Transforming systems for parental depression and early childhood developmental delays : : findings and lessons learned from the Helping Families Raise Healthy Children initiative / / Dana Schultz [and five others].

• Author: Community Care Behavioral Health Organization.; Schultz, Dana
• VerfasserIn: Schultz, Dana
• TeilnehmendeR: Schultz, Dana; Community Care Behavioral Health Organization.; RAND Health.
• Place / Publishing House: Santa Monica, CA : : RAND Corporation,, 2013.
• Year of Publication: 2013
• Language: English
• Series: Gale eBooks
• Physical Description: 1 online resource (xxix, 166 pages) :; illustrations
• Notes: "Prepared for the Community Care Behavioral Health Organization."; "RAND Health."

The Helping Families Raise Healthy Children initiative addressed depression among parents of children with early childhood developmental delays, aligning the early intervention and behavioral health systems with a focus on relationship-based care. The initiative focused on identification of at-risk families, referral, and engagement in services that addressed the needs of parents and young children in the context of their relationship.

Table of Contents

Cover; Title Page; Copyright; Preface; Contents; Figures; Tables; Summary; Abbreviations; Glossary; CHAPTER ONE: Introduction; Background on the Allegheny County Maternal and Child Health Care Collaborative; The Collaborative's Prior Work; Phase I: Planning Process, 2002-2004; Phase II: Pilot Testing, 2004-2006; Phase III: Maternal Depression Initiative, 2007-2010; The Broad Context for the Collaborative's Focus on Depression; Prevalence and Symptoms of Maternal Depression; Prevalence and Risk Factors of Maternal Depression for Low-Income Populations

Prevention and Intervention Effects for Women at Risk for DepressionLink Between Maternal Depression and Early Childhood Development; System Challenges to Addressing Maternal Depression; Maternal Depression Screening; Actions Taken Following Positive Screens; Engagement in Behavioral Health Treatment; The Need for a Cross-System Response to Maternal Depression in Allegheny County; The Helping Families Raise Healthy Children Initiative; Aims and Focus of the Initiative; Roles and Responsibilities of Key Stakeholder Groups; Strategies for Implementation; Initiative Timeline

Organization of This ReportCHAPTER TWO: Methods; The Initiative's Framework for System Change; Initiative Partners and Organization; Implementation Protocols and Procedures; Screening and Identification of At-Risk Families; Relationship-Based Service Coordination and Referrals; Engagement in Relationship-Based Services; Strategies to Support Initiative Implementation; Conducting Cross-System Provider Training; Supporting the Screening and Referral Processes; Convening a Learning Collaborative for Providers; Developing Community Partnerships; Assessing Progress to Inform Ongoing Implementation

Evaluation PlanData Collection for Process, Individual Outcome, and System Impact Measures; Data Collection Activities; Data Analysis; CHAPTER THREE: Results; Section A. Assessment of the Implementation Process: Screening and Identification, Referral, and Engagement in Services; Screening and Identification Results; Referral Results; Engagement-in-Services Results; Summary of the Process Measure Results; Section B. System Impact Results; Screening and Identification; Cross-System Networking and Referrals; Engagement in Services for At-Risk Families; Tracking Implementation Progress and Costs

Summary of Factors Driving System ChangeSection C. Individual-Level Outcome Results; Depression Screening; Parenting Stress; Health and Safety; Summary of the Individual Outcome Measure Results; Summary of the Results of the Overall Initiative; CHAPTER FOUR: Discussion; Lessons Learned; Screening and Identification; Referrals; Engagement in Services for At-Risk Families; Education, Training, and Support; Current Policy Context; Limitations; CHAPTER FIVE: Conclusions, Recommendations, and Next Steps; Sustainability of the Initiative's Components; Recommendations; Next Steps; APPENDIXES

A. Training Assessments