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Principal Investigator: John
Landsverk
Pilot Study PI: Gregory
A. Aarons: Organizational Readiness for Innovation
Funding: NIH/NIMH R24MH067377 ($1,566,428, 09/30/02-09/29/06)
The overarching goal of the Child and Adolescent Interdisciplinary
Research Network (CAIRN) is to develop a heuristic model,
including practical strategies, for the dissemination, implementation
and maintenance of evidence-based, parent mediated interventions
(E-BPMI) in child welfare settings for treatment of disruptive
disorders and externalizing behavior problems in children
and adolescents.
This goal will be addressed through three specific aims:
(1) To develop a well-functioning interdisciplinary research
network that links intervention and services researchers from
existing research collaborations with additional expertise
in cultural anthropology, organizational culture and change,
child welfare and mental health economics, and stakeholders
from child welfare and mental health agencies. To accomplish
this aim, a four-tiered structure of steering committee, investigators,
collaborating consultants, and agency stakeholders is proposed,
with scientific workgroups, and communication, coordination,
training, and scientific review mechanisms. (2) To develop,
using a cultural exchange framework, a dissemination and implementation
heuristic model with derived practical strategies for adapting
existing E-BPMI for child welfare populations that can be
used by child welfare stakeholders and by intervention and
services researchers. This aim involves four logically staged
studies: conceptual review of heuristic model issues, secondary
analyses of existing datasets from two ongoing national studies,
key informant survey for parent mediated interventions in
current use within a nationally representative network of
child welfare and linked mental health agencies, and a pilot
test of Rapid Ethnographic Assessment for use in examining
incentives and disincentives for implementing E-BPMI. (3)
To examine the use of E-BPMI for biological parents involved
in the child welfare system, including potential model extensions
to address the interface between parent mediated treatments
designed to improve the skills and coping mechanisms of biological
parents with existing community-based treatments that are
mandated as part of reunification plans. This aim involves
three pilot studies: clustering types of families an ongoing
national study, focus groups with biological parents, and
a small pilot test.
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2007
CASRC