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: 8197480
• 负责人: Marc Steven Atkins
• 金额: $ 45.39万
• 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 2014-11-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8197480
• 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; response; satisfaction; social; theories; therapy development

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.

该应用程序扩展了一项研究计划，该计划检查公共资助的课外活动的能力 促进城市贫困社区儿童心理健康的计划，这些社区存在心理健康风险 困难极其严重，可用于满足这些需求的资源也极为有限。这 拟议的研究将在芝加哥公园区的公园儿童项目中进行，该项目是最大的项目之一 为芝加哥儿童和青少年提供公共资助的课后项目的提供商。我们最近完成了 该研究计划中的第一项研究（NIMH R34-MH070637；PI：Frazier；参见初步研究项目 NAFASI）正在研究围绕学业向课外项目人员提供心理健康咨询的可行性 充实、指导行为、活动参与和行为管理。这些发现揭示了强有力的 干预可行性的证据、员工满意度高、尽管适度但令人鼓舞 儿童适应性功能的改善。目前的申请将 NAFASI 干预范围扩大到 反映了越来越多的儿童心理健康服务文献将组织社会背景与服务联系起来 质量和成果表明，在计划层面进行有效和可持续的变革将需要 在组织层面进行更集中的干预。因此，我们建议在第 1-3 年通过 混合效应回归模型社会背景（通过直接观察和员工看法）如何运作 与儿童和家长报告的项目质量和儿童心理健康相关的课后项目 84 个 Park Kids 中每个随机选择的 12 名 8 至 16 岁儿童的结果（工作人员和自我报告） 整个芝加哥的项目（n = 357 名员工，1,008 名儿童）。这些数据将用于 (1) 提供规范 关于衡量组织社会背景的课后计划，(2) 估计方差分量 与将用于为后续临床试验提供动力的场地相关的结构，以及 (3) 通知 第四年扩大 NAFASI 干预的组织层面干预内容。这 拟议的研究将有助于本研究的总体目标，即开发社区心理的新模型 卫生实践的重点是支持使命、提高质量和增强事后能力 旨在促进城市贫困儿童的心理健康和适应性功能的学校计划。

项目成果

The S.P.A.C.E Hypothesis: Physical Activity as Medium - Not Medicine - for Public Health Impact.

• DOI: 10.1249/jes.0000000000000248
• 发表时间: 2021-04-01
• 期刊: Exercise and sport sciences reviews
• 影响因子: 5.7
• 作者: Bustamante EE;Ramer JD;Santiago-Rodríguez ME;Mehta TG;Bustamante AS;Marquez DX;Frazier SL
• 通讯作者: Frazier SL

After-School Programs and Children's Mental Health: Organizational Social Context, Program Quality, and Children's Social Behavior.

• DOI: 10.1080/15374416.2019.1683849
• 发表时间: 2021-03
• 期刊: Journal of clinical child and adolescent psychology : the official journal for the Society of Clinical Child and Adolescent Psychology, American Psychological Association, Division 53
• 作者: Frazier SL;Rusch D;Coxe S;Stout TJ;Helseth SA;Dirks MA;Bustamante EE;Atkins MS;Glisson C;Green PD;Bhaumik D;Bhaumik R
• 通讯作者: Bhaumik R

Children's responses to hypothetical provocation by peers: coordination of assertive and aggressive strategies.

儿童对同龄人假设的挑衅的反应：自信和攻击性策略的协调。

• DOI: 10.1007/s10802-014-9862-0
• 发表时间: 2014
• 期刊: Journal of abnormal child psychology
• 影响因子: 3.6
• 作者: Dirks,MelanieA;Suor,JenniferH;Rusch,Dana;Frazier,StacyL
• 通讯作者: Frazier,StacyL