Promoting Infant Mental Health in Foster Care

促进寄养婴儿的心理健康

• 批准号: 7271384
• 负责人: Susan Joan Spieker
• 金额: $ 63.04万
• 依托单位: UNIVERSITY OF WASHINGTON
• 依托单位国家: 美国
• 财政年份: 2006
• 资助国家: 美国
• 起止时间: 2006-09-01 至 2011-07-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7271384
• 关键词: Address; Adolescent; Affect; Age; Attention; Behavioral; Caregivers; Child; Child Mental Health; Child Welfare; Class; Cognitive; Collaborations; Communities; Community Participation; Condition; County; Data; Databases; Depth; Development; Discipline of Nursing; Early Intervention; Education; Effectiveness; Effectiveness of Interventions; Emotional; Enrollment; Evaluation; Event; Family; Fostering; Goals; Infant; Intervention; Intervention Studies; Justice; Language Development; Link; Measures; Mental Health; Numbers; Outcome; Parents; Personal Satisfaction; Placement; Population; Prevention; Prevention program; Process; Randomized; Range; Regulation; Reporting; Research; Research Infrastructure; Research Methodology; Research Personnel; Safety; Secure; Security; Services; Social Health Services; Social Work; Stress; System; Testing; Universities; Vulnerable Populations; Washington; Well in self; Work; base; caregiving; comparative effectiveness; comparison group; court; experience; foster care; foster home; foster parent; infancy; member; mental health welfare; programs; protective effect; response; service intervention; social; theories

DESCRIPTION (provided by applicant): Our goals in this 5-year project in response to PAR-05-026, Community Participation in Research, are to acquire crucially needed evidence to support interventions promoting infants' mental health in foster care, while building community capacity to deliver infant mental health interventions and services to foster families. The specific aims are: 1. to collaborate with Pierce County, Washington multi-system partners by continuing a process of formative research and stakeholder participation, to modify existing relationship and attachment-based interventions for implementation with infants in foster care and their caregivers. 2. To work with community partners to establish the necessary research infrastructure to conduct a comparative effectiveness study (CES) measuring the effectiveness of the agreed upon intervention. 3. To conduct a CES to test the effectiveness of the agreed upon intervention on the following outcomes: foster caregiver sensitivity, infant attachment security and emotional, behavioral, and developmental functioning, and placement stability. 4. To examine qualitative and quantitative research findings related to Aims 1-3 with community partners in order to plan system-wide next steps to promote social-emotional well-being and relationship stability for infants and young children in the child welfare system. The proposed research is a community-based longitudinal comparative effectiveness study. Foster families (N=210) will be enrolled over the course of 27 months when their infants are 7 months old. The foster families will be randomly assigned to experimental and comparison conditions involving two different prevention programs. The experimental group will receive an attachment theory based program; the comparison group will receive early education support services. Both groups will receive a pretest prior to random assignment and 12-, 18-, and 24-month assessments of caregiver sensitive caregiving, parenting stress, and commitment to this infant; and infant emotional and behavioral regulation, attachment security, and developmental status. Placement and child welfare data will be obtained from the state child welfare data base. A process evaluation will be conducted of the collaborative partnership.

描述（由申请人提供）：我们在这项为期5年项目中的目标是响应于05-026的PAR-05-026（社区参与研究），是为了获得至关重要的证据，以支持促进婴儿在寄养中促进精神健康的干预措施，同时建立社区的能力，以提供婴儿心理健康干预措施和服务为寄养家庭。具体目的是：1。通过继续进行形成性研究和利益相关者参与的过程与华盛顿多系统合作伙伴的皮尔斯县合作，以修改现有的关系和基于依恋的干预措施，以与婴儿在寄养者及其护理人员中实施。 2。与社区合作伙伴合作，建立必要的研究基础设施，以进行比较有效性研究（CES），以衡量约定干预的有效性。 3。进行CES来测试对以下结果的约定干预的有效性：寄养者的敏感性，婴儿依恋安全性以及情感，行为和发展功能以及放置稳定性。 4。检查与社区合作伙伴的目标1-3相关的定性和定量研究发现，以计划范围内的下一步措施，以促进儿童福利系统中婴儿和幼儿的社会情感福祉和关系稳定。拟议的研究是一项基于社区的纵向比较有效性研究。寄养家庭（n = 210）将在婴儿7个月大的27个月内入学。寄养家庭将被随机分配到涉及两个不同预防计划的实验和比较条件上。实验组将获得基于依恋理论的计划；比较小组将获得早期的教育支持服务。两组将在随机分配之前进行预测试，并对护理人员敏感的护理，育儿压力和对这个婴儿的承诺进行12、18和24个月的评估；婴儿情绪和行为调节，依恋安全和发展状况。位置和儿童福利数据将从国家儿童福利数据库中获得。将对协作合作伙伴关系进行过程评估。