Specialized Services for School-Age Foster Children

为学龄寄养儿童提供的专业服务

• 批准号: 7393788
• 负责人: WENDY J NILSEN
• 金额: $ 15.33万
• 依托单位: UNIVERSITY OF ROCHESTER
• 依托单位国家: 美国
• 财政年份: 2006
• 资助国家: 美国
• 起止时间: 2006-04-11 至 2011-03-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7393788
• 关键词: Adolescence; Aggressive behavior; Anxiety; Area; Attitude; Behavior; Biological; Caring; Child; Child Welfare; Clinical Trials Design; Communities; Compliant Behaviors; Condition; Consultations; Control Groups; Development; Developmental Delay Disorders; Educational Intervention; Emotional; Failure; Family; Fostering; Future; General Population; Health Services; Healthcare; Imprisonment; Individual; Intervention; Intervention Studies; Knowledge; Laws; Mental Depression; Mental Health; Mentored Patient-Oriented Research Career Development Award; Mentors; Methodology; Morbidity - disease rate; Numbers; Outcome; Parent-Child Relations; Parenting behavior; Parents; Participant; Patient Self-Report; Phase; Positive Reinforcements; Prevention program; Provider; Public Health; Randomized; Randomized Clinical Trials; Rate; Reporting; Research; Research Personnel; Resources; Risk; School-Age Population; Schools; Services; Social Work; Societies; Standards of Weights and Measures; Substance abuse problem; Suicide; Swelling; System; Testing; Therapeutic; Therapeutic Agents; Time; Training Programs; Week; Work; Youth; age group; aged; base; cost; day; design; foster care; foster child; foster parent; improved; innovation; programs; psychosocial; satisfaction; skills; social; therapy design; therapy development

DESCRIPTION (provided by applicant): Despite changes in child welfare laws designed to shorten stays in foster care, the number of children in the system has grown. As their numbers swell, so too does the disproportionate amount of resources they consume. Evidence indicates that children in the foster care system constitute a major public health issue as they have been found to have social and emotional problems at rates three to ten times greater than children in the general population and are significantly at-risk for having adverse outcomes that continue into adulthood. Despite these documented difficulties, relatively little research has targeted school-age children's time in the foster care system as a potential period of therapeutic change. This gap in past research suggests that specialized interventions, designed to be sustainable within the child welfare system and tailored and tested to fit the needs of specific age groups, are the next step in the future of foster care-based interventions research. This Mentored Patient-Oriented Research Career Development Award will support the candidate in becoming a productive, independent mental health interventions investigator for school-age children in foster care. The proposal includes intensive cross-disciplinary mentoring by prominent researchers in the areas of foster care, health services, randomized clinical trial methodology, and relational assessment. Detailed formal coursework and consultation from experts in social services, parent-training interventions, ethnocultural issues, and statistical methodology are also included. The proposed project is a two-phase treatment development study examining the effects of a specialized foster parenting training program on disruptive behavior in school-age children in foster care, as well as the effect on foster parenting skills, knowledge and parenting behavior. The project also includes the development and piloting of a program-specific health services assessment to identify the barriers to implementation and sustainability within the foster care system. Study results will inform an R01, and other applications, which will be designed to create an effective, sustainable mental health intervention for school-age children in fester care. The longitudinal impact of this work will result in decreased individual morbidity, decreased costs to society, and improvement in the recruitment and retention of foster parents.

描述（由申请人提供）：尽管儿童福利法发生了变化，旨在缩短寄养时间，但该系统中的儿童数量仍在增加。随着他们的数量不断膨胀，他们消耗的资源也随之增加。有证据表明，寄养系统中的儿童构成了一个重大的公共卫生问题，因为他们被发现存在社交和情感问题的比例是普通儿童的三到十倍，并且极有可能出现以下不良后果：继续到成年。尽管有这些记录在案的困难，但相对较少的研究将学龄儿童在寄养系统中的时间作为治疗改变的潜在时期。过去研究中的这一差距表明，专门的干预措施是未来基于寄养的干预措施研究的下一步，这些干预措施旨在在儿童福利系统内可持续，并进行定制和测试以满足特定年龄组的需求。这项以患者为导向的研究职业发展奖将支持候选人成为一名富有成效的、独立的心理健康干预调查员，为寄养的学龄儿童提供服务。该提案包括由寄养、卫生服务、随机临床试验方法和相关评估领域的著名研究人员提供的密集跨学科指导。还包括详细的正式课程以及社会服务、家长培训干预、民族文化问题和统计方法方面专家的咨询。拟议的项目是一项两阶段的治疗开发研究，研究专门的寄养育儿培训计划对寄养学龄儿童破坏性行为的影响，以及对寄养育儿技能、知识和育儿行为的影响。该项目还包括制定和试点针对具体计划的卫生服务评估，以查明寄养系统内实施和可持续性的障碍。研究结果将为 R01 和其他应用程序提供信息，这些应用程序旨在为溃烂护理中的学龄儿童创建有效、可持续的心理健康干预措施。这项工作的纵向影响将导致个人发病率降低、社会成本降低以及养父母的招募和保留得到改善。