Development of a Support Network Enhancement Intervention for Foster Youth

制定针对寄养青少年的支持网络增强干预措施

• 批准号: 9975896
• 负责人: Jennifer Blakeslee
• 金额: $ 21.15万
• 依托单位: PORTLAND STATE UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2019
• 资助国家: 美国
• 起止时间: 2019-07-10 至 2022-04-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/9975896
• 关键词: Address; Administrator; Adolescent; Adolescent Development; Aging; Behavioral; Caring; Characteristics; Child Welfare; Collaborations; Communities; Community Integration; Consensus; Country; Data; Development; Evaluation; Evidence based intervention; Family; Feedback; Fostering; Future; Geography; Goals; Health; Independent Living; Individual; Intervention; Justice; Knowledge; Link; Literature; Measurable; Measures; Mental Health; Modeling; National Institute of Mental Health; Needs Assessment; Network-based; Outcome; Personal Satisfaction; Population; Protocols documentation; Research; Research Personnel; Residential Treatment; Resources; Review Literature; Risk; Schools; Services; Social Adjustment; Social Development; Social Environment; Social Functioning; Social Network; Social support; Specific qualifier value; Structure; Subgroup; System; Target Populations; Testing; Theory of Change; To specify; Treatment Efficacy; Youth; base; care systems; conduct problem; design; effective intervention; efficacy testing; evidence base; experience; foster care; help-seeking behavior; implementation strategy; improved; informal support; informant; innovation; peer; peer coaching; peer support; programs; protective factors; secondary analysis; service engagement; service providers; skill acquisition; skills; successful intervention; support network; systematic review; theories; usability; young adult

Project Summary/Abstract There is a large subgroup of older foster youth who have limited support network capacity and stability, with related limitations on adolescent development, social functioning, and overall mental health and well-being. This population has elevated behavioral challenges as they exit foster care, but they are less likely engage in formal services and have fewer informal supports to rely on in young adulthood. To improve the mental health and well-being of this population in young adulthood, the practice field needs innovative strategies to address depleted social networks while these young people are still being served by the child welfare system. However, there is no articulated framework linking measurable support network characteristics with indicated practice strategies to facilitate support and community integration in ways that can improve health and well-being (for example, by increasing formal service engagement or informal help-seeking). This project will result in a testable intervention for young people in foster care who are at risk for mental health and/or social adjustment challenges in young adulthood. The long-term goal if this effort is to disseminate an effective group-based support network enhancement model for delivery as part of the regular child welfare system service array. The short-term goal is to use the rigorous Intervention Mapping (IM) protocol to articulate a theory of change for foster youth support network enhancement, and to design a feasible intervention to address measurable objectives, in collaboration with mental health and child welfare stakeholders and with young people with lived experience. This will be accomplished through the following specific aims: (1) conduct rigorous problem analysis, including a systematic literature review of problem determinants and directed content analysis of secondary data (N=22), to specify problem determinants at the individual and socioecological levels and to identify related proximal program objectives; (2) explicate a theory of change model for the program objectives, and design a program to deliver practical change strategies in the expected implementation context; (3) pre-test the program design with the target population of youth in foster care (N=40) and with their service providers (N=40) to evaluate usability and feasibility in various service regions; and, (4) refine the model and materials for implementation and future efficacy testing as part of the Independent Living Program (ILP) system serving foster youth across the country. Developing effective programming to assess and address support network deficits for subgroups of foster youth while they are still being served by the child welfare systems can help bridge the transition from formal services to informal support in ways that improve young adult mental health and well-being. This project applies established network theory to address the unique socioecological challenges experienced by system-involved youth, and links empirical knowledge to practical strategies (e.g., network assessment, relational skill-building, near-peer support) for use in the field.

项目摘要/摘要 有大量的老年寄养青年，他们的支持网络能力和稳定性有限， 对青少年发展，社会功能以及整体心理健康和福祉的相关局限性。 在退出寄养者时，该人群的行为挑战越来越高，但他们参与的可能性较小 正式的服务，在成年期间依靠的非正式支持更少。改善心理健康 以及对成年年轻人的福祉，实践领域需要创新的策略来解决 这些年轻人仍在为儿童福利系统提供服务时，社交网络耗尽。然而， 没有明确的框架将可衡量的支持网络特征与指示实践联系起来 以改善健康和福祉的方式来促进支持和社区融合的策略（对于 例如，通过增加正式的服务参与或寻求帮助）。这个项目将导致 有可能患有心理健康和/或社会调整风险的寄养者的年轻人进行测试干预 年轻成年的挑战。长期目标，如果这项努力是传播有效的基于小组的 作为常规儿童福利系统服务阵列的一部分，支持交付网络增强模型。这 短期目标是使用严格的干预映射（IM）协议来阐明一种变更理论 促进青年支持网络增强，并设计可行的干预措施以解决可衡量的 目标与心理健康和儿童福利利益相关者以及有生活的年轻人合作 经验。这将通过以下特定目的完成：（1）引起严重的问题 分析，包括对问题决定因素的系统文献综述以及针对的内容分析 二级数据（n = 22），以在个人和社会生态水平上指定问题决定因素以及 确定相关的近端程序目标； （2）为程序解释变更模型的理论 目标，并设计一个计划，以在预期的实施环境中提供实际变更策略； （3）预测试计划设计与寄养者的目标人群（n = 40）以及他们的服务 提供者（n = 40）评估各种服务区域的可用性和可行性； （4）完善模型和 作为独立生活计划（ILP）的一部分，实施和未来效力测试的材料 为全国寄养青年提供服务的系统。制定有效的节目以评估和解决 在儿童福利仍在为寄养青年的亚组提供支持网络缺陷 系统可以帮助弥合从正式服务到非正式支持的过渡，以改善年轻人 成人心理健康和福祉。该项目应用既定的网络理论来解决独特的 由系统涉及的青年经历的社会生态挑战，并将经验知识与实用性联系起来 策略（例如，网络评估，关系技能建设，近点支持）用于该领域。

项目成果

Intervention development to improve foster youth mental health by targeting coping self-efficacy and help-seeking.

通过针对应对自我效能和寻求帮助来制定干预措施，以改善青少年的心理健康。

• DOI: 10.1016/j.childyouth.2022.106753
• 发表时间: 2023
• 期刊: Children and youth services review
• 影响因子: 3.3
• 作者: Blakeslee,JenniferE;Kothari,BrianneH;Miller,RebeccaA
• 通讯作者: Miller,RebeccaA