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Wraparound services in Philadelphia schools: An analysis of wraparound agencies' monitoring practices of Therapeutic Staff Support treatment integrity.

机译:费城学校的环绕式服务:环绕式机构对治疗人员支持治疗完整性的监控实践的分析。

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摘要

Therapeutic Staff Support, commonly known as TSS, provide one-on-one direct care (in home, school, and community settings) to children diagnosed with a severe emotional or behavioral disorder. In this dissertation I explore wraparound agencies practices of monitoring Therapeutic Staff Support treatment integrity. Using a qualitative design, 26 participants from three wraparound agencies were selected for this study. Data collection included interviews and documents (treatment plans, progress notes, and psychologist recommendations). Two primary research questions guided my inquiry into wraparound agencies monitoring practices of TSS: How do wraparound agencies monitor TSS treatment delivery? Does monitoring incorporate strategies for targeting TSS misutilization? Two secondary questions were: What are some potential threats to TSS treatment integrity? How do TSS address threats that directly affect students in schools? Findings suggest wraparound agencies use myriad methods to monitor TSS treatment adherence and accountability mechanisms adequately address TSS job performance. Similarly, I find agencies shape treatment document designs (plans and progress notes) to facilitate their use. Findings also point to five categories of issues which serve as potential threats to effective TSS treatment administration. I also find TSS misutilization was not a factor although there was no method of monitoring it. TSS did, however, find themselves performing multifaceted roles (often in response to threats directly affecting their students) which extended beyond their required roles of treatment agent and data collector eight roles emerged. Ultimately, findings suggest documentation review and BSC observations are the most common approaches to monitoring TSS treatment integrity. Themes for threats (consistent with those found in other treatment literature) and themes used for TSS typology can be explored in future studies.
机译:医务人员支持(通常称为TSS)为诊断为严重情感或行为障碍的儿童提供一对一的直接护理(在家中,学校和社区)。在这篇论文中,我探索了监测机构对治疗人员支持治疗完整性的监测方法。使用定性设计,从三个环绕机构的26名参与者中选择了这项研究。数据收集包括访谈和文件(治疗计划,进度说明和心理学家的建议)。两个主要的研究问题指导了我对TSS包裹机构监测实践的询问:包裹机构如何监测TSS治疗的实施?监控是否包含针对TSS滥用的策略?两个次要问题是:对TSS治疗完整性有哪些潜在威胁? TSS如何应对直接影响学校学生的威胁?研究结果表明,环绕机构使用多种方法来监视TSS治疗的依从性,而问责机制则可以充分解决TSS工作绩效。同样,我发现各机构制定了处理文件设计(计划和进度说明)以方便其使用。调查结果还指出了五类问题,这些问题可能对有效的TSS治疗管理构成潜在威胁。我也发现,尽管没有监控它的方法,TSS的滥用也不是一个因素。但是,TSS确实发现自己扮演着多方面的角色(通​​常是为了应对直接影响学生的威胁),而超出了他们所需的治疗代理和数据收集者的角色,出现了八个角色。最终,发现表明文献审查和BSC观察是监测TSS治疗完整性的最常见方法。威胁的主题(与其他治疗文献中的主题一致)和用于TSS类型学的主题可以在以后的研究中进行探讨。

著录项

  • 作者

    Hill, Donna F.;

  • 作者单位

    Temple University.;

  • 授予单位 Temple University.;
  • 学科 Education Administration.
  • 学位 Ph.D.
  • 年度 2009
  • 页码 184 p.
  • 总页数 184
  • 原文格式 PDF
  • 正文语种 eng
  • 中图分类
  • 关键词

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