Parent & Child Trauma (PACT) Family Intervention Services

家长

• 批准号: 7272879
• 负责人: ANNETTE HERNANDEZ
• 金额: $ 30.6万
• 依托单位: ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI
• 依托单位国家: 美国
• 财政年份: 2006
• 资助国家: 美国
• 起止时间: 2006-08-07 至 2009-12-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7272879
• 关键词: AIDS prevention; Acquaintances; Address; Adolescence; Adolescent; Adult; Anxiety Disorders; Behavior; Caregivers; Caring; Child; Child Advocacy; Child Mental Health; Child Sexual Abuse; Child health care; Childhood; Clinical; Collaborations; Communication; Communities; Competence; Condition; Country; Data; Decision Making; Development; Diagnosis; Disclosure; Educational Curriculum; Effectiveness; End Point; Evidence based intervention; Family; Family Process; Family member; Feeling; Female; Female Adolescents; Goals; HIV; HIV Infections; Health system; Hospitalization; Individual; Intervention; Joints; Law Enforcement; Link; Literature; Mental Depression; Mental Health; Methods; Outcome; Parent-Child Relations; Parenting behavior; Parents; Participant; Perception; Phase; Population Study; Post-Traumatic Stress Disorders; Pregnancy in Adolescence; Prevention; Prevention approach; Prevention strategy; Principal Investigator; Process; Protocols documentation; Provider; Puberty; Randomized; Randomized Controlled Trials; Rate; Relative (related person); Research; Research Methodology; Research Personnel; Risk; Risk Behaviors; Risk-Taking; Sample Size; Sampling; Services; Sexual abuse; Sexuality; Site; Standards of Weights and Measures; Stigmata; Suicide attempt; Symptoms; Testing; Time; Transportation; Trauma; Treatment outcome; Victimization; Week; Youth; base; child protection; child protective service; child sexual victimization; comparison group; experience; follow-up; girls; inner city; medical schools; mental health center; parental involvement; pediatric trauma; perpetrators; prevent; programs; research study; response; satisfaction; service intervention; size; skills; social stigma

DESCRIPTION (provided by applicant): The primary aim of this proposed Phase 2 research study is to: 1) refine and pilot test the feasibility and acceptability of an evidence-based child trauma treatment plus family-based intervention meant to reduce youth sexual risk taking by enhancing youth mental health, the PACT (Parent And Child Trauma services) Family Program, for pre- and early adolescent girls who have been sexually abused and their non-offending parents; 2) identify barriers and facilitators to implementation of PACT in 2 community mental health sites; 3) estimate intervention parameters (e.g., effect size, study population variance, attrition rates, and response rates); and 4) examine the preliminary impact of PACT on girls sexual decision making, risk taking behaviors and mental health, as well as on family processes that have been empirically linked to youth sexual risk taking and mental health (e.g. parent/child communication, discussion of sexual abuse and sexual issues; within family support and parental perception of competence and self-blame) immediately post intervention and at 4 month follow-up. A sample of 60 pre- and early adolescent girls (11 to 14 years) and their [a] non-offending adult caregivers (n=60) receiving care at 2 inner-city mental health centers will be randomly assigned to 1 of 2 study conditions: 1) PACT Family Program or; 2) standard of care. Both groups will be assessed at baseline, posttest and 4-month follow-up. This size sample will allow for the examination of the potential utility of PACT and allow the following to be obtained: 1) preliminary data on post-treatment outcome, including proportional responses to dichotomous variables and standard deviations for continuous variables for girls participating in PACT in comparison to girls randomly assigned to standard care on: a) sexual decision making; b) sexual risk taking behaviors and c) mental health, 2) estimates of family function derived from adult caregivers participating in PACT as compared to adult caregivers in the comparison group on: a) parent/child communication; b) discussion of sexual abuse and sexual issues; c) within family support; and d) parental perception of competence and; 3) data from youth participating in PACT and those randomly assigned to standard care regarding time spent in situations of sexual risk possibility and risk taking behaviors at 4-month follow-up. The proposed study is being conducted by a multi-disciplinary team of child mental health, child trauma, and HIV prevention investigators in collaboration with the Children's Advocacy Center-Manhattan, Child Protection Center-Montefiore and developers of youth trauma treatments.

描述（由申请人提供）：这项拟议的第二阶段研究研究的主要目的是：1）提炼和飞行员测试基于证据的儿童创伤治疗以及基于家庭的干预措施的可行性和可接受性，旨在通过增强青少年心理健康，Pact（父母和儿童创伤服务）的家庭计划，为未经性虐待和他们的早期性虐待和他们的性行为及其性行为及其性行为及其性行为的女生而降低青少年性风险。 2）确定障碍和促进者在两个社区精神卫生网站上实施PACT； 3）估计干预参数（例如效应大小，研究人群差异，流失率和响应率）； 4）检查公约对女孩性决策，冒险行为和心理健康的初步影响，以及与青年性风险接受和心理健康的经验有关的家庭过程（例如，父母/儿童的交流，对性虐待和性问题的讨论；在家庭支持和父母对能力和自我欺骗的感知之内和自我欺骗后，请立即在4个月内进行介入和随访。将60名前和早期的青少年女孩（11至14岁）及其[A]非犯罪成人护理人员（n = 60）在2个城市心理健康中心接受护理的样本，将随机分配到2个研究条件中的1个：1）PACT家庭计划或； 2）护理标准。两组将在基线，后测和4个月的随访中进行评估。这种尺寸的样本将允许检查PACT的潜在效用，并允许获得以下样本：1）有关后治疗后结果的初步数据，包括对二分法变量的比例响应，以及与与随机分配给女生相比，与标准护理相比，对契约的连续变量的标准偏差，以下是： b）性风险采取行为和c）心理健康，2）与比较组的成人护理人员相比，由成人护理人员衍生出的家庭职能的估计值：a）父母/子女交流； b）讨论性虐待和性问题； c）在家庭支持中； d）父母对能力的看法； 3）参加公约的年轻人的数据，以及随机分配给标准护理的数据，以在4个月的随访中花费在性风险可能性和风险采取行为的情况下。拟议的研究是由儿童心理健康，儿童创伤和艾滋病毒预防研究人员与儿童倡导中心曼哈顿，儿童保护中心 - 蒙特菲奥雷和青少年创伤治疗的开发商合作进行的多学科研究团队。

项目成果

An Integrated Approach to Treating Non-Offending Parents Affected by Sexual Abuse.

治疗受性虐待影响的非犯罪父母的综合方法。

• DOI: 10.1080/15332980802301440
• 发表时间: 2009
• 期刊: Social work in mental health
• 影响因子: 1.1
• 作者: Hernandez,Annette;Ruble,Cameron;Rockmore,Lori;McKay,Mary;Messam,Taiwanna;Harris,Meghan;Hope,Stephanie
• 通讯作者: Hope,Stephanie