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