Statewide Implementation of the 4 Rs and 2 Ss for Strengthening Families

Gopalan, Geetha; Franco, Lydia M.; Dean-Assael, Kara; McGuire-Schwartz, Mandy; Chacko, Anil; McKay, Mary M.

doi:10.1080/15433714.2013.842440

Cited by 16 publications

(17 citation statements)

References 56 publications

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“…How is this developed, delivered, and sustained? How flexible can and must the intervention be (77)? What are the measures of organizational success and of overall outcome?…”

Section: Addressing the Gapsmentioning

confidence: 99%

Accelerating the Pace of Cancer Prevention- Right Now

Colditz

Emmons²

2018

Cancer Prevention Research

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As a nation, we underinvest in prevention and fail to implement strategies that ensure all population groups equitably share in the return on investment in prevention research and the benefits of prevention effectiveness. There is significant evidence indicating that by applying knowledge that we already have to reduce tobacco, inactivity, and obesity (known modifiable causes of cancer), we can prevent more than 50% of cancers. Vaccination against HPV, aspirin and selective estrogen receptor modulators, and screening programs further reduce risk. Evidence-based prevention strategies are inconsistently implemented across the United States. Substantial variation across States indicates that there is much room for improvement in implementation of prevention. Implementation science applies innovative approaches to identifying, understanding, and developing strategies for overcoming barriers to the adoption, adaptation, integration, scale-up, and sustainability of evidence-based interventions, tools, policies, and guidelines that will prevent cancer through application of evidence-based interventions. When we get implementation of prevention programs right and at scale, we achieve substantial population benefits. Although many efforts are underway to maximize our knowledge about the causes and treatments of cancer, we can achieve reductions in the cancer burden right now by doing what we already know. The time to start is now. .

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“…How is this developed, delivered, and sustained? How flexible can and must the intervention be (77)? What are the measures of organizational success and of overall outcome?…”

Section: Addressing the Gapsmentioning

confidence: 99%

Accelerating the Pace of Cancer Prevention- Right Now

Colditz

Emmons²

2018

Cancer Prevention Research

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“…Collectively, the majority of frameworks provide a phased or stage approach that decision makers should not only consider, but also fully explore in the implementation of an EBP, as these frameworks will guide a more systematic implementation effort that can increase implementation success (Aarons et al, 2012; Glisson et al, 2010; Brodowski et al, 2013; Gopalan et al, 2014; Metz et al, 2014). For example, in pre-adoption phases, critical considerations include identifying (1) the target population (e.g., maltreated or at-risk children and families), (2) which EBP will best meet the needs, challenges, and problems for the target population (e.g., TF-CBT, SafeCare), and (3) whether there are referral and funding mechanisms in place to support the services.…”

Section: Discussionmentioning

confidence: 99%

“…Commonly used in health care settings, the PRISM framework has also been applied to the implementation of a program (i.e., the 4 Rs and 2 Ss for Strengthening Families Program) that targeted urban, low-income children with disruptive behavior disorders and their families, families who have demographic and child risk factors for CM perpetration (Gopalan et al, 2014). Within the PRISM framework, this project sought to implement a program that was adaptable, embedded within the existing work flow, could meet local clinic needs, minimize staff burden, discontinue if necessary, and permit staff to see results.…”

Section: Framework Reviewmentioning

confidence: 99%

“…Emerging research provides support that approaching implementation with a conceptual framework for EBPs targeting child maltreatment prevention (Aarons et al, 2012), child mental health interventions (Glisson et al, 2010) and other community-based EBPs (Brodowski, Counts, Gillam, Baker, & Collins, 2013; Gopalan et al, 2014; Metz et al, 2014) can enhance the process and ultimately increase overall implementation success. The purpose of this paper is to offer a structured review of the scientific literature documenting the application of existing implementation frameworks to EBP implementation in child welfare and child mental health, specifically with EBPs that can reduce child maltreatment perpetration or recidivism, and those that address the mental health needs of maltreated youth.…”

Section: Introductionmentioning

confidence: 99%

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The what, when, and why of implementation frameworks for evidence-based practices in child welfare and child mental health service systems

Hanson

Self‐Brown

Rostad

et al. 2016

Child Abuse & Neglect

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It is widely recognized that children in the child welfare system are particularly vulnerable to the adverse health and mental effects associated with exposure to abuse and neglect, making it imperative to have broad-based availability of evidence-based practices (EBPs) that can prevent child maltreatment and reduce the negative mental health outcomes for youth who are victims. A variety of EBPs exist for reducing child maltreatment risk and addressing the associated negative mental health outcomes, but the reach of these practices is limited. An emerging literature documents factors that can enhance or inhibit the success of EBP implementation in community service agencies, including how the selection of a theory-driven conceptual framework, or model, might facilitate implementation planning by providing guidance for best practices during implementation phases. However, limited research is available to guide decision makers in the selection of implementation frameworks that can boost implementation success for EBPs that focus on preventing child welfare recidivism and serving the mental health needs of maltreated youth. The aims of this conceptual paper are to (1) provide an overview of existing implementation frameworks, beginning with a discussion of definitional issues and the selection criteria for frameworks included in the review; and (2) offer recommendations for practice and policy as applicable for professionals and systems serving victims of child maltreatment and their families.

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“…Briefly, the 4Rs and 2Ss is a curriculum-based, time-limited (16 weeks) multiple family group model that involves two or more generations within families (e.g., caregivers and children, grandparents, siblings) that focuses on Rules, Roles and Responsibilities, Respectful Communication, Relationships, Stress, and Social Support. This intervention model integrates common elements of evidence-informed treatments for conduct problems into a coordinated set of practices in order to strengthen families and improve child and family well-being (Chacko et al, 2015; Gopalan et al, 2014). …”

Section: Methodsmentioning

confidence: 99%

The intersection of extreme poverty and familial mental health in the United States

Acri

Bornheimer

Jessell

et al. 2017

Social Work in Mental Health

Self Cite

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Approximately 22% of children in the United States live in poverty, with high rates of caregiver depression and child disruptive behavior disorders (DBD). The current study aims to explore the relationships between living in extreme poverty and both child and parent mental health. Data are comprised of findings from the first effectiveness study of the 4Rs and 2Ss intervention, in addition to preliminary data from an implementation study currently underway (n = 484). Families with an annual income of less than $9,999 reported significantly greater child DBD scores and prevalence of clinically significant levels of caregiver depressive symptoms compared to income levels over $10,000. Findings support the recommendation for parental mental health to be attended to within the context of child mental health services.

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Statewide Implementation of the 4 Rs and 2 Ss for Strengthening Families

Cited by 16 publications

References 56 publications

Accelerating the Pace of Cancer Prevention- Right Now

Accelerating the Pace of Cancer Prevention- Right Now

The what, when, and why of implementation frameworks for evidence-based practices in child welfare and child mental health service systems

The intersection of extreme poverty and familial mental health in the United States

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