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Challenges in evaluating a ‘think child, think parent, think family’ approach to adult mental health and children’s services
- Author:
- ROSCOE Hannah
- Journal article citation:
- Research Policy and Planning, 28(2), 2010, pp.103-114.
- Publisher:
- Social Services Research Group
In 2009, the Social Care Institute for Excellence (SCIE) published a guide on parental mental health and child welfare, which makes recommendations about how services can better support families in which there is a parent with a mental health problem. This guide is based on a ‘think family’ approach, which requires effective interagency working between adult mental health and children’s services. This article discusses how the recommendations of the guide might be implemented. In September 2009, a project team at SCIE began working with 5 sites in England and 5 Health and Social Care Trusts in Northern Ireland to implement the guide and gather further learning about good practice and solutions to some of the barriers identified. The article considers the challenges of designing methods of evaluation in these sites, particularly in terms of how to define and measure the impact of implementation. It suggests that the concept of a ‘complex intervention’ is helpful in thinking about implementation of the guide in terms of allowing local flexibility, targeting multiple parts of the health and social care system and the range of possible outcomes of the work. In line with the principles of realist evaluation, a key role of the evaluation is to help further understand and map the intervention rather than simply to provide a summation of success or failure.
Implementation of the JOBS programme in Ireland
- Authors:
- BARRY Margaret M., et al
- Journal article citation:
- Journal of Public Mental Health, 5(4), December 2006, pp.10-25.
- Publisher:
- Emerald
This article reports on the implementation and evaluation of the JOBS programme in Ireland. This is a training intervention to promote re-employment and improve mental health among unemployed people that was implemented on a pilot basis in the border region of the Republic and Northern Ireland. Programme participants were unemployed people recruited from local training and employment offices and health agencies. The unemployed people involved in the study also included some mental health service users. The evaluation indicated that the programme was implemented successfully and led to improved psychological and re-employment outcomes for the intervention group, lasting up to 12 months post-intervention. This paper reflects on the implementation issues that arose in adapting an international evidence-based programme to the local setting and considers the implications of the evaluation findings for the roll out of the programme on a larger scale.