Behavior problems and placement change in a national child welfare sample: a prospective study.
Behavior problems and placement change in a national child welfare sample: a prospective study.
复制标题
国家儿童福利样本中的行为问题和安置变化：一项前瞻性研究。
DOI：
10.1097/00004583-201001000-00011
复制
发表时间：
2010
影响因子：
13.3
通讯作者：
Leslie,LaurelK
中科院分区：
文献类型：
--
作者：
Aarons,GregoryA;James,Sigrid;Monn,AmyR;Raghavan,Ramesh;Wells,RebeccaS;Leslie,LaurelK
与安置变化对行为问题的影响相比，关于青少年行为问题对儿童福利安置变化的影响正在进行辩论。现有的研究支持这两种观点。本研究的目的是前瞻性地研究在全国代表性样本的青少年的行为问题和安置变化的关系，在全国儿童和青少年幸福感调查。METHODThe样本包括500名青少年在儿童福利系统与家庭外安置在全国儿童和青少年幸福感调查研究的过程中。我们使用前瞻性交叉滞后设计和路径分析来检查行为问题和安置变化的相互影响，测试整体模型和检查年龄和性别影响的模型。行为问题显著预测三条路径的位置变化，位置变化预测一条路径的行为问题。基线预测基线和18个月之间的放置变化。年龄较大时的行为问题和18个月时的外化行为似乎会增加安置变化的风险。值得注意的是，在女性受试者中，安置的变化，后来在研究中预测随后的内化和外化的行为problems.CONCLUSIONSIn保持与一些专业机构的建议，我们建议，初始和持续筛选内化和外化的行为问题，制定为标准做法的一部分，为青少年进入或过渡的儿童福利系统。
OBJECTIVEThere is ongoing debate regarding the impact of youth behavior problems on placement change in child welfare compared to the impact of placement change on behavior problems. Existing studies provide support for both perspectives. The purpose of this study was to prospectively examine the relations of behavior problems and placement change in a nationally representative sample of youths in the National Survey of Child and Adolescent Well-Being.METHODThe sample consisted of 500 youths in the child welfare system with out-of-home placements over the course of the National Survey of Child and Adolescent Well-Being study. We used a prospective cross-lag design and path analysis to examine reciprocal effects of behavior problems and placement change, testing an overall model and models examining effects of age and gender.RESULTSIn the overall model, out of a total of eight path coefficients, behavior problems significantly predicted placement changes for three paths and placement change predicted behavior problems for one path. Internalizing and externalizing behavior problems at baseline predicted placement change between baseline and 18 months. Behavior problems at an older age and externalizing behavior at 18 months appear to confer an increased risk of placement change. Of note, among female subjects, placement changes later in the study predicted subsequent internalizing and externalizing behavior problems.CONCLUSIONSIn keeping with recommendations from a number of professional bodies, we suggest that initial and ongoing screening for internalizing and externalizing behavior problems be instituted as part of standard practice for youths entering or transitioning in the child welfare system.