A Conceptual Framework for Developing and Implementing Effective Policy in Children's Mental Health

Friedman, Robert M.

doi:10.1177/106342660301100103

Cited by 30 publications

(16 citation statements)

References 15 publications

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“…Following the changes, GPs have continued their involvement in the 6–8 week review but provision of other standard reviews has essentially ceased. This finding is broadly in line with what would have been expected from the policy recommendations, although it is worth noting that policy is by no means always implemented as intended [16,17]. Our findings also show that, since 2005, GPs have had minimal involvement in provision of the selective 24 month review.…”

Section: Discussionsupporting

confidence: 87%

General practitioner provision of preventive child health care: analysis of routine consultation data

Wood

Wilson

2012

BMC Fam Pract

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BackgroundGPs contribute to preventive child health care in various ways, including provision of child health surveillance (CHS) reviews, opportunistic preventive care, and more intensive support to vulnerable children. The number of CHS reviews offered in Scotland was reduced from 2005. This study aimed to quantify GPs’ provision of different types of preventive care to pre-school children before and after the changes to the CHS system.MethodsGP consultation rates with children aged 0–4 years were examined for the 2½ years before and after the changes to the CHS system using routinely available data from 30 practices in Scotland. Consultations for CHS reviews; other aspects of preventive care; and all reasons were considered.ResultsPrior to the changes to the CHS system, GPs often contributed to CHS reviews at 6–8 weeks and 8–9 and 39–42 months. Following the changes, GP provision of the 6–8 week review continued but other reviews essentially ceased. Few additional consultations with pre-school children are recorded as involving other aspects of preventive care, and the changes to CHS have had no impact on this. In the 2½ years before and after the changes, consultations recorded as involving any form of preventive care accounted for 11% and 7.5% respectively of all consultations with children aged 0–4 years, with the decline due to reductions in CHS reviews.ConclusionsEffective preventive care through the early years can help children secure good health and developmental outcomes. GPs are well placed to contribute to the provision of such care. Consultations focused on preventive care form a small minority of GPs’ contacts with pre-school children, however, particularly since the reduction in the number of CHS reviews.

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Section: Discussionsupporting

confidence: 87%

General practitioner provision of preventive child health care: analysis of routine consultation data

Wood

Wilson

2012

BMC Fam Pract

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“…Alternatively, policies that target individual outlets may have a more limited effect than area-wide or city-wide policies. Policy design variables such as these can be important determinants of whether or not policies will achieve their intended purpose (Friedman, 2003;McLaughlin, 1987;Paul & Sabatier, 1986). However, researchers have examined why public policies fail to meet their goals following adoption, and many have concluded that some policies fail, not because they take the wrong approach, but because they are not well-implemented (Bardach, 1974;Elmore, 1979;Pressman & Wildavvsky, 1973).…”

Section: Discussionmentioning

confidence: 99%

Effects of Policies to Restrict Malt Liquor Sales on Neighborhood Crime

Barajas

McKee

Hannan

et al. 2011

Substance Use & Misuse

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We examined the effectiveness of malt liquor sales restrictions adopted in 2005 in three liquor stores in a large Midwestern U.S. city. We hypothesized that the restrictions would be associated with crime reductions in adjacent neighborhoods. Using Poisson regression modeling, we compared crime rates two years prior to, and two years following policy adoption. Findings were mixed; malt liquor restrictions were associated with reductions in disorderly conduct citations, but increases in larceny/theft, beyond citywide trends. Limitations and implications of our study are discussed, and further research suggested. The study was funded by the U.S. Centers for Disease Control and Prevention.

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“…Ambiguity, limited resources, and resistance to change may inhibit full implementation of the principles set forth in the NFC report. From an historical perspective, Friedman (2003) observes, "the mere articulation of policy through legislation or regulation is rarely adequate to accomplish the goals of the policy" (p. 11). Therefore, the question remains: How can we implement the recommendations from the NFC initiative in a strategic and passionate way to prevent it from becoming another relatively unused report?…”

Section: "Achieving the Promise" Through School Mental Healthmentioning

confidence: 98%

The President’s New Freedom Commission: Capitalizing on Opportunities to Advance School-Based Mental Health Services

Mills

Stephan

Moore

et al. 2006

Clin Child Fam Psychol Rev

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The report from President George W. Bush's New Freedom Commission on Mental Health (NFC), Achieving the Promise: Transforming Mental Health Care in America(2003), proposes goals and recommendations for improving mental health services. This report has significant implications for the delivery of mental health services through the schools. A focused discussion of the potential opportunities and challenges of implementing NFC recommendations related to school-based mental health is presented. Strategies for addressing five key areas at the intersection of school mental health and the Commission's recommendations include: stigma reduction, suicide prevention, expansion and improvement of school mental health, and screening and treatment of co-occurring mental health and substance abuse disorders.

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A Conceptual Framework for Developing and Implementing Effective Policy in Children's Mental Health

Cited by 30 publications

References 15 publications

General practitioner provision of preventive child health care: analysis of routine consultation data

General practitioner provision of preventive child health care: analysis of routine consultation data

Effects of Policies to Restrict Malt Liquor Sales on Neighborhood Crime

The President’s New Freedom Commission: Capitalizing on Opportunities to Advance School-Based Mental Health Services

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