224024 Building Bridges across the Judiciary, Child Welfare, and Child Mental Health: The Miami Child Well-Being Court Model Project

Monday, November 8, 2010 : 11:15 AM - 11:30 AM

Jenifer Goldman Fraser, PhD, MPH , Child and Families Program, RTI International, Research Triangle Park, NC
Cecilia Casanueva, PhD , Children and Families Program, RTI International, Research Triangle Park, NC
Lynne Katz, EdD , Departments of Psychology and Pediatrics, University of Miami, Miami, FL
Cindy Lederman, JD , Miami-Date Juvenile Court (11th Judicial Circuit), Dependency Division, Miami, FL
Joy Osofsky, PhD , LSU Health Sciences Center, New Orleans, LA
Dean Fixsen, PhD , FPG Child Development Institute, The National Implementation Research Network, Chapel Hill, NC
Mimi Graham, EdD , Center for Prevention and Early Intervention Policy, Florida State University, Tallahassee, FL
Anne Hogan, PhD , Center for Prevention and Early Intervention Policy, Florida State University, Tallahassee, FL
Celeste Putnam , Center for Prevention and Early Intervention Policy, Florida State University, Tallahassee, FL
Ann Stacks, PhD , Merrill-Palmer Institute, Wayne State University, Detroit, MI
Katherine Rosenblum, PhD , Center for Human Growth and Development, University of Michigan, Ann Arbor, MI
In 2007, an estimated 3.2 million referrals involving the alleged maltreatment of approximately 5.8 million children were made to CPS agencies, with the rate of victimization highest among children birth to three. Early exposure to maltreatment is associated with serious health disparities that continue into adolescence and adulthood. Evidence-based interventions that promote safe, stable, and nurturing relationships can reduce maltreatment recurrence, improve exposed children's health and behavioral outcomes, and prevent the intergenerational transmission of child maltreatment. Our proposed session will report on an innovative judiciary-led model to increase the reach and effectiveness of one such intervention, child-parent psychotherapy, with adjudicated infants/toddlers and their mothers. Developed in the Miami-Dade Juvenile Court, in collaboration with early childhood experts at the University of Miami and Louisiana State University Health Sciences Center, this systems integration model makes the dependency court the platform for assuring timely referral to evidence-based treatment, monitoring child well-being, and ensuring the child's emotional well-being is at the center of judicial decision-making and permanency planning. The model is currently being disseminated in two new communities as part of a multi-site translation research study funded by the CDC/National Center for Injury Prevention and Control. We will describe the dissemination process and discuss strategies and barriers faced by the local implementation teams in Tallahassee, Florida, and Detroit, Michigan, to adopt the model. We will also briefly describe the study's mixed-method implementation and outcomes evaluation.

Learning Areas:
Other professions or practice related to public health
Planning of health education strategies, interventions, and programs
Public health or related research

Learning Objectives:
Explain the value of the dependency court as a non-traditional public health platform for intervening early with young maltreated children to address their unmet mental health needs and prevent maltreatment recurrence. Articulate key concepts from implementation science, including stages of implementation and core implementation components, as they apply to dissemination of the Miami Child Well-Being Court Model. Differentiate child-parent psychotherapy from other parenting interventions as being uniquely appropriate for maltreated children and their mothers. Discuss barriers and solutions to adoption of the model in diverse communities.

Keywords: Child Abuse, Intervention

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I am qualified to present as the Principal Investigator for the project that is the focus of the proposed presentation.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.