CHILD NEGLECT--CROSS SECTOR SERVICE PATHS AND OUTCOMES

儿童忽视——跨部门服务路径和成果

• 批准号: 6528727
• 负责人: MELISSA A JONSON-REID
• 金额: $ 23.46万
• 依托单位: WASHINGTON UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2000
• 资助国家: 美国
• 起止时间: 2000-09-30 至 2003-11-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/6528727
• 关键词: adolescence (12-20); behavioral /social science research tag; child (0-11); child abuse; child foster care /adoption; child welfare; correctional institutions; employment /unemployment; family structure /dynamics; health care service utilization; health services research tag; human data; human mortality; juvenile delinquency; longitudinal human study; outcomes research; remedial /special education

Despite consensus about the need to coordinate services for neglected children and their families due to the co-morbidity of neglect with other social problems, we lack even a basic understanding of the cross-sector service patterns of this population. This gap in the knowledge base serious hampers efforts to evaluate services and policy in order to improve the efficiency and efficacy of services. "Child Neglect: Cross Sector Service Paths & Outcomes" (CSSPO), will address this gap through a large-scale longitudinal analysis of cross-sector utilization by neglected children and their families which is linked to outcomes at the family (e.g. family reunification, etc.) and child (e.g. death, incarceration) levels. Using administrative data drawn from education, health, juvenile justice and social service, agencies, this accelerated panel study compares the cross sector service paths and outcomes of children in families receiving AFDC and reported to child welfare agencies for (1) neglect (n=4,880), (2) physical abuse (n=1,394), (3) sexual abuse (n=358); and, (4) more than one type of maltreatment (n=1,242). These groups will be compared to a matched group of children in families receiving AFDC in 1993, but not reported to child welfare agencies (n=8,000) Within each sample group, children aged birth to 12 years will be grouped into four age cohorts (birth to 3 years, 3 to 6 years, 6 to 9 years, and 9 to 11 years) and followed for eight years (1993-2001). The accelerated panel designs allows for the statistical analysis of 19 years of development in only eight years. This proposal addresses several gaps in the research as identified by the current RFA, combining a focus on service delivery with consideration of consequences (our outcomes) related to neglect. The study will examine: (1) Cross-sector service use consideration of consequences (our outcomes) related to neglect. The study will examine: (1) Cross-sector service use consideration of consequences (our outcomes) related to neglect. The study will examine: (1) Cross-sector service use (sequence, frequency, co-occurrence & duration) in the five study groups. (2) The relationship of service patterns to later child and adolescent outcomes (e.g. mortality, foster care entry, entry into Special Education, etc.). (3) The later child and adolescent outcome s(e.g. mortality, foster care entry, entry into Special Education, etc.) (3) The association between positive family outcomes in child welfare and income maintenance programs (e.g. employment reunification, etc.) with child and adolescent outcomes. Analyses will be conducted within an ecodevelopmental framework, examining the influence of neglect while controlling for child, family, service sector use and community level factors. This study will build knowledge critical to effective service delivery and policy development related to serving children and their families reported to child welfare agencies for neglect.

由于被忽视的儿童与其他社会问题并存，因此，虽然大家都认为有需要协调为被忽视儿童及其家庭提供的服务，但我们对这类儿童的跨界别服务模式，甚至缺乏基本的了解。知识基础方面的这一差距严重阻碍了为提高服务效率和效力而对服务和政策进行评价的努力。“雏鸟：跨部门服务途径和成果”（CSSPO）将通过对被忽视儿童及其家庭的跨部门利用情况进行大规模纵向分析来解决这一差距，这种分析与家庭成果（例如家庭团聚等）有关。和儿童（例如死亡、监禁）水平。利用来自教育、卫生、少年司法和社会服务机构的行政数据，这项加速小组研究比较了接受AFDC的家庭中儿童的跨部门服务途径和结果，并向儿童福利机构报告了（1）忽视（n= 4，880），（2）身体虐待（n= 1，394），（3）性虐待（n=358）;（4）一种以上的虐待（n= 1，242）。这些儿童组将与1993年接受AFDC但未向儿童福利机构报告的家庭中的儿童组（n= 8，000）进行比较。在每个抽样组中，出生至12岁的儿童将分为四个年龄组（出生至3岁，3至6岁，6至9岁，9至11岁），并随访8年（1993-2001年）。加速面板设计允许在仅8年内对19年的发展进行统计分析。这项建议解决了目前RFA所确定的研究中的几个差距，将重点放在服务提供上，并考虑与忽视有关的后果（我们的结果）。本研究将探讨：（1）跨部门的服务使用考虑的后果（我们的结果）有关的忽视。本研究将探讨：（1）跨部门的服务使用考虑的后果（我们的结果）有关的忽视。本研究将探讨：（1）五个研究组别的跨部门服务使用（顺序、频率、共现和持续时间）。(2)服务模式与儿童和青少年后期结果的关系（如死亡率、寄养进入、进入特殊教育等）。(3)儿童和青少年后期结局（如死亡率、进入寄养家庭、进入特殊教育等）(3)儿童福利和收入维持方案（如就业团聚等）中积极的家庭结果之间的关联儿童和青少年的结果。将在生态发展框架内进行分析，审查忽视的影响，同时控制儿童，家庭，服务部门的使用和社区一级的因素。这项研究将建立知识的有效提供服务和政策制定有关的服务儿童及其家庭报告儿童福利机构忽视的关键。