The present study aims to study the effects of integrating the Early Risers early-age-targeted preventive intervention into a children s mental health system of care. The intervention has been adapted to reflect a client-centered, variable prescriptive approach that is compatible with community implementation (i.e., community-integration model). The Early Risers community integration model will be delivered by a community agency that provides services for child witnesses of intimate partner violence. The targeted population served in this study will be children 4 to 10 years of age who along with their mothers have completed a stay at 1 of 3 agency shelters. Within each of 3 shelters, children will be randomly assigned to the Early Risers preventive intervention or a service-as-usual control condition. The intervention trial will be implemented over a 30-month period. Effectiveness of the intervention will be assessed as the capacity of the Early Risers intervention to positively modify proximal child, parent, and family competencies purported to mediate healthy child adjustment. Additionally, the study also will assess fidelity of implementation and client acceptability. Last, the study will attempt to test a goodness-of-fit model that includes client characteristics that are associated with achieving recommended rates of service utilization and more positive outcomes by levels of service intensity.

Agency
National Institute of Health (NIH)
Institute
National Institute of Mental Health (NIMH)
Type
Research Project (R01)
Project #
5R01MH074610-05
Application #
7688582
Study Section
Services Research Review Committee (SRV)
Program Officer
Goldstein, Amy B
Project Start
2005-09-15
Project End
2011-07-31
Budget Start
2009-08-01
Budget End
2011-07-31
Support Year
5
Fiscal Year
2009
Total Cost
$426,231
Indirect Cost
Name
University of Minnesota Twin Cities
Department
Psychiatry
Type
Schools of Medicine
DUNS #
555917996
City
Minneapolis
State
MN
Country
United States
Zip Code
55455
Utr┼żan, Damir S; Piehler, Timothy F; Gewirtz, Abigail H et al. (2017) Stressful life events and perceived parental control in formerly homeless families: Impact on child-internalizing symptoms. Am J Orthopsychiatry 87:317-325
Gewirtz, Abigail H; DeGarmo, David S; Lee, Susanne et al. (2015) Two-year outcomes of the Early Risers prevention trial with formerly homeless families residing in supportive housing. J Fam Psychol 29:242-52
Piehler, Timothy F; Bloomquist, Michael L; August, Gerald J et al. (2014) Executive functioning as a mediator of conduct problems prevention in children of homeless families residing in temporary supportive housing: a parallel process latent growth modeling approach. J Abnorm Child Psychol 42:681-92
Lee, Susanne S; August, Gerald J; Gewirtz, Abigail H et al. (2010) Identifying unmet mental health needs in children of formerly homeless mothers living in a supportive housing community sector of care. J Abnorm Child Psychol 38:421-32
Gewirtz, Abigail H; DeGarmo, David S; Plowman, Elizabeth J et al. (2009) Parenting, parental mental health, and child functioning in families residing in supportive housing. Am J Orthopsychiatry 79:336-47
Gewirtz, Abigail H; August, Gerald J (2008) Incorporating multifaceted mental health prevention services in community sectors-of-care. Clin Child Fam Psychol Rev 11:1-11