A mixed-methods investigation of parental burden and adolescent service use following discharge from psychiatric hospitalization

精神病院出院后父​​母负担和青少年服务使用的混合方法调查

• 批准号: 10748684
• 负责人: Katherine Maultsby Harris
• 金额: $ 3.94万
• 依托单位: GEORGE MASON UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2023
• 资助国家: 美国
• 起止时间: 2023-08-20 至 2025-08-19
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10748684
• 关键词: Address; Adolescent; Age; Attention; Attenuated; Caring; Cause of Death; Child; Child Care; Clinical; Code; Communities; Community Mental Health Services; Data; Dedications; Demographic Factors; Discrimination; Disparity; Distress; Doctor of Philosophy; Economics; Educational workshop; Ethnic Origin; Face; Family; Family Relationship; Goals; Hospitalization; Hospitalized Adolescent; Household; Income; Interview; Investigation; Knowledge; Literature; Medical; Mental Health; Mental Health Services; Mentorship; Methods; Modeling; Monitor; Mothers; National Institute of Mental Health; Outpatients; Parents; Pattern; Perception; Play; Population; Posttraumatic growth; Process; Psychopathology; Public Health; Quality of Care; Race; Random Allocation; Reaction; Recovery; Reduce health disparities; Relapse; Reporting; Research; Research Support; Research Training; Risk; Role; Sampling; Services; Shapes; Socioeconomic Status; Stress; Structure; Suicide; Suicide attempt; Symptoms; Time; Training; Transportation; Trauma; Underserved Population; Well in self; Work; Youth; age group; care coordination; career; comparative; coping; design; experience; family burden; follow-up; hands on research; health disparity; health service use; high risk; hospital readmission; improved; inpatient service; low socioeconomic status; lower income families; meetings; phenomenological models; post intervention; psychiatric symptom; research based treatment; research data dissemination; research study; service utilization; skills; social stigma; socioeconomic disparity; statistics; stressor; suicidal risk; treatment program; treatment research

Project Summary/Abstract Adolescents (age 12-17) are disproportionally impacted by mental health challenges. Suicide is a leading cause of death among this age group, with rates of psychiatric inpatient service use consistently increasing since the mid-2000s. Youth psychiatric hospitalization can be traumatic for families and the period following hospitalization is associated with increased risk of repeat suicide attempts and rehospitalization. Increased risk during this time may be due, in part, to low rates of follow-up service use. One factor that plays a substantial role in youth service use is parental burden (i.e., difficulties perceived to be caused or exacerbated by a child's psychiatric symptoms). However, research has not yet explored how parental burden is related to follow-up service use in the post- hospitalization period, or how disparities may influence this relation. Familial socioeconomic status (SES) may be particularly important to consider in this context. There exists a myriad of barriers faced by families of lower SES that impact access to and quality of mental health care. The present study seeks to address these gaps using a mixed methods design. The first aim of this study is to investigate the bidirectional associations between parental burden and youth service use over time following discharge from psychiatric hospitalization. The second aim is to examine how SES impacts the longitudinal relations between parental burden and youth service use. The third aim is to compare the lived experiences of 252 mothers with a recently psychiatrically hospitalized adolescent from high and low SES backgrounds, with a focus on perceptions of burden. Broadly, the fellow’s training goals associated with the proposed study and long-term career plans are to: develop comprehensive knowledge of relevant literatures, such as processes of post-traumatic growth and stress in families, health disparities, and culturally responsive care with underserved youth and families; develop proficiency in qualitative, mixed-methods, and advanced quantitative statistical design and analysis; and improve research dissemination skills. This will be accomplished through coursework, attendance at targeted workshops, hands-on research and clinical experience, directed readings, and regular mentorship meetings. With the support of a dedicated and experienced mentorship team, this research study and training plan will set the stage for the fellow’s long term research goal, which is to conduct culturally responsive, trauma-informed, and family-based treatment research.

项目摘要/摘要 青少年（12-17岁）受到心理健康挑战的影响。自杀是主要原因 这个年龄段的死亡人数，自从以来，精神病患者的住院服务率一直在增加 2000年代中期。青年精神病住院可能对家庭和住院后的时期是创伤的 与重复自杀未遂和重新住院的风险增加有关。这段时间的风险增加 可能部分归因于较低的随访服务率。在青年服务中起着重要作用的一个因素 使用是父母的烧伤（即，因儿童精神病症状而被认为是引起或加剧的困难）。 但是，研究尚未探讨父母的烧伤与后的后续服务使用有何关系。 住院期，或分布如何影响这种关系。家族社会经济地位（SES）可能 在这种情况下要考虑尤其重要。较低的家庭面临着无数的障碍 影响进入精神卫生保健质量和质量的SES。本研究旨在解决这些差距 使用混合方法设计。这项研究的第一个目的是研究之间的双向关联 从精神病住院出院后，父母烧伤和青年服务随着时间的流逝而随着时间的流逝。第二个 目的是研究SES如何影响父母烧伤与青年服务使用之间的纵向关系。 第三个目的是将252位母亲的现场经历与最近的精神病院进行比较 来自高和低SES背景的青少年，重点是对伯宁的看法。从广义上讲，这个家伙的 与拟议的研究和长期职业计划相关的培训目标是：开发全面 了解相关文献，例如家庭创伤后的增长和压力的过程，健康 与服务不足的青年和家庭的差异以及文化反应迅速的护理；提高定性的水平， 混合方法和高级定量统计设计和分析；并改善研究传播 技能。这将通过课程工作，有针对性的研讨会，动手研究和 临床经验，定向阅读和定期的精通会议。在专门的支持下 经验丰富的精神训练团队，该研究和培训计划将为同伴的长期奠定舞台 研究目标是进行文化反应，创伤信息和基于家庭的治疗研究。