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Aligning dissemination and implementation science with health policies to improve children’s mental health.
American Psychologist ( IF 16.4 ) Pub Date : 2020-11-01 , DOI: 10.1037/amp0000706
Kimberly Eaton Hoagwood 1 , Jonathan Purtle 2 , Julia Spandorfer 1 , Robin Peth-Pierce 3 , Sarah McCue Horwitz 1
Affiliation  

The prevalence of mental health problems among children (ages 0-21) in the United States remains unacceptably high and, post-COVID-19, is expected to increase dramatically. Decades of psychological knowledge about effective treatments should inform the delivery of better services. Dissemination and implementation (D&I) science has been heralded as a solution to the persistent problem of poor quality services and has, to some extent, improved our understanding of the contexts of delivery systems that implement effective practices. However, there are few studies demonstrating clear, population-level impacts of psychological interventions on children. Momentum is growing among communities, cities, states, and some federal agencies to build "health in all policies" to address broad familial, social, and economic factors known to affect children's healthy development and mental health. These health policy initiatives offer a rare opportunity to repurpose D&I science, shifting it from a primary focus on evidence-based practice implementation, to a focus on policy development and implementation to support child and family health and well-being. This shift is critical as states develop policy responses to address the health and mental health impacts of the COVID-19 pandemic on already-vulnerable families. We provide a typology for building research on D&I and children's mental health policy. (PsycInfo Database Record (c) 2020 APA, all rights reserved).

中文翻译:

将传播和实施科学与卫生政策结合起来,以改善儿童的心理健康。

美国儿童(0-21 岁)心理健康问题的患病率仍然高得令人无法接受,并且在新冠肺炎 (COVID-19) 疫情之后,这一问题预计将急剧增加。数十年关于有效治疗的心理学知识应该为提供更好的服务提供信息。传播和实施(D&I)科学被誉为解决服务质量低下这一长期存在问题的解决方案,并在一定程度上提高了我们对实施有效实践的交付系统背景的理解。然而,很少有研究证明心理干预对儿童有明确的、人群层面的影响。社区、城市、州和一些联邦机构建立“所有政策中的健康”的势头正在增强,以解决已知影响儿童健康发展和心理健康的广泛家庭、社会和经济因素。这些卫生政策举措为重新调整 D&I 科学的用途提供了难得的机会,将其从主要关注基于证据的实践实施转变为关注政策制定和实施,以支持儿童和家庭的健康和福祉。这种转变至关重要,因为各州正在制定政策应对措施,以解决 COVID-19 大流行对本已脆弱的家庭的健康和心理健康影响。我们提供了构建 D&I 和儿童心理健康政策研究的类型。(PsycInfo 数据库记录 (c) 2020 APA,保留所有权利)。
更新日期:2020-11-01
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