmentioning

confidence: 99%

Early Pathways Therapy for Young Children in Poverty

Harris

Fox

Love

2015

Counseling Outcome Research and Evaluation

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Early Pathways is a home-based, parent and child therapy program for the treatment of disruptive behaviors among young children living in poverty. In this study, 199 clinically referred children were randomly assigned to an immediate treatment (IT) or wait-list control (WL) conditions. Results indicated that parents in the IT condition reported significant improvements in their child's disruptive and prosocial behaviors and increased nurturing and decreased use of corporal and verbal punishment by their parents compared to the WL families. Gains were maintained for children in both the IT and WL conditions at 3-month follow-up.

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Evaluation of a University-Community Partnership to Provide Home-Based, Mental Health Services for Children from Families Living in Poverty

Cited by 20 publications

References 31 publications

Defining the external implementation context: an integrative systematic literature review

Defining the external implementation context: an integrative systematic literature review

Assessment of Trauma Symptoms in Toddlers and Preschoolers Living in Poverty

Early Pathways Therapy for Young Children in Poverty

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