Demographic, Clinical, and Geographic Predictors of Placement Disruption among Foster Care Youth Receiving Wraparound Services

Weiner, Dana; Leon, Scott C.; Stiehl, Michael J.

doi:10.1007/s10826-011-9469-9

Cited by 21 publications

(6 citation statements)

References 35 publications

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“…This aligns with Cox et al's (2010) and Weiner et al's (2011) findings that natural supports, community resources, and child strengths were influential in leading to positive outcomes for youth in wraparound. Results provide further evidence for the theory that focusing on an individual's strengths is connected to enhanced well-being (Wood et al, 2011), and adds further empirical support for using a strengths-based approach within community-based mental health services (Bruns et al, 2010).…”

Section: Discussionsupporting

confidence: 87%

Section: Individual Protective Factorsmentioning

confidence: 99%

“…Weiner, Leon, and Stiehl (2011) collected information about child protective factors (e.g., positive relationships with family, positive relationships with peers, coping skills) using the Child and Adolescent Needs and Strengths tool (CANS; Lyons, 2009). Results revealed that a higher score for child strengths predicted greater placement stability (Weiner et al, 2011). While a major goal of wraparound services is for youth to maintain stable community placements (Winters & Metz, 2009), it is not clear whether these protective factors were related to improvements in overall functioning to the point where community services were no longer needed.…”

Section: Individual Protective Factorsmentioning

confidence: 99%

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A Dual-Factor Approach to Exploring Wraparound Outcomes in Children with Serious Emotional Disturbance within Community-Based Mental Health Settings

Thomson¹,

Carlson²,

Voris³

et al. 2017

IJPS

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Research has documented positive outcomes for youth who receive wraparound services; however, the specific mechanism for change has not yet been clarified. Data were collected from a sample of 253 youth with Serious Emotional Disturbance (SED) who completed wraparound services as a part of publically-funded community-based mental health services (58% male; 49% Caucasian; mean age 12.25 years). Results indicated that both environmental and individual protective factors increased significantly and risky behaviors, including self-harm and aggressive behaviors, decreased significantly throughout youths' time in wraparound services. Improvements in protective factors and decreases in risk factors were significant predictors of clinically significant mental health improvement at exit from community-based wraparound services. Study findings highlight the utility and importance of a dual-factor approach to mental health assessment when implementing and evaluating wraparound services.

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Section: Discussionsupporting

confidence: 87%

Section: Individual Protective Factorsmentioning

confidence: 99%

Section: Individual Protective Factorsmentioning

confidence: 99%

See 1 more Smart Citation

A Dual-Factor Approach to Exploring Wraparound Outcomes in Children with Serious Emotional Disturbance within Community-Based Mental Health Settings

Thomson¹,

Carlson²,

Voris³

et al. 2017

IJPS

View full text Add to dashboard Cite

show abstract

“…This finding may suggest that caregiver and child services are required concurrently, or that family treatment is a necessary additional component to caregiver service use (Mears et al 2009). These wraparound services, however, may be unavailable to families who live in communities characterized by poverty and adverse conditions (Weiner et al 2011). In particular, in the current study, higher quality, wraparound services may have been inaccessible to the caregivers in the sample, and may partially explain the unexpected exacerbating effect of caregiver service utilization on child externalizing problems.…”

Section: Implications For Practice Policy and Future Researchmentioning

confidence: 73%

Community Adversity and Children’s Mental Health: Moderating Effects of Caregiver Service Utilization and Race on Children’s Internalizing and Externalizing Problems

Briggs

Quinn

Orellana

et al. 2015

Child Adolesc Soc Work J

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This study examined the relationship between community adversity and childhood internalizing and externalizing problems, and whether this relationship is moderated by service utilization and race. The study involved 3225 children ages 2-17, and their caregivers, who participated in the second cohort of the National Survey on Child and Adolescent Well-Being. Bivariate correlation and regression analysis indicate that childhood internalizing problems were correlated with sex and community adversity. Children externalizing problems were correlated with race, sex, service utilization, and community adversity. Childhood internalizing and externalizing problems were highly correlated. Regression analysis reveals a strong relationship between community adversity and childhood externalizing problems. Service utilization was found to significantly and positively moderate the relationship between community adversity and externalizing problems. While a strong correlation between race and childhood externalizing problems exist, race did not moderate the relationship between community adversity and externalizing problems. Internalizing problems were excluded from the regression analysis since it did not correlate with any of the moderator variables. The findings are discussed and the study limitations are examined. Implications for child welfare practice, policy, and research are highlighted.

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“…Proactively providing these children with intensive trauma-related services at the outset of their OOHC episode may reduce the risks of poor service outcomes that are associated with complex traumatization such as placement disruption (Weiner, Leon, & Stiehl, 2011) or psychiatric hospitalizations . Likewise, additional research should focus specifically on the treatment trajectories of this particularly vulnerable subgroup to identify those placement settings wherein these youth are most successful.…”

Section: Trauma Exposure and Trauma-related Symptomsmentioning

confidence: 99%

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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Demographic, Clinical, and Geographic Predictors of Placement Disruption among Foster Care Youth Receiving Wraparound Services

Abstract: The

Cited by 21 publications

References 35 publications

A Dual-Factor Approach to Exploring Wraparound Outcomes in Children with Serious Emotional Disturbance within Community-Based Mental Health Settings

A Dual-Factor Approach to Exploring Wraparound Outcomes in Children with Serious Emotional Disturbance within Community-Based Mental Health Settings

Community Adversity and Children’s Mental Health: Moderating Effects of Caregiver Service Utilization and Race on Children’s Internalizing and Externalizing Problems

Predictors of empirically-supported interventions following structured functional assessment.

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