MENTAL HEALTH SERVICE USE OF YOUTH LEAVING FOSTER CARE

离开寄养青少年的心理健康服务

• 批准号: 6287062
• 负责人: J. Curtis MCMILLEN
• 金额: $ 46.34万
• 依托单位: WASHINGTON UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2001
• 资助国家: 美国
• 起止时间: 2001-04-09 至 2005-03-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/6287062
• 关键词: academic achievement; adolescence (12-20); behavioral /social science research tag; child foster care /adoption; child mental health service; clinical research; correctional institutions; employment /unemployment; health care service utilization; homeless; human subject; longitudinal human study; mental disorder chemotherapy; mental disorders; mental health facility; outcomes research; pregnancy; psychotropic drugs

DESCRIPTION (Applicant's abstract): What happens to adolescents who are heavy mental health service users once they are no longer eligible for child service systems? The mental health service system changes considerably as youth move from adolescence to adulthood. There are fewer service options for adults, eligibility narrows, and affordability changes. These service system changes occur at a time of considerable stress as young people often change residences, jobs and learn to live more independently during this same time period. This is particularly true for youth leaving the foster care system. This study examines service use, mental disorder and functional early adult outcomes among older youth as they leave the foster care system. Youth in the foster care system are an ideal study population in which to study this transition because they tend to be extremely heavy mental health service users, and experience a particularly sudden and harsh transition out of foster care. This study examines 1) changes in service use among older teens as they leave the foster care system; 2) the correlates of service continuity and discontinuity as they leave the foster care system; 3) gateways to mental health service use for youth who have left the foster care system; and 4) the relationship between continued mental health service use and homelessness, unemployment, incarceration, high school graduation, college entrance, unplanned parenthood, psychiatric hospitalizations and traumatic events. Three hundred eighty youth in the foster care system in Missouri will be interviewed in person just prior to their 17th birthday, tracked with informed quarterly telephone interviews for two years and then re-interviewed in person two years subsequent to the first interview. The project will use the Diagnostic Interview Schedule to assess mental health and the Service Assessment for Children and Adolescents (SACA) to measure mental health service and psychotropic medication use. The study addresses several needs for mental health services research identified in the Bridging Science and Service report by characterizing the service use of an important population (young people who have left the child service system), by examining what happens to service users over time, and determining who is providing mental health services for a vulnerable population. This research should help public and private policymakers decide how to target their clinical resources, especially the federal dollars earmarked for preventing negative outcomes for youth leaving the foster care system.

描述(申请者摘要)：肥胖的青少年会怎么样？ 一旦精神健康服务使用者不再有资格获得儿童服务 系统？随着年轻人的迁徙，心理健康服务系统发生了很大的变化 从青春期到成年期。成年人的服务选择更少了， 资格缩小了，负担能力也发生了变化。这些服务体系的变化 发生在一个压力很大的时候，因为年轻人经常搬家， 在这段时间里，你会找到更多的工作，学会更独立地生活。这是 对于离开寄养系统的年轻人来说尤其如此。这项研究考察了 老年人的服务使用、精神障碍和早期功能结果 当他们离开寄养系统的时候。寄养系统中的年轻人 研究这种过渡的理想研究人群，因为他们倾向于 成为极度重度的精神健康服务使用者，并体验 特别是突然和严酷地从寄养家庭过渡出来。本研究 调查1)年龄较大的青少年在离开寄养机构时服务使用的变化 护理系统；2)服务连续性和间断性的相关性 离开寄养系统；3)心理健康服务的门户用于 离开寄养系统的年轻人；以及4) 精神卫生服务的持续使用和无家可归、失业、 监禁，高中毕业，大学入学，意外为人父母， 精神科住院和创伤事件。 密苏里州寄养系统中的380名青年将成为 在他们17岁生日前夕亲自采访，并与知情人士进行了跟踪 每季度进行一次电话采访，为期两年，然后再次面谈 在第一次面谈后两年。该项目将使用 评估心理健康和服务的诊断性面谈时间表 儿童和青少年心理健康服务评估(SACA) 和精神药物的使用。 这项研究解决了精神健康服务研究的几个需求 在桥接科学和服务报告中通过描述 重要人群的服务使用情况(离开儿童的年轻人 服务系统)，通过检查随着时间的推移服务用户发生了什么，以及 确定谁在为弱势群体提供心理健康服务 人口。这项研究应该有助于公共和私人政策制定者 如何瞄准他们的临床资源，特别是联邦资金 专门用于防止青少年离开寄养机构的负面后果 系统。