LEADER 05833oam 2200721 450 001 9910220096703321 005 20190911100038.0 010 $a0-8330-7997-2 010 $a0-8330-7999-9 035 $a(OCoLC)872657093 035 $a(MiFhGG)GVRL6SHN 035 $a(EXLCZ)992670000000411810 100 $a20130312d2013 uy 0 101 0 $aeng 135 $aurun|---uuuua 181 $ctxt 182 $cc 183 $acr 200 00$aTransforming systems for parental depression and early childhood developmental delays $efindings and lessons learned from the Helping Families Raise Healthy Children initiative /$fDana Schultz [and five others] 210 $aSanta Monica, CA $cRAND Corporation$d2013 210 1$aSanta Monica, CA :$cRAND Corporation,$d2013. 215 $a1 online resource (xxix, 166 pages) $cillustrations 225 0 $aGale eBooks 300 $a"Prepared for the Community Care Behavioral Health Organization." 300 $a"RAND Health." 311 $a0-8330-7996-4 320 $aIncludes bibliographical references (p. 159-166). 327 $aCover; Title Page; Copyright; Preface; Contents; Figures; Tables; Summary; Abbreviations; Glossary; CHAPTER ONE: Introduction; Background on the Allegheny County Maternal and Child Health Care Collaborative; The Collaborative's Prior Work; Phase I: Planning Process, 2002-2004; Phase II: Pilot Testing, 2004-2006; Phase III: Maternal Depression Initiative, 2007-2010; The Broad Context for the Collaborative's Focus on Depression; Prevalence and Symptoms of Maternal Depression; Prevalence and Risk Factors of Maternal Depression for Low-Income Populations 327 $aPrevention and Intervention Effects for Women at Risk for DepressionLink Between Maternal Depression and Early Childhood Development; System Challenges to Addressing Maternal Depression; Maternal Depression Screening; Actions Taken Following Positive Screens; Engagement in Behavioral Health Treatment; The Need for a Cross-System Response to Maternal Depression in Allegheny County; The Helping Families Raise Healthy Children Initiative; Aims and Focus of the Initiative; Roles and Responsibilities of Key Stakeholder Groups; Strategies for Implementation; Initiative Timeline 327 $aOrganization of This ReportCHAPTER TWO: Methods; The Initiative's Framework for System Change; Initiative Partners and Organization; Implementation Protocols and Procedures; Screening and Identification of At-Risk Families; Relationship-Based Service Coordination and Referrals; Engagement in Relationship-Based Services; Strategies to Support Initiative Implementation; Conducting Cross-System Provider Training; Supporting the Screening and Referral Processes; Convening a Learning Collaborative for Providers; Developing Community Partnerships; Assessing Progress to Inform Ongoing Implementation 327 $aEvaluation PlanData Collection for Process, Individual Outcome, and System Impact Measures; Data Collection Activities; Data Analysis; CHAPTER THREE: Results; Section A. Assessment of the Implementation Process: Screening and Identification, Referral, and Engagement in Services; Screening and Identification Results; Referral Results; Engagement-in-Services Results; Summary of the Process Measure Results; Section B. System Impact Results; Screening and Identification; Cross-System Networking and Referrals; Engagement in Services for At-Risk Families; Tracking Implementation Progress and Costs 327 $aSummary of Factors Driving System ChangeSection C. Individual-Level Outcome Results; Depression Screening; Parenting Stress; Health and Safety; Summary of the Individual Outcome Measure Results; Summary of the Results of the Overall Initiative; CHAPTER FOUR: Discussion; Lessons Learned; Screening and Identification; Referrals; Engagement in Services for At-Risk Families; Education, Training, and Support; Current Policy Context; Limitations; CHAPTER FIVE: Conclusions, Recommendations, and Next Steps; Sustainability of the Initiative's Components; Recommendations; Next Steps; APPENDIXES 327 $aA. Training Assessments 330 $aThe Helping Families Raise Healthy Children initiative addressed depression among parents of children with early childhood developmental delays, aligning the early intervention and behavioral health systems with a focus on relationship-based care. The initiative focused on identification of at-risk families, referral, and engagement in services that addressed the needs of parents and young children in the context of their relationship. 606 $aDevelopmental Disabilities$xcomplications 606 $aParenting$xpsychology 606 $aCaregivers$xpsychology 606 $aCommunity Mental Health Services 606 $aDepression$xetiology 606 $aParent-Child Relations 606 $aParents of developmentally disabled children$xServices for 606 $aCaregivers$xPsychology 606 $aDepression, Mental 615 12$aDevelopmental Disabilities$xcomplications. 615 12$aParenting$xpsychology. 615 22$aCaregivers$xpsychology. 615 22$aCommunity Mental Health Services. 615 22$aDepression$xetiology. 615 22$aParent-Child Relations. 615 0$aParents of developmentally disabled children$xServices for. 615 0$aCaregivers$xPsychology. 615 0$aDepression, Mental. 676 $a362.3 700 $aSchultz$b Dana$g(Dana J.)$0899255 702 $aSchultz$b Dana$g(Dana J.), 712 02$aCommunity Care Behavioral Health Organization. 712 02$aRAND Health. 801 0$bMiFhGG 801 1$bMiFhGG 906 $aBOOK 912 $a9910220096703321 996 $aTransforming systems for parental depression and early childhood developmental delays$92009100 997 $aUNINA