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Needham, MA, United States

Bassuk E.L.,Center For Social Innovation, Llc | Bassuk E.L.,National Center on Family Homelessness | Beardslee W.R.,Childrens Hospital Boston
American Journal of Orthopsychiatry | Year: 2014

Homeless mothers experience disproportionately high rates of major depressive disorder compared with the general population. Stressed by their circumstances, these women struggle to protect their families. Children living with a depressed parent have poorer medical, mental health, and educational outcomes. Despite the adverse impact on children, depression among mothers experiencing homelessness remains unacknowledged, unrecognized, and untreated. This article reviews the evidence supporting preventive and therapeutic interventions with lowincome and homeless mothers and children, and finds that few services have been adapted and evaluated for use in the homelessness service system. Based on the robust evidence describing positive outcomes in programs for low-income parents with depression, the authors propose guidelines for adapting and implementing services directly by programs serving homeless families. Once families are housed and urgent issues addressed, they recommend assessing all family members, routinely providing culturally competent parenting supports, trauma-informed services, and treatment for major depressive disorders. They also emphasize the critical importance of creating child-centered spaces and developmental services for the children. To ensure quality care, training must be available for the staff. Given the increasing numbers of homeless families and high rates of maternal depression and its negative impact on children, support for these programs should become a high public health priority. © 2014 American Orthopsychiatric Association. Source


Grant
Agency: Department of Health and Human Services | Branch: | Program: SBIR | Phase: Phase I | Award Amount: 349.48K | Year: 2014

DESCRIPTION (provided by applicant): Recent research on the treatment of first-episode psychosis has documented positive results and hope for better long-term outcomes for consumers and their families. In particular, the NIMH-funded RISE study (Recovery after an Initial Schizophrenia Episode) developed an innovative early intervention. Building on the RAISE project, the Center for Social Innovation, LLC (C4) has partnered with the Research Foundation for Mental Hygiene, Inc. (RFMH) at the New York State Psychiatric Institute and Columbia University to develop and evaluate On TrackgtAn Online Role-Playing Game (On TrackgtThe Game). The goal of the game is to give consumers, family members, and provider's knowledge and skills to improve access to care. After playing the game, young people will be more likely to engage in and follow through with treatment; participate more actively as collaborators in their own care; and become more hopeful about their futures. Designed in the style of an animated, interactiv


Grant
Agency: Department of Health and Human Services | Branch: | Program: SBIR | Phase: Phase I | Award Amount: 202.98K | Year: 2011

DESCRIPTION (provided by applicant): The Center for Social Innovation (C4SI) proposes to develop and pilot test the Motivational Interviewing Simulator: An Experiential Online Training Tool. Motivational Interviewing (MI) is a well-established evidence- based practice that has been implemented across a wide range of disciplines including mental health and substance abuse treatment, primary care, HIV/AIDS services, homeless programs, and other health and social services. While standard 2-day face-to-face trainings have been shown effective in initial uptake of MI knowledge and skills, researchers have consistently documented a significant decrease in knowledge and skills in the weeks and months following onsite training. A need exists to develop a web-based training tool that can reinforce MI learning, and that will be accessible to a large number of providers. The proposed MI Simulator is designed to meet this need. The study has three specific aims: 1. To design a prototype Motivational Interviewing Simulator that supports health and social service providers to acquire, practice, and evaluate MI skills. 2. To conduct a pilot study to determine feasibility of a large Phase II study on the Simulator's effectiveness. 3. To explore commercial application of the Simulator. The Simulator will allow users to play the role of client, clinician, clinical supervisor, or team member. Multiple scenarios will allow users to work through various encounters across service settings (e.g., community mental health, inpatientdetoxification, homeless outreach, diabetes care, HIV/AIDS treatment). The prototype will be created using an established process developed by Forio, a simulation development company that will consult on the project. Forio's process has guided simulated learning products developed by the Centers for Disease Control, Harvard University, and numerous Fortune 500 companies. C4SI will conduct a Phase I pilot study to determine the feasibility of conducting a larger relative effectiveness trial. The pilot willinclude a sample of 30 participants who will be recruited from participants in our regularly scheduled 2-day face-to-face MI trainings, then randomized into one of two conditions: 1) On-Site Training with MI Simulator (n=15); or 2) Onsite Training with Enhanced Online Support (self-paced E-Book ) (n=15). Data sources will include Pre/Post Training Surveys and coded audio tapes of participants-client encounters. We will closely track challenges associated with each aspect of such a design, including recruitment and randomization, data collection instruments and processes, and implementation of the MI Simulator and E-Book products. Data collected during this study will enable us to fine-tune study design, product usability, and hypotheses to be tested in a Phase II study. Finally, we will conduct a Phase I market analysis and develop preliminary marketing and pricing strategies. PUBLIC HEALTH RELEVANCE: The Motivational Interviewing Simulator: An Experiential Online Training Tool represents the first major effort matching simulation technology with the evidence-based practice of motivational interviewing (MI). The Simulator will support retention of MI knowledge and skills to ensure fidelity to the model-and ultimately will improve quality of care for vulnerable populations by improving the clinical skills of service providers.


