Organizational Context and Children's Mental Health in Urban After School Program

城市课后项目的组织背景和儿童心理健康

• 批准号: 7765523
• 负责人: STACY L FRAZIER
• 金额: $ 47.93万
• 依托单位: UNIVERSITY OF ILLINOIS AT CHICAGO
• 依托单位国家: 美国
• 财政年份: 2009
• 资助国家: 美国
• 起止时间: 2009-02-05 至 2012-11-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7765523
• 关键词: Age; Behavior; Chicago; Child; Child Behavior; Child Mental Health; Clinical Trials; Communities; Consultations; Data; Development; Effectiveness; Funding; Goals; Intervention; Life; Link; Literature; Manuals; Measures; Mental Health; Mission; Modeling; National Institute of Mental Health; Outcome; Parents; Patient Self-Report; Perception; Poverty; Process; Provider; Randomized; Reporting; Research; Resources; Risk; Services; Site; Social Environment; Structure; Testing; Training; Work; after-school program; child mental health service; experience; health practice; improved; meetings; programs; public health relevance; response; satisfaction; social; theories; therapy development

DESCRIPTION (provided by applicant): This application extends a program of research that examines the capacity of publicly-funded after-school programs to promote children's mental health in urban, poor communities, where the risks for mental health difficulties are extremely high and the resources available to meet those needs are severely limited. The proposed study will be conducted at the Chicago Park District's Park Kids program, one of the largest providers of publicly-funded after school programs for children and youth in Chicago. We recently completed the first study in this program of research (NIMH R34-MH070637; PI: Frazier; see Preliminary Studies Project NAFASI) examining the feasibility of mental health consultation to after school program staff around academic enrichment, coaching behaviors, activity engagement and behavior management. Those findings reveal strong evidence for the feasibility of intervention, high staff satisfaction, and encouraging though modest improvements in children's adaptive functioning. The current application will expand the NAFASI intervention to reflect a growing literature in children's mental health services linking organizational social context with service quality and outcomes, which suggests that effective and sustainable change at a program level will require more concentrated intervention at an organizational level. Hence, we propose to examine in Years 1-3 via mixed-effects regression models how social context (by direct observation and staff perceptions) operates in after school programs in relation to child and parent reported program quality and children's mental health outcomes (staff and self report) for 12 randomly selected children ages 8 to 16 in each of the 84 Park Kids programs throughout Chicago (n=357 staff, 1,008 children). These data will be used to (1) provide norms for after school programs on a measure of organizational social context, (2) estimate the variance component structures associated with site that will be used to power a subsequent clinical trial, and (3) inform the expansion in Year 4 of organizational-level intervention components for the NAFASI intervention. The proposed study will contribute to the overall goal of this research to develop new models of community mental health practice focused on supporting the mission, improving the quality, and enhancing the capacity of after- school programs to promote mental health and adaptive functioning for children living in urban poverty. PUBLIC HEALTH RELEVANCE: The proposed study will examine relationships among organizational features of after school programs, child and parent reports of program experiences, and children's behavior toward the further development of an intervention to impact on the ability of after school programs to promote children's adaptive functioning. The study will be conducted at 84 organized after school programs directed by the Chicago Park District. This application is the next step in a program of research that examines the capacity of publicly-funded after-school programs to promote children's mental health in urban, poor communities.

描述（由申请人提供）：本申请扩展了一项研究计划，旨在检验公共资助的课外计划促进城市贫困社区儿童心理健康的能力，这些社区中心理健康困难的风险极高，而且资源匮乏。满足这些需求的能力受到严重限制。拟议的研究将在芝加哥公园区的公园儿童项目中进行，该项目是芝加哥儿童和青少年公共资助的课后项目的最大提供者之一。我们最近完成了该研究项目的第一项研究（NIMH R34-MH070637；PI：Frazier；参见初步研究项目 NAFASI），研究了课后项目工作人员围绕学术充实、指导行为、活动参与和行为进行心理健康咨询的可行性管理。这些发现有力地证明了干预的可行性、工作人员的高满意度以及对儿童适应功能的微小改善的鼓励。目前的应用将扩大 NAFASI 干预措施，以反映越来越多的儿童心理健康服务文献，将组织社会背景与服务质量和结果联系起来，这表明项目层面的有效和可持续的变革将需要在组织层面进行更集中的干预。因此，我们建议在 1-3 年通过混合效应回归模型检查社会背景（通过直接观察和教职人员的看法）如何在课后项目中与儿童和家长报告的项目质量以及儿童的心理健康结果（教职人员和教职人员）联系起来。自我报告）针对整个芝加哥 84 个公园儿童项目中的每一个随机选择的 12 名 8 至 16 岁儿童（n = 357 名工作人员，1,008 名儿童）。这些数据将用于 (1) 为衡量组织社会背景的课后计划提供规范，(2) 估计与站点相关的方差成分结构，该结构将用于为后续临床试验提供动力，以及 (3) 提供信息第四年扩大 NAFASI 干预的组织层面干预内容。拟议的研究将有助于实现本研究的总体目标，即开发社区心理健康实践的新模式，重点是支持使命、提高质量和增强课后项目的能力，以促进儿童的心理健康和适应功能。在城市贫困中。 公共卫生相关性：拟议的研究将考察课后计划的组织特征、儿童和家长对计划经历的报告以及儿童的行为之间的关系，以进一步制定干预措施，以影响课后计划促进儿童适应性功能的能力。该研究将在芝加哥公园区指导的 84 个课后项目中进行。该应用程序是一项研究计划的下一步，该计划旨在检验公共资助的课外项目促进城市贫困社区儿童心理健康的能力。