FOSTERING INDIVIDUALIZED MENTAL HEALTH CARE: A STUDY

在一项对照研究中，福斯特的疗效和有效性 将评估个性化援助计划(FIAP)的能力 稳定安置，改善情绪/行为 寄养高危儿童对严重情绪的适应 干扰(SED)。这项研究将面临负担过重的需要，以提供 精神健康和药物滥用服务，以寄养有风险的儿童 塞德。它将解决佛罗里达州五年计划的一个重要部分 儿童的心理健康，并将促进实现以下两个目标 国家的CASSP目标：家庭参与和个人化制度 心理健康护理的一部分。 该项目将建立和评估FIAP的有效性 被授权的心理健康干预专家，他们将分别担任 儿童治疗病例管理人和家庭保护者，协调 心理健康服务，进行评估，并提供居家服务 对寄养儿童及其寄养儿童的支持、培训和咨询 父母，视需要而定。该专家还将确保心理健康和 相关社区服务，使用灵活的资金购买包裹包 对每个孩子的情绪成长和稳定至关重要的服务。 该项目的研究将在城市和农村地区进行， FIAP将为大约70名儿童提供服务。收到这些邮件的客户端 个性化的心理健康服务将在以下时间随机选择 每一个区域。除了被滥用外，遴选标准还将 包括促进安置不稳定、多机构需求和 行为/情绪问题足以扰乱人们的行动 更严格的住宿和/或学校安置，以及哪些地方 有自闭症风险的儿童。 FIAP在服务高危寄养儿童中的效果和效果 取决于对每个孩子的评估：1)寄养家庭的稳定性 安置；任何安置变更的方向和限制程度； 2)临床/发育进展，通过有效的行为证明， 情感、教育和家庭适应措施；以及3)社区 行为措施，如逃学和逮捕。这项研究的 假说预测FIAP治疗组将经历更多 寄养安置的稳定性和更大的改善 情绪/行为调整比高危儿童，谁会 继续在寄养中心接受标准的精神卫生治疗。这个 结果将帮助佛罗里达州建立更有效的基于社区的、非 住宅、心理健康干预措施比目前使用的干预措施更多。

In a controlled study, the efficacy and effectiveness of a Foster Individualized Assistance Program (FIAP) will be evaluated for its ability to stabilize the placements and improve the emotional/behavioral adjustment of foster children at high risk for severe emotional disturbance (SED). This study will confront an overtaxing need to provide mental health and substance abuse services to foster children at risk of SED. It will address an essential part of Florida's five-year state plan for children's mental health and will facilitate the achievement of two of the State's CASSP goals: family participation and individualized systems of mental health care. The project will establish and evaluate the effectiveness of FIAP's empowered Mental Health Intervention Specialist, who will serve as each child's therapeutic case manager and home preservationist, coordinating mental health services, conducting assessments, and providing home-based support, training, and counseling to both foster children and their foster parents, as needed. The Specialist will also secure mental health and related community services, using flexible funds to purchase wraparound services essential to each child's emotional growth and stability. The project's study will be conducted in both urban and rural areas, where FIAP will serve approximately 70 children. Clients receiving these individualized mental health services will be randomly selected within each area. In addition to having been abused, criteria for selection will include foster placement instability, multi-agency needs, and behavioral/emotional problems disruptive enough to suggest movement to more restrictive residential and/or school placement, and which place the child at risk of SED. The effects and efficacy of FIAP in serving high risk foster children will be determined by assessments of each child's: 1) stability in foster placement; direction and level of restrictiveness of any placement change; 2) clinical/developmental progress, as evidenced through valid behavioral, emotional, educational, and family adjustment measures; and 3) community behavior measures, such as school truancy and arrests. The study's hypotheses predict that the FIAP treatment group will experience greater stability of foster placement, and grater improvement in emotional/behavioral adjustment than the high risk children, who will continue to receive standard mental health treatment in foster care. The results will help Florida establish more effective community based, non- residential, mental health interventions than those currently used.