Chamberlain Patricia, Brown C Hendricks, Saldana Lisa, Reid John, Wang Wei, Marsenich Lynne, Sosna Todd, Padgett Courtenay, Bouwman Gerard
Center for Research to Practice, 392 E. 3rd Avenue, Eugene, OR 97401, USA.
Adm Policy Ment Health. 2008 Jul;35(4):250-60. doi: 10.1007/s10488-008-0167-x. Epub 2008 Feb 27.
There is a growing consensus that implementation of evidence-based intervention and treatment models holds promise to improve the quality of services in child public service systems such as mental health, juvenile justice, and child welfare. Recent policy initiatives to integrate such research-based services into public service systems have created pressure to expand knowledge about implementation methods. Experimental strategies are needed to test multi-level models of implementation in real world contexts. In this article, the initial phase of a randomized trial that tests two methods of implementing Multidimensional Treatment Foster Care (an evidence-based intervention that crosses child public service systems) in 40 non-early adopting California counties is described. Results are presented that support the feasibility of using a randomized design to rigorously test contrasting implementation models and engaging system leaders to participate in the trial.
越来越多的人达成共识，即实施循证干预和治疗模式有望提高儿童公共服务系统（如心理健康、青少年司法和儿童福利）的服务质量。最近将此类基于研究的服务纳入公共服务系统的政策举措，给扩大对实施方法的了解带来了压力。需要实验策略来在现实世界背景下测试多层次的实施模式。本文描述了一项随机试验的初始阶段，该试验在加利福尼亚州40个非早期采用的县测试了两种实施多维治疗寄养（一种跨越儿童公共服务系统的循证干预）的方法。给出的结果支持了使用随机设计来严格测试对比实施模式并促使系统领导者参与试验的可行性。
