The primary objectives of this study are to improve the detection of & response to childhood adversity and associated mental health problems for families attending the Hubs.
Among caregivers receiving Hub care, we will consider if there is an increase in the number of caregivers who:
- report being asked by a health practitioner about adversity in the past six months ;
- report spending extra time with or receiving an intervention from a Hub health practitioner for adversity in the past six months ; and
- have received a referral to an intersectoral service for adversity between baseline, 6-month and 12-months follow up?
Among service providers at the Hubs, we will consider if there is an increase in the number of service providers who:
- report asking caregivers about adversity;
- provide intervention for adversity; and
- refer to intersectoral service for adversity?
This will be measured through three surveys (at baseline, 6 months after the Hub starts, and at 12 months). Caregivers and service providers will be invited to participate in an interview (12months after completing their first survey). At 12 months, Dr Sarah Loveday, Paediatrician and PhD Student from MCRI will also undertake clinical observations of service providers (with their consent).
The below table provides estimated timelines for hub planning and implementation activities in Victoria.
Table 1. Timelines for hub planning and implementation in Victoria