Improving Care for Children in Child Welfare

改善儿童福利中对儿童的照顾

• 批准号: 6918665
• 负责人: John Landsverk
• 金额: $ 37.67万
• 依托单位: RADY CHILDREN'S HOSPITAL - SAN DIEGO
• 依托单位国家: 美国
• 财政年份: 2002
• 资助国家: 美国
• 起止时间: 2002-09-20 至 2007-06-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/6918665
• 关键词: behavior therapy; behavioral /social science research tag; child behavior disorders; child mental health service; child welfare; clinical research; health care model; health economics; health services research tag; human data; human subject; human therapy evaluation; interdisciplinary collaboration; interview; meta analysis; model design /development; parent offspring interaction

DESCRIPTION (provided by applicant): The overarching goal of the proposed Child and Adolescent Interdisciplinary Research Network (CAIRN) is to develop a heuristic model, including practical strategies, for the dissemination, implementation and maintenance of evidence-based, parent mediated interventions (E-BPMI) in child welfare settings for treatment of disruptive disorders and externalizing behavior problems in children and adolescents. This goal will be addressed through three specific aims: (1) To develop a well-functioning interdisciplinary research network that links intervention and services researchers from existing research collaborations with additional expertise in cultural anthropology, organizational culture and change, child welfare and mental health economics, and stakeholders from child welfare and mental health agencies. To accomplish this aim, a four-tiered structure of steering committee, investigators, collaborating consultants, and agency stakeholders is proposed, with scientific workgroups, and communication, coordination, training, and scientific review mechanisms. (2) To develop, using a cultural exchange framework, a dissemination and implementation heuristic model with derived practical strategies for adapting existing E-BPMI for child welfare populations that can be used by child welfare stakeholders and by intervention and services researchers. This aim involves four logically staged studies: conceptual review of heuristic model issues, secondary analyses of existing datasets from two ongoing national studies, key informant survey for parent mediated interventions in current use within a nationally representative network of child welfare and linked mental health agencies, and a pilot test of Rapid Ethnographic Assessment for use in examining incentives and disincentives for implementing E-BPMI. (3) To examine the use of E-BPMI for biological parents involved in the child welfare system, including potential model extensions to address the interface between parent mediated treatments designed to improve the skills and coping mechanisms of biological parents with existing community-based treatments that are mandated as part of reunification plans. This aim involves three pilot studies: clustering types of families an ongoing national study, focus groups with biological parents, and a small pilot test.

描述（由申请人提供）：拟议儿童和青少年跨学科研究网络（CAIRN）的总体目标是开发一种启发式模型，包括实用策略，以在童恋福利和外部疾病中的福利设置和外部化的儿童和ADECERCENCENCENCENCENCENCENCENCENT和外部化的福利设置中的传播，实施和维护，并实施和维护基于循证的，基于循证的父母介导的干预措施（E-BPMI）。该目标将通过三个具体目的来解决：（1）开发一个功能齐全的跨学科研究网络，该网络将干预和现有研究合作的研究人员与文化人类学，组织文化和变革，儿童福利和精神卫生经济学以及儿童福利和精神卫生机构的利益相关者的其他专业知识联系起来。为了实现这一目标，建议通过科学工作组，沟通，协调，培训和科学审查机制的指导委员会，调查人员，合作顾问和代理利益相关者的四层结构。 （2）使用文化交流框架开发，通过派生的启发式模型，采用衍生的实用策略来调整现有的E-BPMI针对儿童福利人群，可供儿童福利利益相关者以及干预和服务研究人员使用。该目标涉及四个逻辑上阶段的研究：对启发式模型问题的概念回顾，对两项正在进行的国家研究的现有数据集的次要分析，对父母介导的儿童福利网络中当前使用中介导的干预措施的关键信息调查以及儿童福利网络以及连接的心理健康机构的介绍以及用于审查良心的快速人种学评估的试验评估，用于审查高级饮食和持续性。 （3）检查E-BPMI用于参与儿童福利系统的亲生父母的使用，包括潜在的模型扩展，以解决旨在提高亲生父母技能和应对机制的父母介导的治疗之间的接口，并使用现有的基于社区的治疗方法，这些治疗是授权作为团聚计划的一部分。该目标涉及三项试点研究：群集类型的家庭正在进行的国家研究，与亲生父母的焦点小组以及小型试点测试。