How Do Parents' Experiences with Services Influence Their Children's Service Use? A Longitudinal, Intergenerational Study of High-Risk Families

家长的服务体验如何影响孩子的服务使用？

• 批准号: 10748261
• 负责人: María José Luna
• 金额: $ 4.32万
• 依托单位: NORTHWESTERN UNIVERSITY AT CHICAGO
• 依托单位国家: 美国
• 财政年份: 2023
• 资助国家: 美国
• 起止时间: 2023-07-01 至 2025-06-30
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10748261
• 关键词: Address; Adolescence; Adolescent; Adult; Affect; Age; Alcohol consumption; Anxiety Disorders; Attitude; Behavior; Black race; Characteristics; Child; Clinical; Communities; Data; Data Collection; Disease; Drug usage; Ethnic Origin; Face; Family; Fellowship; Female; Funding; Future; General Population; Health Services Research; Human Resources; Imprisonment; Inequity; Inpatients; Interview; Justice; Latinx; Location; Mental Health; Mental Health Services; Mental disorders; Mentorship; Mood Disorders; National Institute of Drug Abuse; Not Hispanic or Latino; Outcome; Outpatients; Parents; Participant; Pattern; Post-Traumatic Stress Disorders; Principal Investigator; Psychopathology; Race; Recording of previous events; Research; Research Personnel; Risk; Sampling; Schools; Science; Service setting; Services; Strategic Planning; Substance Use Disorder; System; Training; United States; Youth; addiction; aged; antisocial behavior; child services; comorbidity; experience; follow-up; health inequalities; health service use; high risk; improved; improved outcome; interest; intergenerational; juvenile justice system; longitudinal, prospective study; male; marijuana use; next generation; novel strategies; service utilization; sex; substance use; transmission process

ABSTRACT Children whose parents have substance use disorders (SUDs) or histories of incarceration are especially vulnerable to developing problematic substance use and disorders. These youth are also more likely to struggle with comorbid mental health disorders and engage in antisocial behaviors. Although mental health and substance use services can improve outcomes, youth face many barriers to receiving them. This is the first prospective, longitudinal study of intergenerational patterns of service use in high-risk families. I will investigate how parents’ experiences–their history of SUDs, service use, and barriers to services–affect their decision to seek services for their children. Data are from two studies: the Northwestern Juvenile Project, a prospective, longitudinal study of mental health needs and outcomes of 1829 youth in the justice system; and Next Generation, which interviews the original participants of the Northwestern Juvenile Project, and their children, ages 10-18 years (anticipated sample, n=640 parent and child interviews). All data collection will be completed by April 2023. Aim 1: What determines whether children who need services receive them? I will examine how demographic variables (e.g., age, sex, race, ethnicity) and clinical variables (type of drug used and comorbid mental health disorders) affect children’s service use. I anticipate that Black or Latinx youth will be less likely to receive needed services than non-Hispanic White youth; that the type of substance used will determine if youth receive services; and that youth with comorbid disorders (e.g., posttraumatic stress disorder) will be more likely to receive services. Aim 2: How do parents’ experiences with SUDs and service use—during adolescence and adulthood—affect their decision to seek services for their children? I will focus on parents’ history of SUDs, service use, attitudes, and barriers to service use during their own adolescence and adulthood. I anticipate that the timing of the parents’ SUDs (only during their own adolescence vs during their child’s lifetime) and the location of the parent’s services (community vs corrections) will affect the children’s service use. I hypothesize that parents who experienced barriers to receiving services during adolescence are less likely to seek services for their children than those who did not. My findings will provide the empirical basis for future studies to identify novel strategies to reduce barriers to services and to engage high-risk youth in services. My training will be strengthened by the mentorship of Dr. Linda Teplin, the Principal Investigator of the Northwestern Juvenile Project and Next Generation, her collaborators, Drs. Karen Abram and Leah Welty, and key personnel, Drs. Margareta Alegria and Faye Taxman, experts in health inequities in service utilization. The proposed fellowship training plan will prepare me to become an independent researcher of addiction science, focusing on health inequities in service use.

摘要 父母有物质使用障碍（SUD）或监禁史的儿童尤其容易受到伤害。 容易发展成有问题的物质使用和疾病。这些年轻人也更有可能 患有精神疾病并有反社会行为虽然心理健康和 药物使用服务可以改善结果，但青年在接受这些服务方面面临许多障碍。这是第一 高风险家庭服务使用代际模式的前瞻性纵向研究。我会 调查父母的经历-他们的SUD历史，服务使用和服务障碍-如何影响他们的 决定为子女寻求服务。数据来自两项研究：西北青少年项目， 对司法系统中1829名青年的心理健康需求和结果进行前瞻性纵向研究; 《下一代》采访了西北青少年项目的原始参与者， 儿童，年龄10-18岁（预期样本，n=640父母和儿童访谈）。所有数据收集将 于2023年4月完成。目标1：是什么决定了需要服务的儿童是否得到 他们呢？我将研究人口统计变量（例如，年龄、性别、人种、种族）和临床变量（ 吸毒和共病精神健康障碍）影响儿童使用服务。我预计黑人或拉丁裔 年轻人将不太可能比非西班牙裔白色青年获得所需的服务;这种类型的物质 将决定青年是否接受服务;患有共病疾病的青年（例如，创伤后 压力障碍）将更有可能获得服务。目标2：父母对SUD的体验如何 和服务使用-在青春期和成年期-影响他们寻求服务的决定， 他们的孩子我将重点关注父母的SUD历史，服务使用，态度和使用服务的障碍 在他们自己的青春期和成年期。我预计父母的SUD的时间（仅在 他们自己的青春期与他们的孩子的一生）和父母的服务的位置（社区与 （c）会影响儿童使用服务。我假设那些经历过障碍的父母 在青春期接受服务的妇女为子女寻求服务的可能性低于未接受服务的妇女。 我的研究结果将为未来的研究提供经验基础，以确定新的战略，以减少障碍， 服务，并让高危青年参与服务。我的培训将得到博士的指导。 琳达特普林，西北青少年项目和下一代的首席研究员，她的 合作者Karen Abram博士和Leah Welty博士，以及主要工作人员Drs. Alfreta阿莱格里亚和Faye Taxman博士， 服务利用中的卫生不公平问题专家。拟议的研究金培训计划将使我做好准备， 成为成瘾科学的独立研究者，专注于服务使用中的健康不平等。