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Applying after-action reviews to child and family teams to improve mental health service linkage within child welfare services: a study protocol

BACKGROUND: Half of child-welfare-involved children and adolescents meet the criteria for at least one mental health diagnosis. This project proposes to improve successful mental health service linkage in child welfare services (CWS) by adapting and testing the after-action review (AAR) team effecti...

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Autores principales: Sklar, Marisa, Kenneally, Ryan, Aarons, Gregory A., Fettes, Danielle L.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10552205/
https://www.ncbi.nlm.nih.gov/pubmed/37798808
http://dx.doi.org/10.1186/s43058-023-00479-3
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author Sklar, Marisa
Kenneally, Ryan
Aarons, Gregory A.
Fettes, Danielle L.
author_facet Sklar, Marisa
Kenneally, Ryan
Aarons, Gregory A.
Fettes, Danielle L.
author_sort Sklar, Marisa
collection PubMed
description BACKGROUND: Half of child-welfare-involved children and adolescents meet the criteria for at least one mental health diagnosis. This project proposes to improve successful mental health service linkage in child welfare services (CWS) by adapting and testing the after-action review (AAR) team effectiveness intervention to augment the child and family team (CFT) services’ intervention. Despite being both required and a collaborative approach to service planning, CFT meetings are implemented with questionable fidelity and consistency, rarely including the voice of children and families as intended. METHODS: Using a parallel group trial design, with non-equivalent comparison groups, and qualitative and quantitative methodology, this study will tailor and assess the impact of the AAR on enhancing CFT outcomes. The authors will conduct a qualitative needs assessment targeting the ongoing implementation of the CFT services intervention in a large, publicly funded, CWS system. A qualitative inquiry consisting of interviews and focus groups with key stakeholders will result in the preparation of an action plan to address identified gaps between the current and desired CFT services intervention outcomes. The AAR implementation strategy will be adapted and tailored to address the CFT services’ intervention needs. To test the effectiveness of the AAR on improving outcomes associated with the CFT services intervention, we will utilize blocked randomization of four CWS caseworkers from two CWS system regions to either the intervention condition (CFT + AAR) or standard implementation (CFT as usual). The authors will collect data from the CWS caseworkers and additional CFT members via web-based surveys. Mechanisms of the AAR team effectiveness intervention for CFT implementation will be assessed. DISCUSSION: By inclusion of child and family voice, the AAR-enhanced CFT should lead to increased fidelity to the CFT intervention and greater levels of parental satisfaction with the service and shared decision-making, thus resulting in enhanced follow-through with service plans and linkage to mental health treatment services for children. The knowledge gained by this randomized clinical trial has the potential to benefit service delivery and integration for CWS leaders, caseworkers, formal and informal CFT member support persons, parents/caregivers, and children with open cases. Improving intervention effectiveness, both at the system and family levels, is crucial for practice efficiencies and improved child and family outcomes. TRIAL REGISTRATION: NCT05629013. Approval date: November 28, 2022 (version 1). TRIAL SPONSOR: University of California, San Diego. RESPONSIBLE PARTY: Danielle Fettes.
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spelling pubmed-105522052023-10-06 Applying after-action reviews to child and family teams to improve mental health service linkage within child welfare services: a study protocol Sklar, Marisa Kenneally, Ryan Aarons, Gregory A. Fettes, Danielle L. Implement Sci Commun Study Protocol BACKGROUND: Half of child-welfare-involved children and adolescents meet the criteria for at least one mental health diagnosis. This project proposes to improve successful mental health service linkage in child welfare services (CWS) by adapting and testing the after-action review (AAR) team effectiveness intervention to augment the child and family team (CFT) services’ intervention. Despite being both required and a collaborative approach to service planning, CFT meetings are implemented with questionable fidelity and consistency, rarely including the voice of children and families as intended. METHODS: Using a parallel group trial design, with non-equivalent comparison groups, and qualitative and quantitative methodology, this study will tailor and assess the impact of the AAR on enhancing CFT outcomes. The authors will conduct a qualitative needs assessment targeting the ongoing implementation of the CFT services intervention in a large, publicly funded, CWS system. A qualitative inquiry consisting of interviews and focus groups with key stakeholders will result in the preparation of an action plan to address identified gaps between the current and desired CFT services intervention outcomes. The AAR implementation strategy will be adapted and tailored to address the CFT services’ intervention needs. To test the effectiveness of the AAR on improving outcomes associated with the CFT services intervention, we will utilize blocked randomization of four CWS caseworkers from two CWS system regions to either the intervention condition (CFT + AAR) or standard implementation (CFT as usual). The authors will collect data from the CWS caseworkers and additional CFT members via web-based surveys. Mechanisms of the AAR team effectiveness intervention for CFT implementation will be assessed. DISCUSSION: By inclusion of child and family voice, the AAR-enhanced CFT should lead to increased fidelity to the CFT intervention and greater levels of parental satisfaction with the service and shared decision-making, thus resulting in enhanced follow-through with service plans and linkage to mental health treatment services for children. The knowledge gained by this randomized clinical trial has the potential to benefit service delivery and integration for CWS leaders, caseworkers, formal and informal CFT member support persons, parents/caregivers, and children with open cases. Improving intervention effectiveness, both at the system and family levels, is crucial for practice efficiencies and improved child and family outcomes. TRIAL REGISTRATION: NCT05629013. Approval date: November 28, 2022 (version 1). TRIAL SPONSOR: University of California, San Diego. RESPONSIBLE PARTY: Danielle Fettes. BioMed Central 2023-10-05 /pmc/articles/PMC10552205/ /pubmed/37798808 http://dx.doi.org/10.1186/s43058-023-00479-3 Text en © The Author(s) 2023 https://creativecommons.org/licenses/by/4.0/Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data.
spellingShingle Study Protocol
Sklar, Marisa
Kenneally, Ryan
Aarons, Gregory A.
Fettes, Danielle L.
Applying after-action reviews to child and family teams to improve mental health service linkage within child welfare services: a study protocol
title Applying after-action reviews to child and family teams to improve mental health service linkage within child welfare services: a study protocol
title_full Applying after-action reviews to child and family teams to improve mental health service linkage within child welfare services: a study protocol
title_fullStr Applying after-action reviews to child and family teams to improve mental health service linkage within child welfare services: a study protocol
title_full_unstemmed Applying after-action reviews to child and family teams to improve mental health service linkage within child welfare services: a study protocol
title_short Applying after-action reviews to child and family teams to improve mental health service linkage within child welfare services: a study protocol
title_sort applying after-action reviews to child and family teams to improve mental health service linkage within child welfare services: a study protocol
topic Study Protocol
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10552205/
https://www.ncbi.nlm.nih.gov/pubmed/37798808
http://dx.doi.org/10.1186/s43058-023-00479-3
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