Glisson Charles, Schoenwald Sonja K
Children's Mental Health Services Research Center, University of Tennessee, Knoxville, Tennessee 37996-3332, USA.
Ment Health Serv Res. 2005 Dec;7(4):243-59. doi: 10.1007/s11020-005-7456-1.
This paper reviews the implications of organizational and community intervention research for the implementation of effective mental health treatments in usual community practice settings. The paper describes an organizational and community intervention model named ARC for Availability, Responsiveness and Continuity, that was designed to support the improvement of social and mental health services for children. The ARC model incorporates intervention components from organizational development, interorganizational domain development, the diffusion of innovation, and technology transfer that target social, strategic, and technological factors in effective children's services. This paper also describes a current NIMH-funded study that is using the ARC intervention model to support the implementation of an evidence-based treatment, Multisystemic Therapy (MST), for delinquent youth in extremely rural, impoverished communities in the Appalachian Mountains of East Tennessee.
本文回顾了组织与社区干预研究对于在常规社区实践环境中实施有效心理健康治疗的意义。本文描述了一种名为ARC(可用性、响应性与连续性)的组织与社区干预模型,该模型旨在支持改善儿童的社会和心理健康服务。ARC模型纳入了来自组织发展、组织间领域发展、创新扩散和技术转移的干预要素,这些要素针对有效儿童服务中的社会、战略和技术因素。本文还描述了一项目前由美国国立精神卫生研究所资助的研究,该研究正在使用ARC干预模型来支持在田纳西州东部阿巴拉契亚山脉极为偏远、贫困社区中对违法青少年实施循证治疗——多系统治疗(MST)。