TRAUMA FOCUSED INTERVENTION TARGETING RISK FOR VIOLENCE

庇护所模式针对青少年的情感和行为 有虐待和/或接触家庭的历史， 社区暴力，他们被安置在住宅治疗。圣所 模型（Bloom，1997），由Sandra Bloom，M.D.开发，为成人和 正在对青少年进行短期住院治疗， 年龄在12至20岁之间，在韦斯特切斯特实施的住院治疗方案中 纽约县犹太家庭和儿童服务委员会（JBFCS） --纽约最大的心理健康和社会服务机构之一 市庇护所模式由两个主要组成部分组成：a）积极的 建立和维护一个非暴力、民主、治疗性的社区， 赋予青年权力，使其成为影响自己生活的关键决策者 和B）心理教育模块，旨在支持 认知重构、沟通技巧和亲社会行为， 为了帮助青年人度过受害者康复的四个阶段， 创伤经历建议研究的具体目标是：1） 通过确定最近的避难所模式， 参与庇护所的单位的治疗环境的变化 模型，与标准住宅实践相比; 2）检查近端 庇护所模式对青年行为和技能的影响 计划，与标准住宅做法相比; 3）检查 庇护所模式对青少年行为和技能的推广效果 而在通行证回家和在社区，在比较标准 住宅实践。这些目标将通过使用2x 5设计来实现（即， 两种服务提供条件：避难所模式与标准住宅模式 服务，按基线、3个月、6个月、9个月的5个数据收集点分列 个月，和12个月），随机分配12个住宅单位， 庇护所模式或标准住宅服务。十二住宅 各单位（n=150名青年; n=96名工作人员）主要为12 - 20岁的青年提供服务， 破坏性行为障碍和注意力缺陷障碍。圣所 模型条件将作为标准住宅的增强功能实施 服务;因此，实际上，这项研究将研究“标准” 与“标准”相比，“庇护所模式”的住宅服务得到了加强 住宅服务没有改善。“拟议的研究将 解决高风险干预文献中的一个重大空白， 通过研究有针对性的方法， 暴力和精神健康状况不佳的青少年严重 情绪紊乱

The Sanctuary Model targets youth with emotional and behavior disorders, and with histories of maltreatment and/or exposure to family and community violence, who are placed in residential treatment. The Sanctuary Model (Bloom, 1997), developed by Sandra Bloom, M.D., for adults and adolescents in short-term, in-patient treatment, is being adapted for youth aged 12 to 20 years in residential treatment programs operated in Westchester County, New York by the Jewish Board of Family and Children's Services (JBFCS) -- one of the largest mental health and social services agencies in New York City. The Sanctuary Model is composed of two primary components: a) The active creation and maintenance of a non-violent, democratic, therapeutic community in which youth are empowered as key decision-makers to influence their own lives and their community; and b) psychoeducational modules designed to support cognitive re-structuring, communication skills, and pro-social behavior in order to assist youth in moving through four stages of recovery for victims of traumatic experiences. The specific aims of the proposed research are: 1) To examine the implementation of the Sanctuary Model by identifying proximal changes in the therapeutic environment of units participating in the Sanctuary Model, in comparison to standard residential practices; 2) To examine proximal effects of the Sanctuary Model on youth behaviors and skills within the program, in comparison to standard residential practices; 3) To examine generalization effects of the Sanctuary Model on youth behaviors and skills while on passes home and in the community, in comparison to standard residential practices. The aims will be achieved by using a 2 x 5 design (i.e., two service delivery conditions: Sanctuary Model vs. Standard Residential Services, by five data collection points at baseline, 3 months, 6 months, 9 months, and 12 months) with random assignment of 12 residential units to either the Sanctuary Model or Standard Residential Services. The twelve residential units (n=150 youth; n=96 staff) primarily serve youth, aged 12 - 20 years, with disruptive behavior disorders and attention deficit disorders. The Sanctuary Model condition will be implemented as an enhancement to Standard Residential Services; so, in effect, the research will examine differences in "Standard Residential Services with the Sanctuary Model enhancement" versus "Standard Residential Services without the enhancement." The proposed research will address a significant gap in the literature on interventions for high-risk youth by examining a targeted approach to interrupt the negative trajectory toward violence and poor mental health outcomes for youth with serious emotional disturbances.