Providers' Perspectives on Implementing Mobile Crisis Services for Children and Youth in Connecticut.
Background: Mobile crisis (MC) services is a pediatric behavioral health service that diverts those who need a lower level of care away from the Emergency Department (ED), enabling EDs to focus on providing acute behavioral health services. However, despite MC's efficacy, utilization could be enhanc...
| Publicado en: | Child & Youth Care Forum Vol. 51; no. 6; pp. 1133 - 1155 |
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| Autores principales: | , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Springer Nature
Dec2022
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=159684341&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 159684341 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 10531890 5JR jtl: Child & Youth Care Forum issn: 10531890 maglogo: N pubinfo: dt: Dec2022 vid: 51 iid: 6 pid: 237 pub: Springer Nature place: New York, New York artinfo: ui: 159684341 154717126 159684341 159684341 10.1007/s10566-021-09670-w 159684341 ppf: 1133 ppct: 22 formats: tig: atl: Providers' Perspectives on Implementing Mobile Crisis Services for Children and Youth in Connecticut. aug: au: Dubuque-Gallo, Cindy Kurz, Brenda Becker, Jessica Fendrich, Michael Vanderploeg, Jeffrey affil: University of Connecticut School of Social Work, 38 Prospect Street, 06103, Hartford, CT, USA sug: subj: Attitude of Health Personnel Implementation Science Crisis Intervention In Infancy and Childhood Crisis Intervention In Adolescence Community Mental Health Services Connecticut Program Implementation Human Connecticut Focus Groups Semi-Structured Interview Life Change Events Qualitative Studies Exploratory Research Phenomenological Research Child Adolescence Thematic Analysis Audiorecording Adult Descriptive Statistics Interview Guides Child: 6-12 years Adolescent: 13-18 years Adult: 19-44 years ab: Background: Mobile crisis (MC) services is a pediatric behavioral health service that diverts those who need a lower level of care away from the Emergency Department (ED), enabling EDs to focus on providing acute behavioral health services. However, despite MC's efficacy, utilization could be enhanced. Implementation science provides an informative analytic framework. Objective: This study explores implementation-related factors from the service providers' perspective using qualitative methods, to ascertain the strengths, challenges, and adaptations made in accord with local factors. Method: Between April and November 2017, seven focus groups were conducted with 33 MC services providers. A semi-structured interview elicited descriptions of program strengths and challenges including micro and macro factors affecting MC services delivery. Transcripts were coded thematically and related to the four implementation science concepts–fidelity, acceptability, penetration, and sustainability. Results: MC providers prioritize safety and family engagement. They are aware of the many community and personal barriers to practice, including the inadequacy of the continuum of care, and intervene accordingly. Conclusions: Implementing a community-based program such as MC requires focused efforts to build relationships with families, agencies, and community organizations. To get families and referring agencies to use MC rather than the ED for youth in behavioral health crisis, practitioners coordinate with EDs, hospitals, and the needed services. By building essential relationships, providers were able to overcome many barriers and challenges, enabling them to successfully implement MC programs throughout the state. Nevertheless, several remaining challenges will need to be addressed to sustain successful program implementation in the future. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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