Integration of Prevention Services into a System-Of-Care

将预防服务整合到护理系统中

• 批准号: 7121946
• 负责人: GERALD J AUGUST
• 金额: $ 43.91万
• 依托单位: UNIVERSITY OF MINNESOTA
• 依托单位国家: 美国
• 财政年份: 2005
• 资助国家: 美国
• 起止时间: 2005-09-15 至 2010-07-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7121946
• 关键词: behavioral /social science research tag; child mental health service; child rearing; child welfare; clinical research; domestic violence; family structure /dynamics; health care service evaluation; health care service planning; health care service utilization; health services research tag; human subject; mental disorder prevention; mental health counseling; middle childhood (6-11); mother child interaction; outcomes research; social adjustment

DESCRIPTION (provided by applicant): The present study aims to study the effects of integrating the Early Risers early-age-targeted preventive intervention into a children s mental health system of care. The intervention has been adapted to reflect a client-centered, variable prescriptive approach that is compatible with community implementation (i.e., community-integration model). The Early Risers community integration model will be delivered by a community agency that provides services for child witnesses of intimate partner violence. The targeted population served in this study will be children 4 to 10 years of age who along with their mothers have completed a stay at 1 of 3 agency shelters. Within each of 3 shelters, children will be randomly assigned to the Early Risers preventive intervention or a service-as-usual control condition. The intervention trial will be implemented over a 30-month period. Effectiveness of the intervention will be assessed as the capacity of the Early Risers intervention to positively modify proximal child, parent, and family competencies purported to mediate healthy child adjustment. Additionally, the study also will assess fidelity of implementation and client acceptability. Last, the study will attempt to test a goodness-of-fit model that includes client characteristics that are associated with achieving recommended rates of service utilization and more positive outcomes by levels of service intensity.

描述（由申请人提供）：本研究旨在研究将早起者早期针对性预防干预纳入儿童心理健康护理系统的效果。干预措施已进行了调整，以反映以客户为中心的、与社区实施（即社区整合模型）兼容的可变规定方法。早起者社区融合模式将由社区机构提供，该机构为亲密伴侣暴力的儿童证人提供服务。本研究的目标人群是 4 至 10 岁的儿童，他们与母亲一起在 3 个机构庇护所中的 1 个完成了住宿。在 3 个庇护所中，儿童将被随机分配到早起者预防性干预组或照常服务控制组。干预试验将持续30个月。干预的有效性将被评估为早起者干预积极改变近端儿童、父母和家庭能力的能力，这些能力旨在调解健康的儿童适应。此外，该研究还将评估实施的保真度和客户的可接受性。最后，该研究将尝试测试一个拟合优度模型，该模型包括与实现建议的服务利用率相关的客户特征以及按服务强度水平获得的更积极的结果。