A mixed-methods investigation of parental burden and adolescent service use following discharge from psychiatric hospitalization

精神病院出院后父母负担和青少年服务使用的混合方法调查

基本信息

批准号：
10748684
负责人：
Katherine Maultsby Harris
金额：
$ 3.94万
依托单位：
GEORGE MASON UNIVERSITY
依托单位国家：
美国
项目类别：
财政年份：
2023
资助国家：
美国
起止时间：
2023-08-20 至 2025-08-19
项目状态：
未结题

来源：
https://reporter.nih.gov/project-details/10748684
关键词：
Address Adolescent Age Attention Attenuated Caring Cause of Death Child Child Care Clinical Code Communities Community Mental Health Services Data Dedications Demographic Factors Discrimination Disparity Distress Doctor of Philosophy Economics Educational workshop Ethnic Origin Face Family Family Relationship Goals Hospitalization Hospitalized Adolescent Household Income Interview Investigation Knowledge Literature Medical Mental Health Mental Health Services Mentorship Methods Modeling Monitor Mothers National Institute of Mental Health Outpatients Parents Pattern Perception Play Population Posttraumatic growth Process Psychopathology Public Health Quality of Care Race Random Allocation Reaction Recovery Reduce health disparities Relapse Reporting Research Research Support Research Training Risk Role Sampling Services Shapes Socioeconomic Status Stress Structure Suicide Suicide attempt Symptoms Time Training Transportation Trauma Underserved Population Well in self Work Youth age group care coordination career comparative coping design experience family burden follow-up hands on research health disparity health service use high risk hospital readmission improved inpatient service low socioeconomic status lower income families meetings phenomenological models post intervention psychiatric symptom research based treatment research data dissemination research study service utilization skills social stigma socioeconomic disparity statistics stressor suicidal risk treatment program treatment research

项目摘要

Project Summary/Abstract Adolescents (age 12-17) are disproportionally impacted by mental health challenges. Suicide is a leading cause of death among this age group, with rates of psychiatric inpatient service use consistently increasing since the mid-2000s. Youth psychiatric hospitalization can be traumatic for families and the period following hospitalization is associated with increased risk of repeat suicide attempts and rehospitalization. Increased risk during this time may be due, in part, to low rates of follow-up service use. One factor that plays a substantial role in youth service use is parental burden (i.e., difficulties perceived to be caused or exacerbated by a child's psychiatric symptoms). However, research has not yet explored how parental burden is related to follow-up service use in the post- hospitalization period, or how disparities may influence this relation. Familial socioeconomic status (SES) may be particularly important to consider in this context. There exists a myriad of barriers faced by families of lower SES that impact access to and quality of mental health care. The present study seeks to address these gaps using a mixed methods design. The first aim of this study is to investigate the bidirectional associations between parental burden and youth service use over time following discharge from psychiatric hospitalization. The second aim is to examine how SES impacts the longitudinal relations between parental burden and youth service use. The third aim is to compare the lived experiences of 252 mothers with a recently psychiatrically hospitalized adolescent from high and low SES backgrounds, with a focus on perceptions of burden. Broadly, the fellow’s training goals associated with the proposed study and long-term career plans are to: develop comprehensive knowledge of relevant literatures, such as processes of post-traumatic growth and stress in families, health disparities, and culturally responsive care with underserved youth and families; develop proficiency in qualitative, mixed-methods, and advanced quantitative statistical design and analysis; and improve research dissemination skills. This will be accomplished through coursework, attendance at targeted workshops, hands-on research and clinical experience, directed readings, and regular mentorship meetings. With the support of a dedicated and experienced mentorship team, this research study and training plan will set the stage for the fellow’s long term research goal, which is to conduct culturally responsive, trauma-informed, and family-based treatment research.

项目概要/摘要青少年（12-17 岁）受到心理健康挑战的影响尤为严重，自杀是一个主要原因。该年龄组的死亡人数，自 2007 年以来精神科住院服务的使用率持续上升 2000 年代中期，青少年精神病住院可能会给家庭和住院后的一段时间带来创伤。与在此期间重复自杀企图和再住院的风险增加有关。部分原因可能是后续服务使用率低，这是在青年服务中发挥重要作用的一个因素。使用是父母的负担（即，被认为是由儿童的精神症状引起或加剧的困难）。然而，研究尚未探讨父母负担与产后后续服务使用之间的关系。住院时间，或差异如何影响这种关系。在这种情况下，考虑到低收入家庭面临的诸多障碍尤为重要。 SES 影响精神卫生保健的获取和质量本研究旨在解决这些差距。使用混合方法设计本研究的第一个目的是研究之间的双向关联。精神病院出院后随着时间的推移，父母的负担和青少年服务的使用情况。目的是研究社会经济地位如何影响父母负担与青少年服务使用之间的纵向关系。第三个目标是将 252 名母亲与最近因精神病住院的母亲的生活经历进行比较来自高和低社会经济地位背景的青少年，重点是对负担的看法。与拟议研究和长期职业计划相关的培训目标是：了解相关文献，例如创伤后成长过程和家庭压力、健康差异以及对服务不足的青少年和家庭的文化响应性护理，提高质量、混合方法和先进的定量统计设计和分析，并改善研究传播；这将通过课程作业、参加有针对性的研讨会、实践研究和实践来实现。临床经验、定向阅读和定期指导会议的支持。经验丰富的导师团队，这项研究和培训计划将为该研究员的长期发展奠定基础研究目标是进行文化响应、创伤知情和基于家庭的治疗研究。