FAMILY SERVICES FOR RUNAWAY HOMELESS YOUTH

为离家出走的无家可归青年提供的家庭服务

• 批准号: 6918772
• 负责人: DAVID E POLLIO
• 金额: $ 13.55万
• 依托单位: WASHINGTON UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2003
• 资助国家: 美国
• 起止时间: 2003-09-30 至 2007-06-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/6918772
• 关键词: HIV infections; adolescence (12-20); behavioral /social science research tag; child behavior disorders; clinical research; community mental health services; coping; disease /disorder proneness /risk; drug abuse; emotions; family therapy; focus groups; high risk behavior /lifestyle; homeless; human subject; human therapy evaluation; patient oriented research; psychological models; runaway child

DESCRIPTION (provided by applicant): Runaway homeless youth exhibit substantial risk for drug abuse and HIV/AIDS risk behaviors. Outcomes research on runaway homeless youth using crisis shelters suggest that returning to family of origin, where appropriate, may lead to positive outcomes and suggest immediate effectiveness of this service type, particularly on problems associated with substance use. Positive results, however, appear to decline or disappear by 6 months post-discharge. Well-developed family group service models are sadly lacking for the runaway/homeless population. This persists despite cogent arguments for inclusion of families in youth services, and the promising results of family services for families coping with youth with substance abuse, behavioral disturbances, and mental illness. Adaptation of existing successful family group models may provide needed direction for post-discharge services for runaway homeless youth. Thus, the purpose of this proposal is to apply for an R21 exploratory/developmental mechanism (PA-01-012) to conduct the necessary developmental activities, establish service and methodological feasibility, and provide initial examination of a multifamily group model for runaway homeless youth discharged from crisis shelters to their family of origin. We will adapt a psychoeducation model responsive to families (PERF) developed by this team to the population of runaway homeless youth (RHY) to create the unique multifamily group model for this population (RHY-PERF). This team is currently testing the family-responsive model (PERF) is currently being tested in community settings with families with an adult member with mental illness, and has recently been piloted for families with children with behavioral disturbances within a school system, with encouraging results. The RHY-PERF model will be developed and field-tested through implementation of four 6-month groups recruited from cohorts of runaway homeless youth returning home from services at Youth-In-Need, a federally-funded runaway homeless shelter. To examine the relative impact of RHY-PERF, a case-control comparison cohort will be recruited and followed. A post-service focus group for families receiving RHY-PERF will provide further opportunities for feedback.

描述（由申请人提供）： 无家可归的无家可归青年对药物滥用和艾滋病毒/艾滋病的风险行为具有重大风险。关于使用危机避难所的无家可归青年的结果研究表明，在适当的情况下重返原籍家庭可能会带来积极的结果并提出这种服务类型的直接有效性，尤其是在与药物使用相关的问题上。然而，阳性结果似乎在入院后6个月下降或消失。 可悲的是，失控/无家可归的人口缺乏发达的家庭团体服务模式。尽管有说服力的辩论，但仍说明了家庭服务中的家庭服务的有前途的结果，为应对青年滥用药物，行为障碍和精神疾病的家庭服务带来了令人鼓舞的结果。现有成功的家庭组模型的适应可能为失控的无家可归者青年提供了所需的方向。因此，该提案的目的是申请R21探索/发育机制（PA-01-012）进行必要的发展活动，建立服务和方法论上的可行性，并为从危机庇护所送往其来源家族的失控无家可归的年轻人的多户群体模型进行初步检查。 我们将适应响应于该团队的家庭（PERF）的心理教育模型，以创建为该人群（Rhy-Perf）创建独特的多户群体模型（Rhy-Perf）的人群。该团队目前正在测试家庭响应模型（PERV）目前正在社区环境中，患有患有精神疾病的家庭的家庭，并最近曾对在学校系统中患有行为障碍的儿童进行了驾驶，并取得了令人鼓舞的结果。 Rhy-perf模型将通过实施四个从失控的无家可归者青年队招募的6个月组来开发和现场测试，这些小组是在Federally In-neceed的服务中返回家中的，这是一个联邦资助的失控无家可归者庇护所。为了检查Rhy-Perf的相对影响，将招募并遵循病例对照比较队列。接受Rhy-perf的家庭的服务后焦点小组将为反馈提供更多机会。