Implementing Evidence-Based Prevention by Communities to Promote Cognitive, Affective, and Behavioral Health in Children Proceedings of a Workshop (2017) / Chapter Skim
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7 Being Responsive to Communities
7 Being Responsive to Communities
Pages 55-64
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From page 55... ...
• Integration of behavioral health services can engage families, provide holistic care, improve the quality of care, and reduce costs. (Kolko)
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From page 56... ...
IDENTIFYING PRODUCTIVE ADAPTATIONS Responsiveness to the needs of a community can involve showing communities the best way to adapt a program rather than assuming that a program will be implemented and conducted with high fidelity, explained William Hansen, who was president of Tanglewood Research from 1993 to 2016. For example, All Stars is a commercially available drug abuse prevention tool designed for use in schools.
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From page 57... ...
Also, more collaborative care had a larger effect size than alternative care delivery models, though this difference was not significant. But the evidence suggests that integrated care clearly has an advantage over specialty health care, said Kolko, paralleling what has been found for three decades in adult literature.
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From page 58... ...
Patients and their families far prefer to get behavioral health care in the primary care setting than in their home or a mental health clinic. Besides improved child behavior, caregivers report less distress and burden on children when behavioral health care is delivered in pediatric settings.
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From page 59... ...
Sterling listed several key factors in implementing a comprehensive and large-scale program like SBIRT. Leadership support is critical, she said: "Even if it doesn't mean providing resources, just showing the organizational will and saying that we are interested in doing this, and this is something that we should be doing, has been critical." The intervention team is multidisciplinary, including researchers, primary care providers, substance abuse counselors, and mental health clinicians.
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From page 60... ...
. "You have to look at who's there, have conversations, and really pay attention to what they're saying." Founded in 1992 on a recommendation from the President's Drug Advisory Council, CADCA supports a comprehensive data-driven approach to prevent the use of illicit drugs, underage drinking, youth smoking, and the abuse of medicines.
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From page 61... ...
He noted, "If we're going to ask CMS to pay for this, and if we're going to ask for insurance to pay for this, we're going to have to determine what those numbers are." GIVING COMMUNITIES A VOICE Familias en Acción, which is a community-academic research partnership to develop, implement, and evaluate youth violence prevention programs in an urban Latino community, has gone through four different projects to date, said Manuel Ángel Oscós-Sánchez, professor of medicine in the Department of Family and Community Medicine at the University of Texas Health Science Center at San Antonio, and that experience has taught him what communities want: "They want to have a voice. But that's not enough.
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From page 62... ...
Terrillion agreed, observing that "culture eats strategy for breakfast." Hospitals are spending hundreds of millions of dollars through Community Benefit programs, and a lot of that is going for public health. "There's promise there, but we're scratching the surface when it comes to those kinds of things," he stated, referring to environmental strategies suited to deal with issues like the opioid epidemic as an example.
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From page 63... ...
As Joyce Sebain, Substance Abuse and Mental Health Services Administration, pointed out, a public health approach encompasses the social determinants of health because it includes all of the sectors -- including housing, labor, employment, and business -- that need to be at the table. She also pointed out that when people talk about health, they still do not necessarily think about behavioral health.
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From page 64... ...
It's not enough to say social determinants are important. That's not going to get us anywhere.
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