REDUCING BEHAVIORAL HEALTH DISPARITIES FOR BLACK YOUTH

NICHD
ID: 2R44HD049938-02
PI: MELISSA DEROSIER, PHD
TERM: 04/08 – 03/11

Black children and families possess extensive social, behavioral, and emotional strengths, yet Black youth are disproportionately at risk for developing social, emotional, and behavioral difficulties. Few culturally-sensitive, evidence-based intervention programs exist to address social, behavioral, and emotional concerns specific to Black youth. This phenomenon creates a barrier to Blacks’ access and use of psychosocial services. Intervention programs that promote interactions with peers and improve engagement in treatment (i.e., recruitment, retention, participation, and satisfaction) are needed. These qualities, as well as an intense focus on developing skills in a sociocultural context, might assist Black children in developing effective and adaptive coping strategies. In turn, developing these strengths may buffer Black children against poor psychosocial adjustment.

Celebrating the Strengths of Black Youth (CSBY) is a small group intervention program designed to reinforce Black children’s existing strengths and to assist them in developing new strengths, including positive cultural attitudes. Once completed, the program will include a 10-session curriculum that includes scripted sessions focusing on social, behavioral and emotional concerns specific to Black youth. The program also includes multi-media components (e.g., audio stories, interactive computer resources) and family resources designed to engage caregivers in the program. Overall, the completed CSBY product is expected to build appropriate behavioral, emotional, and social skills and build up appropriate cultural attitudes.

Through Phase I development work, a prototype of the CSBY program was developed and tested with two groups of potential users: mental health professionals and children along with their primary caregivers. Five sessions of the curriculum were reviewed by mental health professionals from school and community settings and they responded with high endorsement. Children and their caregivers also reviewed components and children participated in selected activities. Feedback from all of these participants was instrumental in the continued development of CSBY.

The current Phase II project builds on Phase I findings as well as input from the project Advisory Board to complete development of this innovative, much needed resource for Black children. Once finalized, an efficacy trial will be conducted to empirically test the program through a randomized treatment-waitlist control trial. The trial will be conducted in community-based settings using community members as group leaders. As part of the trial, the program’s efficacy for enhancing children’s social and behavioral functioning will be evaluated along with an evaluation of the program evaluation by participating families.

CSBY is now available for purchase. To learn more or to purchase CSBY, visit 3C Marketplace.

DEB CHILDRESS, PHD

Chief of Research and Learning Content

BIOGRAPHY

Dr. Childress obtained her PhD in psychology at the University of North Carolina at Chapel Hill. Prior to coming to 3C Institute, she served as a research associate and a postdoctoral fellow in the Carolina Institute for Developmental Disabilities at the University of North Carolina at Chapel Hill working on a longitudinal imaging study aimed at identifying the early markers of autism through behavioral and imaging methodologies. She has 19 years of autism research experience, during which she has examined the behavioral, personality, and cognitive characteristics of individuals with autism and their family members. Dr. Childress also has experience developing behavioral and parent report measurement tools, coordinating multi-site research studies, and collecting data from children and families. She has taught courses and seminars in general child development, autism, and cognitive development at the University of North Carolina at Chapel Hill.

Expertise

  • autism
  • early development
  • behavioral measurement
  • integrating behavioral and biological measurement

Education

  • Postdoctoral fellowship, Carolina Institute for Developmental Disabilities (Institutional NRSA-NICHD), University of North Carolina at Chapel Hill
  • PhD, developmental psychology, University of North Carolina at Chapel Hill
  • BS, psychology (minor in sociology), University of Iowa

Selected Publications

  • Elison, J. T., Wolff, J. J., Heimer, D. C., Paterson, S. J., Gu, H., Hazlett, H. C., Styner, M, Gerig, G., & Piven, J. (in press). Frontolimbic neural circuitry at 6 months predicts individual differences in joint attention at 9 months. Developmental Science.
  • Wassink, T. H., Vieland, V. J., Sheffield, V. C., Bartlett, C. W., Goedken, R., Childress, D. & Piven, J. (2008). Posterior probability of linkage analysis of autism dataset identifies linkage to chromosome 16. Psychiatric Genetics,18(2),85-91.
  • Losh, M., Childress, D., Lam K. & Piven, J. (2008). Defining key features of the broad autism phenotype: A comparison across parents of multiple- and single-incidence autism families. American Journal of Medical Genetics (Neuropsychiatric Genetics), 147B(4):424-33.
  • Wassink, T. H., Piven, J., Vieland, V. J., Jenkins, L., Frantz R., Bartlett, C. W., Goedken, R., … Sheffield, V.C. (2005). Evaluation of the chromosome 2q37.3 gene CENTG2 as an autism susceptibility gene. American Journal of Medical Genetics (Neuropsychiatric Genetics), 136, 36-44.
  • Barrett, S., Beck, J., Bernier, R., Bisson, E., Braun, T., Casavant, T., Childress, D., … Vieland, V. (1999). An autosomal genomic screen for autism. American Journal of Medical Genetics (Neuropsychiatric Genetics), 88, 609-615. doi: 10.1002/(SICI)1096-8628(19991215)88:63.0.CO;2-L
  • Piven, J., Palmer, P., Landa, R., Santangelo, S., Jacobi, D. & Childress, D. (1997). Personality and language characteristics in parents from multiple-incidence autism families. American Journal of Medical Genetics (Neuropsychiatric Genetics), 74, 398-411.
  • Piven, J., Palmer, P., Jacobi, D., Childress, D. & Arndt, S. (1997). Broader autism phenotype: Evidence from a family history study of multiple-incidence autism families. American Journal of Psychiatry, 154, 185-190.