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Elucidating care for families with multiple problems in routine practice: Self-registered practice and program elements of practitioners

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  • Visscher, L.
  • Evenboer, K.E.
  • Scholte, R.H.J.
  • van Yperen, T.A.
  • Knot-Dickscheit, J.
  • Jansen, D.E.M.C.
  • Reijneveld, S.A.

Abstract

Families with multiple problems (FMP), also defined as multiproblem families or multistressed families, face multiple, severe, chronic and intertwined problems in different areas of life. Content and provision of interventions targeting FMP in routine practice may largely deviate from guidelines in intervention manuals. The aim of this study was to identify practice and program elements provided to FMP in routine practice, including the intensity, manner of provision, and recipients, per intervention phase (starting-, care- and end phase). We selected interventions with at least moderate (d ≥ 0.5) effect sizes in the Dutch context, yielding eight interventions. Practitioners of 26 Dutch organizations systematically registered information on practice and program elements, intensity, manner of provision, and recipients, using the taxonomy of interventions for FMP. Within 474 trajectories we found that elements regarding activation of the social network of FMP were provided least often (in less than 48–77% of the families). Elements were provided mainly through psycho-education (25–33%) and instruction (21–24%). Interventions focused more on parents (53–62%) than on children (26–32%). Program elements hardly changed between phases of interventions, although the number of visits decreased (from an average of six visits a month during the starting phase to four visits during the end phase). An inventory of elements that make part of interventions for FMP allows studying the effectiveness of these interventions in a more detailed way. This yields information that may help to identify the optimal sequence, intensity and duration of elements and enables to better understand outcomes of interventions for FMP.

Suggested Citation

  • Visscher, L. & Evenboer, K.E. & Scholte, R.H.J. & van Yperen, T.A. & Knot-Dickscheit, J. & Jansen, D.E.M.C. & Reijneveld, S.A., 2020. "Elucidating care for families with multiple problems in routine practice: Self-registered practice and program elements of practitioners," Children and Youth Services Review, Elsevier, vol. 111(C).
    • Handle: RePEc:eee:cysrev:v:111:y:2020:i:c:s0190740919311247
    DOI: 10.1016/j.childyouth.2020.104856
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    References listed on IDEAS

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    1. Visscher, L. & Evenboer, K.E. & Jansen, D.E.M.C. & Scholte, R.H.J. & Knot-Dickscheit, J. & Veerman, J.W. & Reijneveld, S.A. & van Yperen, T.A., 2018. "Identifying practice and program elements of interventions for families with multiple problems: The development of a taxonomy," Children and Youth Services Review, Elsevier, vol. 95(C), pages 64-70.
    2. Evenboer, K.E. & Reijneveld, S.A. & Jansen, D.E.M.C., 2018. "Improving care for multiproblem families: Context-specific effectiveness of interventions?," Children and Youth Services Review, Elsevier, vol. 88(C), pages 274-285.
    3. Tausendfreund, Tim & Knot-Dickscheit, Jana & Post, Wendy J. & Knorth, Erik J. & Grietens, Hans, 2014. "Outcomes of a coaching program for families with multiple problems in the Netherlands: A prospective study," Children and Youth Services Review, Elsevier, vol. 46(C), pages 203-212.
    4. Fernandez, Elizabeth, 2007. "Supporting children and responding to their families: Capturing the evidence on family support," Children and Youth Services Review, Elsevier, vol. 29(10), pages 1368-1394, October.
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    1. Hornyák, F. & Visscher, L. & Delsing, M.J.M.H. & Evenboer, K.E. & Scholte, R.H.J. & Reijneveld, S.A. & Jansen, D.E.M.C., 2023. "Improving interventions for families with multiple problems: Identifying elements that predict improvement," Children and Youth Services Review, Elsevier, vol. 155(C).
    2. van Assen, Arjen & Knot-Dickscheit, Jana & Grietens, Hans & Post, Wendy, 2021. "Fidelity and flexibility of care activities in child-centered youth care for children growing up in families experiencing complex and multiple problems," Children and Youth Services Review, Elsevier, vol. 123(C).
    3. Visscher, L. & Jansen, D.E.M.C. & Scholte, R.H.J. & van Yperen, T.A. & Evenboer, K.E. & Reijneveld, S.A., 2022. "Elements of care that matter: Perspectives of families with multiple problems," Children and Youth Services Review, Elsevier, vol. 138(C).

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