The primary goal of my scientific work is to provide empirically derived knowledge to address medical neglect of children in the child welfare system: 1) by developing a better conceptual understanding of the variables that affect the caregivers'medical neglect of children through exploring both the antecedents and consequences of this neglect (developing a preliminary explanatory model);and 2) by developing an intervention for caregivers that addresses the protective and risk factors for medical neglect and increases caregivers'ability to engage in behaviors that lead to better healthcare outcomes for their children. I will meet five training goals: 1) Increase knowledge of child neglect, specifically medical neglect;2) Increase my conceptual and empirical focus on family dynamics/parenting;3) Develop ability to utilize a research mixed method approach;4) Develop community-based interventional research skillset;and 5) Train in the responsible conduct of research. A 4-phase research agenda, in which findings from each phase inform the next research project, is proposed. The research sites are in Los Angeles County, one of the largest child welfare systems in the United States. Phase one includes a secondary quantitative analysis of data from an adolescent neglect study to explore the relationship of medical neglect to other types of maltreatment, and to identify differences in caregivers who have children who suffer from medical neglect from caregivers who have children with other types of maltreatment or without reported maltreatment. For phase two, a qualitative study using a semi-structured interview of child welfare caregivers is planned to discover the key factors that influence caregivers'help-seeking, accessing, and using/adhering to pediatric healthcare. Phase three includes a prospective medical chart review using mixed methods to identify factors that predict attendance at return appointments at a child welfare primary pediatric clinic (medical home). Finally, phase four will include a qualitative study of caregivers, pediatricians and child welfare professionals to identify factors likely to influence the feasibility and acceptability of interventions (derived from the conceptual model developed in phases 1-3) directed at caregivers to decrease medical neglect. The public's health is compromised because children in the child welfare system have significantly poorer physical health than Medicaid-eligible children not in foster care and do not receive adequate health care services while in the child welfare system. This study develops interventions for caregivers in the child welfare system, as child welfare caregivers are beginning to be recognized as gatekeepers for accessing pediatric healthcare

National Institute of Health (NIH)
Eunice Kennedy Shriver National Institute of Child Health & Human Development (NICHD)
Research Scientist Development Award - Research & Training (K01)
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Special Emphasis Panel (ZHD1-DSR-M (HB))
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Maholmes, Valerie
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University of Southern California
Schools of Social Work
Los Angeles
United States
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Mennen, Ferol E; Negriff, Sonya; Schneiderman, Janet U et al. (2018) Longitudinal associations of maternal depression and adolescents' depression and behaviors: Moderation by maltreatment and sex. J Fam Psychol 32:240-250
Schneiderman, Janet U; Kennedy, Andrea K; Sayegh, Caitlin S (2017) Qualitative Study of Foster Caregivers' Views on Adherence to Pediatric Appointments. J Pediatr Health Care 31:104-110
Schneiderman, Janet U; Smith, Caitlin; Arnold-Clark, Janet S et al. (2016) Pediatric Return Appointment Adherence for Child Welfare-Involved Children in Los Angeles California. Matern Child Health J 20:477-83
Schneiderman, Janet U; Negriff, Sonya; Trickett, Penelope K (2016) Self-Report of Health Problems and Health Care Use among Maltreated and Comparison Adolescents. Child Youth Serv Rev 61:1-5
Stevens, Kristopher I; Schneiderman, Janet U; Negriff, Sonya et al. (2015) The whole picture: Child maltreatment experiences of youths who were physically abused. Child Abuse Negl 43:30-41
Schneiderman, Janet U; Kools, Susan; Negriff, Sonya et al. (2015) Differences in caregiver-reported health problems and health care use in maltreated adolescents and a comparison group from the same urban environment. Res Nurs Health 38:60-70
Smith, Caitlin; Brinkmann, Andrea; Schneiderman, Janet U (2015) Latino Caregiver Psychosocial Factors and Health Care Services for Children Involved in the Child Welfare System. Child Youth Serv Rev 52:97-102
Negriff, Sonya; Schneiderman, Janet U; Smith, Caitlin et al. (2014) Characterizing the sexual abuse experiences of young adolescents. Child Abuse Negl 38:261-70
Schneiderman, Janet U; Arnold-Clark, Janet S; Smith, Caitlin et al. (2013) Demographic and placement variables associated with overweight and obesity in children in long-term foster care. Matern Child Health J 17:1673-9
Schneiderman, Janet U; Smith, Caitlin; Arnold-Clark, Janet S et al. (2013) Weight changes in children in foster care for 1 year. Child Abuse Negl 37:832-40

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