Implementing Evidence-Based Prevention by Communities to Promote Cognitive, Affective, and Behavioral Health in Children Proceedings of a Workshop (2017) / Chapter Skim
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3 Building Community Capacity for Choosing, Adapting, and Implementing Evidence-Based Programs
3 Building Community Capacity for Choosing, Adapting, and Implementing Evidence-Based Programs
Pages 13-22
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From page 13... ...
• Networked prevention systems, training for the prevention workforce, and sustainable funding mechanisms are key in building capacity for implementing and sustaining evidence based programs in communities. (Spoth)
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THE SECOND DECADE PROJECT In public health, communities tend to focus on specific issues, observed Patrick O'Carroll, health administrator for Region X of the U.S. Public Health Service.
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But trauma "is not just a black or brown problem," said Harris. "It's a human problem." Through the Bronzeville Dream Center, Bright Star Community Outreach is developing five core competencies to bring effective, sustainable change to Chicago: counseling, mentoring, parenting, workforce development, and advocacy.2 Bright Star Community Outreach also promotes what Harris called the four C's: concentration, communication, collaboration, and compassion.
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From page 16... ...
Wendell Miller senior prevention scientist and director of the Partnerships in Prevention Science Institute at Iowa State University.3 The partnership creates a network of individual sites, including community teams designed to implement and sustain programs in the community, a prevention coordinator team to link communities to the extension system and provide technical assistance, and a state coordinator/management team to coordinate technical assistance and provide guidance and ongoing support. "The quintessence of PROSPER," said Spoth, "is effective, sustainable partnerships." 3 For more information about the program, see http://helpingkidsprosper.org [May 2017]
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From page 17... ...
Spoth reported that community teams have achieved high recruitment rates for family program participation, compared to traditional approaches, and that all programs have been implemented with high levels of quality. Social network analyses have indicated reductions in negative peer influences, with additional positive effects for strengthening family relationships, parenting, and youth skill outcomes.
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From page 18... ...
The prevention workforce could be strengthened by building out currently available training/certification systems and by organizing a network of university-supported trainers. And, he suggested, sustainable funding mechanisms could be expanded through private-public partnerships linked with integrated preventive health homes and through the use of prevention and wellness funds to support networked communities.4 THRIVENYC In 2015, the leaders of New York City came together to unveil the mental health plan ThriveNYC.5 Gary Belkin, executive deputy commissioner of mental hygiene in the New York City Department of Health and Mental Hygiene, described the plan as ambitious in scope, rigorous in how it defined the problem, expansive in addressing how mental health issues affect all indi iduals and institutions in society as a broad public health challenge, and v comprehensive in calling on all sectors and all citizens to address the issue.
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From page 19... ...
In this way, continuous quality improvement is a far better fit to the science of implementation and can be hardwired into the project. Indeed, one of the ThriveNYC initiatives is establishment of a Mental Health Innovation Laboratory in the New York City Department of Health and Mental Hygiene to serve as a source of improvement and implementation technical assistance to people who want to innovate.
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IMPLEMENTING EVIDENCE-BASED MODELS IN THE CHILD WELFARE AND JUVENILE JUSTICE SETTINGS Since 2006, New York City has had a policy of investing in evidencebased interventions in its child welfare and juvenile justice systems. "What we were doing was not working," said Gladys Carrión, commissioner of the New York City Administration for Children's Services.
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"Despite those challenges, we have seen tremendous improvements in our outcomes, the reduction of repeat maltreatment, the reduction of children coming into our system, the shortening of length of stays, and improvement in well-being," Carrión concluded -- all in a system that does more than 55,000 investigations of abuse and neglect each year. DISCUSSION Aligning Diverse Programs The challenge posed by aligning diverse programs was one focus of the question-and-answer period.
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From page 22... ...
"Speaking truth to power is the most important thing," he stated. This often requires that researchers and program developers speak out in ways that community leaders can understand.
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