How Child Welfare Agency Management Affects Children's Outcomes

儿童福利机构管理如何影响儿童的成果

• 批准号: 7864252
• 负责人: REBECCA SUSAN WELLS
• 金额: $ 16.57万
• 依托单位: UNIV OF NORTH CAROLINA CHAPEL HILL
• 依托单位国家: 美国
• 财政年份: 2007
• 资助国家: 美国
• 起止时间: 2007-07-27 至 2012-05-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7864252
• 关键词: Accountability; Address; Adolescent; Affect; Area; Caregivers; Case Management; Case Study; Child; Child Mental Health; Child Welfare; Child health care; Consultations; Data; Data Analyses; Decision Making; Development; Development Plans; Familiarity; Family; Follow-Up Studies; Fostering; Funding; Goals; Health; Health Services Accessibility; Healthcare; Human; Human Resources; Individual; Interview; Measurement; Mediating; Mental Health; Mental Health Services; Mentored Research Scientist Development Award; Methods; Modeling; Motivation; National Children' s Study; National Institute of Mental Health; Occupations; Outcome; Personal Satisfaction; Practice Management; Preparation; Process; Provider; Public Health; Research; Research Personnel; Research Training; Resources; Risk; Safety; Series; Services; Staging; Surveys; System; Time; Training; Work; base; career development; child mental health service; comparative; design; experience; human subject; improved; insight; mental health welfare; multilevel analysis; neglect; responsible research conduct; safety net; teacher

DESCRIPTION (provided by applicant): This K01 award will enable an organizational scholar to examine how child welfare agency management affects service processes and children's outcomes. Dr. Rebecca Wells has examined intra- and inter- organizational dynamics within the health care safety net. With K01 funding, she will work closely with Dr. E. Michael Foster, a children's mental health services researcher, and Dr. Mark Courtney, a leading scholar in human services for vulnerable children. Drs. Foster and Courtney as well as other methodological and content experts will assist Dr. Wells in 3 studies of how child welfare agency internal management and relationships with other agencies affect the ways caseworkers serve families, the comprehensiveness of services received, and children's mental health and other outcomes over time. Based on a multilevel conceptual model of child welfare services, 3 major questions motivate this proposal: (1) Do child welfare agency management emphases on measurement and accountability, human resources, change management, and ties to other agencies affect children's outcomes? (2) Does case management or service comprehensiveness mediate associations between agency management and children's outcomes? (3) Does service availability moderate associations between ties to other agencies and outcomes? Study 1 will use data from the National Survey of Child and Adolescent Well-Being. Study 2 will be a comparative case study that explores questions from study 1 and develop surveys for study 3. Study 3 will entail analyzing primary survey data and previously collected outcomes data from at-risk children. Findings from these 3 studies will enable Dr. Wells to develop the multilevel modeling, qualitative, and survey design competencies as well as substantive familiarity with child welfare and mental health services necessary to develop realistic models of how management decisions affect children's outcomes. Training for this research involves a variety of courses and systematic consultation with Drs. Foster and Courtney as well as other national experts on advanced empirical methods, children's health, and child welfare and mental health services, including the responsible conduct of research involving human subjects. The proposed research will improve public health by indicating how some aspects of child welfare agency management affect children's outcomes. Subsequent research will examine how child welfare and mental health agencies collectively affect children.

描述（由申请人提供）：该K01奖将使组织学者能够研究儿童福利机构管理如何影响服务过程和儿童成果。丽贝卡·威尔斯（Rebecca Wells）博士检查了卫生保健安全网中的内部和组织内部动力。借助K01资助，她将与儿童心理健康服务研究员E. Michael Foster和Mark Courtney博士紧密合作，Mark Courtney博士是弱势儿童的人类服务学者。博士。 Foster和Courtney以及其他方法论和内容专家将帮助Wells博士对儿童福利机构的内部管理以及与其他机构的关系如何影响案例工作者为家庭服务方式，所收到的服务的全面性以及儿童的心理健康和其他成果随着时间的推移而言。基于儿童福利服务的多层次概念模型，3个主要问题激发了这一建议：（1）儿童福利机构的管理重点是否强调衡量和问责制，人力资源，变更管理以及与其他机构的联系影响儿童的成果？ （2）案例管理或服务的全面性是否可以调解机构管理与儿童成果之间的关联？ （3）服务可用性与其他机构和成果之间的关系中等关联吗？研究1将使用全国儿童和青少年福祉调查中的数据。研究2将是一项比较案例研究，探讨了研究1的问题并为研究3开发调查。研究3将需要分析主要的调查数据，并以前收集到来自高危儿童的结果数据。这三项研究的发现将使Wells博士能够开发多级建模，定性和调查设计能力，以及对儿童福利和心理健康服务的实质性熟悉，以开发出管理决策如何影响儿童成果的现实模型。该研究的培训涉及各种课程和与DRS的系统咨询。福斯特和考特尼以及其他有关高级经验方法，儿童健康以及儿童福利和心理健康服务的国家专家，包括涉及人类受试者的研究的负责任。拟议的研究将通过指出儿童福利机构管理的某些方面如何影响儿童的成果来改善公共卫生。随后的研究将研究儿童福利和精神卫生机构如何共同影响儿童。