Despite efforts to embed mental health supports within schools, few models exist to facilitate the implementation of targeted (Tier II) evidence-based interventions in schools. To address this gap, a collaborative partnership was formed between a pediatric teaching hospital and a large urban public school district. The current exploratory study details the development and implementation of a training model (Comprehensive Implementation Training and Support—CITAS) that addresses both consultation and organizational factors known to promote the successful implementation of Tier II interventions. Additionally, the study utilizes a case example approach to highlight initial promise and areas for future development. Results demonstrated a need for CITAS to support effective implementation and provided encouraging data on the acceptability, feasibility, and initial promise of this model. Participating clinicians demonstrated engagement and satisfaction with the activities included in the CITAS model, high levels of fidelity to the intervention, and improvement in outcomes for students participating in Anger Coping groups facilitated by CITAS clinicians. Findings also indicated that the CITAS model facilitated the navigation of organizational barriers (e.g., leadership support, resources, time) that promoted implementation success.

中文翻译：

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为校本行为健康干预制定培训和实施模式

尽管努力在学校内嵌入心理健康支持，但很少有模式可以促进在学校实施有针对性的（二级）循证干预措施。为了弥补这一差距，一家儿科教学医院和一个大型城市公立学区之间建立了合作伙伴关系。当前的探索性研究详细介绍了培训模型（综合实施培训和支持 - CITAS）的开发和实施，该模型解决了已知的促进 Tier II 干预措施成功实施的协商和组织因素。此外，该研究利用案例示例方法来强调最初的前景和未来发展的领域。结果表明 CITAS 需要支持有效实施，并提供了关于可接受性、可行性、和这个模型的最初承诺。参与的临床医生表现出对 CITAS 模型中包含的活动的参与度和满意度，对干预的高度忠诚，以及参与 CITAS 临床医生推动的愤怒应对小组的学生的结果有所改善。结果还表明，CITAS 模型促进了组织障碍（例如，领导支持、资源、时间）的导航，从而促进了实施成功。