Social Work intervention training for Maltreating Families of Infants, Toddlers

虐待婴幼儿家庭的社会工作干预培训

• 批准号: 8132965
• 负责人: MONICA L OXFORD
• 金额: $ 46.97万
• 依托单位: UNIVERSITY OF WASHINGTON
• 依托单位国家: 美国
• 财政年份: 2010
• 资助国家: 美国
• 起止时间: 2010-08-20 至 2015-06-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8132965
• 关键词: Address; Adoption; Adult; Affect; Age-Years; Anxiety; Behavior; Behavioral; Biological; Birth; Brain; Caregivers; Child; Child Abuse and Neglect; Child Development; Child Welfare; Childhood; Cognitive; Collaborations; Communities; Control Groups; County; Development; Effectiveness; Emotional; Evaluation; Evidence based intervention; Family; Goals; Hand; Home environment; Infant; Intervention; Investigation; Long-Term Effects; Measures; Mental Depression; Modeling; Outcome; Parenting behavior; Parents; Performance; Personal Satisfaction; Population; Preventive Intervention; Provider; Public Health; Publishing; Randomized; Randomized Clinical Trials; Recruitment Activity; Regulation; Resources; Risk; Risk Factors; Role; Safety; School Nursing; Schools; Security; Services; Severities; Social Health Services; Social Welfare; Social Work; Suicide; System; Testing; Toddler; Training; Training Programs; United States; Universities; Vulnerable Populations; Washington; Work; Yang; age group; anti social; base; brief intervention; child protective service; community based service; comparison group; design; effective therapy; evidence base; experience; foster care; high risk; improved; infant outcome; intervention program; maltreated children; maltreatment; meetings; prevent; programs; provider intervention; psychosocial; public health relevance; social; theories

DESCRIPTION (provided by applicant): Child maltreatment has well-established, wide-ranging, and long-term negative effects on children. Most children who have experienced maltreatment and are receiving services through the Child Welfare System (CWS) remain in their homes with their caregivers. While the need for parenting services is extensive, few intervention programs have proven to be efficacious in reducing child abuse and neglect within the CWS population, especially for infants and toddlers. It is essential that social service practitioners within the CWS delivery system are equipped to provide brief interventions to maltreating parents. This R01 proposal, "Training Social Work Providers: Intervention for Maltreating Families of Infants and Toddlers," is an evaluation of a training program for social welfare providers to implement a brief attachment theory-based intervention to families who have been investigated for child abuse and neglect by Child Protective Services. The program (Promoting First Relationships [PFR]; Kelly, Buehlman, & Caldwell, 2000) will be tested at two levels: through social welfare practice and at the level of outcomes for children and families. Social service providers will be trained to deliver PFR to families under investigation for maltreatment by the Department of Social and Health Services, Snohomish County, Washington State. Subsequently, families under investigation by CPS will be recruited into the study and randomly assigned to the experimental group (receiving the PFR intervention) or to the comparison group (receiving the resource and referral). The specific aims of this study are to (1) Test the effectiveness of training community social welfare service providers in the use of attachment-based interventions by measuring their pre-training and post-training service provision strategies and interactions with maltreating families; (2) To test the effects of a relationship and attachment-based intervention with infants/toddlers of parents identified as maltreating by comparing them to a control group on rates of re-referral to CPS, severity of referral, and foster care placement; and (3) To conduct a test of the effectiveness of an attachment-based intervention on child well-being by comparing experimental and comparison groups on important outcomes (attachment security, emotional regulation, behavior, and developmental functioning). RELEVANCE Child maltreatment is a serious public health issue, affecting close to a million children nationally every year. The establishment of effective evidence-based interventions for high-risk families is essential to curtail the devastating long-term effects of maltreatment. The proposed study tests the feasibility and effectiveness of a well-documented relationship-based intervention (Promoting First Relationships) in improving outcomes for families referred to CPS for maltreatment. PUBLIC HEALTH RELEVANCE: Child maltreatment is a serious public health issue, affecting close to a million children nationally every year. The establishment of effective evidence-based interventions for high-risk families is essential to curtail the devastating long-term effects of maltreatment. The proposed study tests the effectiveness of a relationship-based intervention in improving outcomes for families referred to CPS for maltreatment.

描述（由申请人提供）：虐待儿童对儿童具有明确的、广泛的和长期的负面影响。大多数遭受虐待并通过儿童福利系统 (CWS) 接受服务的儿童仍与照顾者一起留在家中。虽然对育儿服务的需求很大，但很少有干预计划被证明能够有效减少 CWS 人群中的儿童虐待和忽视，特别是对于婴儿和幼儿。 CWS 提供系统内的社会服务从业者必须具备为虐待父母提供简短干预的能力。 R01 提案“培训社会工作提供者：对虐待婴幼儿家庭的干预”是对社会福利提供者培训计划的评估，该计划旨在对接受儿童保护服务机构虐待和忽视儿童问题调查的家庭实施基于依恋理论的简短干预措施。该计划（促进第一关系 [PFR]；Kelly、Buehlman 和 Caldwell，2000）将在两个层面进行测试：通过社会福利实践以及儿童和家庭的成果层面。社会服务提供者将接受培训，向华盛顿州斯诺霍米什县社会和健康服务部调查虐待行为的家庭提供 PFR。随后，接受 CPS 调查的家庭将被招募到研究中，并随机分配到实验组（接受 PFR 干预）或对照组（接受资源和转介）。本研究的具体目的是（1）通过衡量培训前和培训后的服务提供策略以及与虐待家庭的互动，测试培训社区社会福利服务提供者使用基于依恋的干预措施的有效性； (2) 通过将父母被确定为虐待的婴儿/幼儿与对照组进行比较，测试基于关系和依恋的干预对婴儿/幼儿的影响，这些婴儿/幼儿的重新转介至 CPS 的比率、转介的严重程度和寄养安置； (3) 通过比较实验组和对照组的重要结果（依恋安全、情绪调节、行为和发育功能），测试基于依恋的干预措施对儿童福祉的有效性。相关性 虐待儿童是一个严重的公共卫生问题，每年影响全国近百万儿童。为高危家庭建立有效的循证干预措施对于减少虐待造成的破坏性长期影响至关重要。拟议的研究测试了有据可查的基于关系的干预措施（促进第一关系）在改善因虐待而转至 CPS 的家庭的结果方面的可行性和有效性。 公共卫生相关性：虐待儿童是一个严重的公共卫生问题，每年影响全国近一百万儿童。为高危家庭建立有效的循证干预措施对于减少虐待造成的破坏性长期影响至关重要。拟议的研究测试了基于关系的干预措施在改善因虐待而转至 CPS 的家庭的结果方面的有效性。