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COMMUNITY-BASED TREATMENT FOR CHILD PHYSICAL ABUSE

针对儿童身体虐待的社区治疗

基本信息

批准号：
6721239
负责人：
CYNTHIA C. SWENSON
金额：
$ 23.75万
依托单位：
MEDICAL UNIVERSITY OF SOUTH CAROLINA
依托单位国家：
美国
项目类别：
财政年份：
2000
资助国家：
美国
起止时间：
2000-04-10 至 2006-03-31
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/6721239
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

项目摘要

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由许多因素决定，例如父母、孩子、社区、家庭和家庭的社交网络。可能遭受身体虐待的儿童童年时有许多问题，如恐惧、焦虑、攻击性和贫穷与其他孩子相处的能力和解决问题的能力。此外，研究表明，许多被虐待的儿童经历了暴力等问题成年后的犯罪和药物滥用。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、社交网络)很重要。大多数现有的治疗方法对于虐待家庭，只能解决这些因素中的一个(例如：要么孩子或父母，但不是整个家庭和社交网络)，很少是了解受虐待儿童服务的费用。此外，许多关于身体虐待是在大学环境中进行的；因此，尚不清楚当提供真实的治疗时，是否会显示同样的结果世界背景。这项研究的目的是比较以家庭为基础的多系统疗法(MST)(一种考虑所有相关因素的疗法虐待)到父母培训(PT)，以减少身体虐待的儿童行为问题和减少父母的虐待行为。这个项目将以社区为基地。被转介到该研究的家庭将已经被社会服务部调查过，因为父母或家庭中的照顾者对一名或多名儿童进行了身体虐待。已提交家庭将被随机分配到接受MST或接受家长培训小组。对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和PT的治疗成功外，我们还将比较每项服务的财务成本。