Child and Adolescent Welfare Outcome Management System (CA-WOS)

描述（由申请人提供）：虐待和忽视严重影响儿童福利中的儿童和青少年的生活，导致精神健康问题的高发。接受儿童福利的青少年在青少年犯罪、药物依赖和不良教育成果方面的风险增加。儿童和青少年福利结果系统（CA-WOS）将有助于解决这些风险，并筛查和监测影响与家庭成功团聚可能性的因素，导致治疗失败，导致长期儿童福利参与并最终过渡到过度扩展的成人治疗方案。CA-WOS是一个为儿童福利机构设计的电脑评估系统，旨在改善青少年和家庭的长期功能。该系统使跨部门治疗小组成员（咨询师、病例管理人员、治疗师）以及青少年及其家庭（出生/寄养/照顾者）能够提供和获取对监测心理健康状况和进展有用的信息。举报人使用个人电脑或通过互联网完成评估。通过自动报告，儿童福利和心理健康专业人员能够轻松识别问题和优势领域，以确定随着家庭学习建立安全和永久性所需的技能，是否正在发生积极的变化。CA-WOS将根据其对青少年和家庭特征（如症状、功能和优势）的评估，预测成功团聚的可能性；虐待和创伤的影响；先前的治疗关系和安置的参与/进展；自我忽视的态度/行为等因素。第二阶段的具体目标是：加强(1)CA-WOS更新报告，包括成功的永久性指标，以及(2)管理更新评估的软件；开发(3)检测青少年和家长不真实反应的算法，(4)样本登记和数据收集，(5)用于恢复力和统一预测模型的ETR，(6)自动汇总数据访问和报告，以及(7)可网络访问的CA-WOS培训模块和材料，包括(8)实施和系统文档。

DESCRIPTION (provided by applicant): Abuse and neglect significantly impact the lives of children and adolescents in child welfare, leading to a high incidence of mental health difficulties. Youth in child welfare are at an increased risk for juvenile delinquency, chemical dependency, and poor educational outcomes. The Child and Adolescent Welfare Outcome System (CA-WOS) will help address these risks, as well as screen for and monitor the factors that affect the likelihood of successful reunification with the family, contribute to treatment failures and lead to long-term child welfare involvement and eventual transitions to overextended adult treatment programs. CA-WOS is a computer-supported assessment system for child welfare agencies designed to improve long term youth and family functioning outcomes. The system enables interagency treatment team members (counselors, case managers, therapists) as well as youth and their families (birth/foster/caregivers) to provide and access information useful in monitoring mental health status and progress. Informants complete assessments using PCs or via the Internet. Through automated reports, child welfare and mental health professionals are able to easily identify problem and strength areas, to determine whether positive change is occurring as families learn the skills needed to establish safety and permanency. CA-WOS will predict the likelihood of successful reunification based on its assessment of youth and family characteristics such as symptomology, functioning, and strengths; impact of abuse and trauma; prior engagement/progress in therapeutic relationships and placements; self-neglectful attitudes/behavior and other factors. The Phase II specific aims are: Enhance (1) CA-WOS Update Report to include successful permanency indicators, and (2) software to administer update assessments; develop (3) an algorithm to detect inauthentic responses in youth and in parents, (4) sample enrollment and data collection, (5) ETR for resilience and predictive models for reunification, (6) automated aggregate data access and reports, and (7) web-accessible CA-WOS training modules and materials, including (8) implementation and system documentation.