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: 6727633
• 负责人: J. Curtis MCMILLEN
• 金额: $ 49.23万
• 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 2006-03-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/6727633
• 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（申请人摘要）：超重的青少年会发生什么 心理健康服务用户一旦他们不再有资格获得儿童服务 系统？心理健康服务体系随着青年流动而发生很大变化 从青春期到成年。成年人的服务选择较少， 资格缩小，负担能力发生变化。这些服务体系的变化 由于年轻人经常搬家， 在这段时间里，我学会了更独立地生活。这是 尤其是离开寄养系统的年轻人。本研究探讨 老年人的服务使用、精神障碍和功能性早期成人结局 年轻人离开寄养系统。寄养系统中的青少年 这是研究这种转变的理想研究人群，因为他们倾向于 成为精神健康服务的重度使用者， 尤其是突然离开寄养家庭的时候本研究 检查1）在服务使用中的变化，年龄较大的青少年，因为他们离开寄养 护理系统; 2）服务连续性和不连续性的相关因素，因为它们 离开寄养系统; 3）使用心理健康服务的途径， 离开寄养系统的青少年;以及4） 继续使用精神卫生服务和无家可归，失业， 监禁，高中毕业，大学入学，计划外的父母， 精神病住院和创伤事件。 密苏里州寄养系统中的380名青年将被 在他们17岁生日之前亲自采访， 每季度进行一次电话访谈，为期两年，然后再次亲自访谈 第一次面试的两年后。该项目将使用 评估心理健康和服务的诊断性面谈时间表 儿童和青少年评估（SACA）用于衡量心理健康服务 和精神药物的使用 这项研究解决了精神卫生服务研究的几个需求 在桥接科学和服务报告中， 一个重要的人群（离开孩子的年轻人）的服务使用 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决策者决定 如何利用他们的临床资源，特别是联邦资金 专门用于防止离开寄养家庭的青少年的不良后果 系统

项目成果

Pediatric to adult mental health service use of young people leaving the foster care system.

为离开寄养系统的年轻人提供从儿科到成人的心理健康服务。

• DOI: 10.1016/j.jadohealth.2008.04.015
• 发表时间: 2009
• 期刊: The Journal of adolescent health : official publication of the Society for Adolescent Medicine
• 作者: McMillen,JCurtis;Raghavan,Ramesh
• 通讯作者: Raghavan,Ramesh

Informal and Formal Help Seeking Among Older Black Male Foster Care Youth and Alumni.

在老年黑人男性寄养青年和校友中寻求非正式和正式的帮助。

• DOI: 10.1007/s10826-013-9832-0
• 发表时间: 2015
• 期刊: Journal of child and family studies
• 影响因子: 2.1
• 作者: ScottJr,LionelD;McMillen,JCurtis;Snowden,LonnieR
• 通讯作者: Snowden,LonnieR

Health insurance discontinuities among adolescents leaving foster care.

离开寄养的青少年的健康保险中断。

• DOI: 10.1016/j.jadohealth.2008.08.008
• 发表时间: 2009
• 期刊: The Journal of adolescent health : official publication of the Society for Adolescent Medicine
• 作者: Raghavan,Ramesh;Shi,Peichang;Aarons,GregoryA;Roesch,ScottC;McMillen,JCurtis
• 通讯作者: McMillen,JCurtis

Assessing the external correlates of alternative factor models of the Psychopathic Personality Inventory-short form across three samples.

评估三个样本的精神病态人格量表（简短形式）替代因素模型的外部相关性。

• DOI: 10.1080/00223891.2011.558876
• 发表时间: 2011
• 期刊: Journal of personality assessment
• 影响因子: 3.4
• 作者: Smith,ShannonToney;Edens,JohnF;Vaughn,MichaelG
• 通讯作者: Vaughn,MichaelG

Latent classes of older foster youth: Prospective associations with outcomes and exits from the foster care system during the transition to adulthood.

• DOI: 10.1016/j.childyouth.2017.06.047
• 发表时间: 2017-08
• 期刊: Children and youth services review
• 影响因子: 3.3
• 作者: Miller EA;Paschall KW;Azar ST
• 通讯作者: Azar ST