Symptom Severity, Treatment Engagement, and Outcomes for Culturally Diverse Youth

文化多元化青少年的症状严重程度、治疗参与度和结果

• 批准号: 7778319
• 负责人: Katherine Tsai
• 金额: $ 2.69万
• 依托单位: SAN DIEGO STATE UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2008
• 资助国家: 美国
• 起止时间: 2008-03-15 至 2013-03-14
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7778319
• 关键词: Accounting; Acculturation; Address; Adolescence; Adolescent; Adult; Age; Attention; Bass; Belief; Child; Client; Clinic; Clinical; Communities; Comorbidity; Country; Coupled; Custom; Data; Data Analyses; Data Collection; Development; Dimensions; Disease; Empirical Research; Ensure; Equation; Ethnic Origin; Ethnic group; Goals; Health Services; Individual; Inferior; Interview; Literature; Measures; Mediation; Mental Health; Mental Health Services; Mental disorders; Minority Groups; Modeling; National Institute of Mental Health; Outcome; Parents; Pattern; Policy Maker; Population; Prevalence; Psychotherapeutic Processes; Psychotherapy; Quality of Care; Race; Reporting; Research; Research Personnel; Research Proposals; Role; Sampling; Schools; Services; Severities; Societies; Surgeon; Surveys; Symptoms; Testing; Training; Treatment outcome; United States; United States Dept. of Health and Human Services; United States Public Health Service; Work; Youth; aged; base; cultural competence; ethnic minority population; evidence base; follow-up; health care service utilization; health disparity; improved; instrument; premature; statistics

DESCRIPTION (provided by applicant): The overall goal of this research proposal is to investigate the patterns and roles of symptom severity and service engagement in community-based mental health services for diverse adolescent populations. Researchers and policy-makers have highlighted the need for a better understanding of the various factors contributing to issues related to mental health service utilization, engagement, and outcomes for ethnic minorities. Unfortunately, empirical research regarding these factors remains sparse. This research proposal addresses gaps in the literature by: 1) Examining the relationship between race/ethnicity and acculturation to symptom severity at treatment entry for a diverse adolescent sample, 2) Examining the relationship between symptom severity and treatment outcomes for a diverse adolescent sample, and 3) Examining the role of treatment engagement in treatment outcomes for a diverse adolescent sample. The sample will consist of 260 adolescents (aged 12-19) who have received school and clinic-based mental health services, their parents, and their therapists. Secondary data analysis will be based on data collection from a baseline interview and four follow-up interviews over the course of 12 months. Research instruments measure symptom severity, engagement in treatment, sociodemographics, and treatment outcomes. Analysis will involve descriptive statistics, multiple regression models, and moderation and mediation effects on these models/equations. Findings from this research proposal have potentially significant implications for improving the delivery and quality of care for ethnic minority adolescents. Increased understanding of the relationships between these various factors may better inform therapists as to the important considerations and factors involved in working with ethnic minority groups.

描述（由申请人提供）：该研究建议的总体目标是调查症状严重程度和服务参与的模式和作用，以针对各种青少年人群为基于社区的心理健康服务。研究人员和政策制定者强调了需要更好地理解与精神卫生服务利用，参与和少数民族成果有关的各种因素。不幸的是，关于这些因素的实证研究仍然很少。这项研究建议通过以下方式解决文献中的差距：1）检查种族/民族与适应性与症状严重程度的症状严重程度之间的关系，以供多种青少年样本进行治疗，2）检查症状严重程度与多样的青少年样本的症状严重程度与治疗结果之间的关系，以及3） 检查治疗参与在各种青少年样本中的治疗结果中的作用。该样本将由260名青少年（12-19岁）组成，他们已经接受了学校和诊所的心理健康服务，他们的父母及其治疗师。次要数据分析将基于基线访谈中的数据收集，在12个月的时间内进行了四次后续访谈。研究工具衡量症状的严重程度，参与治疗，社会数字学和治疗结果。分析将涉及描述性统计数据，多元回归模型以及对这些模型/方程的适度和中介作用。 这项研究建议的发现对改善少数民族青少年的护理提供和质量具有重要意义。对这些各种因素之间的关系的了解可以更好地告知治疗师与少数民族群体合作所涉及的重要因素和因素。