Saldana Lisa, Chamberlain Patricia, Chapman Jason
Oregon Social Learning Center, 10 Shelton-McMurphey Blvd., Eugene, OR, USA.
Adm Policy Ment Health. 2016 Nov;43(6):879-892. doi: 10.1007/s10488-016-0730-9.
Opportunities to evaluate strategies to create system-wide change in the child welfare system (CWS) and the resulting public health impact are rare. Leveraging a real-world, system-initiated effort to infuse the use of evidence-based principles throughout a CWS workforce, a pilot of the R model and supervisor-targeted implementation approach is described. The development of R and its associated fidelity monitoring was a collaboration between the CWS and model developers. Outcomes demonstrate implementation feasibility, strong fidelity scale measurement properties, improved supervisor fidelity over time, and the acceptability and perception of positive change by agency leadership. The value of system-initiated collaborations is discussed.
评估旨在推动儿童福利系统（CWS）实现全系统变革及其所产生的公共卫生影响的策略的机会很少。本文介绍了一项基于现实世界、由系统发起的努力，即向整个儿童福利系统工作人员灌输基于证据的原则，并对R模型和针对主管的实施方法进行了试点。R模型的开发及其相关的保真度监测是儿童福利系统与模型开发者合作的成果。结果表明该实施具有可行性、强大的保真度量表测量属性、主管保真度随时间的提高，以及机构领导层对积极变革的接受度和认知度。文中还讨论了系统发起的合作的价值。
