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Is implementation fidelity associated with improved access to care in a School-based Child and Family Team model?

机译:在以学校为基础的儿童和家庭团队模型中,实施保真度是否与改善就医机会相关联?

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Effective child and family centered service planning is crucial to addressing vulnerable children's needs. However, there is limited evidence about what facets of these processes improve service use and outcomes. The current study used a Poisson random effects hazard model to test correlations between fidelity to NC's Child and Family Support Team model and time to service receipt, using case management data for 3396 children served by that program during the 2008-2009 school year. Students were more likely to receive recommended services more quickly when caregivers and the students attended planning meetings, when their plans included services for caregivers, and when child and family team leaders followed up after meetings to verify service receipt. Contrary to the Child and Family Support Team theory of change, match between student needs and the lead agency of the meeting was not associated with the odds of quicker service receipt, nor was attendance by natural supports. Findings from this study demonstrate the potential effectiveness of using case management systems to measure service planning process fidelity, as well as how results thereof can both inform process improvement and potential refinements to models' theories of change. (C) 2014 Elsevier Ltd. All rights reserved.
机译:有效的以儿童和家庭为中心的服务计划对于解决弱势儿童的需求至关重要。但是,关于这些流程的哪些方面可以改善服务使用和结果的证据有限。当前的研究使用Poisson随机效应危害模型来测试对NC儿童和家庭支持小组模型的忠诚度与服务时间之间的相关性,并使用该计划在2008-2009学年服务的3396名儿童的案例管理数据。当照顾者和学生参加计划会议,他们的计划包括照顾者的服务以及儿童和家庭团队负责人在会议后跟进以核实服务收据时,学生更有可能更快地获得推荐的服务。与儿童和家庭支持小组的变革理论相反,学生需求与会议的主要机构之间的匹配与更快获得服务的几率无关,也与自然支持的出席率无关。这项研究的结果表明,使用案例管理系统来衡量服务计划过程的忠诚度的潜在有效性,以及其结果如何既可以为过程改进提供信息又可以为模型的变更理论提供潜在的改进。 (C)2014 Elsevier Ltd.保留所有权利。

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