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Transforming Systems for Parental Depression and Early Childhood Developmental Delays

Transforming Systems for Parental Depression and Early Childhood Developmental Delays: Findings and Lessons Learned from the Helping Families Raise Healthy Children Initiative

Dana Schultz
Kerry A. Reynolds
Lisa M. Sontag-Padilla
Susan L. Lovejoy
Ray Firth
Harold Alan Pincus
Copyright Date: 2013
Published by: RAND Corporation
Pages: 196
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  • Book Info
    Transforming Systems for Parental Depression and Early Childhood Developmental Delays
    Book Description:

    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.

    eISBN: 978-0-8330-7999-2
    Subjects: Health Sciences, Psychology, Sociology

Table of Contents

  1. Front Matter
    (pp. i-ii)
  2. Preface
    (pp. iii-iv)
  3. Table of Contents
    (pp. v-viii)
  4. Figures
    (pp. ix-x)
  5. Tables
    (pp. xi-xii)
  6. Summary
    (pp. xiii-xxiv)

    Depression affects millions of Americans each year and is much more likely to affect women. Among low-income and other underserved populations (e.g., minority women), the estimated prevalence rates for maternal depression ranges from 25 to 35 percent (Lanzi et al., 1999; Miranda and Green, 1999; Onunaku, 2005; Siefert et al., 2000). This is markedly higher than depression rates of the general population, which are around 12 percent for women (Narrow, 1998). Untreated maternal depression has potentially serious consequences for a woman’s overall well-being, her functioning as a mother, the family’s functioning, and her child’s development (Onunaku, 2005; Field, 2000). Further,...

  7. Abbreviations
    (pp. xxv-xxvi)
  8. Glossary
    (pp. xxvii-xxx)
  9. CHAPTER ONE Introduction
    (pp. 1-14)

    Starting in August 2009, a group of partners in the Pittsburgh area involved with the behavioral health and Part C early intervention systems undertook an effort to improve care for families at risk for the dual challenges of caregiver depression and early childhood developmental delays. This effort—calledHelping Families Raise Healthy Children—was conducted under the auspices of the Allegheny County Maternal and Child Health Care Collaborative, a broad-based community coalition that has been operating since January 2002. This report describes the initiative, including the impetus behind it and its planning and implementation processes, and presents the results and...

  10. CHAPTER TWO Methods
    (pp. 15-30)

    This chapter provides details on how the initiative was designed, implemented, and evaluated. We begin by describing the initiative’s framework for system change, including the conceptual model, initiative partners, and project organization. Next, we describe the implementation protocols and processes for each component and the strategies undertaken to support implementation. Finally, we present the details of the evaluation plan that guided the initiative’s progress and informed the development of the lessons learned and resulting recommendations.

    TheHelping Families Raise Healthy Childreninitiative was designed as a cross-systems quality improvement initiative to change the way local systems work with families facing...

  11. CHAPTER THREE Results
    (pp. 31-68)

    This chapter focuses on our evaluation of the implementation process, system impact, and individual-level outcome measures for theHelping Families Raise Healthy Childreninitiative (Figure 3.1). Data collection was conducted over a 28-month period from February 2010 through May 2012. We begin by presenting the results of our assessment of implementation, organized by the process measures for the three components of the initiative (i.e., screening and identification, referral, and engagement in services) with a focus on the screening, referral, and engagement rates (Section A). Next, we summarize the results of our system impact measures, which assessed factors affecting implementation of...

  12. CHAPTER FOUR Discussion
    (pp. 69-74)

    TheHelping Families Raise Healthy Childreninitiative aimed at addressing the related challenges of parental depression and early childhood developmental delays. Our evaluation of the initiative focused on assessing the implementation process, examining changes in individual outcomes, and identifying certain key elements that influenced implementation and contributed to systems change. In this chapter, we describe the key lessons learned from the initiative. We also provide a brief review of the current policy context to inform the development of practice and policy recommendations to sustain this work. We conclude this chapter with some observations about the limitations of our work.


  13. CHAPTER FIVE Conclusions, Recommendations, and Next Steps
    (pp. 75-78)

    Moving forward, the challenge for theHelping Families Raise Health Childreninitiative will be to continue its successful components while addressing the remaining challenges. In this concluding chapter, we first describe the sustainability plans for the initiative, then provide policy and practice recommendations for different stakeholder groups to capitalize on its successful system-change efforts.

    Since its inception, the Allegheny County Maternal and Child Health Care Collaborative has been driven by a shared vision of transforming systems to improve the lives of families with young children in the community. For theHelping Families Raise Healthy Childreninitiative, the leadership and guidance...

  14. APPENDIX A Training Assessments
    (pp. 79-128)
  15. APPENDIX B Data Collection Tools
    (pp. 129-150)
  16. APPENDIX C Outcome Measure Linkages
    (pp. 151-152)
  17. APPENDIX D Reference Studies
    (pp. 153-158)
  18. Bibliography
    (pp. 159-166)