Ammerman Robert T, Putnam Frank W, Kopke Jonathan E, Gannon Thomas A, Short Jodie A, Van Ginkel Judith B, Clark Margaret J, Carrozza Mark A, Spector Alan R
Cincinnati Children's Hospital Medical Center, 3333 Burnet Avenue, Sabin Building, 5th Floor, Cincinnati, OH 45229, USA.
J Prev Interv Community. 2007;34(1-2):89-107. doi: 10.1300/J005v34n01_05.
As home visitation programs go to scale, numerous challenges are faced in implementation and quality assurance. This article describes the origins and implementation of Every Child Succeeds, a multisite home visitation program in southwestern Ohio and Northern Kentucky. In order to optimize quality assurance and generate new learning for the field, a Web-based system (eECS) was designed to systematically collect and use data. Continuous quality assurance procedures derived from business and industry have been established. Findings from data collection have documented outcomes, and have identified clinical needs that potentially undermine the impact of home visitation. An augmented module approach has been used to address these needs, and a program to treat maternal depression is described as an example of this approach. Challenges encountered are also discussed.
随着家访项目的规模化开展，在实施和质量保证方面面临着诸多挑战。本文介绍了“每个孩子都成功”项目的起源与实施情况，该项目是俄亥俄州西南部和肯塔基州北部的一个多地点家访项目。为了优化质量保证并为该领域带来新的经验，设计了一个基于网络的系统（eECS）来系统地收集和使用数据。已建立了源自商业和工业领域的持续质量保证程序。数据收集的结果记录了项目成果，并确定了可能削弱家访影响的临床需求。采用了增强模块方法来满足这些需求，并以一个治疗产妇抑郁症的项目为例对这种方法进行了描述。同时也讨论了所遇到的挑战。
