投资于监护祖父母:社会智力项目的成本分析。

IF 3 2区 医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
Prevention Science Pub Date : 2024-12-01 Epub Date: 2024-12-13 DOI:10.1007/s11121-024-01745-z
D Max Crowley, Ashley M Tate, Yoon Sun Hur, Saul Castro, Carol M Musil, Megan L Dolbin-MacNab, Patrick O'Neill, Frank J Infurna, Gregory Smith
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引用次数: 0

摘要

不断上涨的儿童福利费用和不让孩子进入社会体系的愿望鼓励了亲属照料的使用——在这种照料方式中,祖父母占了大多数。不幸的是,监护祖父母报告更需要社会和情感支持来成功地照顾他们的孙子。然而,为这些家庭提供预防性社会情感支持所需的资源是未知的。在《家庭第一法案》和其他扩大预防服务的政策行动之后,我们在美国48个州的随机对照试验中对社会智力训练(SIT)进行了成本分析。估计实施成本为90,638美元(CI $45,254-186,998),相当于每位参与者255美元(CI $127-526)。这种双代在线方法提供了重要的经验教训,不仅是如何为被监护的祖父母提供社会情感学习(SEL)预防资源,而且还揭示了我们如何为这一人群提供普遍支持。儿童福利系统的成本已经上升到每年超过330亿美元,其中近一半的支出是家庭外安置的结果(Rosinsky等人,2021年)2018年度儿童福利融资:联邦、州和地方支出的调查。https://www.childtrends.org/wp-content/uploads/2021/05/ChildWelfareFinancing_ChildTrends_March2021.pdf)。从业人员、政策制定者和儿童权益倡导者正在寻求解决方案,以更好地保护儿童,并管理这些不断增长的公共成本(Ringel等人,2018)。改善儿童福利成果:平衡预防和治疗方面的投资。兰德健康季度,7(4))。此外,当父母无法照顾他们的后代时,许多大家庭寻求将孩子排除在“系统”之外的方法(林,儿童与青年服务评论93:203-216,2018)。所有这些群体使用的一种策略是使用亲属照料安排,大家庭提供正式或非正式的儿童照料。亲属关怀有几个重要的好处,包括提供与家庭成员、社区和文化的联系。然而,人们对社会情感支持如何加强亲属关系安排知之甚少,迄今为止,还没有研究系统地评估这种支持的成本。在这种情况下,我们对这样一个被称为社会智力训练的项目进行成本分析。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Investing in Custodial Grandparents: Cost Analysis of the Social Intelligence Program.

Rising child welfare costs and a desire to keep kids out of the system have encouraged the use of kinship care-of which custodial grandparents make up the majority of caregivers. Unfortunately, custodial grandparents report greater needs for social and emotional support to successfully care for their grandchildren. Yet, the resources required to provide preventive social-emotional support to these families are unknown. In the wake of the Family First Act and other policy actions to expand preventive services, we undertake a cost analysis of the social intelligence training (SIT) within a randomized controlled trial spanning 48 states of the United States of America. Estimated implementation costs were $90,638 (CI $45,254-186,998) which equated to $255 (CI $127-526) per participant. This dual-generation online approach offers key lessons into not only how to resource social-emotional learning (SEL) prevention for custodial grandparents-but also sheds light on how we might provide universal supports to this population. Child welfare system costs have risen to over $33 billion dollars a year-with nearly half of all spending being the result of out-of-home placement (Rosinsky et al., 2021) Child Welfare Financing SFY 2018: A survey of federal, state, and local expenditures. https://www.childtrends.org/wp-content/uploads/2021/05/ChildWelfareFinancing_ChildTrends_March2021.pdf ). Practitioners, policymakers, and child advocates are seeking solutions for how to both better protect children and manage these growing public costs (Ringel et al., 2018). Improving child welfare outcomes: Balancing investments in prevention and treatment. Rand health quarterly, 7(4)). Further, many extended families seek ways to keep children out of the "system" when parents are unable to care for their offspring (Lin, Children and Youth Services Review 93:203-216, 2018). A strategy used by all of these groups is the use of kinship care arrangements where extended family provides formal or informal care of children. Several important benefits are recognized from kinship care, including providing connections to family members, communities, and culture. Yet, little is known about how social-emotional supports could enhance kinship arrangements, and to date, no studies have systematically evaluated the costs of such supports. In this context, we conduct a cost analysis of such a program-known as social intelligence training.

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来源期刊
Prevention Science
Prevention Science PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-
CiteScore
6.50
自引率
11.40%
发文量
128
期刊介绍: Prevention Science is the official publication of the Society for Prevention Research. The Journal serves as an interdisciplinary forum designed to disseminate new developments in the theory, research and practice of prevention. Prevention sciences encompassing etiology, epidemiology and intervention are represented through peer-reviewed original research articles on a variety of health and social problems, including but not limited to substance abuse, mental health, HIV/AIDS, violence, accidents, teenage pregnancy, suicide, delinquency, STD''s, obesity, diet/nutrition, exercise, and chronic illness. The journal also publishes literature reviews, theoretical articles, meta-analyses, systematic reviews, brief reports, replication studies, and papers concerning new developments in methodology.
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