What Happens Next: Households After a First-Time Finding of Child Abuse

接下来会发生什么：首次发现虐待儿童事件后的家庭

• 批准号: 7892063
• 负责人: KRISTINE A CAMPBELL
• 金额: $ 13.71万
• 依托单位: UNIVERSITY OF UTAH
• 依托单位国家: 美国
• 财政年份: 2010
• 资助国家: 美国
• 起止时间: 2010-04-01 至 2015-03-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7892063
• 关键词: Address; Adolescence; Adolescent; Adopted; Adult; Asthma; Attitude; Award; Caregivers; Case-Control Studies; Characteristics; Child; Child Abuse; Child Abuse and Neglect; Child Welfare; Child health care; Childhood; Chronic; Clinical; Cohort Studies; Collaborations; Communities; Data Sources; Databases; Dental caries; Economic Policy; Effectiveness; Emotional; Evaluation; Evaluation Research; Event; Family; Future; Goals; Health Care Costs; Health behavior; Home environment; Household; Income; Intervention; Interview; K-Series Research Career Programs; Leadership; Life; Link; Mediating; Medicaid; Medical; Mental Depression; Mental disorders; Mentored Patient-Oriented Research Career Development Award; Mentorship; Mission; National Institute of Child Health and Human Development; Outcome; Pediatrics; Personal Satisfaction; Policies; Policy Analysis; Poverty; Prevention; Public Health; Qualitative Research; Recording of previous events; Recurrence; Research; Research Ethics; Research Methodology; Research Project Grants; Research Training; Resources; Risk; Risk Factors; Scientist; Series; Social isolation; Social support; Structure; Surveys; System; Testing; Time; Training; Training Support; United States; Utah; Violence; abuse victim; career; career development; child physical abuse; child protective service; child well being; design; effective intervention; evidence base; experience; foster care; health care service utilization; high risk; improved; innovation; intimate partner violence; maltreated children; multidisciplinary; neglect; pediatrician; programs; public health relevance; recidivism; response; skills; social

DESCRIPTION (provided by applicant): Dr. Kristine Campbell is a general pediatrician with a clinical focus in child abuse and research training in outcomes and effectiveness. She has designed this career development award to support her short-term career goal of gaining expertise in the longitudinal assessment of children and families with a history of abuse and understanding the multi-dimensional effects of our current interventions on these families. Completion of this award will support her long-term goal of becoming an independent clinician-scientist dedicated research that will improve outcomes among children and families with a history of child abuse or neglect. Dr. Campbell's short and long-term career goals are consistent with the NICHD mission to understand and improve the lifelong health of children and their families. Under the mentorship of Drs. Michael Dean and Heather Keenan, Dr. Campbell has developed a multidisciplinary advisory team and didactic program to provide training in quantitative and qualitative research methods, social and economic policy evaluation, and research ethics related to child abuse pediatrics. This training plan is linked to 3 independent but interrelated research projects, providing a multi-faceted perspective on the experiences of children and caregivers living together after a first finding of child abuse or neglect by Child Protective Services (CPS). In Specific Aim 1, Dr. Campbell will examine the association between longitudinal change in household characteristics (social support, financial resources, and home environment) and repeat referrals to CPS and child well-being over the 36 months following a first-time finding of child abuse or neglect using the National Survey of Child and Adolescent Well-Being. In Specific Aim 2, Dr. Campbell will compare the short and long-term healthcare utilization of children with and without a CPS finding of child abuse or neglect through linkage of Utah CPS and Medicaid databases. In Specific Aim 3, Dr. Campbell will explore the anticipated and unanticipated consequences of CPS involvement in households after a first-time finding of child abuse or neglect through a series of semi-structured qualitative interviews. Findings from these studies will expand our understanding of the 80% of children who remain with their families after abuse, and will inform future research to reduce recidivism and improve outcomes for children and families living with a history of child abuse or neglect. The multi-disciplinary training supported through this research will strengthen the candidate's ability to provide future local and national leadership in design and evaluation of interventions for children and families after abuse. PUBLIC HEALTH RELEVANCE: In the United States, a first finding of child abuse offers a legally mandated opportunity to provide interventions to families at high risk for recurrent violence and abuse. In many cases, however, our response to child abuse fails to resolve the household conditions that contribute to lifelong physical, emotional, and social sequelae of childhood abuse. This award will improve our understanding of the experiences of children and caregivers with a history of abuse and build an evidence base for effective interventions for these families.

描述(由申请者提供)：Kristine Campbell博士是一名普通儿科医生，主要研究虐待儿童和研究结果和有效性方面的培训。她设计这一职业发展奖是为了支持她的短期职业目标，即在对有虐待史的儿童和家庭进行纵向评估方面获得专业知识，并了解我们目前干预措施对这些家庭的多方面影响。完成这一奖项将支持她的长期目标，即成为一名独立的临床医生-科学家，致力于改善有虐待或忽视儿童历史的儿童和家庭的结果。坎贝尔博士的短期和长期职业目标与NICHD的使命是一致的，即了解和改善儿童及其家庭的终身健康。在Michael Dean博士和Heather Keenan博士的指导下，Campbell博士建立了一个多学科咨询团队和教学计划，提供与虐儿儿科相关的定量和定性研究方法、社会和经济政策评估以及研究伦理方面的培训。这一培训计划与3个独立但相互关联的研究项目相联系，从多个角度探讨儿童和照顾者在首次发现儿童保护局虐待或忽视儿童后生活在一起的经历。在具体目标1中，坎贝尔博士将研究家庭特征(社会支持、财政资源和家庭环境)的纵向变化以及首次使用全国儿童和青少年幸福感调查发现虐待或忽视儿童后36个月内反复转介CPS与儿童幸福感之间的关系。在具体目标2中，坎贝尔博士将通过连接犹他州CPS和医疗补助数据库，比较有和没有CPS发现虐待或忽视儿童的儿童的短期和长期医疗保健利用情况。在具体目标3中，坎贝尔博士将通过一系列半结构化的定性访谈，探索在第一次发现虐待或忽视儿童后，CPS介入家庭的预期和意想不到的后果。这些研究的结果将扩大我们对80%在虐待后仍与家人在一起的儿童的了解，并将为未来的研究提供信息，以减少再次犯罪率，并改善有虐待或忽视儿童历史的儿童和家庭的结果。通过这项研究支持的多学科培训将加强候选人今后在设计和评价虐待后儿童和家庭干预措施方面发挥地方和国家领导作用的能力。 与公共卫生相关：在美国，第一次发现虐待儿童的案例提供了一个法律规定的机会，为反复发生暴力和虐待的高风险家庭提供干预。然而，在许多情况下，我们对虐待儿童的反应未能解决导致儿童虐待的终生身体、情感和社会后遗症的家庭状况。这一奖项将增进我们对有虐待史的儿童和照顾者经历的了解，并为对这些家庭进行有效干预建立一个证据基础。