Implementation of A Care Process Model for Pediatric Traumatic Stress in Child Advocacy Centers: A Mixed Methods Study.
Child Advocacy Centers (CACs) are well-positioned to identify children with mental health needs and facilitate access to evidence-based treatment. However, use of evidence-based screening tools and referral protocols varies across CACs. Understanding barriers and facilitators can inform efforts to i...
| Published in: | Journal of Child Sexual Abuse Vol. 31; no. 7; pp. 761 - 782 |
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| Main Authors: | , , , , , , |
| Format: | research tables/charts Journal Article |
| Published: |
Taylor & Francis Ltd
Oct2022
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| Online Access: | View this record in EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=160114229&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 160114229 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 10538712 JXA jtl: Journal of Child Sexual Abuse issn: 10538712 maglogo: N pubinfo: dt: Oct2022 vid: 31 iid: 7 pid: 377 pub: Taylor & Francis Ltd place: Philadelphia, Pennsylvania artinfo: ui: 160114229 159656345 160114229 160114229 10.1080/10538712.2022.2133759 160114229 ppf: 761 ppct: 21 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: Implementation of A Care Process Model for Pediatric Traumatic Stress in Child Advocacy Centers: A Mixed Methods Study. aug: au: Byrne, Kara A. McGuier, Elizabeth A. Campbell, Kristine A. Shepard, Lindsay D. Kolko, David J. Thorn, Brian Keeshin, Brooks affil: University of Utah, Salt Lake City, UT, USA sug: subj: Implementation Science Health Screening Stress Disorders, Post-Traumatic Prevention and Control Child Welfare Utah Protocols Referral and Consultation Mental Health In Infancy and Childhood Human Child Multimethod Studies Health Services Accessibility Utah Questionnaires Self Report Adolescence Decision Support Techniques Scales Suicide Risk Factors Interviews Descriptive Statistics Thematic Analysis Self-Efficacy Funding Source Child: 6-12 years Adolescent: 13-18 years ab: Child Advocacy Centers (CACs) are well-positioned to identify children with mental health needs and facilitate access to evidence-based treatment. However, use of evidence-based screening tools and referral protocols varies across CACs. Understanding barriers and facilitators can inform efforts to implement mental health screening and referral protocols in CACs. We describe statewide efforts implementing a standardized screening and referral protocol, the Care Process Model for Pediatric Traumatic Stress (CPM-PTS), in CACs. Twenty-three CACs were invited to implement the CPM-PTS. We used mixed methods to evaluate the first two years of implementation. We quantitatively assessed adoption, reach, and acceptability; qualitatively assessed facilitators and barriers; and integrated quantitative and qualitative data to understand implementation of mental health screening in CACs. Eighteen CACs adopted the CPM-PTS. Across CACs, screening rates ranged from 10% to 100%. Caregiver ratings indicated high acceptability. Facilitators and barriers were identified within domains of the Consolidated Framework for Implementation Research. Qualitative findings provided insight into adoption, reach, and caregivers' responses. Our findings suggest screening for traumatic stress and suicidality in CACs is valued, acceptable, and feasible. Implementation of mental health screening and referral protocols in CACs may improve identification of children with mental health needs and support treatment engagement. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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