Child wellbeing assessment in child welfare: A review of four measures

Rosanbalm, Katie; Snyder, Elizabeth Hodges; Lawrence, Constance; Coleman, Kanisha; Frey, Joseph; Ende, Johanna B. van den; Dodge, Kenneth A.

doi:10.1016/j.childyouth.2016.06.023

Cited by 27 publications

(27 citation statements)

References 89 publications

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“…It seems important to also get the ratings from the young people themselves. CBCL is recommended as an instrument to determine foster children's clinical problems, but not YSR (the self-ratings) (Luke et al, 2014;Rosanbalm et al, 2016). We think the young person's own ratings of their well-being should be given great importance.…”

Section: Discussionmentioning

confidence: 99%

Effects of Mentalization-based Interventions on Mental Health of Youths in Foster Care

Åkerman

Holmqvist

Frostell

et al. 2020

Child Care in Practice

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Knowledge about the development of mental health in young people in foster care is limited. This naturalistic study examined the effects of a relational and mentalization-focused treatment in foster families in Sweden on the placed young people's mental health. The Achenbach System of Empirically Based Assessment (ASEBA) was used to measure change in psychiatric symptoms. Self-ratings showed significant improvements and medium to strong effects after 24 months in both boys and girls. No significant changes were found in the foster parents' ratings or in the school staff's ratings. Foster parents' ratings suggested that girls' behavioral problems decreased, but not the boys'. Based on these findings, we want to emphasize the importance of evaluating treatment effects using self-ratings by the young people in addition to parents' and parent substitutes' ratings.

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Section: Discussionmentioning

confidence: 99%

Effects of Mentalization-based Interventions on Mental Health of Youths in Foster Care

Åkerman

Holmqvist

Frostell

et al. 2020

Child Care in Practice

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“…The CANS has demonstrated an adequate degree of concurrent validity with the Child and Adolescent Functional Assessment Scale (CAFAS; Dilley, Weiner, Lyons, & Martinovich, 2007). Studies conducting factor analyses using the CANS have produced a similar three-factor solution (caregiver problems, internalizing behaviors, externalizing behaviors) suggesting a consistent underlying structure and some degree of construct validity (Rosanbalm et al, 2016). As discussed in greater depth in the literature review section, the predictive validity of the CANS has also been supported by a number of peerreviewed studies (e.g., Kisiel et al, 2009;Yampolskaya, Armstrong, & Vargo, 2007).…”

Section: Child and Adolescent Needs And Strengths Assessmentmentioning

confidence: 80%

“…In the child welfare practice environment, an accurate and comprehensive assessment is critical for the identification of a child's existing strengths and treatment needs (Rosanbalm et al, 2016). After years of being "overlooked and understudied," structured assessments are increasingly being recognized as an essential component in the treatment of children in out of home care (Igelman et al, 2007, p. 17).…”

Section: Importance Of the Present Studymentioning

confidence: 99%

“…The CANS is widely used throughout the United States across a broad range of service settings, including extensive use in child welfare systems (Rosanbalm et al, 2016). Service systems adopting the CANS instrument frequently develop versions tailored to fit their specific informational and cultural needs (Praed Foundation, 2015).…”

Section: Child and Adolescent Needs And Strengths Assessmentmentioning

confidence: 99%

“…2. What do CANS domain scores and item responses indicate about the treatment needs of the Project SAFESPACE population?Because of its roots in communimetric theory, the CANS is not intended for norm-based decision making and normative data are not available(Rosanbalm et al, 2016). However, a closer examination of CANS responses can provide valuable descriptive information about the study's sample and the Project Mean scores across the four predictor variable scales will be examined by age, gender, and race.…”

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Predictors of empirically-supported interventions following structured functional assessment.

Verbist¹

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attention. Project SAFESPACE has recently initiated screening and assessment for all children entering out of home care in Kentucky with the goal of providing assessment-driven, evidence-based treatment. The Child and Adolescent Needs and Strengths (CANS) assessment-the instrument adopted in this service system-is designed to link the assessment process with the selection of appropriate interventions. Informed by naturalistic decision making, this dissertation sought to investigate the relationship between responses on the CANS assessment and the empirically supported interventions subsequently prescribed by the assessing clinician. Using secondary data maintained in the statewide automated child welfare information system, a number of descriptive analyses were conducted in order to better understand this redesigned service system including the frequency of specific treatment prescriptions at the case, clinician, and agency levels as well as population-level CANS findings. Building upon these initial inquiries, four multilevel logistic models were developed to examine the relationship between assessment-derived predictors and the v prescribed treatment modality along four dimensions: trauma exposure, emotional/behavioral problems, family functioning, and substance use. Descriptive findings reveal an out of home care population with prevalent traumarelated symptoms and extensive emotional/behavioral needs. Considerable variation was observed in the treatment prescription patterns of assessing clinicians. Likewise, there is variation in the degree to which assessment findings align with prescribed treatment modalities. Findings suggest that assessment-derived information may be an important consideration in the prescription of a trauma-focused treatment and a minor, but still possibly salient, factor in treatment decision making related to emotional/behavioral needs and substance use. There appears to be no meaningful relationship between assessment responses and recommendations for family-focused treatment. As interpreted through the lens of naturalistic decision making, the results suggest that while assessment responses may one source of information utilized by clinicians in the field when making treatment decisions, there is likely a differential degree of influence depending on the specific dimension of treatment. Findings provide a foundation for future research into the situation-action matching decision rules employed

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Trauma is only part of the story: Strengths moderate the relationship between trauma and needs for older youth in foster care

Spinelli

Bruckner

Jordan

et al. 2023

Journal of Adolescence

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IntroductionMany youth in foster care endure traumatic experiences (TE) that can lead to lasting negative outcomes. However, the identification of strengths may mitigate the impact of TE.MethodsThis study examines the frequency and distribution of identified strengths; whether strengths moderate the association between TE and various outcomes; and whether certain strengths have a larger moderation effect on the association between TE and life domain functioning. Administrative and clinical data, including the Child and Adolescent Needs and Strengths (CANS) assessment, were examined for 3324 transition age youth and emerging adults in out‐of‐home foster care in the United States. Participants were males and females between 14.5 and 21 years old. Pearson's chi‐square tests of association were conducted to determine whether identification of strengths varied significantly by sex or race/ethnicity. Negative binomial regressions were used to determine whether strengths modified the association between TE and needs domains.ResultsOf 11 measured strengths, 56% of youth had 7 or more strengths identified as centerpiece strengths, and 20% had all 11. No significant differences in identification of strengths were found across sex or race/ethnicity. All strengths significantly moderated the association of TE and outcomes across CANS domains tested. While cumulative strengths had the largest overall moderation effects, identification of education setting, coping and savoring skills, and interpersonal strengths as centerpiece strengths had the largest moderation effect among specific strengths.ConclusionsFindings suggest assessing, identifying, and bolstering strengths may help to promote well‐being after trauma exposure.

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Child wellbeing assessment in child welfare: A review of four measures

Cited by 27 publications

References 89 publications

Effects of Mentalization-based Interventions on Mental Health of Youths in Foster Care

Effects of Mentalization-based Interventions on Mental Health of Youths in Foster Care

Predictors of empirically-supported interventions following structured functional assessment.

Trauma is only part of the story: Strengths moderate the relationship between trauma and needs for older youth in foster care

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