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What Happens Next: Households After a First-Time Finding of Child Abuse

接下来会发生什么：首次发现虐待儿童事件后的家庭

基本信息

批准号：
8653595
负责人：
KRISTINE A CAMPBELL
金额：
$ 13.11万
依托单位：
UNIVERSITY OF UTAH
依托单位国家：
美国
项目类别：
财政年份：
2010
资助国家：
美国
起止时间：
2010-04-01 至 2015-03-31
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/8653595
关键词：
Address Adolescence Adolescent Adopted Adult Asthma Attitude Award Caregivers Case-Control Studies Characteristics Child Child Abuse Child Abuse and Neglect Child Welfare Child health care Childhood Chronic Clinical Cohort Studies Collaborations Communities Data Sources Databases Dental caries Economic Policy Effectiveness Emotional Evaluation Evaluation Research Event Family Future Goals Health Care Costs Health behavior Home environment Household Income Intervention Interview K-Series Research Career Programs Leadership Life Link Mediating Medicaid Medical Mental Depression Mental disorders Mentored Patient-Oriented Research Career Development Award Mentorship Mission National Institute of Child Health and Human Development Outcome Pediatrics Personal Satisfaction Policies Policy Analysis Poverty Prevention Public Health Qualitative Research Recording of previous events Recurrence Research Research Ethics Research Methodology Research Project Grants Research Training Resources Risk Risk Factors Scientist Series Social Policies Social isolation Social support Structure Surveys System Testing Time Training Training Support United States Utah Violence abuse victim career career development child neglect child physical abuse child protective service design effective intervention evidence base experience foster care health care service utilization high risk improved innovation intimate partner violence maltreated children multidisciplinary pediatrician physical neglect programs public health relevance recidivism response skills social

项目摘要

DESCRIPTION (provided by applicant): Dr. Kristine Campbell is a general pediatrician with a clinical focus in child abuse and research training in outcomes and effectiveness. She has designed this career development award to support her short-term career goal of gaining expertise in the longitudinal assessment of children and families with a history of abuse and understanding the multi-dimensional effects of our current interventions on these families. Completion of this award will support her long-term goal of becoming an independent clinician-scientist dedicated research that will improve outcomes among children and families with a history of child abuse or neglect. Dr. Campbell's short and long-term career goals are consistent with the NICHD mission to understand and improve the lifelong health of children and their families. Under the mentorship of Drs. Michael Dean and Heather Keenan, Dr. Campbell has developed a multidisciplinary advisory team and didactic program to provide training in quantitative and qualitative research methods, social and economic policy evaluation, and research ethics related to child abuse pediatrics. This training plan is linked to 3 independent but interrelated research projects, providing a multi-faceted perspective on the experiences of children and caregivers living together after a first finding of child abuse or neglect by Child Protective Services (CPS). In Specific Aim 1, Dr. Campbell will examine the association between longitudinal change in household characteristics (social support, financial resources, and home environment) and repeat referrals to CPS and child well-being over the 36 months following a first-time finding of child abuse or neglect using the National Survey of Child and Adolescent Well-Being. In Specific Aim 2, Dr. Campbell will compare the short and long-term healthcare utilization of children with and without a CPS finding of child abuse or neglect through linkage of Utah CPS and Medicaid databases. In Specific Aim 3, Dr. Campbell will explore the anticipated and unanticipated consequences of CPS involvement in households after a first-time finding of child abuse or neglect through a series of semi-structured qualitative interviews. Findings from these studies will expand our understanding of the 80% of children who remain with their families after abuse, and will inform future research to reduce recidivism and improve outcomes for children and families living with a history of child abuse or neglect. The multi-disciplinary training supported through this research will strengthen the candidate's ability to provide future local and national leadership in design and evaluation of interventions for children and families after abuse. PUBLIC HEALTH RELEVANCE: In the United States, a first finding of child abuse offers a legally mandated opportunity to provide interventions to families at high risk for recurrent violence and abuse. In many cases, however, our response to child abuse fails to resolve the household conditions that contribute to lifelong physical, emotional, and social sequelae of childhood abuse. This award will improve our understanding of the experiences of children and caregivers with a history of abuse and build an evidence base for effective interventions for these families.

