Maltreatment and Mental Health in Older Foster Youth

老年寄养青少年的虐待和心理健康

基本信息

批准号：
7446390
负责人：
THOMAS E KELLER
金额：
$ 6.96万
依托单位：
PORTLAND STATE UNIVERSITY
依托单位国家：
美国
项目类别：
财政年份：
2005
资助国家：
美国
起止时间：
2005-07-21 至 2009-06-30
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/7446390
关键词：
adolescence (12-20)behavior prediction behavioral /social science research tag child abuse child foster care /adoption child mental disorders clinical research comorbidity health care service utilization human data human subject interview mental health psychological adaptation social support network statistics /biometry

项目摘要

DESCRIPTION (provided by applicant): Adolescents emancipated from the child welfare system at 18 years of age must negotiate the transition to independent adulthood suddenly and without guarantees of continuing support. The nature and severity of mental health problems among older foster youth has important implications because negative outcomes in adulthood are more likely for adolescents with psychiatric disorders. Adolescents in state custody are at risk for psychiatric disorders due to histories of abuse, neglect, abandonment, or parental incapacity and exposure to multiple other familial and environmental conditions associated with the development of psychopathology, This study involves secondary analysis of a large dataset derived by sampling all youth from three Midwestern state child welfare agencies who were 17 years or older and had been in foster care for at least one year. Mental health was assessed with a structured diagnostic interview (CIDI), and information was obtained on their experience of maltreatment, history in the child welfare system, utilization of services, relationship networks and social support, and psychosocial and adaptive functioning. Several analyses are proposed. First, the nature, prevalence, and comorbidity of mental health disorders will be examined, along with variations according to individual and system-level factors (e.g., type of foster placements). Second, latent class analysis will identify particular patterns of abuse and neglect experienced, and these maltreatment profiles will be investigated for specific correspondences with particular mental health disorders. Third, the possibility that links between maltreatment and mental health are moderated by social support and successful foster care intervention will be investigated. Finally, classification and regression tree analysis (CART) will be used on individual, maltreatment, and child welfare factors to develop a predictive model to identify youth likely to exhibit mental health problems. Knowledge of factors and processes associated with mental health problems among foster youth is necessary for providing targeted preventive interventions and treatment services to help them cope with the transition to independence. Furthermore, studying this population presents unique opportunities to examine how trauma and psychosocial factors are linked to mental health in late adolescence.

描述（由申请人提供）：18岁那年从儿童福利系统中解救出来的青少年必须突然协商向独立成年的过渡，而无需保证持续支持。老年寄养青年中心理健康问题的性质和严重程度具有重要意义，因为成年后的负面结果对于精神疾病的青少年更有可能。由于虐待，忽视，遗弃或父母丧失或丧失能力的历史，州监护的青少年处于精神疾病的危险中，并暴露于与精神病学发展相关的其他多种家庭和环境状况，涉及对三个中西部儿童代理人的三个年轻人的次要数据进行的次要分析。通过结构化诊断访谈（CIDI）评估了心理健康，并获得了有关他们的虐待，儿童福利系统的历史，服务的利用，关系网络和社会支持以及社会心理和适应性功能的信息。提出了一些分析。首先，将检查心理健康障碍的性质，患病率和合并症，以及根据个人和系统级因素（例如，寄养者的类型）的变化。其次，潜在的班级分析将确定特定的虐待和忽视模式，这些虐待概况将与特定的精神健康障碍有关的特定对应进行研究。第三，将调查虐待与心理健康之间的联系的可能性。最后，分类和回归树分析（CART）将用于个人，虐待和儿童福利因素，以开发一种预测模型，以识别可能出现心理健康问题的青年。对于提供有针对性的预防干预措施和治疗服务以帮助他们应对独立过渡，需要了解寄养青年中与心理健康问题相关的因素和过程的知识。此外，研究该人群提供了独特的机会，可以研究创伤和社会心理因素如何与青春期后期的心理健康有关。