Specialized services for high-risk birth parents

为高危亲生父母提供专业服务

• 批准号: 7539205
• 负责人: Mary Dozier
• 金额: $ 64万
• 依托单位: UNIVERSITY OF DELAWARE
• 依托单位国家: 美国
• 财政年份: 2006
• 资助国家: 美国
• 起止时间: 2006-02-01 至 2010-12-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7539205
• 关键词: Behavioral; Birth; Caregivers; Caring; Child; Community Services; Control Groups; Development; Domestic Violence; Early treatment; Education; Educational process of instructing; Effectiveness of Interventions; Emotional; Environment; Family; Housing; Infant; Intervention; Lead; Learning; Life; Mental Health; Mental Health Services; Mental disorders; Mothers; Neurosecretory Systems; Outcome; Parenting behavior; Parents; Participant; Pennsylvania; Positioning Attribute; Randomized; Regulation; Research Personnel; Services; Signal Transduction; Substance abuse problem; System; Testing; Time; Toddler; Trust; alternative treatment; anti social; biobehavior; caregiving; child protective service; coping; design; early experience; experience; high risk; maltreated children; maltreatment; neglect; perpetrators; post intervention; skills

DESCRIPTION (provided by applicant): Young children who experience early maltreatment often adapt behaviorally and physiologically in ways that are challenging to their caregivers. Children's coping strategies make it especially difficult for already vulnerable parents to provide adequate caregiving. Their parents need help in developing skills such that they can provide adequate care. In addition, they often need help managing a host of other challenges, including mental health problems, substance abuse, and other basic needs. This study will test the effectiveness of an intervention for birth parents of maltreated children in the context of supportive community services. This intervention targets several key needs identified as critical. First, parents are helped to re-interpret children's behavioral signals. Second, parents are taught to "over-ride" their own propensities to respond in inconsistent or rejecting ways to children. Third, parents are helped to behave in ways that are not frightening to their children. Finally, parents are helped to provide an interpersonally responsive environment, which helps children develop regulatory capabilities. Parents will be randomly assigned to receive the experimental intervention or receive an alternative treatment. Parents in both groups will receive support services that help them access mental health and substance abuse treatment, and other services as needed. Outcomes will include assessments of parenting behaviors, as well as assessments of child behavioral, emotional, and neuroendocrine functioning. In post-intervention assessments, parents receiving the experimental intervention are expected to be more nurturing, sensitive, and less frightening to children than control group parents. Children of experimental group parents are expected to show better behavioral and biobehavioral regulation than children of control group parents.

描述（由申请人提供）：早期虐待的幼儿通常会在行为和生理上以对护理人员充满挑战的方式适应。儿童的应对策略使本来已经脆弱的父母很难提供足够的照顾。他们的父母需要帮助发展技能，以便他们可以提供足够的护理。此外，他们通常需要帮助管理许多其他挑战，包括心理健康问题，药物滥用和其他基本需求。这项研究将在支持性社区服务的背景下测试对虐待儿童的亲生父母的干预措施的有效性。该干预措施的目标是确定为关键的几个关键需求。首先，帮助父母重新解释了孩子的行为信号。其次，父母被教导要“过度骑行”自己的倾向，以不一致或拒绝对儿童的方式做出反应。第三，父母的行为不恐怖。最后，帮助父母提供一个互惠互利的环境，这有助于孩子发展监管能力。父母将被随机分配接受实验干预措施或接受替代治疗方法。两组中的父母将获得支持服务，以帮助他们根据需要获得精神健康和药物滥用治疗以及其他服务。结果将包括对育儿行为的评估，以及对儿童行为，情感和神经内分泌功能的评估。在干预后的评估中，接受实验干预的父母预计比对照组父母对孩子的养育，敏感和更少的恐惧。与对照组父母的子女相比，实验组父母的孩子的行为和生物行为调节更好。