Race/Ethnicity, Parental Involvement, and Youth Mental Health Service Outcomes

种族/民族、家长参与和青少年心理健康服务成果

• 批准号: 7231241
• 负责人: JUNE LIANG
• 金额: $ 2.94万
• 依托单位: SAN DIEGO STATE UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2006
• 资助国家: 美国
• 起止时间: 2006-11-16 至 2011-11-15
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7231241
• 关键词: adolescence (12-20); behavioral /social science research tag; child mental health service; human subject; human therapy evaluation; mental health personnel; parent offspring interaction; parents; patient care management; patient oriented research; predoctoral investigator; preference; psychotherapy; racial /ethnic difference

DESCRIPTION (provided by applicant): The overall goal of this proposed research is to investigate the role of parental involvement in psychotherapy in school-based mental health services for a racially/ethnically diverse sample of adolescents. Researchers and policy-makers have highlighted the significance of involving multiple stakeholders in treatment planning and implementation as well as emphasizing the importance of family variables. Particularly, evidence has shown that parents play a crucial role in service utilization, facilitating improvements during treatment, and maintaining these changes after treatment for children and adolescents is complete. In addition, researchers have hypothesized that greater family involvement in services may be especially important to ethnic minorities due to collectivistic values that place more emphasis on the role of family. Therefore, culturally appropriate therapy that involves parents may be particularly critical. Unfortunately, empirical research on the role of parental involvement in the treatment of children's mental health problems is scarce. Thus, the proposed research addresses gaps in the literature by aiming to: 1) examine the level of therapist preference for parental involvement in the child's psychotherapy, the parents' preference for their own level of involvement, and the parents' actual involvement; 2) identify contextual and parental variables associated with parental involvement in psychotherapy; 3) examine the relationship between race/ethnicity, contextual & parental variables, and parental involvement; 4) investigate the effect of parental involvement in youth psychotherapy outcomes; and 5) examine whether race/ethnicity moderates the effect of parental involvement on youth psychotherapy outcomes. The sample will consist of 260 adolescents (aged 12-19) who have received school-based mental health services, their parents, and their therapists. Secondary data analysis will be based on data collected from a baseline interview and four follow-up interviews over the course of 12 months. Research instruments measure preferred and actual parental involvement, sociodemographic, contextual, and parental variables, and treatment outcomes. Analysis will involve descriptive statistics, analysis of variance, correlational analysis and regression. The findings from the proposed study may have implications for improving the delivery and quality of care for ethnic minority adolescents; clinicians who wish to involve ethnic minority parents in their client's counseling could apply the research findings to guide them in addressing the contextual and parental factors that impact their involvement. The results from this study may inform and facilitate the development of interventions that encourage parents to play a key role in their child's mental health treatment.

描述（由申请人提供）：这项拟议研究的总体目标是调查家长参与心理治疗在学校心理健康服务中针对种族/民族多样化青少年样本的作用。研究人员和政策制定者强调了让多个利益相关者参与治疗计划和实施的重要性，并强调家庭变量的重要性。特别是，有证据表明，父母在服务利用、促进治疗期间的改善以及儿童和青少年治疗完成后维持这些变化方面发挥着至关重要的作用。此外，研究人员假设，由于集体主义价值观更加强调家庭的作用，家庭更多地参与服务可能对少数族裔尤其重要。因此，涉及父母的文化上适当的治疗可能特别重要。不幸的是，关于父母参与治疗儿童心理健康问题的作用的实证研究很少。因此，拟议的研究旨在解决文献中的空白：1）检查治疗师对父母参与儿童心理治疗的偏好程度、父母对自己参与程度的偏好以及父母的实际参与程度； 2）确定与父母参与心理治疗相关的背景变量和父母变量； 3）检查种族/民族、背景和父母变量以及父母参与之间的关系； 4）调查父母参与对青少年心理治疗结果的影响； 5）检查种族/民族是否会调节父母参与对青少年心理治疗结果的影响。样本将包括 260 名接受过学校心理健康服务的青少年（12-19 岁）、他们的父母和治疗师。二次数据分析将基于从基线访谈和 12 个月内的四次后续访谈中收集的数据。研究工具测量首选和实际的父母参与、社会人口、背景和父母变量以及治疗结果。分析将涉及描述性统计、方差分析、相关分析和回归。拟议研究的结果可能对改善少数民族青少年的护理服务和质量产生影响；希望少数族裔父母参与客户咨询的临床医生可以应用研究结果来指导他们解决影响其参与的背景和父母因素。这项研究的结果可能会为干预措施的制定提供信息并促进其发展，鼓励父母在孩子的心理健康治疗中发挥关键作用。