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.

这项申请扩展了一项研究计划，该计划旨在检查公共资助的课外活动的能力 在城市、贫困社区促进儿童心理健康的方案，那里的心理健康风险 困难极大，可用于满足这些需求的资源严重有限。这个 拟议的研究将在芝加哥公园区的公园儿童项目中进行，这是最大的项目之一 为芝加哥的儿童和青少年提供公共资助的课后计划。我们最近完成了 本研究计划中的第一项研究(NIMH R34-MH070637；PI：Frazier；见初步研究项目 Nafasi)研究了围绕学院对课外项目工作人员进行心理健康咨询的可行性 充实、指导行为、活动参与度和行为管理。这些发现揭示了强有力的 干预的可行性的证据，高的工作人员满意度，虽然有限，但令人鼓舞 改善儿童的适应能力。目前的申请将把纳法西干预扩大到 反映了越来越多的儿童心理健康服务文献将组织的社会背景与服务联系起来 质量和结果，这表明在计划层面上有效和可持续的变化将需要 在组织层面进行更集中的干预。因此，我们建议在1-3年内通过 混合效应回归模拟社会背景(通过直接观察和员工感知)在 与儿童和家长报告的计划质量和儿童心理健康有关的课外计划 在84名公园儿童中随机选择12名8至16岁的儿童的结果(工作人员和自我报告) 整个芝加哥的项目(n=357名工作人员，1008名儿童)。这些数据将用于(1)为 课后计划对组织社会背景的测量，(2)估计方差成分 与将用于后续临床试验的站点相关联的结构，以及(3)通知 在第4年扩大了纳法西干预的组织一级干预部分。这个 所提出的研究将有助于本研究开发新的社区心理模型的总体目标 卫生实践重在支持使命，提高质量，增强事后能力 促进城市贫困儿童心理健康和适应能力的学校方案。

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