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 岁时从儿童福利体系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期。老年寄养青少年心理健康问题的性质和严重程度具有重要意义，因为患有精神疾病的青少年更有可能在成年后出现负面结果。由于虐待、忽视、遗弃或父母无行为能力的历史，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，国家拘留中的青少年面临患精神疾病的风险。这项研究涉及对一个大型数据集的二次分析，该数据集是通过对来自三个中西部州儿童福利机构的所有青少年进行抽样而得出的，这些青少年年龄在 17 岁或以上，并且已被寄养至少一年。通过结构化诊断访谈（CIDI）对心理健康进行评估，并获取有关他们的虐待经历、儿童福利系统历史、服务利用、关系网络和社会支持以及心理社会和适应功能的信息。提出了几种分析。首先，将检查精神健康障碍的性质、患病率和合并症，以及根据个人和系统层面因素（例如寄养安置的类型）而产生的变化。其次，潜在类别分析将识别所经历的虐待和忽视的特定模式，并且将调查这些虐待概况以查找与特定心理健康障碍的特定对应关系。第三，将调查社会支持和成功的寄养干预调节虐待与心理健康之间联系的可能性。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，以开发预测模型来识别可能表现出心理健康问题的青少年。了解与寄养青少年心理健康问题相关的因素和过程对于提供有针对性的预防干预和治疗服务以帮助他们应对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来研究创伤和心理社会因素如何与青春期后期的心理健康相关。