Understanding the effects of a family preservation program for parents with intellectual disability

了解家庭保护计划对智力障碍父母的影响

• 批准号: 10573666
• 负责人: Wendy Zeitlin
• 金额: $ 8.75万
• 依托单位: MONTCLAIR STATE UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2023
• 资助国家: 美国
• 起止时间: 2023-02-06 至 2025-01-31
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10573666
• 关键词: Age; Americans with Disabilities Act; California; Cessation of life; Child; Child Abuse and Neglect; Child Health; Child Rearing; Child Welfare; Childhood Injury; Client; Clinical Data; Country; Critical Illness; Data; Disabled Children; Family; General Population; Goals; Health; Information Systems; Intellectual functioning disability; Investigation; Mental Health; National Institute of Child Health and Human Development; Outcome; Parents; Performance; Population; Poverty; Prevalence Study; Prevention; Preventive service; Records; Research; Research Personnel; Rights; Risk; Safety; Sampling; Schools; Services; Social outcome; Strategic Planning; Suicide attempt; System; Traumatic injury; Unemployment; adolescent health; cognitive disability; design; disability; effective intervention; efficacy evaluation; evidence base; experience; family support; foster care; high risk; high risk population; improved; innovation; maltreated children; maltreatment; pediatric trauma; preservation; prevent; prevention service; programs; public health priorities; skills; social

PROJECT SUMMARY Children of parents with intellectual disabilities (ID) are disproportionately represented in child welfare settings. They experience higher rates of foster care placement and termination of parental rights compared to children of parents without ID. Despite research documenting negative trajectories and outcomes for children of parents with ID, there is limited research focused on child welfare interventions that are effective in preventing child maltreatment in this population. Our long-term goal is to identify effective interventions to reduce child maltreatment in families with parents with ID and improve long-term health and social opportunities for children. The overall objective in this application is to determine the degree to which Project IMPACT, a family preservation program designed to meet the specific needs of parents with ID who have child welfare involvement, is effective at reducing foster care placement. The central hypothesis is that Project IMPACT will be effective at reducing foster care placement for participating families. The hypothesis has been formulated based upon preliminary studies completed by the investigators in 2019. The rationale for this project is that evidence is needed to determine the degree to which this innovative program is effective at preventing child maltreatment and, subsequently, foster care placement. If it is determined that this program is efficacious, it will be the first effective program developed and implemented in the U.S. designed for this high-risk population. Expected outcomes include findings that can be used to support program replication, additional rigorous study, and submissions to evidence-based clearinghouses including those supported by the Family First Prevention Services Act. Aim 1 will assess the degree to which participation in Project IMPACT is effective at reducing foster care placement for families with child welfare involvement in which a parent has ID compared to families in which a parent has ID and are engaged in a non-specialized family preservation program. Aim 2 will assess the degree to which participation in Project IMPACT is effective at reducing foster care placement for families with child welfare involvement in which a parent has ID compared to families in which a parent has ID and are not engaged in any family preservation program. This research will use propensity score analysis to draw causal inference between program participation and foster care placement in the year after termination from the program. Data for the treated group will come from Project IMPACT clinical data records for clients beginning service between 2006 and 2018; the matched untreated samples will be drawn from the restricted National Child Abuse and Neglect Data Systems Child Files in the same years. The proposed study is innovative because it will be the first to determine the efficacy of a program designed for parents with ID with child welfare involvement. The proposed project is significant because children of parents with ID are at particularly high-risk for disruptive child welfare trajectories and outcomes.

项目摘要 智障父母（ID）的孩子在儿童福利中不成比例地代表 设置。他们经历了更高的寄养寄养和父母权利的终止率 给没有身份证的父母的孩子。尽管研究记录了负面轨迹和结果 有身份证的父母的孩子，有限的研究重点是有效的儿童福利干预措施 防止该人群中的儿童虐待。我们的长期目标是确定有效的干预措施 减少患有ID父母的家庭的儿童虐待并改善长期健康和社会 儿童的机会。本应用程序的总体目标是确定该项目的程度 Impact是一项家庭保护计划，旨在满足具有ID的父母的特定需求 儿童福利参与可以有效地减少寄养寄养。中心假设是项目 影响将有效减少参与家庭的寄养服务。该假设已经 根据研究人员于2019年完成的初步研究制定。 项目是需要证据来确定该创新计划有效的程度 防止儿童虐待儿童，然后再进行寄养。如果确定此程序 有效，它将是美国为此设计的第一个有效的计划 高风险人口。预期结果包括可用于支持程序复制的发现， 额外的严格研究，并提交给基于证据的清理房屋，包括 《家庭第一预防服务法》。 AIM 1将评估参与项目的程度 影响有效地减少有儿童福利参与家庭的寄养寄养位置 父母与父母拥有ID并参与非专业家庭的家庭相比具有ID 保存计划。 AIM 2将评估参与项目影响有效的程度 减少父母与ID相比的儿童福利参与家庭的寄养服务 对于父母拥有ID且未参与任何家庭保护计划的家庭。这项研究 将使用倾向评分分析来提取计划参与和寄养的因果推断 该计划终止后的一年安置。治疗组的数据将来自项目 在2006年至2018年之间开始服务的客户的临床数据记录；匹配的未处理 样本将从受限制的全国儿童虐待和忽略数据系统的儿童文件中获取 同年。拟议的研究具有创新性，因为它将是第一个确定一个的功效 计划专为具有儿童福利参与的身份证的父母而设计。拟议的项目很重要 因为有ID的父母的孩子特别高危儿童福利轨迹和 结果。