Specialized Mental Health Services for Foster Infants

寄养婴儿专业心理健康服务

• 批准号: 7098775
• 负责人: Mary Dozier
• 金额: $ 65.79万
• 依托单位: UNIVERSITY OF DELAWARE
• 依托单位国家: 美国
• 财政年份: 1996
• 资助国家: 美国
• 起止时间: 1996-05-01 至 2008-06-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7098775
• 关键词: behavior test; behavioral /social science research tag; caregivers; child behavior; child foster care /adoption; child mental health service; child psychology; clinical trials; education evaluation /planning; health care service evaluation; human subject; interpersonal relations; longitudinal human study; neuroendocrine system; parent offspring interaction; patient oriented research; preschool child (1-5); problem solving; psychological tests; sensitivity training; sociometry

DESCRIPTION (provided by applicant): Infants and toddlers who are placed into foster or adoptive care often exhibit a number of behavioral, emotional and physiological problems. In the absence of specialized services, problems in the relationship between caregiver and child may develop, and problems in the child?s functioning often persist and are exacerbated. We have designed an intervention program to help caregivers in each of three critical areas. The proposed program of research evaluates the efficacy of the intervention in a randomized clinical trial design. Children entering long-term foster or adoptive care between the ages of 10 and 20 months will be randomly assigned to an experimental group focusing on relational issues or to a treatment control group. Caregivers in both treatment groups will receive 10 home visits. Caregivers receiving the relational intervention will be trained to interpret children's behaviors appropriately, to provide nurturing care, and to respond sensitively to their children's behavioral and emotional cues, Caregivers in the treatment control group will receive training designed to enhance children's intellectual development. Caregivers receiving the relational intervention are expected to become more nurturing and responsive in their interactions with their children, to show greater satisfaction in their role as foster or adoptive parents, and to show greater commitment to the children in their care, compared with caregivers receiving the educational intervention. Children of caregivers receiving the relational intervention are expected to develop secure attachments to their caregivers more frequently, to show greater confidence in the solving problems as toddlers, and to show fewer behavioral and emotional problems, than children in the treatment control group. Children of caregivers receiving the relational intervention are also expected to show more normal neuroendocrine regulation as compared with children in the control group.

描述（由申请人提供）：被安置在 寄养或收养照顾往往表现出一些行为，情感和 生理问题。在没有专门服务的情况下， 照顾者和孩子之间的关系可能会发展， 孩子？的功能往往持续存在，并加剧。我们设计了一个 干预计划，以帮助照顾者在三个关键领域。的 拟议的研究计划评估了干预措施的有效性， 随机临床试验设计。进入长期寄养家庭的儿童或 10至20个月的收养护理将被随机分配到 实验组关注关系问题或治疗对照 组两个治疗组的护理人员将接受10次家访。 接受关系干预的护理人员将接受培训， 儿童的行为适当，提供养育照顾，并作出反应， 照顾者对孩子的行为和情感线索很敏感， 治疗对照组将接受旨在提高 儿童的智力发展。照顾者接受关系 预期干预措施在其 与孩子的互动，表现出更大的满意度， 养父母或养父母，并表现出更大的承诺， 他们的照顾，与接受教育干预的照顾者相比。 接受关系干预的照顾者的子女预计将 更频繁地发展对照顾者的安全依恋， 在幼儿时期解决问题的信心，并表现出更少的行为 和情绪问题方面，治疗对照组患儿优于对照组。儿童 的照顾者接受关系干预，预计也将显示， 与对照组儿童相比， 组