Multiple Family Groups for Child Behavior Difficulties

Gopalan, Geetha; Fuss, Ashley; Wisdom, Jennifer P.

doi:10.1177/1049731514543526

Cited by 15 publications

(5 citation statements)

References 58 publications

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“…The intervention integrates essential practices of behavioral parent training and family therapy, including 6 core components known as the 4Rs and 2Ss: R oles, R esponsibilities, R elationships, R espectful communication, S ocial support, and S tress. This family group intervention model in practice aims to decrease problem behaviors, strengthen families, and increase engagement in treatment (G Gopalan et al, 2014; G. Gopalan, Fuss, & Wisdom, 2015).…”

Section: Methodsmentioning

confidence: 99%

Who is accessing family mental health programs? Demographic differences before and after system reform

Hamovitch¹,

Acri²,

Bornheimer³

2018

Children and Youth Services Review

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Childhood mental health disorders are on the rise in the United States. To ensure equitable access to care, it is important to examine the characteristics of children and families who access services. This study compares the demographic characteristics of two samples of families who participated in National Institute of Mental Health-funded studies of a Multiple Family Group model, entitled the 4Rs and 2Ss Multiple Family Group (4Rs and 2Ss) in New York City. One sample is currently receiving services, and the other received services a decade ago. Significant differences in demographic characteristics were found between the two samples pertaining to child race, child nativity, caregiver age, primary caregiver, caregiver marital status, caregiver race, caregiver education, caregiver employment, and family income. Families currently engaging in the public mental health service system are primarily White, and are less disadvantaged than families a decade ago. These differences are examined in light of changing policy and epidemiological trends, and potential unintended consequences are discussed.

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Section: Methodsmentioning

confidence: 99%

Who is accessing family mental health programs? Demographic differences before and after system reform

Hamovitch¹,

Acri²,

Bornheimer³

2018

Children and Youth Services Review

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“…Subsequent modifications to the 4R2S intervention, training, and supervision will incorporate CAB feedback, methods, and findings from prior studies [ 43 , 44 , 53 – 55 , 60 ] as well as collaboration with 4R2S developers to ensure core concepts and processes are maintained during the modification process. Recommendations from the CAB to alter existing caseload and/or workload structures will be negotiated between research staff and CBO administration in order to maximize implementation success.…”

Section: Methodsmentioning

confidence: 99%

Feasibility of improving child behavioral health using task-shifting to implement the 4Rs and 2Ss program for strengthening families in child welfare

Gopalan

2016

Pilot Feasibility Stud

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BackgroundChildren whose families are involved with child welfare services manifest disproportionately high levels of behavioral difficulties, which could be addressed in community-based organizations providing services to prevent out-of-home placement. Unfortunately, few evidence-based practices have been successfully implemented in child welfare settings, especially those originally delivered by mental health providers. Given that such settings typically employ caseworkers who lack prior mental health training, this is a significant barrier to implementation. Consequently, the overall aim of the current study is to test the feasibility of shifting a mental health intervention from specialized services to community-based organizations. It uses task-shifting and the Practical, Robust, Implementation, and Sustainability model (PRISM) to implement an evidence-based intervention to reduce child behavior difficulties, originally provided by mental health practitioners, so that it can be delivered by caseworkers providing placement prevention services to child welfare-involved families. Task-shifting involves (1) modifying the intervention for provision by non-mental health providers, (2) training non-mental health providers in the modified intervention, and (3) establishing regular supervision and monitoring by mental health specialists.Methods/designThis study uses the 4Rs and 2Ss Program for Strengthening Families, a multiple family group service delivery model to reduce child behavior difficulties, as the example intervention. This intervention has had prior success with child welfare-involved families. The proposed study objectives are (1) to tailor the content, training, and supervision of the intervention for delivery by caseworkers serving child welfare-involved families and (2) to assess the feasibility and acceptability of the modified intervention. Mixed quantitative and qualitative methods will assess feasibility and acceptability from key stakeholders (caseworkers, supervisors, administrators, caregivers). In phase I, a collaborative advisory board will be convened (1) to modify the intervention to be delivered by caseworkers in placement prevention service settings and (2) to develop training and supervision protocols for caseworkers. In phase 2, the modified intervention will be pilot-tested for delivery by n = 4 caseworkers to n = 20 families receiving placement preventive services (where children manifest behavior problems). Mixed quantitative/qualitative methods will be used to assess feasibility and acceptability.DiscussionThis protocol will be of particular interest to agency administrators, program managers, and researchers interested in developing and testing cross-setting implementation guidelines for similar evidence-based practices.

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“…This agency collaborated with a local University to implement a modified version of evidence-based, manualized, multiple family group intervention designed to reduced youth behavioral difficulties -the modified 4Rs and 2Ss Strengthening Families Program (4Rs and 2Ss). 16,17 The 4Rs and 2Ss was modified to be delivered by CW caseworkers providing case management services to families to prevent child out-of-home placement. A previous publication describes the modification process.…”

Section: Purpose and Background Of This Studymentioning

confidence: 99%

Sustainability of a Child Mental Health Intervention in Child Welfare Services: Case study

Pisciotta,

Hill-Kane,

WInters

et al. 2023

MRAJ

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From an implementation science lens, sustaining interventions in large, heterogeneous organizations such as child welfare requires attunement to the inner and outer contexts in which the innovative practice is delivered. This case study describes how one child welfare agency sustained implementation of a modified child mental health intervention since Spring 2019 after formal supports were removed and provides a retrospective look at their experiences. Using qualitative data from interviews with a key informant, this case study employed a priori codes from an existing sustainability framework to organize and understand factors of innovation, adopters, leadership and management, inner context and process, outer context, and outcomes. Findings offer insights for child welfare agencies to consider when sustaining an intervention without research supports, including the intervention’s alignment with the agency’s culture and mission, the agency’s ability to adapt and embed the intervention, and child welfare leadership and staff buy-in to the intervention. Implications for policy, practice, and research are discussed.

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Multiple Family Groups for Child Behavior Difficulties

Cited by 15 publications

References 58 publications

Who is accessing family mental health programs? Demographic differences before and after system reform

Who is accessing family mental health programs? Demographic differences before and after system reform

Feasibility of improving child behavioral health using task-shifting to implement the 4Rs and 2Ss program for strengthening families in child welfare

Sustainability of a Child Mental Health Intervention in Child Welfare Services: Case study

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