TRAUMA FOCUSED INTERVENTION TARGETING RISK FOR VIOLENCE

庇护所模式以年轻人为目标，以情感和行为为目标 精神障碍，并有虐待和/或与家人和 社区暴力，他们被安置在住宅区接受治疗。《庇护所》 模型(Bloom，1997)，由Sandra Bloom医学博士开发，适用于成人和 接受短期住院治疗的青少年正在适应年轻人的需要 12至20岁，参加威彻斯特的住院治疗计划 犹太家庭和儿童服务委员会(JBFCS)，纽约州县 --纽约最大的心理健康和社会服务机构之一 城市。庇护所模式由两个主要组成部分组成：a)活动 创建和维护非暴力、民主和治疗性社区 哪些年轻人被授权成为影响自己生活的关键决策者 和他们的社区；以及b)旨在支持 认知重组、沟通技能和亲社会行为 帮助青少年经历四个康复阶段，帮助受害者 痛苦的经历。拟议研究的具体目标是：1) 通过识别近端来检查避难所模型的实施情况 参加庇护所单位治疗环境的变化 模型，与标准住宅实践相比较；2)检查近端 庇护所模式对青少年行为和技能的影响 计划，与标准的住宅实践相比较；3)检查 庇护所模式对青少年行为和技能的泛化效应 在回家和社区的通行证上，与标准的 居住实践。这些目标将通过使用2x5设计(即， 两种服务交付条件：庇护所模式与标准住宅 服务，按基准线、3个月、6个月、9个月的五个数据收集点 个月和12个月)，随机分配12个住宅单位给 庇护所模式或标准住宿服务。十二栋住宅 单位(n=150名青年；n=96名工作人员)主要服务于12-20岁的青年， 破坏性行为障碍和注意力缺陷障碍。《庇护所》 模型条件将作为标准住宅的增强实施 服务；因此，实际上，这项研究将检查“标准 庇护所模式增强的住宅服务与标准 在没有改善的情况下的住宅服务。 解决关于高风险干预的文献中的一个重大空白 通过研究一种有针对性的方法来中断负面轨迹来实现青年 对患有严重疾病的青少年的暴力和不良心理健康结果 情绪上的困扰。

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.