Child Neglect: Service Paths and Young Adult Outcomes

儿童忽视：服务路径和年轻人的结果

• 批准号: 7147436
• 负责人: MELISSA A JONSON-REID
• 金额: $ 36.27万
• 依托单位: WASHINGTON UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2000
• 资助国家: 美国
• 起止时间: 2000-09-30 至 2008-11-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7147436
• 关键词: Abuse Reporting; Accident and Emergency department; Adolescent; Adult; Age; Aid to Families with Dependent Children; Appendix; Archives; Area; Behavior; Birth; Burn injury; Caring; Cause of Death; Cessation of life; Child; Child Abuse; Child Abuse and Neglect; Child Development; Child Support; Child Welfare; Childbirth; Childhood; Cities; Closure; Code; Complex; County; Data; Data Collection; Data Files; Death Records; Development; Dimensions; Education; Emergency Situation; Emotional Disturbance; Employment; Event; Family; Female; Fostering; Funding; Goals; Health Services Research; Healthcare; Home environment; Homelessness; Imprisonment; Independent Living; Individual; Information Services; Information Systems; Interdisciplinary Study; Investigation; Juvenile Delinquency; Knowledge; Left; Life; Life Cycle Stages; Link; Literature; Live Birth; Longitudinal Studies; Mandatory Reporting; Manuals; Measures; Medicaid; Melissa; Mental Health; Mental Health Services; Mental disorders; Modeling; Movement; NIH Program Announcements; National Children' s Study; Natural History; Only Child; Outcome; Pattern; Personal Satisfaction; Policies; Population; Poverty; Procedures; Proxy; Rate; Recommendation; Recording of previous events; Records; Reporting; Research; Research Personnel; Resources; Risk; Sample Size; Sampling; Sampling Studies; Services; Shelter facility; Societies; Special Education; Study Section; Surveys; System; Techniques; Teenagers; Theoretical model; Time; To specify; Training; United States; Update; Violence; Work; Youth; abuse neglect; base; child neglect; comparison group; computerized; court; criminal behavior; design; disability; experience; foster care; foster child; high school; improved; interest; juvenile justice system; knowledge base; male; maltreated children; maltreatment; mental health welfare; metropolitan; mortality; neglect; payment; programs; size; young adult

DESCRIPTION (provided by applicant): Children reported for neglect and abuse are heavily represented in multiple public service sectors (Jonson-Reid, Drake, Kim, & colleagues, 2003) and are at risk of poor adult outcomes (Widom, 2000), yet cross-sector service research to help us understand how services are associated with these adult outcomes is rare. This application "Child Neglect: Service Paths and Young Adult Outcomes" will extend a currently funded child neglect study (5 R01 MH61733-03) that tracks neglected, abused and poor comparison children to age 18 to follow those children through young adulthood. The study will model early adult mental health service use and violent criminal behavior for poor individuals with and without histories of maltreatment, with an emphasis on modeling these outcomes as a function of childhood service patterns across child welfare, mental health, special education and juvenile justice systems. A secondary aim is to describe rates of other key outcomes (death, young adult poverty or childbirth) for subjects in our study according to neglect, abuse or poverty only history. Prior findings suggest that both special education status and child welfare services are key factors in models of outcomes. The proposed study augments data from these systems with manual review (approximately 1200 case files) to better assess services provided to and outcomes for these subjects as we look at the link between childhood services and young adult outcomes. This continuation extends our current panel (now followed from birth through 17years), using multiple imputation techniques to follow them to age 25. The large sample (N=23,981) includes an AFDC/maltreated group (n=11,866) with a report of abuse or neglect in 1993-94 and a randomly selected AFDC only group (n=12,115) matched by age and region, excluding those who died in childhood. A supplementary comparison includes 4,304 individuals reported for maltreatment and not in families on AFDC. The proposed work will be the only known study, extant or planned, combining broad cross-sector service coverage across maltreated and poverty only children through young adulthood, with sufficient sample size to capture rare, but important, outcomes (e.g., death, homelessness) and model complex service patterns. Supported by a multidisciplinary research team with expertise in child and adult research, close ties to the participating agencies, expertise in administrative and case file data collection and analysis, this study will provide unique, timely and policy-relevant information regarding the transition to adulthood for some of society's most vulnerable children.

描述(由申请人提供)：被报告为疏忽和虐待的儿童在多个公共服务部门中占很大比例(Jonson-Reid，Drake，Kim和同事，2003)，并面临成人结果较差的风险(Widom，2000)，但帮助我们了解服务与这些成人结果之间关系的跨部门服务研究很少见。这一名为“儿童忽视：服务路径和青少年结果”的应用程序将扩展目前资助的一项儿童忽视研究(5 R01 MH61733-03)，该研究追踪被忽视、受虐待和比较贫穷的儿童至18岁，跟踪这些儿童整个青春期。这项研究将为有和没有虐待史的贫困个人的早期成人精神卫生服务使用和暴力犯罪行为建模，重点是将这些结果建模为儿童福利、心理健康、特殊教育和青少年司法系统中儿童服务模式的函数。第二个目标是根据忽视、虐待或贫困的历史来描述我们研究中的受试者的其他关键结果(死亡、青年贫困或生育)的比率。先前的研究结果表明，特殊教育状况和儿童福利服务都是影响结果模型的关键因素。拟议的研究通过手动审查(约1200个案例文件)来增加来自这些系统的数据，以更好地评估向这些受试者提供的服务和这些受试者的结果，因为我们研究了儿童服务和青少年结果之间的联系。这一延续将我们目前的小组(现在从出生跟踪到17年)扩展到了25岁，使用了多种归因技术。大样本(N=23,981)包括1993-1994年有虐待或忽视报告的AFDC/虐待组(n=11,866)和按年龄和地区匹配的随机选择的AFDC组(n=12,115)，不包括那些在儿童时期死亡的人。一项补充比较包括4304名被报告受到虐待的人，而不是在AFDC的家庭中。拟议的工作将是唯一已知的、现有的或计划进行的研究，将广泛的跨部门服务覆盖范围涵盖受虐待和贫困的独生子女至成年，并有足够的样本量来捕捉罕见但重要的结果(例如，死亡、无家可归)并模拟复杂的服务模式。在一个多学科研究小组的支持下，这项研究将为社会上一些最脆弱的儿童向成年过渡提供独特、及时和与政策相关的信息，该小组具有儿童和成人研究方面的专门知识、与参与机构密切联系、在行政和案件档案数据收集和分析方面具有专门知识。