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How child welfare inter-agency cooperation may reduce youth HIV risk behaviors

儿童福利机构间合作如何减少青少年艾滋病毒危险行为

基本信息

批准号：
7289714
负责人：
REBECCA SUSAN WELLS
金额：
$ 7.09万
依托单位：
UNIV OF NORTH CAROLINA CHAPEL HILL
依托单位国家：
美国
项目类别：
财政年份：
2006
资助国家：
美国
起止时间：
2006-09-30 至 2008-08-31
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/7289714
关键词：
Address Adolescent Affect Age Alcohol or Other Drugs use Behavior Behavioral Caregivers Caring Child Child Welfare Climate Condition Data Data Sources Depth Education Employment Face Family Freedom HIV Health Health Personnel Health Services Health Services Accessibility Home environment Housing Human Individual Link Mental Health Mental Health Services Mental disorders Modeling Monitor Motivation National Children&apos s Study Outcome Parenting behavior Parents Personal Satisfaction Policies Policy Maker Pregnancy Provider Public Health Purpose Range Research Research Personnel Resources Risk Risk Behaviors Schools Services Sex Behavior Sexually Transmitted Diseases Social Health Services Social Work Specific qualifier value Substance abuse problem Surveys System Testing Time Translating Work Workload Youth abuse neglect base behavioral health care seeking care systems cost emotional abuse experience improved neglect social

项目摘要

DESCRIPTION (provided by applicant): Child welfare agencies rely on other organizations to provide the majority of services at-risk youth and parents need. Therefore, those agencies with greater depth and breadth of interorganizational relationships may connect youth and parents more effectively to substance abuse, mental health, educational, and other health and social services. In turn, more comprehensive services may support youth in avoiding or reducing risky behaviors. There is currently substantial emphasis in child welfare policy on improving interorganizational relationships to serve at-risk youth better. However, there is virtually no empirical basis for child welfare agencies' management of such ties. The proposed study will help address this gap, exploring "Under what conditions do child welfare agency relationships with other organizations help the youth they serve reduce risky behaviors?" The investigators will focus on substance use and sexual behavior as outcomes because of their impact on youth well-being, including impaired social and academic functioning, pregnancy, and sexually transmitted diseases, notably HIV-AIDS. Using data from a national study of children who have had contact with the child welfare system, the investigators will address four specific aims: (1) Identify how relationships between child welfare agencies and substance abuse treatment facilities, mental health service providers, and schools affect the comprehensiveness of services youth and parents receive; (2) Identify how local service availability affects associations between interorganizational relationships and service comprehensiveness; (3) Identify how child welfare caseworkers' attributes (e.g., education, experience) and their perceived work climates (e.g., work load, supervisor support) affect the impact of interorganizational relationships on service comprehensiveness; and (4) Identify how service comprehensiveness affects risky behaviors in youth over time. The National Survey of Child and Adolescent Weil-Being (NSCAW) is the source of data for the proposed study. NSCAW data are uniquely suited to these analyses because they include information about agencies' interorganizational relationships and caseworkers' attributes and perceived work climates as well as the services received by individual youth and their parents and youth behavioral outcomes over 3 points in time. Like all organizational strategies, interorganizational relationships take time and money. By investigating the conditions under which specific types of inter-agency ties benefit at-risk youth, this study will improve understanding of one important aspect of child welfare services. These findings will inform managers of related health and social services.yield actionable guidance to child welfare agency managers and policy makers in allocating scarce resources.

描述（由申请人提供）：儿童福利机构依靠其他组织来提供高危青少年和家长所需的大部分服务。因此，那些具有更深度和广度的组织间关系的机构可以更有效地将青少年和家长与药物滥用、心理健康、教育以及其他健康和社会服务联系起来。反过来，更全面的服务可以支持青少年避免或减少危险行为。目前儿童福利政策非常重视改善组织间关系，以更好地为高危青少年服务。然而，儿童福利机构对这种关系的管理实际上没有经验依据。拟议的研究将有助于解决这一差距，探讨“在什么条件下，儿童福利机构与其他组织的关系可以帮助他们所服务的青少年减少危险行为？”研究人员将重点关注药物滥用和性行为的结果，因为它们对青少年的福祉产生影响，包括社会和学术功能受损、怀孕和性传播疾病，特别是艾滋病毒/艾滋病。利用对接触过儿童福利系统的儿童进行的一项全国性研究的数据，调查人员将解决四个具体目标：(1) 确定儿童福利机构与药物滥用治疗机构、心理健康服务提供者和学校之间的关系如何影响青少年和家长接受的服务的全面性； (2) 确定本地服务可用性如何影响组织间关系和服务全面性之间的关联； (3) 确定儿童福利个案工作者的属性（例如教育、经验）及其感知的工作氛围（例如工作量、主管支持）如何影响组织间关系对服务全面性的影响； (4) 确定服务全面性如何随着时间的推移影响青少年的危险行为。全国儿童和青少年幸福感调查 (NSCAW) 是拟议研究的数据来源。 NSCAW 数据特别适合这些分析，因为它们包含有关机构的组织间关系、个案工作者的属性、感知的工作氛围、青少年个体及其父母所接受的服务以及超过 3 个时间点的青少年行为结果的信息。与所有组织战略一样，组织间关系需要时间和金钱。通过调查特定类型的机构间联系在何种条件下使高危青少年受益，这项研究将增进对儿童福利服务一个重要方面的理解。这些发现将为相关健康和社会服务的管理者提供信息，为儿童福利机构管理者和政策制定者分配稀缺资源提供可行的指导。