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创建系统层面的变革以更好地支持孕妇和年轻父母:案例研究。

Creating Systems-Level Change to Better Support Expectant and Parenting Young People: A Case Study.

机构信息

Bronfenbrenner Center for Translational Research, Cornell University, 35 Thornwood Drive Suite 200, Ithaca, NY, 14853, USA.

Bureau of Women, Infant & Adolescent Health, New York State Department of Health, Albany, NY, USA.

出版信息

Matern Child Health J. 2020 Sep;24(Suppl 2):171-177. doi: 10.1007/s10995-020-02991-7.

DOI:10.1007/s10995-020-02991-7
PMID:32889683
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7497379/
Abstract

INTRODUCTION

Expectant and parenting young people (young parents) require diverse services to support their health, educational success, and family functioning. Rarely can the needs of young parents be met by a single school or service provider. This case study examines how one large school district funded through the pathways to success initiative was able to facilitate systems change to increase young parents' access to and use of supportive services.

METHODS

Data sources include a needs and resources assessment, quarterly reports documenting grantee effort, sustainability plans, social network analysis, and capstone interviews. All data sources were systematically reviewed to identify the existing context prior to the start of the initiative, the changes that resulted from the initiative, and efforts that could potentially be maintained beyond the grant period.

RESULTS

The community context prior to Pathways implementation was one of disconnected services and missed opportunities. The full-time program coordinator hired by the district focused on systems-level change and facilitated connections between organizations. This greater connectivity contributed to increased collaboration with the goal of producing lasting benefits for young parents.

DISCUSSION

Promoting sustainable connections and collaboration at the systems level can help dismantle barriers to service access and benefit young parents.

摘要

简介

期待成为父母的年轻人(年轻父母)需要多样化的服务来支持他们的健康、教育成功和家庭功能。很少有单一的学校或服务提供商能够满足年轻父母的需求。本案例研究探讨了一个通过成功途径计划获得资金的大型学区如何能够促进系统变革,增加年轻父母获得和使用支持性服务的机会。

方法

数据来源包括需求和资源评估、记录赠款机构努力的季度报告、可持续性计划、社会网络分析和总结访谈。对所有数据源进行了系统审查,以确定在倡议开始之前的现有背景、倡议带来的变化,以及在赠款期结束后可能持续的努力。

结果

在实施“Pathways”之前,社区背景是服务脱节和错失机会。该地区聘请的全职项目协调员专注于系统层面的变革,并促进了组织之间的联系。这种更紧密的联系有助于加强合作,目标是为年轻父母带来持久的利益。

讨论

促进系统层面的可持续联系和合作,可以帮助消除服务获取的障碍,使年轻父母受益。

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