Mental Health Services for Foster Children

寄养儿童心理健康服务

• 批准号: 6969239
• 负责人: SONYA J LEATHERS
• 金额: $ 12.61万
• 依托单位: UNIVERSITY OF ILLINOIS AT CHICAGO
• 依托单位国家: 美国
• 财政年份: 2005
• 资助国家: 美国
• 起止时间: 2005-09-15 至 2010-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/6969239
• 关键词: African American; Hispanic Americans; academic achievement; behavior disorders; behavioral /social science research tag; caucasian American; child foster care /adoption; child mental health service; child rearing; clinical research; health care model; health care service evaluation; health care service utilization; health services research tag; human data; human subject; learning disorders; model design /development; mood disorders; psychosocial service; racial /ethnic difference; statistics /biometry

DESCRIPTION (provided by applicant): The ultimate goal of this Career Development Award is to provide the applicant with the skills and knowledge necessary to study an ecological mental health service model for foster children. The award will allow the applicant to gain the expertise necessary to develop and study service models that integrate mental health functions into child welfare service operations and provide ecologically focused services in foster homes and in schools. Several factors provide an exceptional opportunity to develop an effective context-specific service model, including the high expenditures on clinical services in child welfare, the pervasive nature of child welfare services, and the recent attention on foster children's low academic achievement and the poor conditions in many foster homes. The proposed model will integrate mental health interventions into existing child welfare services to capitalize on the existing service contacts that occur in foster homes and schools with limited evidence of effectiveness. With this Career Development Award, the applicant will build upon a strong background in research methods, direct practice in child welfare, and applied research with foster children. The proposed goals include gaining advanced skills in research and statistical methods; knowledge and skills in the implementation of effective intervention technologies in foster homes and schools; skills in the use of strategies to enhance model sustainability and an understanding of how agency and state-level factors affect sustainability. These enhanced skills and knowledge will allow the applicant to pursue mental health services research with the goal of studying sustainable, effective service models for foster children. The research plan consists of two studies. In the first, secondary analyses using methods appropriate for longitudinal analysis of clustered data will be used to test foster parent and agency-level effects on changes in foster children's emotional and behavioral problems over time. The second study will be a pilot study of an integrated foster home-school intervention for children with behavior problems that will involve providing foster behavior management training, case consultation with teachers, and support of foster parents and teachers in their use of behavior management and strategies to support academic performance. A provider team including existing mental health providers, caseworkers, and paraprofessionals will provide services in an existing agency. This pilot study will form the basis for a future R01 project to develop and test the effectiveness of an integrated foster home and school-based mental health service model for foster children.

描述（由申请人提供）：本职业发展奖的最终目标是为申请人提供研究寄养儿童生态心理健康服务模式所需的技能和知识。该奖项将使申请人获得必要的专业知识，以开发和研究将心理健康功能纳入儿童福利服务运营的服务模式，并在寄养家庭和学校提供以生态为中心的服务。有几个因素为开发有效的针对具体情况的服务模式提供了绝佳的机会，包括儿童福利临床服务的高支出、儿童福利服务的普遍性以及最近对寄养儿童学业成绩低下和许多寄养家庭条件恶劣的关注。拟议的模式将把心理健康干预措施纳入现有的儿童福利服务中，以利用寄养家庭和学校中现有的服务联系，但效果证据有限。凭借这一职业发展奖，申请人将建立在研究方法、儿童福利直接实践以及寄养儿童应用研究方面的强大背景。拟议的目标包括获得研究和统计方法方面的高级技能；在寄养家庭和学校实施有效干预技术的知识和技能；使用战略来增强模型可持续性的技能，以及了解机构和国家层面的因素如何影响可持续性。这些增强的技能和知识将使申请人能够进行心理健康服务研究，目标是研究寄养儿童可持续、有效的服务模式。 该研究计划由两项研究组成。首先，使用适合集群数据纵向分析的方法进行二次分析，将用于测试寄养父母和机构层面对寄养儿童情绪和行为问题随时间变化的影响。第二项研究将是对有行为问题的儿童进行综合寄养家庭学校干预的试点研究，其中包括提供寄养行为管理培训、与教师进行案例咨询，以及支持寄养父母和教师使用行为管理和策略来支持学业成绩。包括现有心理健康服务提供者、个案工作者和辅助专业人员在内的服务提供者团队将在现有机构中提供服务。这项试点研究将为未来的 R01 项目奠定基础，该项目旨在开发和测试针对寄养儿童的综合寄养家庭和学校心理健康服务模式的有效性。