Locally-Tailored Prevention Programming for Children of Incarcerated Mothers

说明（由申请人提供）：这项修订后的提案“为被监禁母亲的儿童制定适合当地情况的预防规划”采用基于社区的参与性研究 (CBPR) 方法来定制和实施现有的选择性预防计划（坎普弗加强家庭计划），以促进母亲被监禁的 5 至 11 岁儿童的心理健康并预防行为障碍。被监禁母亲的孩子面临着非常高的心理健康问题、学业失败和未来刑事犯罪的风险，鉴于此类儿童的数量估计超过 200,000 人并且还在迅速增加，这些问题既是个人健康问题，也是公共健康问题（Bureau of Justice，2005）。现有的基于证据的干预措施并没有专门解决儿童的独特需求，也没有专门解决那些母亲被监禁的儿童的照顾者负担过重且往往准备不足的需求。根据社区和参与者的意见在当地制定基于经验的干预措施已被认为是预防研究的一个有希望的方向，并且可能是帮助此类难以接触到的家庭的最佳方式，因为当该计划在文化上被接受并满足社区需求时，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州预防研究中心 (PRC/MI) 与 Motherly Intercession 建立了合作伙伴关系，Motherly Intercession 是密歇根州弗林特的一个社区组织，为被监禁母亲的孩子及其照顾者提供服务，目标是使用 CPBR 方法来调整该模型预防计划，以满足该人群的需求，并在社区环境中实施和评估该计划。该项目是一项协作努力，社区和大学合作伙伴为该项目的规划、设计、写作和预算计划做出了贡献，并将继续为该项目提供信息。 R21 时期的目标是在当地制定和实施强化家庭计划 (SFP)，以满足社区需求。我们将： 1) 利用焦点小组来征求看护者对家庭和儿童需求的担忧和问题，并定制 SFP 以纳入有被监禁母亲的家庭的担忧； 2) 通过组建社区咨询委员会、培训当地员工和建立数据管理系统，建立社区合作伙伴的组织能力，以实施和维持适应性干预措施并参与研究； 3) 在试点随机对照试验 (RCT) 中提供并评估调整后的干预措施对儿童和看护者心理健康结果的影响。我们将收集过程数据来记录我们的适应方法，并为更大规模地交付适合当地的计划提供实施策略。

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.