A Family Intervention to Prevent Child Maltreatment

说明(申请人提供)建议研究的目的是测试家庭检查(FCU)的实施效果，FCU是一种基于生态的儿童和家庭干预措施，旨在减少问题行为和强迫家庭互动，防止虐待儿童。FCU和相关干预措施建立在15年方案研究的基础上，这些研究始于青少年过渡计划(ATP)小组育儿课程的设计和测试，最终形成了一种称为生态适应模式的儿童和家庭干预的一般生态方法(Dishion&Kavanagh，2003；Dishion，Reid，&Patterson，1988；Dishion&Stormshak，2007；Stormshak&Dishion，2002)。在这项研究中，我们计划与4家主要的精神卫生服务提供商在 城市社区利用EcoFit模式和FCU改善对家庭的服务 干预。家庭体检是一项为期3个阶段的干预措施，旨在参与和激励 正在接受治疗的家庭。这是一种经过经验验证的、以家庭为中心的治疗方法，具有 被用来有效地减少问题行为的增长，提高为人父母的技能，以及 减少家庭暴力。八名治疗师将在FCU接受强化培训和支持 干预与生态适配模式。120个10-15岁的青少年家庭将被 被随机分配接受FCU或照常在机构接受治疗。这些措施将包括 多名评价者对父母养育、家庭暴力、儿童行为和适应能力的评估收集 在基线上，在家庭体检后，在治疗期间每周，在3个月内每月 在终止之后。尤其令人感兴趣的是增加了治疗师关注的潜力 已知的家庭管理技能可以提高孩子的成功适应能力，并减少 与虐待儿童有关的强制性家庭程序。感兴趣的结果将包括 治疗师成功采用FCU和EcoFit模式，实施保真度提高 家庭登记和保留计划，家庭管理技能的提高， 提高积极的育儿技能，防止虐待儿童。

Description (Provided by Applicant) The goal of the proposed research is to test the implementation effectiveness of the Family Check-Up (FCU), an ecologically based child and family intervention designed to reduce problem behavior and coercive family interactions and prevent child maltreatment. The FCU and related interventions build on 15 years of programmatic research that began with the design and testing of the Adolescent Transitions Program (ATP) group parenting curriculum and that culminated into a general ecological approach to child and family intervention called the EcoFIT model (Dishion & Kavanagh, 2003; Dishion, Reid, & Patterson, 1988; Dishion & Stormshak, 2007; Stormshak & Dishion, 2002). In this research, we plan to collaborate with 4 major mental health providers in an urban community to improve their services for families by use of the EcoFIT model and FCU intervention. The Family Check-Up is a 3-session intervention designed to engage and motivate families in treatment. It is an empirically validated, family-centered approach to treatment that has been used to effectively reduce the growth of problem behavior, enhance parenting skills, and reduce family violence. Eight therapists will receive intensive training and support in the FCU intervention and EcoFIT model. One hundred twenty families with youth ages 10-15 will be randomly assigned to receive the FCU or treatment as usual in the agency. Measures will include a multirater assessment battery of parenting, family violence, child behavior and adjustment collected at baseline, after the Family Check-Up, weekly during treatment, and monthly for 3 months following termination. Of particular interest is increasing the potential for therapists to focus on family management skills known to increase successful child adjustment and to decrease the coercive family processes associated with child maltreatment. Outcomes of interest will include successful therapist adoption of the FCU and EcoFIT model, fidelity of implementation, increased family enrollment and retention in the program, improvements in family management skills, increased positive parenting skills, and the prevention of child maltreatment.