Heyman Miriam, Nicholson Joanne, English Kelly
Heller School for Social Policy and Management, Brandeis University, Waltham, MA, United States.
Massachusetts Society for the Prevention of Cruelty to Children, Eliot Community Human Services, Lexington, MA, United States.
Front Psychiatry. 2024 Jul 1;15:1377088. doi: 10.3389/fpsyt.2024.1377088. eCollection 2024.
To address the need for interventions for families with parents with mental illness, the evidence-based intervention Let's Talk about Children (LTC) was adapted in the context of adult mental health services in the United States and reframed as the ParentingWell Practice Approach. This study focuses on the early implementation phase of the adapted practice in Massachusetts.
As part of the adaptation and implementation process, practitioners from provider agencies serving adults with mental illness were invited to participate in the ParentingWell Learning Collaborative (PWLC), which included in-person learning collaborative sessions and follow-up virtual coaching sessions. This paper focuses on data obtained during and in response to the PWLC virtual coaching sessions, from 29 participants. Specific research questions included: (1) What themes emerged in coaching sessions related to practitioners' experiences during the early implementation of the ParentingWell Practice Approach (2) In what ways are coaching sessions helpful to the practitioners as they implement the ParentingWell Practice Approach? Coaching sessions were recorded, and transcribed, and the data were analyzed qualitatively to identify early implementation themes. Practitioners completed feedback surveys online (which included Likert scale items and open-ended questions) following virtual coaching sessions to evaluate the usefulness of coaching sessions.
Coaching sessions reflected the following themes related to practitioners' experiences during the early implementation of ParentingWell: (1) practitioners identify and share concrete approaches to supporting parents; (2) practitioners reflect on parents' needs related to support, advocacy, problem-solving, and parenting skills; (3) practitioners reflect on their own personal experiences; and (4) practitioners' recognize the importance of self-care strategies for themselves and for parents served. Practitioners indicated that coaching sessions were useful in supporting the implementation of a new practice.
This study provides preliminary evidence for the benefits of coaching in the implementation of ParentingWell. Future research will explore the impact of ParentingWell on outcomes for parents and families served.
为满足为患有精神疾病的父母的家庭提供干预措施的需求，基于证据的干预措施“让我们谈谈孩子”（LTC）在美国成人心理健康服务背景下进行了调整，并重新构建为“良好育儿实践方法”。本研究聚焦于该调整后的实践方法在马萨诸塞州的早期实施阶段。
作为调整和实施过程的一部分，为患有精神疾病的成年人提供服务的机构的从业者被邀请参加“良好育儿学习协作组”（PWLC），其中包括面对面的学习协作会议和后续的虚拟辅导会议。本文聚焦于从29名参与者那里在PWLC虚拟辅导会议期间及会议后获得的数据。具体研究问题包括：（1）在辅导会议中出现了哪些与从业者在早期实施“良好育儿实践方法”期间的经历相关的主题？（2）辅导会议在哪些方面有助于从业者实施“良好育儿实践方法”？辅导会议进行了记录和转录，并对数据进行了定性分析以确定早期实施主题。从业者在虚拟辅导会议后在线完成反馈调查（包括李克特量表项目和开放式问题）以评估辅导会议的有用性。
辅导会议反映了与从业者在早期实施“良好育儿”期间的经历相关的以下主题：（1）从业者确定并分享支持父母的具体方法；（2）从业者思考父母在支持、维权、解决问题和育儿技能方面的需求；（3）从业者反思自己的个人经历；（4）从业者认识到自我照顾策略对自己和所服务的父母的重要性。从业者表示辅导会议有助于支持新实践的实施。
本研究为辅导在“良好育儿”实施中的益处提供了初步证据。未来的研究将探索“良好育儿”对所服务的父母和家庭的结果的影响。
