Understanding the effects of a family preservation program for parents with intellectual disability

了解家庭保护计划对智力障碍父母的影响

• 批准号: 10573666
• 负责人: Wendy Zeitlin
• 金额: $ 8.75万
• 依托单位: MONTCLAIR STATE UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2023
• 资助国家: 美国
• 起止时间: 2023-02-06 至 2025-01-31
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10573666
• 关键词: Age; Americans with Disabilities Act; California; Cessation of life; Child; Child Abuse and Neglect; Child Health; Child Rearing; Child Welfare; Childhood Injury; Client; Clinical Data; Country; Critical Illness; Data; Disabled Children; Family; General Population; Goals; Health; Information Systems; Intellectual functioning disability; Investigation; Mental Health; National Institute of Child Health and Human Development; Outcome; Parents; Performance; Population; Poverty; Prevalence Study; Prevention; Preventive service; Records; Research; Research Personnel; Rights; Risk; Safety; Sampling; Schools; Services; Social outcome; Strategic Planning; Suicide attempt; System; Traumatic injury; Unemployment; adolescent health; cognitive disability; design; disability; effective intervention; efficacy evaluation; evidence base; experience; family support; foster care; high risk; high risk population; improved; innovation; maltreated children; maltreatment; pediatric trauma; preservation; prevent; prevention service; programs; public health priorities; skills; social

PROJECT SUMMARY Children of parents with intellectual disabilities (ID) are disproportionately represented in child welfare settings. They experience higher rates of foster care placement and termination of parental rights compared to children of parents without ID. Despite research documenting negative trajectories and outcomes for children of parents with ID, there is limited research focused on child welfare interventions that are effective in preventing child maltreatment in this population. Our long-term goal is to identify effective interventions to reduce child maltreatment in families with parents with ID and improve long-term health and social opportunities for children. The overall objective in this application is to determine the degree to which Project IMPACT, a family preservation program designed to meet the specific needs of parents with ID who have child welfare involvement, is effective at reducing foster care placement. The central hypothesis is that Project IMPACT will be effective at reducing foster care placement for participating families. The hypothesis has been formulated based upon preliminary studies completed by the investigators in 2019. The rationale for this project is that evidence is needed to determine the degree to which this innovative program is effective at preventing child maltreatment and, subsequently, foster care placement. If it is determined that this program is efficacious, it will be the first effective program developed and implemented in the U.S. designed for this high-risk population. Expected outcomes include findings that can be used to support program replication, additional rigorous study, and submissions to evidence-based clearinghouses including those supported by the Family First Prevention Services Act. Aim 1 will assess the degree to which participation in Project IMPACT is effective at reducing foster care placement for families with child welfare involvement in which a parent has ID compared to families in which a parent has ID and are engaged in a non-specialized family preservation program. Aim 2 will assess the degree to which participation in Project IMPACT is effective at reducing foster care placement for families with child welfare involvement in which a parent has ID compared to families in which a parent has ID and are not engaged in any family preservation program. This research will use propensity score analysis to draw causal inference between program participation and foster care placement in the year after termination from the program. Data for the treated group will come from Project IMPACT clinical data records for clients beginning service between 2006 and 2018; the matched untreated samples will be drawn from the restricted National Child Abuse and Neglect Data Systems Child Files in the same years. The proposed study is innovative because it will be the first to determine the efficacy of a program designed for parents with ID with child welfare involvement. The proposed project is significant because children of parents with ID are at particularly high-risk for disruptive child welfare trajectories and outcomes.

项目摘要 父母有智力残疾的儿童在儿童福利中所占比例过高 设置.他们的寄养安置率和终止父母权利的比率高于 尽管研究记录了父母没有身份证的孩子的负面轨迹和结果， 儿童的父母与ID，有有限的研究集中在儿童福利干预措施，是有效的， 防止这一人群中的儿童虐待。我们的长期目标是确定有效的干预措施， 减少父母患有ID的家庭中的儿童虐待，并改善长期健康和社会 孩子们的机会。本申请的总体目标是确定项目 IMPACT是一个家庭保护计划，旨在满足有ID的父母的特定需求， 儿童福利参与，是有效地减少寄养安置。核心假设是， IMPACT将有效减少参与家庭的寄养安置。这个假设是 根据研究人员在2019年完成的初步研究制定。这样做的理由 项目是，需要证据来确定这一创新计划在多大程度上有效， 防止虐待儿童以及随后的寄养安置。如果确定该计划 这将是第一个有效的计划，在美国开发和实施的设计， 高危人群。预期成果包括可用于支持方案推广的调查结果， 额外的严格研究，并提交给循证信息交换所，包括那些支持 《家庭优先预防服务法》目标1将评估参与项目的程度 IMPACT可有效减少涉及儿童福利的家庭的寄养安置， 父母有身份证的家庭与父母有身份证并参与非专业化家庭的家庭相比 保存程序。目标2将评估参与IMPACT项目的有效程度， 减少寄养安置的家庭与儿童福利参与，其中父母有ID相比， 父母一方有身份证，但没有参加任何家庭保护计划的家庭。本研究 我将使用倾向得分分析，以得出因果关系之间的推断程序参与和寄养 在计划终止后的一年内。给药组的数据将来自项目 IMPACT 2006年至2018年期间开始服务的客户的临床数据记录;匹配的未经治疗的 样本将从受限制的国家虐待和忽视儿童数据系统儿童档案中抽取 同样的年份。这项拟议中的研究是创新的，因为它将是第一个确定 为智障父母设计的儿童福利项目。拟议的项目意义重大 因为父母患有ID的儿童特别容易受到破坏性儿童福利轨迹的影响， 结果。