The overarching goal of the proposed Child and Adolescent Interdisciplinary Research Network (CAIRN) is to develop a heuristic model, including practical strategies, for the dissemination, implementation and maintenance of evidence-based, parent mediated interventions (E-BPMI) in child welfare settings for treatment of disruptive disorders and externalizing behavior problems in children and adolescents. This goal will be addressed through three specific aims: (1) To develop a well-functioning interdisciplinary research network that links intervention and services researchers from existing research collaborations with additional expertise in cultural anthropology, organizational culture and change, child welfare and mental health economics, and stakeholders from child welfare and mental health agencies. To accomplish this aim, a four-tiered structure of steering committee, investigators, collaborating consultants, and agency stakeholders is proposed, with scientific workgroups, and communication, coordination, training, and scientific review mechanisms. (2) To develop, using a cultural exchange framework, a dissemination and implementation heuristic model with derived practical strategies for adapting existing E-BPMI for child welfare populations that can be used by child welfare stakeholders and by intervention and services researchers.
This aim i nvolves four logically staged studies: conceptual review of heuristic model issues, secondary analyses of existing datasets from two ongoing national studies, key informant survey for parent mediated interventions in current use within a nationally representative network of child welfare and linked mental health agencies, and a pilot test of Rapid Ethnographic Assessment for use in examining incentives and disincentives for implementing E-BPMI. (3) To examine the use of E-BPMI for biological parents involved in the child welfare system, including potential model extensions to address the interface between parent mediated treatments designed to improve the skills and coping mechanisms of biological parents with existing community-based treatments that are mandated as part of reunification plans.
This aim i nvolves three pilot studies: clustering types of families an ongoing national study, focus groups with biological parents, and a small pilot test. ? ?

Agency
National Institute of Health (NIH)
Institute
National Institute of Mental Health (NIMH)
Type
Resource-Related Research Projects (R24)
Project #
5R24MH067377-04
Application #
6918665
Study Section
Special Emphasis Panel (ZMH1-CRB-J (01))
Program Officer
Chambers, David A
Project Start
2002-09-20
Project End
2007-06-30
Budget Start
2005-07-01
Budget End
2007-06-30
Support Year
4
Fiscal Year
2005
Total Cost
$376,714
Indirect Cost
Name
Children's Hospital & Res Ctr at Oakland
Department
Type
DUNS #
849289806
City
San Diego
State
CA
Country
United States
Zip Code
92123
Palinkas, Lawrence A; Schoenwald, Sonja K; Hoagwood, Kimberly et al. (2008) An ethnographic study of implementation of evidence-based treatments in child mental health: first steps. Psychiatr Serv 59:738-46
Dorsey, Shannon; Mustillo, Sarah A; Farmer, Elizabeth M Z et al. (2008) Caseworker assessments of risk for recurrent maltreatment: association with case-specific risk factors and re-reports. Child Abuse Negl 32:377-91
Aarons, Gregory A; Palinkas, Lawrence A (2007) Implementation of evidence-based practice in child welfare: service provider perspectives. Adm Policy Ment Health 34:411-9
Burns, Barbara J (2003) Children and evidence-based practice. Psychiatr Clin North Am 26:955-70