描述（由申请人提供）：Kristine Campbell 博士是一名普通儿科医生，临床重点是虐待儿童以及结果和有效性的研究培训。她设计这个职业发展奖是为了支持她的短期职业目标，即获得对有虐待史的儿童和家庭进行纵向评估的专业知识，并了解我们当前干预措施对这些家庭的多维影响。完成该奖项将支持她成为一名独立临床医生科学家的长期目标，致力于研究，改善有虐待或忽视儿童历史的儿童和家庭的结果。坎贝尔博士的短期和长期职业目标与 NICHD 了解和改善儿童及其家庭的终身健康的使命是一致的。在博士的指导下。坎贝尔博士在迈克尔·迪恩 (Michael Dean) 和希瑟·基南 (Heather Keenan) 的带领下，建立了一个多学科咨询团队和教学计划，提供定量和定性研究方法、社会和经济政策评估以及与虐待儿童儿科相关的研究伦理方面的培训。该培训计划与 3 个独立但相互关联的研究项目相关，从儿童保护服务机构 (CPS) 首次发现虐待或忽视儿童事件后，儿童和看护者共同生活的经历提供多方面的视角。在具体目标 1 中，Campbell 博士将利用全国儿童和青少年福祉调查，在首次发现虐待或忽视儿童行为后的 36 个月内，研究家庭特征（社会支持、财务资源和家庭环境）的纵向变化与重复转介至 CPS 与儿童福祉之间的关联。在具体目标 2 中，坎贝尔博士将通过犹他州 CPS 和医疗补助数据库的链接，比较有和没有 CPS 发现虐待或忽视儿童的儿童的短期和长期医疗保健利用率。在具体目标 3 中，坎贝尔博士将通过一系列半结构化定性访谈，探讨在首次发现虐待或忽视儿童行为后 CPS 参与家庭的预期和意外后果。这些研究的结果将扩大我们对 80% 受虐待后仍与家人在一起的儿童的了解，并将为未来的研究提供信息，以减少累犯并改善有虐待或忽视儿童历史的儿童和家庭的结局。通过这项研究支持的多学科培训将增强候选人未来在设计和评估虐待后儿童和家庭干预措施方面提供地方和国家领导力的能力。公共卫生相关性：在美国，虐待儿童事件的首次发现为向经常遭受暴力和虐待的高风险家庭提供干预措施提供了法律规定的机会。然而，在许多情况下，我们对虐待儿童的反应未能解决导致儿童虐待造成终生身体、情感和社会后遗症的家庭条件。该奖项将增进我们对有虐待史的儿童和护理人员经历的了解，并为对这些家庭进行有效干预奠定证据基础。

项目成果

期刊论文数量（7）

专著数量（0）

科研奖励数量（0）

会议论文数量（0）

专利数量（0）

Health and Health Needs of Children of Women Seeking Services for and Safety From Intimate Partner Violence.

DOI：
10.1177/0886260518754871
发表时间：
2021-03
期刊：
Journal of interpersonal violence
影响因子：
2.5
作者：
Campbell KA;Vargas-Whale R;Olson LM
通讯作者：
Olson LM

Outcome Data Needed: Interpreting Variation in the Medical Evaluation of Child Physical Abuse.

所需的结果数据：解释儿童身体虐待的医学评估的变化。

DOI：
10.1542/peds.2015-0694
发表时间：
2015
期刊：
Pediatrics
影响因子：
8
作者：
Campbell,KristineA
通讯作者：
Campbell,KristineA

What Happened Next: Interviews With Mothers After a Finding of Child Maltreatment in the Household.

DOI：
10.1177/1049732315625197
发表时间：
2017-01
期刊：
Qualitative health research
影响因子：
3.2
作者：
Campbell KA;Olson LM;Keenan HT;Morrow SL
通讯作者：
Morrow SL

Medicaid Expenditures for Children Remaining at Home After a First Finding of Child Maltreatment.

首次发现虐待儿童后留在家中的儿童的医疗补助支出。

DOI：
10.1542/peds.2016-0439
发表时间：
2016
期刊：
Pediatrics
影响因子：
8
作者：
Campbell,KristineA;Telford,SRussell;Cook,LawrenceJ;Waitzman,NormanJ;Keenan,HeatherT
通讯作者：
Keenan,HeatherT

Longitudinal experiences of children remaining at home after a first-time investigation for suspected maltreatment.

首次调查疑似虐待后留在家中的儿童的纵向经历。