Social Work intervention training for Maltreating Families of Infants, Toddlers

虐待婴幼儿家庭的社会工作干预培训

基本信息

批准号：
8471739
负责人：
MONICA L OXFORD
金额：
$ 43.05万
依托单位：
UNIVERSITY OF WASHINGTON
依托单位国家：
美国
项目类别：
财政年份：
2010
资助国家：
美国
起止时间：
2010-08-20 至 2015-06-30
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/8471739
关键词：
Address Adoption Adult Affect Age-Years Anxiety Behavior Behavioral Biological Birth Brain Caregivers Child Child Abuse and Neglect Child Development Child Welfare Childhood Cognitive Collaborations Communities Control Groups County Development Educational Intervention Effectiveness Emotional Evaluation Evidence based intervention Family Goals Hand Home environment Infant Intervention Investigation Long-Term Effects Measures Mental Depression Modeling Outcome Parenting behavior Parents Performance Personal Satisfaction Population Preventive Intervention Provider Public Health Publishing Randomized Randomized Clinical Trials Recruitment Activity Regulation Resources Risk Risk Factors Role Safety School Nursing Schools Security Services Severities Social Health Services Social Welfare Social Work Suicide System Testing Toddler Training Training Programs United States Universities Vulnerable Populations Washington Work Yang age group anti social base brief intervention child protective service community based service comparison group design effective therapy evidence base experience foster care high risk improved infant outcome intervention program maltreated children maltreatment meetings prevent programs provider intervention psychosocial public health relevance social theories

项目摘要

DESCRIPTION (provided by applicant): Child maltreatment has well-established, wide-ranging, and long-term negative effects on children. Most children who have experienced maltreatment and are receiving services through the Child Welfare System (CWS) remain in their homes with their caregivers. While the need for parenting services is extensive, few intervention programs have proven to be efficacious in reducing child abuse and neglect within the CWS population, especially for infants and toddlers. It is essential that social service practitioners within the CWS delivery system are equipped to provide brief interventions to maltreating parents. This R01 proposal, "Training Social Work Providers: Intervention for Maltreating Families of Infants and Toddlers," is an evaluation of a training program for social welfare providers to implement a brief attachment theory-based intervention to families who have been investigated for child abuse and neglect by Child Protective Services. The program (Promoting First Relationships [PFR]; Kelly, Buehlman, & Caldwell, 2000) will be tested at two levels: through social welfare practice and at the level of outcomes for children and families. Social service providers will be trained to deliver PFR to families under investigation for maltreatment by the Department of Social and Health Services, Snohomish County, Washington State. Subsequently, families under investigation by CPS will be recruited into the study and randomly assigned to the experimental group (receiving the PFR intervention) or to the comparison group (receiving the resource and referral). The specific aims of this study are to (1) Test the effectiveness of training community social welfare service providers in the use of attachment-based interventions by measuring their pre-training and post-training service provision strategies and interactions with maltreating families; (2) To test the effects of a relationship and attachment-based intervention with infants/toddlers of parents identified as maltreating by comparing them to a control group on rates of re-referral to CPS, severity of referral, and foster care placement; and (3) To conduct a test of the effectiveness of an attachment-based intervention on child well-being by comparing experimental and comparison groups on important outcomes (attachment security, emotional regulation, behavior, and developmental functioning). RELEVANCE Child maltreatment is a serious public health issue, affecting close to a million children nationally every year. The establishment of effective evidence-based interventions for high-risk families is essential to curtail the devastating long-term effects of maltreatment. The proposed study tests the feasibility and effectiveness of a well-documented relationship-based intervention (Promoting First Relationships) in improving outcomes for families referred to CPS for maltreatment.

描述（由申请人提供）：儿童虐待对儿童具有良好的，广泛的和长期的负面影响。大多数经历过虐待并通过儿童福利系统（CWS）接受服务的孩子仍然与照料者一起在家中。尽管对育儿服务的需求是广泛的，但事实证明，很少有干预计划有效地减少CWS人口中的虐待和忽视儿童，尤其是对于婴儿和幼儿。 CWS交付系统中的社会服务从业人员必须能够为虐待父母提供简短的干预措施，这一点至关重要。这项R01建议是“培训社会工作提供者：虐待婴儿和幼儿家庭的干预措施”，是对社会福利提供者的培训计划的评估，以对对儿童保护服务对儿童虐待和忽视的家庭进行简短的基于理论的干预。该计划（促进第一关系[PFR]； Kelly，Buehlman和Caldwell，2000年）将在两个层面上进行测试：通过社会福利实践和儿童和家庭的成果水平。社会服务提供商将接受华盛顿州Snohomish县社会和卫生服务部调查的家庭虐待家庭的PFR培训。随后，CPS调查的家庭将被招募到研究中，并随机分配给实验组（接受PFR干预）或比较组（接收资源和推荐）。这项研究的具体目的是（1）测试培训社区社会福利服务提供商在使用基于依恋干预措施的有效性，通过衡量其培训前和培训后服务提供策略以及与虐待家庭的互动；（2）测试与婴儿/幼儿的基于关系和基于依恋的干预措施的影响，通过将其与对照组进行比较，将其与对照组进行比较，将其与CPS的重新提及率进行比较，转诊的严重程度和寄养护理位置；（3）通过比较重要结果（依恋安全性，情绪调节，行为和发育功能），对基于依恋的干预对儿童福祉的有效性进行测试。相关性儿童虐待是一个严重的公共卫生问题，每年在全国范围内影响近一百万儿童。建立有效的高风险家庭循证干预措施对于减少虐待的长期影响至关重要。拟议的研究测试了有据可查的基于关系的干预措施（促进第一关系）的可行性和有效性，以改善与虐待CP的家庭的结果。