Pilot study of buffering racial stress and trauma for youth exposed to maltreatment

摘要：项目3 研究3（EMBRace Pilot）被整合到转型中心，以促进 将研究结果转化为临床干预措施，为下一代关于虐待儿童的研究提供信息， 国际气候行动网络（CAN）的主要目的是促进研究和实践知识/技能向不同利益攸关方的传播。 这项研究利用了发展心理病理学的观点，将多种方法结合在一起， 生命周期框架和执行科学方法。接触CAN经常导致长期 对心理健康的有害影响。黑人青年在儿童保护委员会中的比例失调 服务（CPS）和儿童福利制度与健康差距有关。对于那些经历过 种族和民族边缘化，与CAN相关的创伤可能会因压力和创伤而加剧 来自种族主义、歧视和其他形式压迫的经历。干预措施来解决 接受心理健康服务的有症状青年缺乏种族压力， 黑人家庭可以接受的服务往往与他们在家庭中的代表性不一致。 特别是在儿童福利制度中的代表性过高。对以下项目的支持 家庭在加强种族社会化和应对种族压力和创伤的技能方面的作用， 与公共卫生的相关性，系统性种族主义被认为是健康的核心社会决定因素 对公众健康构成威胁。通过种族参与、管理和联系（EMBRace）是一个创新的、 针对黑人青年的文化相关干预措施，解决与养育子女有关的挑战 旨在通过培养技能，促进更有效的战略， 在探索种族社会化的内容，应对和交付。虽然创伤集中的认知行为 治疗（TF-CBT）是一种针对经历过CAN的儿童的循证治疗， 迫切需要加强TF-CBT与种族社会化组成部分的做法，以解决这些差距 并为这一人群提供最佳干预。RE-AIM/PRISM框架（包括Reach， 有效性，采用，实施和维护，重点是多个环境因素 将纳入利益攸关方的观点，并评估 EMBRace和TF-CBT，同时确定实施的障碍和促进因素，以指导未来更大规模的 审判

ABSTRACT: PROJECT 3 Research Study 3 (EMBRace Pilot) is integrated into the TRANSFORM Center to promote translation of research findings into clinical interventions, to inform the next generation of research on child abuse and neglect (CAN), and to facilitate dissemination of research and practice knowledge/skills to varied stakeholders. The research utilizes a developmental psychopathology perspective, incorporating multiple methods within a lifespan framework and implementation science approach. Exposure to CAN frequently results in long-term detrimental effects on mental health. Disproportionate representation of Black youth in the Child Protective Services (CPS) and child welfare system is associated with health disparities. For youth who have experienced racial and ethnic marginalization, the trauma associated with CAN may be compounded by stress and trauma deriving from experiences of racism, discrimination, and other forms of oppression. Interventions to address racial stress for symptomatic youth receiving mental health services are lacking, and use of mental health services that are acceptable to Black families are too often misaligned with their representation in the population in general and overrepresentation in the child welfare system specifically. Incorporating support for families in enhancing racial socialization and coping skills specific to addressing racial stress and trauma has relevance for public health, where systemic racism is acknowledged as a core social determinant of health posing a threat to public health. Engaging, Managing, and Bonding through Race (EMBRace) is an innovative, culturally-relevant intervention for Black youth that addresses challenges associated with parenting Black children and aims to promote more effective strategies for addressing racial encounters through building skills in exploring racial socialization content, coping, and delivery. Although Trauma-Focused Cognitive Behavioral Therapy (TF-CBT) is an evidence-based treatment for children who have experienced CAN, determining best practices for enhancing TF-CBT with racial socialization components is urgently needed to address these gaps and provide optimal intervention for this population. A RE-AIM/PRISM framework (including Reach, Effectiveness, Adoption, Implementation, and Maintenance with emphasis on contextual factors at multiple levels of the implementation setting) will incorporate stakeholder perspectives and evaluate the combination of EMBRace and TF-CBT, while identifying barriers and facilitators to implementation to guide future larger-scale trials.