Research on Infant/Toddler Mental Health: Building a Community Partnership

婴幼儿心理健康研究：建立社区伙伴关系

• 批准号: 7661698
• 负责人: Aubyn C. Stahmer
• 金额: $ 22.45万
• 依托单位: RADY CHILDREN'S HOSPITAL - SAN DIEGO
• 依托单位国家: 美国
• 财政年份: 2009
• 资助国家: 美国
• 起止时间: 2009-04-15 至 2011-03-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7661698
• 关键词: Address; Adolescent; Age; Autistic Disorder; Behavior; Behavioral; Belief; Caregivers; Centers for Disease Control and Prevention (U.S.); Child; Childhood; Collaborations; Communication; Communities; Decision Making; Development; Developmental Delay Disorders; Disease; Early treatment; Effectiveness of Interventions; Emotional; Emotional Disturbance; Environment; Equilibrium; Evidence based intervention; Exhibits; Family; Family member; Funding Agency; Future; Goals; Health Services Research; Infant; Interdisciplinary Study; Intervention; Learning; Measures; Mental Health; Mental disorders; Methodology; Modeling; Occupational Therapist; Outcome; Parents; Participant; Physicians; Population Programs; Prevention; Preventive Intervention; Principal Investigator; Process; Provider; Psyche structure; Psychologist; Public Health; Readiness; Regulation; Reporting; Research; Research Personnel; Research Training; Resource Sharing; Risk; Schools; Science; Sensory; Services; Speech; Techniques; Testing; Toddler; Training; Training Support; community based participatory research; community setting; developmental disease; effective intervention; intervention program; meetings; member; prevent; programs; public health relevance; research to practice; skills; social; teacher

DESCRIPTION (provided by applicant): The proposed project seeks to develop a consortium of community providers, families of children presenting with disorders of relating and communicating, funding agencies and researchers to identify an evidence-based intervention to meet the needs of these infants /toddlers and their families. Difficulty with communication, behavioral regulation, sensory sensitivity, and problems developing early attachment relationships place infants and toddlers at-risk for future mental health disorders, including autism and developmental delays, social-emotional problems, and serious behavior difficulties. The Centers for Disease Control (CDC) recently identified these issues as significant public health challenges, calling for programming directed toward preventing later mental and developmental disorders. The CDC collaborative report emphasized the need to develop preventative interventions using comprehensive community models to facilitate appropriate development and promote healthy environments. Current early intervention models may be limited by focusing primarily on skill deficits without adequate regard for the child's ability to engage with the environment, interact with caregivers, or self-regulate. Further, they may not address the perceived community needs or fit with community values. By identifying an early preventative intervention that targets a range of needs in these children and families and fits the community, providers can simultaneously treat presenting deficits and prevent further difficulties from emerging. Given the limited research on interventions addressing social-communicative issues in infants and toddlers, public and private agencies are struggling to implement appropriate and effective programs. We believe that developing a community partnership can concurrently meet the identified community need and advance the science of interventions for this young group of children. The specific aims of the proposed project are to: (1) Develop a coalition for community and research collaboration; (2) Examine the "fit" of two integrated behavioral- developmental parent-implemented interventions for infants and toddlers with disorders of relating and communicating and their families within the context of the community, and select a specific intervention and corresponding training model for implementation in the community; and (3) Conduct feasibility testing of the training model and selected intervention with community providers and parents and develop a collaborative R01. The activities will be supported within the rich, interdisciplinary research and training environment of the Child and Adolescent Services Research Center. The proposed project was initiated by clinicians and the proposal was driven by consensual priorities across a partnership or families, community providers, funding agencies and researchers. CBPR principles of equity in decision-making, resource sharing, co-learning and capacity-building, and a balance of research and community values also drive the proposed activities. PUBLIC HEALTH RELEVANCE: The proposed project seeks to develop a consortium of community providers, families of children presenting with disorders of relating and communicating, funding agencies and researchers to identify an evidence-based intervention to meet the growing needs of these infants and toddlers and their families. The project uses a collaborative approach involving community stakeholders and researchers and an empirically validated framework to measure the collaborative process. Identifying and testing a specific model for use in a large community will simultaneously advance the science in early intervention/prevention and serve a critical need identified by community providers, funding agencies and families.

描述（由申请人提供）：拟议的项目旨在建立一个社区提供者的财团，与关联和交流的儿童家庭，资助机构和研究人员的疾病，以确定基于证据的干预措施，以满足这些婴儿 /幼儿及其家人的需求。沟通，行为调节，感官敏感性以及发展早期依恋关系的困难使婴儿和幼儿处于危险中，以期待未来的心理健康障碍，包括自闭症和发展延迟，社会情感问题以及严重的行为困难。疾病控制中心（CDC）最近将这些问题确定为重大的公共卫生挑战，呼吁针对防止后来的心理和发育障碍进行编程。 CDC合作报告强调了使用全面的社区模型来开发预防性干预措施，以促进适当的发展并促进健康的环境。当前的早期干预模型可能会通过主要关注技能缺陷而没有充分考虑孩子与环境，与看护人互动或自我调节的能力进行限制。此外，他们可能无法满足所感知的社区需求或满足社区价值观。通过确定针对这些儿童和家庭需求范围的早期预防干预措施并适合社区，提供者可以同时治疗表现不足并防止出现进一步的困难。鉴于对解决婴儿和幼儿中社会交流问题的干预措施的研究有限，公共和私人机构正在努力实施适当有效的计划。我们认为，建立社区伙伴关系可以同时满足确定的社区需求，并推进这一年轻儿童的干预科学。拟议项目的具体目的是：（1）建立社区和研究合作联盟； （2）检查针对社区背景下有关联和交流疾病的婴儿和幼儿的两种综合行为发展的父母进化干预措施，并选择特定的干预措施，并选择相应的培训模型以在社区中实施； （3）对培训模型进行可行性测试，并与社区提供者和父母进行选择的干预，并开发合作R01。这些活动将在儿童和青少年服务研究中心的丰富，跨学科研究和培训环境中得到支持。拟议的项目是由临床医生发起的，该提案是由合伙企业或家庭，社区提供者，资助机构和研究人员共识的优先事项驱动的。 CBPR在决策，资源共享，共同学习和能力建设以及研究和社区价值观的平衡方面的公平原则也推动了拟议的活动。 公共卫生相关性：拟议的项目旨在建立一个社区提供者的财团，社区提供者的家庭，这些儿童家庭伴有与之相关和交流的疾病，资助机构和研究人员，以确定基于证据的干预措施，以满足这些婴儿，幼儿及其家人的不断增长的需求。该项目使用涉及社区利益相关者和研究人员以及经验验证的框架来衡量协作过程的协作方法。确定和测试在大型社区中使用的特定模型将同时推进科学的早期干预/预防，并满足社区提供者，资助机构和家庭确定的关键需求。