Pilot study of buffering racial stress and trauma for youth exposed to maltreatment

摘要：项目3 研究研究3(拥抱试点)被整合到转型中心，以促进 将研究结果转化为临床干预措施，为下一代虐待儿童和 忽视(CAN)，并促进向不同的利益攸关方传播研究和实践知识/技能。 这项研究利用了发展精神病理学的观点，结合了多种方法在 生命周期框架和实施科学方法。接触CAN经常会导致长期的 对精神健康的有害影响。黑人青年在儿童保护组织中的比例不成比例 服务(CPS)和儿童福利制度与健康差距有关。为那些经历过的年轻人 种族和民族边缘化，与CAN相关的创伤可能会因压力和创伤而加剧 源于种族主义、歧视和其他形式的压迫的经历。要解决的干预措施 缺乏接受心理健康服务的有症状青年的种族压力，并利用心理健康 黑人家庭可以接受的服务往往与他们在 总体而言，儿童福利系统中的人口比例过高，特别是过高。整合对以下各项的支持 家庭在加强种族社会化和应对技能方面，特别是在应对种族压力和创伤方面 与公共卫生的相关性，其中系统性种族主义被认为是健康的核心社会决定因素 对公众健康构成威胁。通过种族参与、管理和联系(拥抱)是一种创新、 针对黑人青年的文化相关干预措施，以应对与养育黑人相关的挑战 并旨在通过培养技能来促进更有效地解决种族冲突的战略 在探索种族社会化的内容、应对和交付方面。尽管以创伤为重点的认知行为 治疗(TF-CBT)是一种循证治疗，适用于经历过CAN的儿童，确定最佳治疗方案 迫切需要用种族社会化成分加强TF-CBT的做法，以弥补这些差距 并为这一人群提供最佳干预。RE-AIM/PRISM框架(包括REACH、 效率、采用、实施和维护，强调多个方面的背景因素 实施环境的级别)将纳入利益攸关方的观点，并评估 拥抱和TF-CBT，同时确定实施的障碍和促进者，以指导未来更大规模的实施 审判。

ABSTRACT: PROJECT 3 Research Study 3 (EMBRace Pilot) is integrated into the TRANSFORM Center to promote translation of research findings into clinical interventions, to inform the next generation of research on child abuse and neglect (CAN), and to facilitate dissemination of research and practice knowledge/skills to varied stakeholders. The research utilizes a developmental psychopathology perspective, incorporating multiple methods within a lifespan framework and implementation science approach. Exposure to CAN frequently results in long-term detrimental effects on mental health. Disproportionate representation of Black youth in the Child Protective Services (CPS) and child welfare system is associated with health disparities. For youth who have experienced racial and ethnic marginalization, the trauma associated with CAN may be compounded by stress and trauma deriving from experiences of racism, discrimination, and other forms of oppression. Interventions to address racial stress for symptomatic youth receiving mental health services are lacking, and use of mental health services that are acceptable to Black families are too often misaligned with their representation in the population in general and overrepresentation in the child welfare system specifically. Incorporating support for families in enhancing racial socialization and coping skills specific to addressing racial stress and trauma has relevance for public health, where systemic racism is acknowledged as a core social determinant of health posing a threat to public health. Engaging, Managing, and Bonding through Race (EMBRace) is an innovative, culturally-relevant intervention for Black youth that addresses challenges associated with parenting Black children and aims to promote more effective strategies for addressing racial encounters through building skills in exploring racial socialization content, coping, and delivery. Although Trauma-Focused Cognitive Behavioral Therapy (TF-CBT) is an evidence-based treatment for children who have experienced CAN, determining best practices for enhancing TF-CBT with racial socialization components is urgently needed to address these gaps and provide optimal intervention for this population. A RE-AIM/PRISM framework (including Reach, Effectiveness, Adoption, Implementation, and Maintenance with emphasis on contextual factors at multiple levels of the implementation setting) will incorporate stakeholder perspectives and evaluate the combination of EMBRace and TF-CBT, while identifying barriers and facilitators to implementation to guide future larger-scale trials.