Maltreatment and Mental Health in Older Foster Youth

老年寄养青少年的虐待和心理健康

• 批准号: 6928058
• 负责人: THOMAS E KELLER
• 金额: $ 7.63万
• 依托单位: UNIVERSITY OF CHICAGO
• 依托单位国家: 美国
• 财政年份: 2005
• 资助国家: 美国
• 起止时间: 2005-07-21 至 2007-06-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/6928058
• 关键词: adolescence (12-20); behavior prediction; behavioral /social science research tag; child abuse; child foster care /adoption; child mental disorders; clinical research; comorbidity; health care service utilization; human data; human subject; interview; mental health; psychological adaptation; social support network; statistics /biometry

DESCRIPTION (provided by applicant): Adolescents emancipated from the child welfare system at 18 years of age must negotiate the transition to independent adulthood suddenly and without guarantees of continuing support. The nature and severity of mental health problems among older foster youth has important implications because negative outcomes in adulthood are more likely for adolescents with psychiatric disorders. Adolescents in state custody are at risk for psychiatric disorders due to histories of abuse, neglect, abandonment, or parental incapacity and exposure to multiple other familial and environmental conditions associated with the development of psychopathology, This study involves secondary analysis of a large dataset derived by sampling all youth from three Midwestern state child welfare agencies who were 17 years or older and had been in foster care for at least one year. Mental health was assessed with a structured diagnostic interview (CIDI), and information was obtained on their experience of maltreatment, history in the child welfare system, utilization of services, relationship networks and social support, and psychosocial and adaptive functioning. Several analyses are proposed. First, the nature, prevalence, and comorbidity of mental health disorders will be examined, along with variations according to individual and system-level factors (e.g., type of foster placements). Second, latent class analysis will identify particular patterns of abuse and neglect experienced, and these maltreatment profiles will be investigated for specific correspondences with particular mental health disorders. Third, the possibility that links between maltreatment and mental health are moderated by social support and successful foster care intervention will be investigated. Finally, classification and regression tree analysis (CART) will be used on individual, maltreatment, and child welfare factors to develop a predictive model to identify youth likely to exhibit mental health problems. Knowledge of factors and processes associated with mental health problems among foster youth is necessary for providing targeted preventive interventions and treatment services to help them cope with the transition to independence. Furthermore, studying this population presents unique opportunities to examine how trauma and psychosocial factors are linked to mental health in late adolescence.

描述（由申请人提供）：18岁时从儿童福利制度中解放出来的青少年必须在没有持续支持保证的情况下突然过渡到独立的成年人。老年寄养青年的心理健康问题的性质和严重程度具有重要的影响，因为成年后的负面结果更有可能为青少年精神疾病。由于虐待、忽视、遗弃或父母无能的历史，以及暴露于与精神病理学发展相关的多种其他家庭和环境条件，这项研究涉及对来自中西部三个州儿童福利机构的所有17岁或以上的青少年进行抽样的大型数据集的二次分析，至少一年。心理健康进行了评估与结构化的诊断访谈（CIDI），并获得有关他们的虐待，在儿童福利系统的历史，利用服务，关系网络和社会支持，心理和适应功能的经验。提出了若干分析。首先，将检查精神健康障碍的性质、患病率和合并症，沿着根据个体和系统水平因素的变化（例如，（Foster Placement）。其次，潜在类别分析将确定所经历的虐待和忽视的特定模式，并将调查这些虐待概况与特定精神健康障碍的具体对应关系。第三，虐待和心理健康之间的联系是由社会支持和成功的寄养干预调节的可能性将进行调查。最后，分类和回归树分析（CART）将用于个人，虐待和儿童福利因素，以开发一个预测模型，以确定青年可能表现出心理健康问题。了解寄养青年心理健康问题的相关因素和过程，对于提供有针对性的预防干预和治疗服务，帮助他们科普向独立的过渡是必要的。此外，研究这一人群提供了独特的机会，以研究创伤和心理社会因素如何与青春期后期的心理健康有关。