Date of Award

8-2022

Document Type

Dissertation

Degree Name

Doctor of Philosophy (PhD)

Department

Applied Health Research and Evaluation

Committee Chair/Advisor

Dr. Sarah Griffin

Committee Member

Dr. Lior Rennert

Committee Member

Dr. Kerry Sease

Committee Member

Dr. Xia Jing

Abstract

Adolescence is a unique developmental period during which most lifelong mental health illnesses develop. Interventions and programs targeting adolescent health care utilization and effectiveness often fail to include measures of implementation science including long term sustainability and contextual characteristics. The purpose of this dissertation was to evaluate two programs designed to increase health care utilization and engagement in adolescent populations. Guided by the Practical, Robust, Implementation and Sustainability Framework (PRISM), strengths and weaknesses across model delivery and context of School-based Health Centers (SBHC) were assessed through in-depth interviews with clinicians, managers, and school staff. SBHC outcomes and services were assessed in comparison to traditional pediatric clinics using propensity score matching. And lastly, a pediatric navigation service for referral connection support was assessed on referral connection and predictors of referral noncompletion. The findings presented in this dissertation have important implications for informative implementation and delivery of programming and interventions.

Author ORCID Identifier

0000-0001-6703-2195

Included in

Public Health Commons

Share

COinS
 
 

To view the content in your browser, please download Adobe Reader or, alternately,
you may Download the file to your hard drive.

NOTE: The latest versions of Adobe Reader do not support viewing PDF files within Firefox on Mac OS and if you are using a modern (Intel) Mac, there is no official plugin for viewing PDF files within the browser window.