Mental Health Promotion - 2010 Winners
3-C Family Services
3-C Family Services is a private mental health clinic in Cary, North Carolina, where psychology, psychiatry, and counseling professionals work as a team to promote children’s positive mental health and social development, and strengthen family relationships. Medical and psychological treatments are integrated to provide comprehensive care. 3-C Family Services’ clinicians combine individual therapy, group sessions, and family services to best meet the needs of the entire family. The practice is committed to evidence-based clinical interventions through work with 3-C Institute for Development, a sister research company.
Since its inception, 3-C Family Services has been helping children develop positive social skills through the suite of S.S.GRIN (Social Skills Group Intervention) programs, developed by 3-C ISD. The S.S.GRIN programs are targeted, evidence-based interventions that help children learn how to make and keep friends, improve social skills and reduce the risk of being the victim of bullying or teasing at school. Often used as a Response to Intervention, Tier II intervention, the S.S.GRIN suite includes age-appropriate programs for Early Childhood, Elementary and Middle school aged children. 3-C Family Services also uses the S.S.GRIN HFA program for children diagnosed with High Functioning Autism.
Research on S.S.GRIN, published in the Journal of Child and Clinical Psychology, showed a 24% increase in "liking" by peers, a 44% decrease in "aggression" and a 63% decrease in "antisocial affiliations. " Children who participated in S.S.GRIN learned significant behavioral skills for making and keeping friends, and showed significant social-emotional improvements at school. Longitudinal research demonstrates that the benefits of S.S.GRIN are sustained over time including higher social acceptance and self-esteem and lower depression, anxiety and aggressive behavior.
Fox GERI: Geriatric Education & Research Institute
The Fox GERI: Geriatric Education & Research Institute in Cherry Hill, New Jersey, was founded to empower the elderly, their family, and caregivers to make well-informed health care decisions by providing educational services to the public on health care related issues; improve the quality of health care delivered to the geriatric population by educating health care professionals on geriatric-specific topics; and advancing the fields of geriatric health care through collaborative research; bridging the gap between the research environment and the real-world, reimbursable environment.
The translation of Environmental Skill-building Program / ESP into Skills2Care was a collaborative effort which included the following members; Dr. Laura Gitlin and the original research team who developed Skills2Care at the Jefferson Center for Applied Research on Aging and Health, Thomas Jefferson University, Fox GERI and the practice site, Fox Rehabilitation.
ESP was selected since it is a proven intervention, enhances the mental health of caregivers. Specifically, it has been found to reduce caregiver burden and enhance skills to help manage patient functional decline and behavioral symptoms. ESP is designed to provide caregivers with specific knowledge and skills to support daily function and manage neuropsychiatric behaviors of dementia patients, enhance home safety, and alleviate caregiver upset, burden and care concerns. Skills2Care enables Occupational Therapists (OTs) to be the liaison to effectively and systematically educate and support caregivers.
RE-AIM (Reach, Effectiveness, Adoption, Implementation, Maintenance) framework was used to evaluate the public health outcomes of implementing ESP in Fox Rehabilitation. Caregiver Reach was moderately high with 59% of those identified as appropriate for ESP agreeing to participate. While caregiver volume appears low (69 caregivers identified over 2 years by 22 therapists), it reflected Fox’s census at the time. As to Effectiveness, both therapists and caregivers uniformly reported ESP as beneficial. Adoption by therapists was also relatively high with 70% using ESP following training. As to Implementation, indicators of fidelity suggest some areas of delivery were not consistent (e.g. , use of depression screen and problem solving protocols), but caregiver receipt and enactment indicators were positive. Maintenance of the program was also promising with 21 (95.5%) therapists indicating intent to continue its use in their practice with dementia patients.
Institute for Child and Family Health (ICFH), Inc.
The Institute for Child and Family Health (ICFH) (formally Children’s Psychiatric Center) is a private, not-for profit organization that has been providing health, behavioral health, substance abuse, educational, and prevention services to the children, adolescents, and families of Miami-Dade County for over 60 years. It is one of the oldest and largest community health centers exclusively dedicated to the wellbeing of children and families in the state of Florida. ICFH serves over 35,000 children, adolescents, and families per year.
