Specialized Services for School-Age Foster Children

为学龄寄养儿童提供的专业服务

• 批准号: 7096119
• 负责人: WENDY J NILSEN
• 金额: $ 14.75万
• 依托单位: UNIVERSITY OF ROCHESTER
• 依托单位国家: 美国
• 财政年份: 2006
• 资助国家: 美国
• 起止时间: 2006-04-11 至 2011-03-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7096119
• 关键词: behavioral /social science research tag; child behavior disorders; child foster care /adoption; child mental health service; child rearing; clinical research; group counseling; health care service evaluation; health care service planning; health services research tag; human subject; human therapy evaluation; interview; maternal behavior; mental health personnel; mentoring /mentor; middle childhood (6-11); outcomes research; paternal behavior; patient oriented research; personal log /diary; psychosocial service; training

DESCRIPTION (provided by applicant): Despite changes in child welfare laws designed to shorten stays in foster care, the number of children in the system has grown. As their numbers swell, so too does the disproportionate amount of resources they consume. Evidence indicates that children in the foster care system constitute a major public health issue as they have been found to have social and emotional problems at rates three to ten times greater than children in the general population and are significantly at-risk for having adverse outcomes that continue into adulthood. Despite these documented difficulties, relatively little research has targeted school-age children's time in the foster care system as a potential period of therapeutic change. This gap in past research suggests that specialized interventions, designed to be sustainable within the child welfare system and tailored and tested to fit the needs of specific age groups, are the next step in the future of foster care-based interventions research. This Mentored Patient-Oriented Research Career Development Award will support the candidate in becoming a productive, independent mental health interventions investigator for school-age children in foster care. The proposal includes intensive cross-disciplinary mentoring by prominent researchers in the areas of foster care, health services, randomized clinical trial methodology, and relational assessment. Detailed formal coursework and consultation from experts in social services, parent-training interventions, ethnocultural issues, and statistical methodology are also included. The proposed project is a two-phase treatment development study examining the effects of a specialized foster parenting training program on disruptive behavior in school-age children in foster care, as well as the effect on foster parenting skills, knowledge and parenting behavior. The project also includes the development and piloting of a program-specific health services assessment to identify the barriers to implementation and sustainability within the foster care system. Study results will inform an R01, and other applications, which will be designed to create an effective, sustainable mental health intervention for school-age children in fester care. The longitudinal impact of this work will result in decreased individual morbidity, decreased costs to society, and improvement in the recruitment and retention of foster parents.

描述（由申请人提供）：尽管儿童福利法律的变化旨在缩短寄养保健的住宿，但该系统中的儿童数量已增加。随着他们的数字膨胀，他们消耗的资源数量不成比例。证据表明，寄养系统中的儿童构成了一个重大的公共卫生问题，因为他们发现他们的社会和情感问题比普通人群中的儿童高三至十倍，并且由于持续成年的不利成果而处于危险中。尽管有这些记录的困难，但相对较少的研究将学龄儿童在寄养系统中的时间作为治疗性变化的潜在时期。过去的研究差距表明，专门的干预措施，旨在在儿童福利系统中可持续并进行量身定制和测试以适应特定年龄段的需求，这是基于寄养的干预措施研究的未来下一步。这项受到指导的以患者为导向的研究职业发展奖将支持候选人成为寄养儿童的富有成效的独立心理健康干预调查员。该提案包括著名研究人员在寄养，卫生服务，随机临床试验方法和关系评估领域的密集跨学科指导。还包括来自社会服务专家，父母培训干预措施，民族文化问题和统计方法的详细正式课程和咨询。拟议的项目是一项两阶段的治疗开发研究，研究了专业的寄养育儿培训计划对寄养儿童的破坏性行为的影响，以及对寄养育儿技能，知识和育儿行为的影响。该项目还包括对特定计划的健康服务评估的开发和试验，以确定寄养系统内实施和可持续性的障碍。研究结果将为R01和其他应用程序提供信息，该应用程序旨在为Fester Care中的学龄儿童创建有效，可持续的心理健康干预措施。这项工作的纵向影响将导致个人发病率下降，社会成本下降以及养育父母的招募和保留率的改善。