Department of Child and Adolescent Psychiatry, New York University Langone Health.
Department of Health Management and Policy, Dornsife School of Public Health, Drexel University.
Am Psychol. 2020 Nov;75(8):1130-1145. doi: 10.1037/amp0000706.
The prevalence of mental health problems among children (ages 0-21) in the United States remains unacceptably high and, post-COVID-19, is expected to increase dramatically. Decades of psychological knowledge about effective treatments should inform the delivery of better services. Dissemination and implementation (D&I) science has been heralded as a solution to the persistent problem of poor quality services and has, to some extent, improved our understanding of the contexts of delivery systems that implement effective practices. However, there are few studies demonstrating clear, population-level impacts of psychological interventions on children. Momentum is growing among communities, cities, states, and some federal agencies to build "health in all policies" to address broad familial, social, and economic factors known to affect children's healthy development and mental health. These health policy initiatives offer a rare opportunity to repurpose D&I science, shifting it from a primary focus on evidence-based practice implementation, to a focus on policy development and implementation to support child and family health and well-being. This shift is critical as states develop policy responses to address the health and mental health impacts of the COVID-19 pandemic on already-vulnerable families. We provide a typology for building research on D&I and children's mental health policy. (PsycInfo Database Record (c) 2020 APA, all rights reserved).
儿童(0-21 岁)心理健康问题在美国的流行率仍然高得令人无法接受,而且预计在 COVID-19 之后会大幅增加。关于有效治疗方法的数十年心理学知识应该为提供更好的服务提供信息。传播和实施(D&I)科学被认为是解决服务质量差的持续问题的一种解决方案,并且在一定程度上提高了我们对实施有效实践的交付系统背景的理解。然而,很少有研究表明心理干预对儿童有明确的、人群层面的影响。社区、城市、州和一些联邦机构正在建立“一切政策中的健康”,以解决已知影响儿童健康发展和心理健康的广泛家庭、社会和经济因素,这方面的势头正在增强。这些卫生政策倡议提供了一个难得的机会,可以重新调整传播和实施科学,将其重点从以证据为基础的实践实施转移到关注政策制定和实施,以支持儿童和家庭的健康和福祉。随着各州制定政策应对 COVID-19 大流行对已经脆弱的家庭的健康和心理健康的影响,这种转变至关重要。我们提供了一个构建 D&I 和儿童心理健康政策研究的类型学。(PsycInfo 数据库记录(c)2020 APA,保留所有权利)。