Implementing an Evidence-Based Parent–Child Mental Health Program in a High-Risk Community
Publication: Canadian Journal of Community Mental Health
26 March 2013
Abstract
This study reports the implementation of a program for early onset disruptive behaviour (Webster- Stratton & Hammond, 1997) through a hospital– community agency partnership in a demographically highrisk community traditionally underserved for mental health services. Sixty-four families at the clinic site and 19 at the community site completed the program at similar rates. The community sample had significantly higher demographic risk (income, immigrant status, parental education). Both groups showed significant improvement on parent-rated disruptive child behaviour and parenting stress. Staff interviews indicated strong support for program continuation and identified areas needing further attention. The findings are discussed in terms of possible approaches to mental health promotion in high-risk communities.
Résumé
Dans cet article, nous rendons compte de la mise en place d'un programme visant à régler, grâce à des soins offerts en partenariat par un hôpital et un organisme communautaire, les problèmes de comportements perturbateurs qui se manifestent dès la petite enfance (Webster-Stratton et Hammond, 1997) dans une communauté à haut risque où les soins de santé mentale avaient toujours été insuffisants. Soixante-quatre familles ont profité du programme à l'hôpital et 19 grâce à l'organisme communautaire; toutes l'ont fait à un rythme semblable. Les familles qui ont fréquenté l'organisme communautaire présentaient un risque beaucoup plus élevé à cause de leur faible revenu et parce qu'elles étaient d'origine immigrante et que les parents avaient un faible niveau de scolarité. Dans les 2 groupes, on a observé une baisse importante des comportements perturbateurs chez les enfants (tels que rapportés par les parents) et du stress des parents. Des entretiens menés auprès du personnel ont montré que la volonté de poursuivre ce programme est grande, et ont permis d’établir comment on pourrait améliorer celui-ci. En conclusion, nous évaluons le programme en le considérant comme une piste de solution pour favoriser la santé mentale dans des communautés à haut risque.
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Canadian Journal of Community Mental Health
Volume 32 • Number 1 • March 2013
Pages: 139 - 153
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Version of record online: 26 March 2013
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MillerFiona K. and KeatingDaniel P.. 2013. Implementing an Evidence-Based Parent–Child Mental Health Program in a High-Risk Community. Canadian Journal of Community Mental Health.
32(1): 139-153. https://doi.org/10.7870/cjcmh-2013-011
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