Child and Adolescent Welfare Outcome System (CA-WOS)

儿童和青少年福利成果系统（CA-WOS）

• 批准号: 6931350
• 负责人: LINDA L TOCHE-MANLEY
• 金额: $ 10.49万
• 依托单位: POLARIS HEALTH DIRECTIONS, INC.
• 依托单位国家: 美国
• 财政年份: 2005
• 资助国家: 美国
• 起止时间: 2005-06-01 至 2006-09-28
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/6931350
• 关键词: adolescence (12-20); behavioral /social science research tag; bioinformatics; child (0-11); child abuse; child welfare; clinical research; computer assisted patient care; computer network; computer program /software; computer system design /evaluation; crime victims; decision making; health services research tag; human subject; information systems; interdisciplinary collaboration; outcomes research; patient care management; psychometrics; public assistance

DESCRIPTION (provided by applicant): Children and adolescents in child welfare are significantly impacted by mental health difficulties that place them at risk for increased victimization and abuse, juvenile delinquency and poor educational outcomes. The Child and Adolescent Welfare Outcome System (CA-WOS) will help systems of care to address these risks, as well as key factors that contribute to placement and treatment failures leading to long-term system involvement and restrictive placements. CA-WOS is a computer-supported assessment system for child welfare agencies designed to enable interagency treatment team members (counselors, parents, case managers, therapists) as well as youth and families (birth/foster/caregivers) to provide and access case information, and to improve long-term youth and family functioning outcomes. Informants will complete their assessments using PCs or via the Internet. Automated reports will provide child welfare and mental health professionals with information regarding mental health status of youth and their families as well as interpersonal and family functioning. CA-WOS reports will identify problem areas, and document positive change in families as they learn the required skills to establish safety and permanency for their youth. This will allow for informed decision-making regarding initial case dispositions and provide evidence of progress to family courts. Finally, CA-WOS will identify risks and strengths that may be addressed to avoid out of home placement. CA-WOS will be the first evidence-based outcome management system: as data accumulate, it will "learn" to empirically derive profiles of youth and families likely to require out-of-home placement and extensive intervention. CA-WOS is innovative as its predictive capability will provide state welfare officials and managed care carve-outs the means to determine which families should receive increased intensity of services to prevent out-of-home placement and/or poor mental health outcomes. Phase I specific aims are: (1) Construct Youth Victimization-Adjustment and PTSD scales; (2) Develop informant assessments; (3) Automate their administration; (4) Design and automate the generation of reports; (5) Establish the psychometric properties of the CA-WOS youth and family scales;, and (6) Evaluate acceptance of system by families, child welfare and mental health staff.

描述（由申请人提供）：儿童福利机构中的儿童和青少年受到心理健康问题的严重影响，使他们面临受害和虐待增加、青少年犯罪和教育成果不佳的风险。儿童和青少年福利结果系统（CA-WOS）将帮助护理系统解决这些风险，以及导致安置和治疗失败的关键因素，从而导致长期系统参与和限制性安置。 CA-WOS 是一个面向儿童福利机构的计算机支持的评估系统，旨在使机构间治疗团队成员（辅导员、家长、个案经理、治疗师）以及青少年和家庭（出生/寄养/护理人员）能够提供和访问案件信息，并改善青少年和家庭的长期运作成果。举报人将使用个人电脑或通过互联网完成评估。自动报告将为儿童福利和心理健康专业人员提供有关青少年及其家庭的心理健康状况以及人际和家庭功能的信息。 CA-WOS 报告将确定问题领域，并记录家庭在学习为青少年建立安全和永久所需的技能时发生的积极变化。这将有助于就初步案件处理做出明智的决策，并向家庭法院提供进展证据。最后，CA-WOS 将确定可以解决的风险和优势，以避免家庭外安置。 CA-WOS 将成为第一个基于证据的结果管理系统：随着数据的积累，它将“学习”凭经验得出可能需要户外安置和广泛干预的青少年和家庭的概况。 CA-WOS 具有创新性，因为其预测能力将为州福利官员和管理式医疗机构提供确定哪些家庭应该接受更高强度的服务的方法，以防止外出安置和/或不良心理健康结果。第一阶段的具体目标是：（1）构建青少年受害适应量表和创伤后应激障碍（PTSD）量表； (2) 开展知情评估； (3) 管理自动化； （4）设计并自动化生成报告； (5) 建立 CA-WOS 青少年和家庭量表的心理测量特性；以及 (6) 评估家庭、儿童福利和心理健康工作人员对系统的接受程度。