Child Neglect: Service Paths and Young Adult Outcomes

儿童忽视：服务路径和年轻人的结果

• 批准号: 6822012
• 负责人: MELISSA A JONSON-REID
• 金额: $ 38.25万
• 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 2008-11-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/6822012
• 关键词: adolescence (12-20); behavioral /social science research tag; child (0-11); child abuse; child foster care /adoption; child welfare; clinical research; 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

DESCRIPTION (provided by applicant): Children reported for neglect and abuse are heavily represented in multiple public service sectors (Jonson-Reid, Drake, Kim, & colleagues, 2003) and are at risk of poor adult outcomes (Widom, 2000), yet cross-sector service research to help us understand how services are associated with these adult outcomes is rare. This application "Child Neglect: Service Paths and Young Adult Outcomes" will extend a currently funded child neglect study (5 R01 MH61733-03) that tracks neglected, abused and poor comparison children to age 18 to follow those children through young adulthood. The study will model early adult mental health service use and violent criminal behavior for poor individuals with and without histories of maltreatment, with an emphasis on modeling these outcomes as a function of childhood service patterns across child welfare, mental health, special education and juvenile justice systems. A secondary aim is to describe rates of other key outcomes (death, young adult poverty or childbirth) for subjects in our study according to neglect, abuse or poverty only history. Prior findings suggest that both special education status and child welfare services are key factors in models of outcomes. The proposed study augments data from these systems with manual review (approximately 1200 case files) to better assess services provided to and outcomes for these subjects as we look at the link between childhood services and young adult outcomes. This continuation extends our current panel (now followed from birth through 17years), using multiple imputation techniques to follow them to age 25. The large sample (N=23,981) includes an AFDC/maltreated group (n=11,866) with a report of abuse or neglect in 1993-94 and a randomly selected AFDC only group (n=12,115) matched by age and region, excluding those who died in childhood. A supplementary comparison includes 4,304 individuals reported for maltreatment and not in families on AFDC. The proposed work will be the only known study, extant or planned, combining broad cross-sector service coverage across maltreated and poverty only children through young adulthood, with sufficient sample size to capture rare, but important, outcomes (e.g., death, homelessness) and model complex service patterns. Supported by a multidisciplinary research team with expertise in child and adult research, close ties to the participating agencies, expertise in administrative and case file data collection and analysis, this study will provide unique, timely and policy-relevant information regarding the transition to adulthood for some of society's most vulnerable children.

描述（由申请人提供）：被报告忽视和虐待的儿童在多个公共服务部门中有很大的代表性（Jonson-Reid，Drake，Kim和同事，2003），并且有可能出现不良的成人结果（Widom，2000），但跨部门服务研究，以帮助我们了解服务如何与这些成人结果相关联是罕见的。 这一应用程序“儿童忽视：服务途径和年轻成人的结果”将扩大目前资助的儿童忽视研究（5 R 01 MH 61733 -03），跟踪被忽视，虐待和贫穷的比较儿童到18岁，以跟踪这些儿童到年轻的成年。 该研究将模拟早期成人心理健康服务的使用和暴力犯罪行为的贫困个人和没有虐待的历史，重点是将这些结果建模为儿童福利，心理健康，特殊教育和少年司法系统的儿童服务模式的函数。 第二个目的是描述我们研究中受试者的其他关键结果（死亡，年轻成人贫困或分娩）的比率，根据忽视，虐待或贫困的历史。 先前的研究结果表明，特殊教育状况和儿童福利服务是结果模型的关键因素。 这项拟议的研究通过人工审查（大约1200个病例档案）增加了这些系统的数据，以便更好地评估为这些受试者提供的服务和结果，因为我们研究了儿童服务和年轻成人结果之间的联系。 这种延续扩展了我们目前的面板（现在从出生到17岁），使用多重插补技术跟踪他们到25岁。 大样本（N= 23，981）包括1993-94年报告虐待或忽视的AFDC/虐待组（n= 11，866）和随机选择的AFDC组（n= 12，115），年龄和地区相匹配，不包括儿童期死亡的人。 一项补充比较包括4 304名据报遭受虐待的人，这些人不在AFDC的家庭中。 拟议的工作将是唯一已知的研究，现存的或计划，结合广泛的跨部门服务覆盖范围，包括受虐待和贫困的独生子女，直到成年，有足够的样本量，以捕捉罕见的，但重要的结果（例如，死亡、无家可归）和模拟复杂的服务模式。 在一个多学科研究小组的支持下，该小组具有儿童和成人研究方面的专业知识，与参与机构有密切联系，具有行政和案件档案数据收集和分析方面的专业知识，这项研究将提供关于社会上一些最脆弱儿童向成年过渡的独特，及时和与政策相关的信息。