Locally-Tailored Prevention Programming for Children of Incarcerated Mothers

描述(申请人提供)：这项修订后的提案，为被监禁母亲的子女制定当地量身定做的预防方案，使用基于社区的参与性研究(CBPR)方法来定制和提供现有的选择性预防方案(Kumpfer的加强家庭计划)，以促进母亲已被监禁的5至11岁儿童的心理健康和预防行为障碍。被监禁母亲的子女有很高的心理健康问题、学业不及格和未来犯罪的风险，这既是个人健康问题，也是公共健康问题，因为此类儿童的数量估计超过200,000人，而且还在迅速增加(司法局，2005年)。现有的循证干预措施没有具体解决儿童的独特需要，或负担过重且往往准备不足的照顾者的需要，这些照顾者负责照顾其母亲被监禁的儿童。根据社区和参与者的意见在当地定制基于经验的干预措施被认为是预防研究的一个有前途的方向，可能是帮助像这样难以接触到的家庭的最佳方式，因为当该计划被文化接受并对社区需求做出反应时，家庭更有可能参与和参与(Kumpfer等人)。2002a)。密歇根大学公共卫生学院和密歇根预防研究中心(PRC/MI)已经与密歇根州弗林特的一个社区组织Motherly Intercession建立了合作伙伴关系，该组织为被监禁母亲的儿童及其照顾者提供服务，目标是使用CPBR方法来调整这一模式预防计划，以满足这些人口的需求，并在社区环境中实施和评估该计划。该项目是一项合作努力，社区和大学合作伙伴已经并将继续为该项目的规划、设计、撰写和预算计划提供信息。R21期间的目标是在当地量身定做并实施强化家庭计划(SFP)，以满足社区需求。我们将：1)利用焦点小组征求照顾者对家庭和儿童需求的关注和问题，并根据需要量身定做SFP，以纳入母亲被监禁的家庭的关切；2)建立我们社区合作伙伴的组织能力，以实施和维持适应的干预措施，并通过成立社区顾问委员会、培训当地工作人员和建立数据管理系统参与研究；以及3)在试点随机对照试验(RCT)中提供和评估调整后的干预措施对儿童和照顾者心理健康结果的影响。我们将收集过程数据，以记录我们的适应方法，并为在更大范围内交付适合当地的计划的实施战略提供信息。

DESCRIPTION (provided by applicant): This revised proposal, Developing Locally-Tailored Prevention Programming for Children of Incarcerated Mothers, uses a community-based participatory research (CBPR) approach to tailor and deliver an existing selective prevention program (Kumpfer's Strengthening Families Program) to promote mental health and prevent behavior disorders among 5- to 11-year-old children whose mothers have been incarcerated. Children of incarcerated mothers are at very high risk for mental health problems, academic failure, and future criminal offenses, which are both individual and public health problems given that the number of such children is estimated as over 200,000 and increasing rapidly (Bureau of Justice, 2005). Existing evidence-based interventions do not specifically address the children's unique needs, or the needs of the overburdened and often ill- prepared caregivers responsible for the children whose mothers are incarcerated. Locally tailoring empirically-based interventions based on community and participant input has been suggested as a promising direction for prevention research, and may be the best way to help hard-to-reach families like these because families are more likely to be engaged and participate when the program is culturally accepted and responds to community needs (Kumpfer et al. 2002a). The University of Michigan School of Public Health and the Prevention Research Center of Michigan (PRC/MI) have formed a partnership with Motherly Intercession, a community-based organization in Flint, Michigan that serves children of incarcerated mothers and their caregivers, with the goal of using CPBR methods to adapt this model prevention program to address the needs of this population, and implement and evaluate the program in a community setting. This project is a collaborative effort whereby community and university partners have contributed to and will continue to inform the planning, design, writing, and budget plan of the project. Goals for the R21 period are to locally tailor and implement the Strengthening Families Program (SFP) to meet community needs. We will: 1) use focus groups to solicit caregiver concerns and issues about family and child needs, and tailor SFP to incorporate concerns of families with an incarcerated mother; 2) build our community partner's organizational capacity to implement and sustain the adapted intervention and participate in research by forming a community advisory board, training local staff, and building data management systems; and 3) deliver and evaluate effects of the adapted intervention on child and caregiver mental health outcomes in a pilot randomized controlled trial (RCT). We will collect process data to document our adaptation methods and to inform implementation strategies for delivering the locally-adapted program on a larger scale.