The Village Model of Care

描述(由申请人提供)：这项拟议的研究考察了多方面课后方法在替代学习环境中的应用，旨在防止酒精、烟草和其他药物使用(ATOD)、危险的性行为以及因暴力或其他严重违规行为而被传统公立学校开除的高危市中心非裔美国青年中的暴力行为的开始和升级。从我们早先在巴尔的摩市的诊所和学校实施的预防性干预措施发展而来的是，干预措施。乡村关怀模式包括结构化的团体辅导、父母赋权和支助服务以及社区外展服务。预防计划将在学生和他们的主要照顾者(S)中实施，为期七个月，从11月到5月，每周四天的课后规划，以及学生与他们的家人和社区志愿者的预定聚会，有组织的实地考察，以及社区参与规划和活动。在为期四年的实施阶段，280名青年将参加这项研究，其中包括112名男孩和28名女孩，他们将参加课后方案，另外112名男孩和28名女孩将作为比较参与者，用于方案评估目的。采用平衡设计，从两所参与的另类学习学校中随机选择一所，在第一个项目年接受实验干预，并在第二年作为非干预对照学校，而第二所学校将在第一年作为对照学校，在第二年接受实验干预。这一遴选程序将在项目的第三年和第四年重复。基线措施，包括关于学生风险和保护因素的信息，将在项目实施之前实施，结果措施将在基线、干预后和干预结束后九个月实施。进程评估将审查对规划进程的忠诚度、干预措施的完整性以及青年/家庭参与程度与结果之间的关系。结果评估将不仅关注乡村护理模式与无课后护理相比的有效性，还将关注风险和保护因素在多大程度上不同地预测乡村护理模式项目的成功。为便于在其他地方推广，将在学校官员和其他社区成员的参与下编写手册，记录培训和实施程序。该项目的成果将以书面报告、科学文章和演示文稿的形式传播。

DESCRIPTION (provided by applicant): This proposed research examines the application of a multifaceted after-school approach, within an alternative learning setting, designed to prevent both the initiation and escalation of alcohol, tobacco, and other drug use (ATOD), risky sexual behaviors, and violence among high-risk inner-city, African- American youth who have been expelled from traditional public schools because of violence or other serious rule infractions. Evolving from our earlier preventive interventions implemented in both clinic and school settings in Baltimore City, the intervention. The Village Model of Care involves structured group mentoring, parental empowerment and support services, and community outreach services. The prevention program will be implemented with students and their primary caregiver(s) over a seven-month period during the school year, from November through May, and will involve four days per week of after-school programming, together with scheduled gatherings of students with their families and community volunteers, organized field trips, and community participation in planning and activities. Over the four-year implementation phase, 280 youth will be enrolled in the study, including 112 boys and 28 girls who will participate in the after-school program, and an additional 112 boys and 28 girls who will serve as comparison participants for program evaluation purposes. Using a counterbalanced design, one of two participating alternative learning schools will be randomly selected to receive the experimental intervention in the first project year and to serve as a no-intervention control school in the second year, while the second school will serve as a control school the first year and will receive the experimental intervention in the second year. This selection procedure will be repeated in the third and fourth years of the project. Baseline measures, including information regarding students' risk and protective factors, will be administered prior to program implementation and outcome measures will be administered at baseline, post-intervention and nine-months following the conclusion of intervention. A process evaluation will examine the fidelity to the planning process, the integrity of the intervention and the relationship between degree of youth/family participation and outcome. Outcome assessment will focus not only on the effectiveness of the Village Model of Care in comparison to no after-school care, but also on the extent to which risk and protective factors differentially predict success in the Village Model of Care program. To facilitate replication elsewhere, manuals will be developed, with the input of school officials and other community members, documenting both training and implementation procedures. Results of the project will be disseminated in written reports, scientific articles, and presentations.