Integrating evidence-based practices into early childhood mental health clinics: A dynamic approach to strengthening the resilience of children birth to five and families
- 14 March 2020
- journal article
- research article
- Published by Taylor & Francis Ltd in Journal of Family Social Work
- Vol. 23 (2), 164-176
- https://doi.org/10.1080/10522158.2019.1694345
Abstract
This paper describes a dynamic process of workforce development, implementation, and evaluation of evidence-based practices (EBPs) within an early childhood mental health (ECMH) network serving children birth to five and their families. The key feature of an effective structure and multi-year process to train clinical service providers in evidence-based practices is the capacity building cycle: Assess, Select, Train, Evaluate. The New York City (NYC) ECMH network assessed the capacity and competencies of early childhood clinical practitioners and selected evidence-based practices and models that are: 1) appropriate for the birth to five population, 2) dyadic or family based, and 3) trauma-informed and/or strengths-based. We describe the evaluation, needs assessments, and best practices that support the effective use of evidence-based practices. It is important to flexibly respond to the needs of the community when selecting evidence-based practices, paying particular attention to equity issues. Considerations to note are that the few EBPs available for this birth to five population are costly, have a limited number of trainers, may not have a train-the-trainer model, and rarely have these EBPs been evaluated in multi-lingual or diverse U.S. communities. The success of implementing a multi-year cycle in NYC lies in having a funded training center closely linked to the workforce.Keywords
This publication has 11 references indexed in Scilit:
- Rethinking the Definition of Evidence-Based Interventions to Promote Early Childhood DevelopmentPEDIATRICS, 2017
- Addressing Early Childhood Emotional and Behavioral ProblemsPEDIATRICS, 2016
- Parenting and Child Mental HealthThe Family Journal, 2014
- Reliability and Validity of the Devereux Early Childhood Assessment (DECA) as a Function of Parent and Teacher RatingsJournal of Psychoeducational Assessment, 2012
- Service Utilization for Lifetime Mental Disorders in U.S. Adolescents: Results of the National Comorbidity Survey–Adolescent Supplement (NCS-A)Journal of the American Academy of Child & Adolescent Psychiatry, 2010
- Cultural adaptation of treatments: A resource for considering culture in evidence-based practice.Professional Psychology: Research and Practice, 2009
- Evidence-Based Practice in Mental Health Care to Ethnic Minority Communities: Has Its Practice Fallen Short of Its Evidence?Social Work, 2008
- A Comprehensive Meta-Analysis of Triple P-Positive Parenting Program Using Hierarchical Linear Modeling: Effectiveness and Moderating VariablesClinical Child and Family Psychology Review, 2008
- Toward Evidence-Based Treatment: Child-Parent Psychotherapy with Preschoolers Exposed to Marital ViolenceJournal of the American Academy of Child & Adolescent Psychiatry, 2005
- Relationship of Childhood Abuse and Household Dysfunction to Many of the Leading Causes of Death in Adults: The Adverse Childhood Experiences (ACE) StudyAmerican Journal of Preventive Medicine, 1998