Hanson Rochelle F, Self-Brown Shannon, Rostad Whitney L, Jackson Matthew C
National Crime Victims Research and Treatment Center, Department of Psychiatry and Behavioral Sciences, Medical University of South Carolina, Charleston, SC, USA.
School of Public Health, Georgia State University, Atlanta, GA, USA; National SafeCare Training & Research Center, Georgia State University, Atlanta, GA, USA.
Child Abuse Negl. 2016 Mar;53:51-63. doi: 10.1016/j.chiabu.2015.09.014. Epub 2015 Nov 5.
It is widely recognized that children in the child welfare system are particularly vulnerable to the adverse health and mental effects associated with exposure to abuse and neglect, making it imperative to have broad-based availability of evidence-based practices (EBPs) that can prevent child maltreatment and reduce the negative mental health outcomes for youth who are victims. A variety of EBPs exist for reducing child maltreatment risk and addressing the associated negative mental health outcomes, but the reach of these practices is limited. An emerging literature documents factors that can enhance or inhibit the success of EBP implementation in community service agencies, including how the selection of a theory-driven conceptual framework, or model, might facilitate implementation planning by providing guidance for best practices during implementation phases. However, limited research is available to guide decision makers in the selection of implementation frameworks that can boost implementation success for EBPs that focus on preventing child welfare recidivism and serving the mental health needs of maltreated youth. The aims of this conceptual paper are to (1) provide an overview of existing implementation frameworks, beginning with a discussion of definitional issues and the selection criteria for frameworks included in the review; and (2) offer recommendations for practice and policy as applicable for professionals and systems serving victims of child maltreatment and their families.
人们普遍认识到，儿童福利系统中的儿童特别容易受到与遭受虐待和忽视相关的不良健康和心理影响，因此必须广泛提供基于证据的做法（EBP），以预防儿童虐待，并减少受害青少年的负面心理健康后果。存在多种用于降低儿童虐待风险和解决相关负面心理健康后果的EBP，但这些做法的覆盖面有限。新兴文献记录了一些因素，这些因素可以促进或抑制社区服务机构中EBP实施的成功，包括理论驱动的概念框架或模型的选择如何通过在实施阶段提供最佳实践指导来促进实施规划。然而，可供指导决策者选择实施框架的研究有限，这些框架可以提高专注于预防儿童福利累犯和满足受虐待青少年心理健康需求的EBP的实施成功率。本概念文件的目的是：（1）概述现有的实施框架，首先讨论定义问题和审查中包含的框架的选择标准；（2）针对为受虐待儿童及其家庭提供服务的专业人员和系统，提供适用的实践和政策建议。
