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: 6970892
• 负责人: MELISSA A JONSON-REID
• 金额: $ 37.35万
• 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/6970892
• 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）：报告被忽视和虐待的儿童在多个公共服务部门中有大量代表（johnson - reid, Drake, Kim， &同事，2003），并且有不良成年结果的风险（Widom, 2000），然而跨部门服务研究帮助我们了解服务如何与这些成年结果相关联很少。这个名为“儿童忽视：服务路径和青年成人结果”的应用程序将扩展目前资助的儿童忽视研究（5 R01 MH61733-03），该研究跟踪被忽视、受虐待和比较差的儿童到18岁，跟踪这些儿童直到成年。该研究将对有或没有虐待史的穷人的早期成人心理健康服务使用和暴力犯罪行为进行建模，重点是将这些结果作为儿童福利、心理健康、特殊教育和少年司法系统中儿童服务模式的功能进行建模。第二个目的是根据忽视、虐待或仅贫穷的历史，描述我们研究对象的其他关键结果（死亡、青年贫困或分娩）的比率。先前的研究结果表明，特殊教育状况和儿童福利服务是影响结果模型的关键因素。拟议的研究通过人工审查（大约1200个案例文件）来增加这些系统的数据，以便在我们研究儿童服务与青年结果之间的联系时，更好地评估向这些受试者提供的服务和结果。这种延续延续了我们目前的研究小组（现在从出生到17岁），使用多种归算技术跟踪他们到25岁。大样本（N=23,981）包括一个AFDC/虐待组（N= 11,866）， 1993-94年有虐待或忽视报告，以及一个随机选择的AFDC组（N= 12,115），按年龄和地区匹配，不包括那些在童年死亡的人。补充比较包括4304名报告虐待的人，而不是在AFDC的家庭中。拟议的工作将是唯一已知的研究，现有的或计划的，结合广泛的跨部门服务覆盖，从受虐待的和贫困的独生子女到青年成年，有足够的样本规模来捕获罕见但重要的结果（如死亡、无家可归），并模拟复杂的服务模式。在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，与参与机构保持密切联系，具有行政和案例档案数据收集和分析方面的专业知识，该研究将为社会上一些最脆弱的儿童提供有关成年过渡的独特、及时和与政策相关的信息。