COMMUNITY-BASED TREATMENT FOR CHILD PHYSICAL ABUSE

针对儿童身体虐待的社区治疗

• 批准号: 6539021
• 负责人: CYNTHIA C. SWENSON
• 金额: $ 45.56万
• 依托单位: MEDICAL UNIVERSITY OF SOUTH CAROLINA
• 依托单位国家: 美国
• 财政年份: 2000
• 资助国家: 美国
• 起止时间: 2000-04-10 至 2005-03-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/6539021
• 关键词: adolescence (12-20); behavior modification; behavioral /social science research tag; child (0-11); child abuse; clinical research; community health services; family structure /dynamics; family therapy; health care cost /financing; home health care; human subject; human therapy evaluation; outcomes research; parent offspring interaction; social group

DESCRIPTION (Adapted from the Applicant's Abstract): Research shows that physical abuse of a child is determined by many factors, such as characteristics of the parent, the child, the community, the family, and the family's social network. Children who experience physical abuse potentially have many problems in childhood, such as fears, anxiety, aggression, and poor skills in getting along with other children and solving problems. Further, studies show that many abused children experience problems such as violent crime and substance abuse in adulthood. Given that child abuse is determined by many factors, then considering each of these factors in treatment (example: child, parent, family, social network) is important. Most existing treatments for abusive families address only one of these factors (example: either the child or parent but not the whole family and social network) and little is known about cost of services for abused children. Also, many of the studies on physical abuse have been conducted in a university setting; thus, it is unclear whether the same outcomes might be shown when treatment is provided in a real world setting. The aim of this study is to compare the success of home-based multisystemic therapy (MST) (a treatment that considers all factors related to abuse) to Parent Training (PT) for reducing physically abused children's behavior problems and for reducing parent's abusive behaviors. This project will be based in the community. Families who are referred to the study will have been investigated by the Department of Social Services because a parent or caregiver in the family physically abused one or more of the children. Referred families will be randomly assigned to receive either MST or to receive the Parent Training Group. Treatment for MST families will be conducted in their home. Parent Training will be provided in a community-based children's center. In addition to assessing the therapeutic success of MST vs. PT, we will compare financial costs of each service.

描述（改编自申请人的摘要）：研究表明， 对儿童的身体虐待是由许多因素决定的，例如 父母、子女、社区、家庭和 家庭的社交网络。可能遭受身体虐待的儿童 在童年有许多问题，如恐惧，焦虑，侵略性，和贫穷。 与其他孩子沿着和解决问题的技巧。此外，本发明的目的是， 研究表明，许多受虐待的儿童经历的问题， 犯罪和滥用药物鉴于虐待儿童是由 许多因素，然后在治疗中考虑这些因素中的每一个（例如： 孩子，父母，家庭，社会网络）是重要的。大多数现有的治疗方法 对于虐待家庭，只解决其中一个因素（例如： 孩子或父母，但不是整个家庭和社会网络）， 了解受虐待儿童的服务费用。此外，许多关于 身体虐待是在大学环境中进行的;因此， 当治疗以真实的方式提供时， 世界设定这项研究的目的是比较家庭为基础的成功 多系统治疗（MST）（一种考虑所有相关因素的治疗） 家长培训（PT），以减少身体虐待儿童的 行为问题和减少父母的虐待行为。这个项目 将以社区为基础。被转介到这项研究的家庭将 被社会服务部调查，因为父母或 家庭中的照顾者对一个或多个儿童进行身体虐待。提述 家庭将被随机分配接受MST或接受 家长训练小组。MST家庭的治疗将在他们的 回家家长培训将在社区儿童中心提供。 除了评估MST与PT的治疗成功率外，我们还将比较 每项服务的成本。