A Positive Youth Development Approach to Improving Mental Health Outcomes for Maltreated Children in Foster Care: Replication and Extension of an RCT of the Fostering Healthy Futures Program.
A Positive Youth Development Approach to Improving Mental Health Outcomes for Maltreated Children in Foster Care: Replication and Extension of an RCT of the Fostering Healthy Futures Program.
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改善寄养中受虐待儿童心理健康结果的积极青年发展方法：“促进健康未来计划”随机对照试验的复制和扩展。
DOI：
10.1002/ajcp.12385
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发表时间：
2019
影响因子：
3.1
通讯作者：
Fadell,Melody
中科院分区：
文献类型：
--
作者：
Taussig,HeatherN;Weiler,LindseyM;Garrido,EdwardF;Rhodes,Tara;Boat,Ashley;Fadell,Melody
预防虐待对儿童心理健康的负面影响需要干预措施对背景敏感，有理论和研究基础，并有效地接触和留住儿童和家庭。这项研究复制和扩展了养育健康未来(FHF)计划的先前发现，FHF计划是一项为期30周的指导和技能小组干预，针对寄养中的青春期前虐待儿童。参与者包括426名最近被安排在家庭外护理的儿童，他们被随机分配到干预或控制条件下。干预后6-10个月测量的结果包括心理健康问题的多信息者(儿童、照顾者、教师)指数以及创伤后应激症状、分离症状、生活质量和精神卫生服务和精神药物的使用情况。计划的启动率、保留率和参与率都很高；95%的被随机分配到FHF的人开始了计划，92%的人完成了计划，超过85%的指导访问和技能小组参加了。FHF计划在减少精神健康症状，特别是创伤症状和精神卫生服务利用率方面产生了重大影响。这些项目的效果在几乎所有的亚组中都是一致的，这表明FHF使不同的儿童受益。结果表明，积极的青年发展方案为儿童和家庭高度接受，它可以对创伤及其后遗症产生积极影响。
Preventing the negative impact of maltreatment on children's mental health requires interventions to be contextually sensitive, grounded in theory and research, and effective in reaching and retaining children and families. This study replicates and extends previous findings of the Fostering Healthy Futures (FHF) program, a 30‐week mentoring and skills group intervention for preadolescent maltreated children in foster care. Participants included 426 children recently placed in out‐of‐home care who were randomized to intervention or control conditions. Outcomes measured 6–10 months postintervention included a multi‐informant (child, caregiver, teacher) index of mental health problems as well as measures of posttraumatic stress symptoms, dissociative symptoms, quality of life, and use of mental health services and psychotropic medications. There were high rates of program initiation, retention, and engagement; 95% of those randomized to FHF started the program, 92% completed it, and over 85% of the mentoring visits and skills groups were attended. The FHF program demonstrated significant impact in reducing mental health symptomatology, especially trauma symptoms, and mental health service utilization. These program effects were consistent across almost all subgroups, suggesting that FHF confers benefit for diverse children. Results indicate that positive youth development programming is highly acceptable to children and families and that it can positively impact trauma and its sequelae.