Boston Children's Hospital Neighborhood Partnerships

Foundations of Service Delivery

To provide services that are high quality, innovative, and culturally relevant, BCHNP utilizes continuous program evaluation and development throughout all of its work. BCHNP’s program development is grounded in the integration of evidence-based practices and strategies with the voices of students, families, and school communities. Both quantitative and qualitative data are utilized to inform the development and implementation of program services across all levels of intervention. 

Curricula for BCHNP services are evidence-based programs adapted to meet the needs of the students, families, and schools in our communities or are developed by BCHNP clinicians with evidence-based practice elements integrated throughout. The majority of groups and classroom interventions utilized Managing and Adapting Practice (MAP; Chorpita et al., 2015), a system of tools and guidelines for providing evidence-informed care through the integration of evidence-based practice elements into curricula at the right time and for the right needs with context considered. Evidence-based practice elements are specific interventions that are included in multiple evidence-based programs, indicating strong research support. For example, during the 2018/2019 school year, the most common practice elements used during groups and classroom interventions included education about the therapeutic process, education about the relationship between feelings, thoughts, and behaviors, and modeling and rehearsal of social emotional skills (e.g., making new friends, conflict resolution, coping, relaxation, academic skills). The Ecological Validity Model (Bernal et al., 1995) is used as a lens through which to understand the implementation of practice elements in a culturally relevant manner. The EVM ensures the use of self, language, metaphors, content, concepts, goals, methods, and context in a culturally relevant manner. 

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