Organizational Context and Children's Mental Health in Urban After School Program

城市课后项目的组织背景和儿童心理健康

• 批准号: 8015633
• 负责人: Marc Steven Atkins
• 金额: $ 46.25万
• 依托单位: UNIVERSITY OF ILLINOIS AT CHICAGO
• 依托单位国家: 美国
• 财政年份: 2009
• 资助国家: 美国
• 起止时间: 2009-02-05 至 2012-11-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8015633
• 关键词: Age; Behavior; Chicago; Child; Child Behavior; Child Mental Health; Clinical Trials; Communities; Consultations; Data; Development; Effectiveness; Funding; Goals; Intervention; Life; Link; Literature; Manuals; Measures; Mental Health; Mission; Modeling; National Institute of Mental Health; Outcome; Parents; Patient Self-Report; Perception; Poverty; Process; Provider; Psyche structure; Randomized; Reporting; Research; Resources; Risk; Services; Site; Social Environment; Structure; Testing; Training; Work; after-school program; child mental health service; experience; health practice; improved; meetings; programs; public health relevance; response; satisfaction; social; theories; therapy development

DESCRIPTION (provided by applicant): This application extends a program of research that examines the capacity of publicly-funded after-school programs to promote children's mental health in urban, poor communities, where the risks for mental health difficulties are extremely high and the resources available to meet those needs are severely limited. The proposed study will be conducted at the Chicago Park District's Park Kids program, one of the largest providers of publicly-funded after school programs for children and youth in Chicago. We recently completed the first study in this program of research (NIMH R34-MH070637; PI: Frazier; see Preliminary Studies Project NAFASI) examining the feasibility of mental health consultation to after school program staff around academic enrichment, coaching behaviors, activity engagement and behavior management. Those findings reveal strong evidence for the feasibility of intervention, high staff satisfaction, and encouraging though modest improvements in children's adaptive functioning. The current application will expand the NAFASI intervention to reflect a growing literature in children's mental health services linking organizational social context with service quality and outcomes, which suggests that effective and sustainable change at a program level will require more concentrated intervention at an organizational level. Hence, we propose to examine in Years 1-3 via mixed-effects regression models how social context (by direct observation and staff perceptions) operates in after school programs in relation to child and parent reported program quality and children's mental health outcomes (staff and self report) for 12 randomly selected children ages 8 to 16 in each of the 84 Park Kids programs throughout Chicago (n=357 staff, 1,008 children). These data will be used to (1) provide norms for after school programs on a measure of organizational social context, (2) estimate the variance component structures associated with site that will be used to power a subsequent clinical trial, and (3) inform the expansion in Year 4 of organizational-level intervention components for the NAFASI intervention. The proposed study will contribute to the overall goal of this research to develop new models of community mental health practice focused on supporting the mission, improving the quality, and enhancing the capacity of after- school programs to promote mental health and adaptive functioning for children living in urban poverty. PUBLIC HEALTH RELEVANCE: The proposed study will examine relationships among organizational features of after school programs, child and parent reports of program experiences, and children's behavior toward the further development of an intervention to impact on the ability of after school programs to promote children's adaptive functioning. The study will be conducted at 84 organized after school programs directed by the Chicago Park District. This application is the next step in a program of research that examines the capacity of publicly-funded after-school programs to promote children's mental health in urban, poor communities.

描述（由申请人提供）：本申请扩展了一项研究计划，该计划研究了公开资助的课后计划的能力，以促进城市，贫困社区的儿童心理健康，在这种情况下，精神健康困难的风险极高，可用于满足这些需求的资源受到严格限制。拟议的研究将在芝加哥公园区的公园儿童计划上进行，该计划是芝加哥为儿童和青少年提供公开资助的课程课程的最大的提供者之一。我们最近完成了该研究计划（NIMH R34-MH070637; PI：FRAZIER；参见初步研究项目NAFASI）的第一项研究，检查了对学术丰富，教练行为，活动参与和行为管理的学术丰富，教练行为和行为管理的学术丰富工作人员的心理健康咨询的可行性。这些发现揭示了有力的证据证明了干预，高员工满意度以及令人鼓舞的儿童适应性功能的可行性。当前的应用程序将扩大NAFASI干预措施，以反映儿童心理健康服务中日益增长的文献，将组织社会环境与服务质量和成果联系起来，这表明在计划层面上有效和可持续的变化将需要在组织层面上进行更多集中的干预措施。因此，我们建议通过综合效应回归模型在1 - 3年内检查社会环境（通过直接观察和员工的看法）如何在学校课程中与儿童和父母有关的计划质量和儿童的心理健康成果（员工和自我报告（员工和自我报告））在整个芝加哥的84名公园儿童中的8至16名随机选择的儿童中的12个随机选择的儿童（n = 357名儿童）（n = 357名儿童）。这些数据将用于（1）在组织社会环境的衡量标准下为课后课程提供规范，（2）估计与站点相关的方差组件结构，该结构将用于为随后的临床试验提供动力，并且（3）为Nafasi干预的组织水平干预组件的第4年扩展提供了信息。拟议的研究将有助于这项研究的总体目标，以开发新的社区心理健康实践模型，重点是支持任务，提高质量，并增强毕生计划的能力，以促进城市贫困儿童的心理健康和适应性功能。 公共卫生相关性：拟议的研究将研究课程课程课程，儿童和父母的计划经验的组织特征，以及儿童在进一步发展干预措施方面的行为，以影响促进儿童自适应功能的能力。这项研究将在由芝加哥公园区指导的学校课程后的84个组织中进行。该应用程序是一项研究计划的下一步，该计划研究了公开资助的课后计划的能力，以促进城市贫困社区的儿童心理健康。