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Development of a Support Network Enhancement Intervention for Foster Youth

制定针对寄养青少年的支持网络增强干预措施

基本信息

批准号：
9975896
负责人：
Jennifer Blakeslee
金额：
$ 21.15万
依托单位：
PORTLAND STATE UNIVERSITY
依托单位国家：
美国
项目类别：
财政年份：
2019
资助国家：
美国
起止时间：
2019-07-10 至 2022-04-30
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/9975896
关键词：
Address Administrator Adolescent Adolescent Development Aging Behavioral Caring Characteristics Child Welfare Collaborations Communities Community Integration Consensus Country Data Development Evaluation Evidence based intervention Family Feedback Fostering Future Geography Goals Health Independent Living Individual Intervention Justice Knowledge Link Literature Measurable Measures Mental Health Modeling National Institute of Mental Health Needs Assessment Network-based Outcome Personal Satisfaction Population Protocols documentation Research Research Personnel Residential Treatment Resources Review Literature Risk Schools Services Social Adjustment Social Development Social Environment Social Functioning Social Network Social support Specific qualifier value Structure Subgroup System Target Populations Testing Theory of Change To specify Treatment Efficacy Youth base care systems conduct problem design effective intervention efficacy testing evidence base experience foster care help-seeking behavior implementation strategy improved informal support informant innovation peer peer coaching peer support programs protective factors secondary analysis service engagement service providers skill acquisition skills successful intervention support network systematic review theories usability young adult

项目摘要

Project Summary/Abstract There is a large subgroup of older foster youth who have limited support network capacity and stability, with related limitations on adolescent development, social functioning, and overall mental health and well-being. This population has elevated behavioral challenges as they exit foster care, but they are less likely engage in formal services and have fewer informal supports to rely on in young adulthood. To improve the mental health and well-being of this population in young adulthood, the practice field needs innovative strategies to address depleted social networks while these young people are still being served by the child welfare system. However, there is no articulated framework linking measurable support network characteristics with indicated practice strategies to facilitate support and community integration in ways that can improve health and well-being (for example, by increasing formal service engagement or informal help-seeking). This project will result in a testable intervention for young people in foster care who are at risk for mental health and/or social adjustment challenges in young adulthood. The long-term goal if this effort is to disseminate an effective group-based support network enhancement model for delivery as part of the regular child welfare system service array. The short-term goal is to use the rigorous Intervention Mapping (IM) protocol to articulate a theory of change for foster youth support network enhancement, and to design a feasible intervention to address measurable objectives, in collaboration with mental health and child welfare stakeholders and with young people with lived experience. This will be accomplished through the following specific aims: (1) conduct rigorous problem analysis, including a systematic literature review of problem determinants and directed content analysis of secondary data (N=22), to specify problem determinants at the individual and socioecological levels and to identify related proximal program objectives; (2) explicate a theory of change model for the program objectives, and design a program to deliver practical change strategies in the expected implementation context; (3) pre-test the program design with the target population of youth in foster care (N=40) and with their service providers (N=40) to evaluate usability and feasibility in various service regions; and, (4) refine the model and materials for implementation and future efficacy testing as part of the Independent Living Program (ILP) system serving foster youth across the country. Developing effective programming to assess and address support network deficits for subgroups of foster youth while they are still being served by the child welfare systems can help bridge the transition from formal services to informal support in ways that improve young adult mental health and well-being. This project applies established network theory to address the unique socioecological challenges experienced by system-involved youth, and links empirical knowledge to practical strategies (e.g., network assessment, relational skill-building, near-peer support) for use in the field.

项目摘要/摘要有一大批老年寄养青年，他们的支助网络能力和稳定性有限，对青少年发展、社会功能以及整体心理健康和幸福的相关限制。当这些人离开寄养家庭时，他们的行为挑战会增加，但他们参与的可能性较小在青壮年，正式的服务和非正式的支持较少。提高心理健康水平这一人群在青壮年的幸福，实践领域需要创新的战略来解决社会网络枯竭，而这些年轻人仍在接受儿童福利制度的服务。然而，没有明确的框架将可衡量的支助网络特征与指定的做法联系起来以能够改善健康和福祉的方式促进支持和社区融合的战略(用于例如，增加正式的服务参与或非正式的求助)。这个项目将导致一个寄养家庭中有心理健康和/或社会适应风险的年轻人的可测试干预措施青壮年的挑战。如果这一努力的长期目标是传播有效的以群体为基础的支持将网络增强模式作为常规儿童福利系统服务阵列的一部分提供。这个短期目标是使用严格的干预映射(IM)协议来阐明促进青少年支持网络的加强，并设计可行的干预措施，以解决可衡量的问题目标，与精神健康和儿童福利利益攸关方以及与生活在一起的年轻人合作经验。这将通过以下具体目标来实现：(1)进行严格的问题分析，包括对问题决定因素的系统文献回顾和对次级数据(N=22)，以具体说明个人和社会生态层面的问题决定因素，并确定相关的近期计划目标；(2)阐明计划的变更模型理论目标，并设计一项方案，以便在预期的实施背景下交付实际的变革战略； (3)对寄养中心的青少年目标人群(N=40)及其服务进行预试供应商(N=40)评估在不同服务地区的可用性和可行性；以及，(4)完善模型和作为独立生活方案(ILP)一部分的实施材料和未来疗效测试为全国各地的寄养青年提供服务的系统。制定有效的方案以评估和解决支持寄养青年小组的网络缺陷，而他们仍在接受儿童福利的服务系统可以帮助从正式服务过渡到非正式支持，通过改善年轻人的方式成年人的心理健康和幸福。该项目应用成熟的网络理论来解决独特的参与系统的青年所经历的社会生态学挑战，并将经验知识与实践联系起来在实地使用的战略(例如，网络评估、关系技能建设、近距离同行支持)。