Housing services for child welfare families: Impact on stability and well-being.

儿童福利家庭的住房服务：对稳定和福祉的影响。

• 批准号: 8241961
• 负责人: Patrick J Fowler
• 金额: $ 1万
• 依托单位: DE PAUL UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2011
• 资助国家: 美国
• 起止时间: 2011-04-01 至 2012-12-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8241961
• 关键词: Academic achievement; Accounting; Adaptive Behaviors; Address; Age; Caregivers; Chicago; Child; Child Abuse and Neglect; Child Development; Child Welfare; Confusion; Control Groups; Costs and Benefits; Data; Data Sources; Development; Ecology; Effectiveness; Effectiveness of Interventions; Environment; Failure; Family; Goals; Home environment; Housing; Individual; Intervention; Investigation; Link; Mediating; Medicaid; Mental Health; Modeling; NIH Program Announcements; National Institute of Child Health and Human Development; Natural experiment; Neighborhoods; Noise; Outcome; Pattern; Perception; Personal Satisfaction; Play; Population; Process; Public Housing; Public Policy; Recommendation; Relative (related person); Reporting; Research; Research Personnel; Residential Mobility; Risk; Role; Safety; Schools; Science; Secure; Services; Social Policies; Social Work; Surveys; System; Testing; Time; U.S. Department of Housing and Urban Development; Violence; base; design; evidence base; expectation; housing instability; improved; intervention effect; intervention program; maltreatment; novel; physical conditioning; programs; public health relevance; theories; uptake; voucher

DESCRIPTION (provided by applicant): This study aims to evaluate the effectiveness of a housing intervention for inadequately housed families under investigation by the child welfare system, as well as to understand the mechanisms and conditions through which the program most benefits child development. The intervention - the Family Unification Program (FUP) - is a Housing and Urban Development (HUD) initiative that provides Housing Choice Vouchers (Section 8) to families whose inadequate housing risks out-of-home placement. The study proposes to take advantage of a natural experiment that will randomly provide FUP services to intact families (n = 192) who will be compared to a child welfare services-as-usual control group (n = 192). Oversampling will occur in both conditions to account for voucher uptake failure and attrition. The study will obtain two baseline assessments before housing services and then re-assess at 6-, 12-, and 24-months post-baseline for a total of five time points. Caregivers and their children will be administered a panel survey. Administrative data from multiple services systems linked at the individual- and family-level will be integrated to allow comparisons to the population of child welfare-involved families in Chicago (n = 700). Administrative data sources include child welfare, public housing, Medicaid, public schools, and cash assistance. The study will test a number of hypotheses: 1) it is hypothesized that families receiving housing services will report greater family stability - as indicated by residential stability, housing quality, daily routines, noise and confusion, caregiver mental health, caregiver separations, and school changes - compared to child welfare services-as-usual; 2) it is predicated that the housing intervention will have a significant positive impact on child physical and mental health, academic achievement, and developmentally adaptive behavior, relative to services-as-usual; 3) we hypothesize that positive effects on child development associated with housing services will function through reductions in family instability; 4) we hypothesize that families from less cohesive and more violent neighborhoods will gain less from the intervention; 5) we hypothesize that the housing intervention will have its greatest impact on families who are most unstable at baseline; 6) it is theorized that the housing intervention will have greater positive effects for younger children. The rigorous design enables strong scientific investigation of how FUP functions and whether intervention operates similarly across multiple levels of context. This project intends to improve understanding of the mechanisms of the FUP intervention to provide a stronger basis to build evidence-based service models and public policy. PUBLIC HEALTH RELEVANCE: This study takes advantage of a natural experiment to test the effectiveness of an intervention for inadequately housed families under investigation for child maltreatment. The proposed study simultaneously aims to inform social policy and service provision in the child welfare system, while investigating the processes involved in the relationship between family instability and adverse child development among at-risk families.

描述（由申请人提供）：本研究旨在评估儿童福利系统调查中对住房不足家庭的住房干预的有效性，并了解该计划最有利于儿童发展的机制和条件。这项干预措施——家庭统一计划（FUP）——是住房和城市发展（HUD）的一项倡议，为那些住房不足、有可能被安置在家庭外的家庭提供住房选择券（第8条）。该研究建议利用自然实验的优势，随机向完整家庭（n = 192）提供FUP服务，这些家庭将与儿童福利服务如常的对照组（n = 192）进行比较。在这两种情况下都会发生过采样，以解释凭证吸收失败和磨损。这项研究将在提供房屋服务前进行两次基线评估，然后在基线后6个月、12个月和24个月进行重新评估，共5个时间点。看护人及其子女将接受小组调查。将综合来自个人和家庭一级联系在一起的多个服务系统的行政数据，以便与芝加哥涉及儿童福利的家庭人口进行比较（n = 700）。行政数据来源包括儿童福利、公共住房、医疗补助、公立学校和现金援助。该研究将测试一些假设：1)假设与常规儿童福利服务相比，接受住房服务的家庭将报告更大的家庭稳定性——如住宅稳定性、住房质量、日常生活、噪音和混乱、照顾者心理健康、照顾者分离和学校变化；2)住房干预对儿童身心健康、学业成绩和发展适应行为的影响显著高于服务干预；3)我们假设住房服务对儿童发展的积极影响将通过减少家庭不稳定来发挥作用；4)我们假设来自凝聚力较低和暴力较多的社区的家庭从干预中获益较少；5)我们假设住房干预对基线最不稳定的家庭影响最大；6)从理论上讲，住房干预对年龄较小的儿童有更大的积极影响。严格的设计使我们能够对FUP的功能进行强有力的科学研究，以及干预措施是否在多个层次的环境中发挥类似的作用。本项目旨在增进对FUP干预机制的理解，为建立循证服务模式和公共政策提供更坚实的基础。