Un modelo de implementación del family check-up en entornos comunitarios de salud mental

Autores/as

DOI:

https://doi.org/10.7179/PSRI_2025.46.03

Palabras clave:

Psicología infantil, salud mental, trabajadores de salud mental, comportamiento infantil

Resumen

Introducción: El Family Check-Up (FCU) es un programa de tratamiento basado en evidencia que se desarrolló durante más de 25 años de investigación clínica rigurosa. La FCU está asociada con resultados a largo plazo que incluyen una mejor salud mental y conductual que conduce a un ajuste de por vida y se ha implementado en varios países, incluidos los Estados Unidos de América, Suecia, Canadá y los Países Bajos.

Método: En este artículo, revisamos el modelo teórico que guió nuestra investigación, el modelo clínico para la prestación de servicios y el modelo de implementación que guía nuestra difusión del FCU en diversos entornos de servicio comunitario en los Estados Unidos. El programa FCU se basa en un modelo ecológico de desarrollo en el que los factores estresantes contextuales predicen las habilidades de crianza y las relaciones familiares, que son mediadores clave y objetivos de la intervención. El programa presencial de FCU incluye una evaluación de 3 sesiones basada en las fortalezas que culmina en una sesión de retroalimentación que luego conduce a un apoyo parental personalizado para las familias. Nuestro modelo de implementación comunitaria se lleva a cabo en 4 fases que incluyen la exploración de las necesidades de la comunidad, la consulta, la capacitación y el apoyo continuo para el sostenimiento. El modelo de implementación incluye una combinación de aprendizaje electrónico, capacitaciones virtuales, consulta y certificación de proveedores y capacitación de supervisores.

Resultados: Los resultados de los estudios demostraron mejoras en la autoeficacia de los padres, el estrés, la regulación emocional, la ansiedad, la depresión y las conductas parentales (crianza positiva y proactiva, establecimiento de límites), y reducciones en la crianza negativa, los conflictos familiares y los problemas emocionales de los niños.

Conclusión: Nuestro objetivo es ampliar el alcance de la prevención de la salud mental en todo el mundo aumentando la difusión del FCU en entornos comunitarios mediante un proceso colaborativo y comprometido con la comunidad, e integrando nuestro nuevo programa de salud digital en una variedad de entornos de servicios de salud mental.

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Biografía del autor/a

Elizabeth Stormshak , University of Oregon

Is a Knight Chair and Professor in the College of Education at the University of Oregon. Her research focuses on family-centered prevention of mental health and behavior problems in youth.

Anne Marie Mauricio , University of Oregon

Is an Associate Research Professor at the University of Oregon Prevention Science Institute. Her research focuses on the development, implementation, and evaluation of culturally competent evidence-based interventions for sustainable delivery in community practice settings.

Anna Cecilia McWhirter , Northwest Prevention Science

Is a Trainer and Implementation Consultant at Northwest Prevention Science, Inc. Her work and research focus on parent behavioral training and family interventions for children and youth, and implementation practices and consultation support for providers nationally.

Lisa Reiter , Northwest Prevention Science

Is the Chief Operating Officer and Chief Implementation Officer for Northwest Prevention Science, the purveyor organization for the Family Check-Up model. She has 30 years of experience working in the evidence-based practice field and training professionals in EBP’s.

Citas

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Publicado

2025-01-03