How Do Parents' Experiences with Services Influence Their Children's Service Use? A Longitudinal, Intergenerational Study of High-Risk Families

家长的服务体验如何影响孩子的服务使用？

• 批准号: 10748261
• 负责人: María José Luna
• 金额: $ 4.32万
• 依托单位: NORTHWESTERN UNIVERSITY AT CHICAGO
• 依托单位国家: 美国
• 财政年份: 2023
• 资助国家: 美国
• 起止时间: 2023-07-01 至 2025-06-30
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10748261
• 关键词: Address; Adolescence; Adolescent; Adult; Affect; Age; Alcohol consumption; Anxiety Disorders; Attitude; Behavior; Black race; Characteristics; Child; Clinical; Communities; Data; Data Collection; Disease; Drug usage; Ethnic Origin; Face; Family; Fellowship; Female; Funding; Future; General Population; Health Services Research; Human Resources; Imprisonment; Inequity; Inpatients; Interview; Justice; Latinx; Location; Mental Health; Mental Health Services; Mental disorders; Mentorship; Mood Disorders; National Institute of Drug Abuse; Not Hispanic or Latino; Outcome; Outpatients; Parents; Participant; Pattern; Post-Traumatic Stress Disorders; Principal Investigator; Psychopathology; Race; Recording of previous events; Research; Research Personnel; Risk; Sampling; Schools; Science; Service setting; Services; Strategic Planning; Substance Use Disorder; System; Training; United States; Youth; addiction; aged; antisocial behavior; child services; comorbidity; experience; follow-up; health inequalities; health service use; high risk; improved; improved outcome; interest; intergenerational; juvenile justice system; longitudinal, prospective study; male; marijuana use; next generation; novel strategies; service utilization; sex; substance use; transmission process

ABSTRACT Children whose parents have substance use disorders (SUDs) or histories of incarceration are especially vulnerable to developing problematic substance use and disorders. These youth are also more likely to struggle with comorbid mental health disorders and engage in antisocial behaviors. Although mental health and substance use services can improve outcomes, youth face many barriers to receiving them. This is the first prospective, longitudinal study of intergenerational patterns of service use in high-risk families. I will investigate how parents’ experiences–their history of SUDs, service use, and barriers to services–affect their decision to seek services for their children. Data are from two studies: the Northwestern Juvenile Project, a prospective, longitudinal study of mental health needs and outcomes of 1829 youth in the justice system; and Next Generation, which interviews the original participants of the Northwestern Juvenile Project, and their children, ages 10-18 years (anticipated sample, n=640 parent and child interviews). All data collection will be completed by April 2023. Aim 1: What determines whether children who need services receive them? I will examine how demographic variables (e.g., age, sex, race, ethnicity) and clinical variables (type of drug used and comorbid mental health disorders) affect children’s service use. I anticipate that Black or Latinx youth will be less likely to receive needed services than non-Hispanic White youth; that the type of substance used will determine if youth receive services; and that youth with comorbid disorders (e.g., posttraumatic stress disorder) will be more likely to receive services. Aim 2: How do parents’ experiences with SUDs and service use—during adolescence and adulthood—affect their decision to seek services for their children? I will focus on parents’ history of SUDs, service use, attitudes, and barriers to service use during their own adolescence and adulthood. I anticipate that the timing of the parents’ SUDs (only during their own adolescence vs during their child’s lifetime) and the location of the parent’s services (community vs corrections) will affect the children’s service use. I hypothesize that parents who experienced barriers to receiving services during adolescence are less likely to seek services for their children than those who did not. My findings will provide the empirical basis for future studies to identify novel strategies to reduce barriers to services and to engage high-risk youth in services. My training will be strengthened by the mentorship of Dr. Linda Teplin, the Principal Investigator of the Northwestern Juvenile Project and Next Generation, her collaborators, Drs. Karen Abram and Leah Welty, and key personnel, Drs. Margareta Alegria and Faye Taxman, experts in health inequities in service utilization. The proposed fellowship training plan will prepare me to become an independent researcher of addiction science, focusing on health inequities in service use.

抽象的 父母患有药物使用障碍（SUD）或化身历史的孩子是 容易发展有问题的物质使用和混乱。 有喜剧性心理健康障碍并从事反社会行为。 药物使用服务可以改善结果，青年面临许多接收障碍。 对高风险家庭的国际服务使用模式的前瞻性研究 调查父母的经验 - 他们的泡沫历史，服务使用和服务障碍的历史 - 决定为孩子寻求服务。 对1829年青年的心理健康需求和成果的前瞻性研究； 下一代，采访了西北少年项目的原始参与者及其 儿童，年龄为10-18岁（预期样本，n = 640个父母和儿童访谈）。 在2023年4月之前完成。目标1：确定需要服务的孩子是否获得 他们？我会研究人口变量（例如年龄，性别，种族，种族） 使用的药物和合并性心理健康障碍）会影响儿童的服务使用。 年轻人可能会比西班牙裔青年获得所需的服务； 使用的将确定青年是否接受服务； 压力障碍）将更有可能获得服务2：父母对泡沫的经历 和服务的使用 - 性积和成年 - 应对他们寻求服务的决定 他们的孩子？ 在他们自己的青春期和成年期间。 他们自己的青春期与孩子的一生）和父母服务的位置 更正）将影响儿童的服务使用。 在青春期接受服务不像是为孩子寻求服务的不如。 我的发现将为未来的研究提供经验基础，以确定新的策略以减少障碍 服务并让高风险的青年参与服务。 琳达·特普林（Linda Teplin），西北少年韦斯特项目和下一代的主要研究员 合作者，凯伦·艾布拉姆（Karen Abram）和莉亚·韦尔蒂（Leah Welty），主要人员。 服务利用的健康不平等专家。 成为添加科学的独立研究人员，专注于服务健康的健康。