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首页> 外文期刊>Prevention science: the official journal of the Society for Prevention Research >Service Coordination to Address Maternal Mental Health, Partner Violence, and Substance Use: Findings from a National Survey of Home Visiting Programs
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Service Coordination to Address Maternal Mental Health, Partner Violence, and Substance Use: Findings from a National Survey of Home Visiting Programs

机译：服务协调，以解决母体心理健康，合作伙伴暴力和物质用途：来自国家访问计划的全国范围内的调查

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Maternal risks such as poor mental health, partner violence, and substance misuse can undermine child health and development. Maternal and early childhood home visiting programs address these risks primarily through referral and coordination with community-based services, yet effects on these outcomes have been small. This study assessed the strengths of local home visiting sites' systems to support coordination of mental health, partner violence, and substance use services. Investigators recruited home visiting sites (N = 88) representing diverse models from a national practice-based research network, the Home Visiting Applied Research Collaborative (HARC). Web-based surveys assessed five implementation system supports for coordination and nine coordination activities drawn from the Measurement Framework for Coordination developed earlier in the project. Surveys also assessed seven coordination barriers identified in previous research. Sites varied in their implementation supports and coordination activities; on average, sites had stronger systems in place to support screening and referring families than to support linkage and follow-up. Implementation supports and activity scores were higher for mental health and partner violence than for substance use. Across all service needs, scores were highest for offering a referral and documenting the caregiver's agreement for exchange of information between providers. Scores were lowest for offering a warm handoff. Lack of open slots and lack of transportation were major barriers to successful coordination for all three services. Results suggest that home visiting coordination could be strengthened by focusing on infrastructure for linkage and follow-up with services in the broader system of care.
机译：精神健康不佳、伴侣暴力和药物滥用等孕产妇风险可能会损害儿童的健康和发展。孕产妇和幼儿家访项目主要通过转诊和与社区服务协调来解决这些风险，但对这些结果的影响很小。这项研究评估了当地家访网站系统在支持协调心理健康、伴侣暴力和药物使用服务方面的优势。研究人员从基于实践的国家研究网络“家访应用研究合作组织”（HARC）中招募了代表不同模型的家访网站（N=88）。基于网络的调查评估了五个执行系统对协调的支持，以及九项协调活动，这些活动来自项目早期开发的协调衡量框架。调查还评估了之前研究中发现的七个协调障碍。现场在实施支持和协调活动方面各不相同；平均而言，与支持联系和后续行动相比，这些网站拥有更强大的系统来支持筛查和转诊家庭。精神健康和伴侣暴力的实施支持和活动得分高于药物使用。在所有服务需求中，提供转诊和记录护理者在提供者之间交换信息的协议的得分最高。提供热情交接的分数最低。缺少空位和交通是这三种服务成功协调的主要障碍。结果表明，家访协调可以通过关注基础设施来加强，以便与更广泛的护理系统中的服务进行联系和跟进。

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