Locally-Tailored Prevention Programming for Children of Incarcerated Mothers

描述（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当地量身定制的预防方案，使用基于社区的参与性研究（CBPR）方法来定制和提供现有的选择性预防方案（Kumpfer的加强家庭方案），以促进心理健康，预防母亲被监禁的5至11岁儿童的行为障碍。母亲被监禁的儿童有很高的风险出现心理健康问题、学业失败和未来的刑事犯罪，这些都是个人和公共健康问题，因为这类儿童的数量估计超过20万，而且还在迅速增加（司法局，2005年）。现有的循证干预措施没有具体解决儿童的特殊需要，也没有解决负责照顾母亲被监禁儿童的负担过重而且往往准备不足的照顾者的需要。根据社区和参与者的投入，在当地定制基于医疗的干预措施，被认为是预防研究的一个有前途的方向，可能是帮助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响应社区需求时，家庭更有可能参与和参与（Kumpfer等人，2002 a）。密歇根大学公共卫生学院和密歇根州预防研究中心（PRC/MI）与密歇根州弗林特的一个社区组织Motherly Intercession建立了伙伴关系，该组织为被监禁母亲及其照顾者的子女提供服务，目标是使用CPBR方法来调整这种模式预防计划，以满足这一人群的需求。并在社区环境中实施和评估该计划。这个项目是一个合作的努力，社区和大学的合作伙伴作出了贡献，并将继续通知规划，设计，写作和项目的预算计划。R21期间的目标是在当地制定和实施加强家庭方案，以满足社区需求。我们将：1）利用焦点小组征求照顾者的关切和有关家庭和儿童需求的问题，并调整SFP，以纳入有被监禁母亲的家庭的关切; 2）建立我们的社区合作伙伴的组织能力，以实施和维持经调整的干预措施，并通过组建社区咨询委员会，培训当地工作人员和建立数据管理系统参与研究; 3）在一项试点随机对照试验（RCT）中提供和评估适应性干预对儿童和照顾者心理健康结果的影响。我们将收集过程数据，以记录我们的适应方法，并为更大规模地提供本地适应计划的实施策略提供信息。

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.