Multiple Family Groups: Outcomes for Families Experiencing High Levels of Stress

多个家庭群体：承受高压力的家庭的结果

• 批准号: 8201367
• 负责人: Jerrold M Jackson
• 金额: $ 3.62万
• 依托单位: ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI
• 依托单位国家: 美国
• 财政年份: 2011
• 资助国家: 美国
• 起止时间: 2011-07-01 至 2013-06-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8201367
• 关键词: 16 year old; Accounting; Address; Adult; Affect; African American; Age; Aggressive behavior; Award; Behavior; Behavioral; Calculi; Caregivers; Characteristics; Child; Child Mental Health; Childhood; Clinic; Clinical Skills; Color; Communities; Data; Data Set; Development; Disruptive Behavior Disorder; Doctor of Philosophy; Drops; Epidemic; Exposure to; Family; Family Study; Fellowship; Funding; Goals; Health; Health Services Research; Intervention; K-Series Research Career Programs; Knowledge; Life; Low income; Mediating; Mediator of activation protein; Mental Health; Mental Health Services; Mental disorders; Modeling; Modification; Motivation; National Institute of Mental Health; Outcome; Parents; Perception; Poverty; Problem behavior; Process; Psychosocial Stress; Recommendation; Reliance; Reporting; Research; Research Methodology; Research Personnel; Research Training; Schools; Science; Services; Social Work; Stress; Substance abuse problem; Techniques; Testing; Time; Training; United States National Institutes of Health; Violence; Youth; base; child mental health service; design; experience; follow-up; group intervention; health care delivery; improved; inner city; innovation; mental health center; pre-doctoral; premature; programs; psychosocial; skills; stressor; theories; young adult

DESCRIPTION (provided by applicant): Many inner-city youth with challenging behavioral problems and their families experience extremely stressful circumstances related to poverty, under-resourced schools, substance abuse, lack of access to child mental health clinics, exposure to health epidemics, and community violence (Harrison et al, 2004; McKay & Bannon, 2004; Monuteaux, 2007). Nationwide, conduct difficulties account for 1/3 to 1/2 of all youth mental health referrals, with rates being even higher in children within urban communities (Frick, 1998; Loeber et al., 2000; Tolan et al., 1998). Therefore, the development of efficient and effective mental health services options for urban, low-income families with children displaying conduct difficulties is a national priority. Guided by Olin et al.'s (2010) adaptation of United Theory of Behavior (Jaccard et al 1999, 2002; Olin, 2010), a mixed-method research strategy will be utilized to explore possible adaptations to the empirically-based Multiple Family Group (MFG; McKay et al., 2004; 2010) service delivery as a potential alternative child mental health services approach for families who experience extreme psychosocial stressors. Study #1 will gather qualitative data from adult caregivers of inner-city youth (who report high levels of familial and psychosocial stress at baseline of the Parent Study) regarding factors that influence their involvement in the MFG service delivery model, as well as recommendations for improving the MFG service delivery model. Study #2 will involve a secondary analysis of the complete MFG dataset (available in 2011), assessing the effects of engagement as a mediator of multi-level stressors and child outcomes, service delivery, and family-level outcomes. Three separate hypotheses will be tested to explore the relationship between engagement in MFGs and multi-level stressors on family-level outcomes, child-level outcomes, and process characteristics of service delivery. PUBLIC HEALTH RELEVANCE: The current application proposes two studies that examine how family functioning and outcomes for highly stressed families are affected by the Multiple Family Group (MFG) service delivery, which is designed to engage families, increase child mental health service use and to reduce disruptive behavior disorders in urban, low-income children of color (Franco et al., 2008; Gopalan & Franco, 2009; McKay, et al., 1995; 1999; 2002; 2009; 2010; Stone, McKay, & Stoops, 1996). Qualitative and quantitative techniques will be used to help understand where modifications, if any, may be needed to adapt the MFG intervention to most effectively address issues around family-level engagement and child behavioral outcomes for families living within of extremely stressful circumstances, such as poverty, under-resourced schools, substance abuse, lack of child mental health clinics, exposure to various health epidemics, and community violence (Parkerson et al, 1995; Harrison et al, 2004; McKay & Bannon, 2004). Given current knowledge of the effects of various stressors on family outcomes (Franco, et al., 2010; Kruger et al, 2007; Kotchick et al., 2005; Lin et al., 2009; Gutman et al., 2005; Felner et al, 1995), developing an effective, engaging, and innovative community-based mental health service for families will help families access and benefit from much needed treatment.

描述（由申请人提供）：许多具有挑战性行为问题的市中心青年及其家庭经历了与贫困有关的极端压力环境，资源不足的学校，药物滥用，缺乏儿童心理健康诊所，暴露于健康流行病和社区暴力（Harrison et al，2004; McKay & Bannon，2004; Monuteaux，2007）。在全国范围内，行为困难占所有青少年心理健康转诊的1/3至1/2，城市社区儿童的比例甚至更高（弗里克，1998年; Loeber等人，2000; Tolan等人，1998年）。因此，为有表现出行为困难的儿童的城市低收入家庭开发高效和有效的心理健康服务选择是国家的优先事项。由Olin et al指导。的（2010年）改编的联合理论的行为（Jaccard等1999年，2002年;奥林，2010年），混合方法的研究策略将被用来探索可能的适应以生殖为基础的多家庭组（MFG;麦凯等，二○ ○四年; 2010年）提供服务，作为一个潜在的替代儿童心理健康服务的方法，为家庭谁经历极端的心理社会压力。研究#1将收集来自市中心青少年的成年照顾者的定性数据（他们在父母研究的基线报告了高水平的家庭和心理社会压力），这些数据涉及影响他们参与MFG服务提供模式的因素，以及改善MFG服务提供模式的建议。研究#2将涉及完整MFG数据集（2011年可用）的二次分析，评估参与作为多层次压力源和儿童结局，服务提供和家庭水平结局的中介的影响。三个独立的假设将进行测试，以探讨在MFG的参与和多层次的压力源对家庭层面的结果，儿童层面的结果和服务提供的过程特征之间的关系。 公共卫生关系：目前的申请提出了两项研究，研究家庭功能和高度紧张的家庭的结果如何受到多家庭小组（MFG）服务提供的影响，该服务旨在吸引家庭，增加儿童心理健康服务的使用，并减少城市低收入有色人种儿童的破坏性行为障碍（Franco et al.，2008; Gopalan & Franco，2009; McKay等人，1995; 1999; 2002; 2009; 2010; Stone，McKay，& Stoops，1996）。定性和定量技术将被用来帮助了解修改，如果有的话，可能需要调整MFG干预，以最有效地解决家庭层面的参与和儿童行为结果周围的问题，生活在极端紧张的情况下，如贫困，资源不足的学校，药物滥用，缺乏儿童心理健康诊所，暴露于各种健康流行病，和社区暴力（Parkerson et al，1995; Harrison et al，2004; McKay & Bannon，2004）。鉴于目前对各种压力源对家庭结果的影响的了解（Franco等人，2010; Kruger等人，2007; Kotchick等人，2005; Lin等人，2009; Gutman等人，二○ ○五年; Felner等人，1995年），开发一个有效的，引人入胜的，创新的社区为基础的心理健康服务的家庭将帮助家庭获得和受益于急需的治疗。