Grant
Agency: Department of Health and Human Services | Branch: National Institutes of Health | Program: SBIR | Phase: Phase I | Award Amount: 329.55K | Year: 2016

PROJECT SUMMARY In response to the growing need for training on interventions to address first episode psychosis the Center for Social Innovation C has partnered with experts in Coordinated Specialty Care CSC to develop and test CSC OnDemand An Innovative Online Learning Platform for Implementing Coordinated Specialty Care The product builds on the findings of the Recovery After an Initial Schizophrenia Episode RAISE studies funded by the National Institute of Mental Health NIMH RAISE examined team based models of care for people early in the course of schizophrenia Through this Fast Track Small Business Innovation Research SBIR grant we will prototype test refine and evaluate the impact of CSC OnDemand The platform will move teams through four levels of learning program readiness core knowledge deeper role specific learning and sustainability CSC OnDemand will include self paced online modules interactive multimedia case studies instructor led online courses peer interaction through an online discussion forum and multi site case conferencing and a central online hub to consolidate existing resources and training materials from across the field Phase I will build a robust prototype of the online platform and test it with fifteen to twenty providers from three sites This Phase will explore feasibility acceptability and preliminary effectiveness of the product and will examine which components of the online platform providers find most useful Based on our findings from Phase I we will refine the concept and fully build out the product to test in a larger randomized trial Phase II will use a cluster randomized non inferiority design to assess if OnDemand training n sites is comparable to InPerson training n sites Using a mixed methods approach we will examine provider n outcomes satisfaction knowledge gains retention attitudes toward shared decision making and client n outcomes work school participation engagement in CSC services inpatient psychiatric hospitalizations Phase III will roll out CSC OnDemand on a large commercial scale CSC OnDemand will disseminate CSC training widely and ensure training quality and consistency for C and our partners The overarching goal of this project is to create a scalable training model to support increased Coordinated Specialty Care across the United States This model can create strong pathways to recovery for tens of thousands of young people experiencing first episode psychosis and equip CSC teams to provide care support and connection for these young people and their families PROJECT NARRATIVE Scaling effective programs to address first episode psychosis is a pressing public health need This project entitled CSC OnDemand An Innovative Online Learning Platform for Implementing Coordinated Specialty Care delivers training for coordinated specialty care teams through online or blended online onsite implementation support The approach connects young people experiencing first episode psychosis with treatment and support to help them achieve positive outcomes in school work family and community


Grant
Agency: Department of Health and Human Services | Branch: National Institutes of Health | Program: SBIR | Phase: Phase I | Award Amount: 218.39K | Year: 2015

Enter the text here that is the new abstract information for your application This section must be no longer than lines of text Substance use disorder SUD is a chronic relapsing disease However current systems of care typically respond to SUD as an acute problem requiring short term residential and or outpatient treatment As currently treated people with SUD continue to have high relapse rates with few opportunities for long term recovery and relapse prevention supports One approach to continuous care is for substance use counselors to engage clients in systematically monitoring their own progress and to offer therapeutic feedback in response This approach aligns with the Institute of Medicineandapos s explicit recommendation for the use of client monitoring systems which offer continuous monitoring and feedback allowing the counselor to intervene when needed The SUD field has begun to explore promising strategies for using monitoring and feedback including through the use of technologies such as telephone and mobile devices Building on NIDA funded research on RecoveryTrack a computer based client outcomes monitoring system OMS the Center for Social Innovation LLC C has partnered with Treatment Research Institute TRI to develop and evaluate RecoveryTrack Mobile A Monitoring and Feedback Intervention RT M The goal of this intervention to be developed into a mobile application is to mitigate the risk of relapse among clients during and after outpatient treatment using an evidence based OMS assessment This extends continuous monitoring beyond the clinical setting and into a clientandapos s day to day environment Clients will complete core RecoveryTrack assessment questions weekly and daily and the results will be used to prompt feedback or support from the counselor and family friends and or sponsors that the client has elected to connect with the app The app will include recovery supports such as motivational and alert messages information and resource links that promote recovery and wellness During Phase we will conduct a small scale pilot study that is designed to evaluate feasibility and counselor and client acceptability of RT M and to determine whether RT M supports clientsandapos post discharge functioning We will use quantitative and qualitative methods to evaluate the product intervention prototype in order to provide proof of concept for a larger Phase effectiveness study We will recruit a sample of clients n and counselors n from a large medical center in Philadelphia PA that offers outpatient drug and alcohol services Quantitative data will be collected through baseline and follow up assessments one month post discharge using instruments with strong psychometric properties to measure changes in substance use and other relevant functional indicators as well as urine testing Qualitative and quantitative data will be collected on counselors and clients to understand their use of and experiences with the app and the intervention and suggestions for Phase The project will be informed and enhanced by a Community Advisory Board of former clients and counselors Building on recent research for substance dependence monitoring and feedback interventions the Center for Social Innovation and Treatment Research Institute will develop and evaluate RecoveryTrack Mobile A Monitoring and Feedback Intervention Using the evidence based RecoveryTrack client outcomes monitoring system assessment as a component in combination with clinical integration and interactive wraparound recovery supports the app aims to mitigate relapse risk and concurrent functional problems among clients during and after outpatient treatment for substance use disorders

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