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 父母有物质使用障碍 (SUD) 或有监禁史的儿童尤其容易 这些年轻人也更容易陷入药物滥用和疾病的困境。 患有共病精神健康障碍并从事反社会行为。 药物使用服务可以改善结果，但青少年在接受这些服务时面临许多障碍，这是第一个。 我将对高风险家庭的代际服务使用模式进行前瞻性纵向研究。 调查父母的经历（他们的 SUD 历史、服务使用情况以及服务障碍）如何影响他们 为孩子寻求服务的决定 数据来自两项研究：西北青少年项目，一项 对 1829 名司法系统青年的心理健康需求和结果进行前瞻性纵向研究； 下一代，采访了西北少年计划的原始参与者，以及他们的 儿童，年龄 10-18 岁（预期样本，n=640 名家长和儿童访谈）。 到 2023 年 4 月完成。目标 1：决定需要服务的儿童是否接受服务的因素 我将研究人口统计变量（例如年龄、性别、种族、民族）和临床变量（类型） 我预计黑人或拉丁裔儿童的服务使用会受到影响。 与非西班牙裔白人青年相比，青年人获得所需服务的可能性较小； 使用将决定青少年是否接受服务；以及患有共存疾病（例如创伤后）的青少年 目标 2：父母对 SUD 的体验如何。 青春期和成年期间的服务使用会影响他们寻求服务的决定 我将重点关注父母的 SUD 历史、服务使用情况、态度以及服务使用障碍 我预计父母的 SUD 的时间安排（仅在他们的青春期和成年期间）。 他们自己的青春期与孩子的一生）以及父母服务的地点（社区与 更正）将影响儿童的服务使用。 与未接受服务的人相比，在青春期接受服务的人为孩子寻求服务的可能性较小。 我的研究结果将为未来的研究提供实证基础，以确定减少障碍的新策略 我的培训将在 Dr. 的指导下得到加强。 琳达·特普林 (Linda Teplin)，西北青少年项目和下一代项目的首席研究员 合作者 Karen Abram 博士和 Leah Welty 博士，以及关键人员 Margareta Alegria 博士和 Faye Taxman 博士， 拟议的研究金培训计划将使我做好准备 成为成瘾科学的独立研究员，专注于服务使用中的健康不平等问题。