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Family Support in Prevention Programs for Children at Risk for Emotional/Behavioral Problems

机译:处于情绪/行为问题危险中的儿童预防计划中的家庭支持

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We conducted a review of empirically based prevention programs to identify prevalence and types of family support services within these programs. A total of 238 articles published between 1990 and 2011 that included a family support component were identified; 37 met criteria for inclusion. Following the Institute of Medicine’s typology, prevention programs were categorized as universal, selective, or indicated; programs containing more than one prevention level were characterized as multi-level. Family support types included those led by a mental health professional, led by a peer, or team-led. Among the 37 prevention programs reviewed, 27% (n = 10) were universal, 41% (n = 15) were selective, 16% (n = 6) were indicated, and 16% (n = 6) were multi-level. The predominant model of family support was professionally led (95%, n = 35). Two (n = 5%) provided team-led services. None were purely peer-led. In terms of content of family support services, all (100%, n = 37) provided instruction/skill build. Information and education was provided by 70% (n = 26), followed by emotional support (n = 11, 30%) and instrumental or concrete assistance (n = 11, 30%). Only 14% (n = 5) provided assistance with advocacy. The distribution of models and content of services in prevention studies differ from family support within treatment studies. As family support is likely to be an enduring component of the child and family mental health service continuum, comparative effectiveness studies are needed to inform future development.
机译:我们对基于经验的预防计划进行了审查,以确定这些计划中家庭支持服务的普遍性和类型。在1990年至2011年之间,总共发现了238篇文章,其中包括家庭支持部分; 37个符合纳入标准。根据医学研究所的分类学,预防计划分为通用,选择性或指示性;包含一个以上预防级别的程序被定为多级。家庭支持类型包括由精神卫生专业人员领导,同伴领导或团队领导的类型。在所审查的37个预防方案中,有27%(n = 10)是通用的,有41%(n = 15)是选择性的,有16%(n = 6)表示,有16%(n = 6)是多级的。家庭支持的主要模型是专业领导的(95%,n = 35)。两个(n = 5%)提供了团队主导的服务。没有人是完全由同行领导的。就家庭支持服务的内容而言,全部(100%,n = 37)都提供了指导/技能培训。提供信息和教育的比例为70%(n = 26),其次是情感支持(n = 11,30%)和工具或具体帮助(n = 11,30%)。只有14%(n = 5)提供了宣传支持。预防研究中的模式和服务内容的分布与治疗研究中的家庭支持不同。由于家庭支持可能是儿童和家庭心理健康服务连续性的持久组成部分,因此需要进行比较有效性研究以为未来的发展提供信息。

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