Functional Family Therapy (FFT) is an evidenced based empirical model designed to accomplish uncovering and developing the unique strengths of the family in a way that enhances the family’s self-respect while providing specific ways to improve family functioning. FFT is named to reflect a set of core theoretical principles which represents a primary focus on the family and an overriding faithfulness to positive outcomes.
This program has served over 2750 families in Miami-Dade County over the past 10 years and has yielded percentages of success that have been well above the national average. The national average according to FFT, LLC has been 70%; the Institute for Child and Family Health the success rate over the past three last years was over 80%. In the past ten years of the implementation of this program and similar programs, the county’s recidivism rate for juvenile offenders has been reduced from 60% re-offenses to 30%. The average recidivism rates of the youth attending ICFH programs have been 1% in the past three years significantly lower than the county’s rate of 30%.
Mt. Hope Family Center
Mt. Hope Family Center (MHFC) is a clinical and research facility affiliated with the University of Rochester in Rochester, NY. Founded in 1979 as a preschool for low-income children affected by abuse and neglect, it has grown into a nationally recognized center studying the effects of child maltreatment, trauma, and maternal depression on children. An overarching mission of the Center involves the implementation, and evaluation, of evidence-based interventions, with the goal of exporting services into community settings.
MHFC has conducted a number of randomized clinical trials (RCTs) that have contributed to the evidence base of Child-Parent Psychotherapy (CPP). CPP focuses on the child-parent relationship and the impact that parents’ relationship histories exert upon the caregiving of their children. CPP is a home-based model provided to families with children under age 6.
CPP has been effectively implemented with culturally diverse samples of low-income families with histories of maltreatment (Cicchetti et al. , 2006; Toth et al. , 2002) and with maternal depression (Cicchetti et al. , 1999, 2000; Toth et al. , 2006). In a RCT with infants in maltreating families, CPP was found to be efficacious in fostering increased security of attachment in infants, and in a second RCT, maltreated preschoolers who received CPP evidenced less negative representations of their mothers and themselves post-intervention. In a follow-up of maltreated preschoolers at age 8, the rate of foster and kinship placements for families participating in CPP was one-tenth the rate of comparison families who did not receive CPP (2% vs. 21%), thus documenting the strength of CPP in preventing placements. Currently, CPP is being implemented as part of a ommunity collaboration, thereby increasing its dissemination into real world clinical contexts.
Public/Private Ventures, Nurse Family Partnership Program of Pennsylvania
Public/Private Ventures (P/PV), based in Philadelphia, Pennsylvania, is a national leader in creating and strengthening programs that improve lives in low-income communities. P/PV is composed of research, policy and program development experts who specialize in education, employment, prisoner reentry, juvenile justice, public health, youth development and more.
For over 10 years, P/PV has grown the Nurse-Family Partnership Program (NFP), which helps transform the lives of vulnerable first-time moms and their babies. Through ongoing home visits from registered nurses, low-income, first-time moms receive the care and support they need to have a healthy pregnancy, provide responsible and competent care for their children, and become more economically self-sufficient. An evidence-based community health program, NFP’s outcomes include long-term family improvements in health, education, and economic self-sufficiency.
Compared to NFP nationally, at intake clients in Pennsylvania present more risk factors in that there are a greater number of teens, more unmarried, less educated, greater history of mental illness and greater history of abuse. Despite these risk factors, Pennsylvania NFP meets or exceeds NFP goals for language development at 21 months, immunizations completed by age 2, and the number of months that the mothers are working in the year after their child is born. Specifically from the 2009 State Profile: 90% of babies were born full-term, 95% of children received all recommended immunizations by 24 months of age, a 29% increase in mothers workforce participation from 19% at intake to 48% at program completion, 44% of mothers who completed the program and who did not have a diploma/GED at intake earned their diploma/GED and 59% of mothers initiated breast-feeding. In addition, Pennsylvania NFP also shows positive trends toward many other NFP goals.
Last updated: 11/25/2010