Child and Adolescent Welfare Outcome System (CA-WOS)

说明(申请人提供)：儿童福利机构的儿童和青少年受到心理健康困难的严重影响，这使他们面临更多的受害和虐待、青少年犯罪和教育结果不佳的风险。儿童和青少年福利成果系统(CA-WOS)将帮助照料系统处理这些风险，以及导致安置和治疗失败、导致系统长期介入和限制安置的关键因素。CA-WOS是为儿童福利机构提供计算机支持的评估系统，旨在使机构间治疗小组成员(顾问、父母、病例管理人员、治疗师)以及青年和家庭(出生/寄养/照顾者)能够提供和获取病例信息，并改善青年和家庭的长期运作成果。举报人将使用个人电脑或通过互联网完成评估。自动报告将向儿童福利和心理健康专业人员提供有关青年及其家庭的心理健康状况以及人际和家庭功能的信息。CA-WOS报告将确定问题领域，并记录家庭中的积极变化，因为他们学习必要的技能，为他们的青年建立安全和永久性。这将允许就最初的案件处置作出知情的决定，并向家事法院提供进展的证据。最后，CA-WOS将确定可以解决的风险和优势，以避免外出安置。CA-WOS将是第一个以证据为基础的成果管理系统：随着数据的积累，它将“学习”根据经验得出可能需要外出安置和广泛干预的青年和家庭的概况。CA-WOS具有创新性，因为它的预测能力将为国家福利官员和管理型医疗机构提供手段，以确定哪些家庭应该接受更高强度的服务，以防止离家安置和/或不良的心理健康结果。第一阶段的具体目标是：(1)编制青年受害者--适应和创伤后应激障碍量表；(2)开发告密者评估；(3)使他们的管理自动化；(4)设计和自动化报告的生成；(5)建立CA-WOS青年和家庭量表的心理测量学特性；(6)评估家庭、儿童福利和心理健康工作人员对该系统的接受程度。

DESCRIPTION (provided by applicant): Children and adolescents in child welfare are significantly impacted by mental health difficulties that place them at risk for increased victimization and abuse, juvenile delinquency and poor educational outcomes. The Child and Adolescent Welfare Outcome System (CA-WOS) will help systems of care to address these risks, as well as key factors that contribute to placement and treatment failures leading to long-term system involvement and restrictive placements. CA-WOS is a computer-supported assessment system for child welfare agencies designed to enable interagency treatment team members (counselors, parents, case managers, therapists) as well as youth and families (birth/foster/caregivers) to provide and access case information, and to improve long-term youth and family functioning outcomes. Informants will complete their assessments using PCs or via the Internet. Automated reports will provide child welfare and mental health professionals with information regarding mental health status of youth and their families as well as interpersonal and family functioning. CA-WOS reports will identify problem areas, and document positive change in families as they learn the required skills to establish safety and permanency for their youth. This will allow for informed decision-making regarding initial case dispositions and provide evidence of progress to family courts. Finally, CA-WOS will identify risks and strengths that may be addressed to avoid out of home placement. CA-WOS will be the first evidence-based outcome management system: as data accumulate, it will "learn" to empirically derive profiles of youth and families likely to require out-of-home placement and extensive intervention. CA-WOS is innovative as its predictive capability will provide state welfare officials and managed care carve-outs the means to determine which families should receive increased intensity of services to prevent out-of-home placement and/or poor mental health outcomes. Phase I specific aims are: (1) Construct Youth Victimization-Adjustment and PTSD scales; (2) Develop informant assessments; (3) Automate their administration; (4) Design and automate the generation of reports; (5) Establish the psychometric properties of the CA-WOS youth and family scales;, and (6) Evaluate acceptance of system by families, child welfare and mental health staff.