Depressive symptoms and self-harm among youngsters referred to child welfare: The role of trust in caregiver support and communication

Santens, Tara; Claes, Laurence; Diamond, Guy; Bosmans, Guy

doi:10.1016/j.chiabu.2018.01.001

Cited by 16 publications

(19 citation statements)

References 52 publications

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“…Although for the majority of the young adult population, attachment figures relate to biological parents, any primary caregiver can become an attachment figure (Ainsworth, Blehar, Waters, & Wall, ). Especially in the group of young persons with psychiatric problems, it has been observed that they are more inclined to develop other attachment relationships (Santens, Claes, Diamond, & Bosmans, ). Therefore, henceforward we will not refer to young adults' relationships with parents but with primary caregivers.…”

Section: Young Adulthood: a Challenging Transitional Periodmentioning

confidence: 99%

“…Although these young adults share a desire for connectedness with their caregivers, many of them experienced severe relational disruptions with their caregivers throughout the development of their psychopathology. This is especially the case for young persons growing up in the context of the child welfare system, but also for those referred to long‐term residential mental health care facilities (Santens et al., ). Any such ruptures in the relationship between the young adults and their caregivers severely damages their longing for closeness which is what they need so direly in order to regain good mental health.…”

Section: Young Adulthood: a Challenging Transitional Periodmentioning

confidence: 99%

“…These are professional caregivers with whom children develop short‐term relationships but that can become a source for support by providing sensitive and responsive care. Such ad hoc attachment figures, like teachers, can buffer against the maladaptive effects of disordered attachment relationships with primary caregivers (Santens et al., ; Verschueren, ). As a result, the entire staff, ranging from the nurses to the therapists, started to use a common communicative style based on techniques utilised in ABFT with patients that keeps conversations safe enough to explore underlying issues and to promote new behaviours.…”

Section: Incorporating the Basic Attitudes Of Abft Into The Staff's Dmentioning

confidence: 99%

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Attachment‐Based Family Therapy in a Psychiatric Inpatient Unit for Young Adults

Devacht¹,

Bosmans

Dewulf³

et al. 2019

ANZ J of Family Therapy

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This paper describes the implementation of an evidence‐based family therapy program in an inpatient young adult psychiatric unit. This unit was initially organised on a cognitive behaviour therapy framework but this did not sufficiently meet the young adults’ developmental demands. The unit leadership team decided to implement attachment‐based family therapy (ABFT). This is an outpatient family therapeutic program that aims to restore ruptures in the relationships between youngsters and their primary caregiving environment. To implement ABFT, the unit staff (1) adjusted the family therapeutic model to fit the young adults’ developmental needs, and (2) adjusted the treatment milieu of the unit to support the family therapeutic sessions. In this contribution we present a descriptive evaluation of the first 3 years of experience in adjusting ABFT to meet hospitalised young adults’ needs in mental health care and in the transition of the unit into an attachment‐based family‐focused treatment milieu.

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Section: Young Adulthood: a Challenging Transitional Periodmentioning

confidence: 99%

Section: Young Adulthood: a Challenging Transitional Periodmentioning

confidence: 99%

Section: Incorporating the Basic Attitudes Of Abft Into The Staff's Dmentioning

confidence: 99%

See 1 more Smart Citation

Attachment‐Based Family Therapy in a Psychiatric Inpatient Unit for Young Adults

Devacht¹,

Bosmans

Dewulf³

et al. 2019

ANZ J of Family Therapy

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“…The current study follows up on the open trial outcome results, investigating the perceived barriers and facilitators to ABFT implementation. Insight into barriers and facilitators may help future attempts to expand ABFT to other CWS programs (Patton, 1987). To guide this research, we used the Consolidated Framework for Implementation Research (CFIR; Damschroder et al, 2009).…”

mentioning

confidence: 99%

“…Many of the youngsters have complex comorbid psychiatric problems including trauma, substance use, and conduct disorder. These problems mask the fact that a substantial part of this group struggles with severe internalizing mental health distress (Santens, Claes, Diamond, & Bosmans, 2018). Many of the parents also struggle with psychiatric distress.…”

mentioning

confidence: 99%

Barriers and Facilitators to Implementing Attachment‐based Family Therapy into a Child Welfare Setting: A Qualitative Process Evaluation

et al. 2019

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Child welfare systems (CWSs) worldwide show increased interest in adopting empirically informed clinical strategies to increase treatment effectiveness. Many empirically supported treatments (ESTs) exist, but little is known about EST implementation barriers and facilitators in CWS. This study explored CWS providers' experiences of implementing attachment-based family therapy (ABFT) in home-based services of the Flemish CWS (in Belgium). Sixteen CWS providers (twelve counselors and four supervisors) involved in three home-based services were interviewed. The Consolidated Framework for Implementation Research (CFIR) was used to guide collection, coding, and analysis of interview data. Findings revealed that implementation success was related to ABFT's fit with the CWS's mission, philosophy, and existing practices. CWS providers' belief in the compatibility between ABFT and CWS increased investment in implementation efforts and persistence to overcome challenges and setbacks. Some barriers pertained to the learning of ABFT and some barriers pertained to systems level challenges such as lack of leadership and support, poor coordination with referral sources and other youth care partners, and lack of policy support. For successful expansion of ESTs into CWS settings, various barriers at multiple systemic levels need to be addressed.

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Latinx adolescents' trust in adults: A precursor to psychological well‐being via mentoring relational quality and self‐esteem

O’Donnell

Sánchez

Grant

2021

Journal Community Psychology

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This study aimed to test a longitudinal model of trust in adults and psychological well‐being among Latinx adolescents, a population that has received little attention in the trust literature. The participants were urban, low‐income Latinx (N = 294) students at two urban, Midwestern high schools who indicated they had at least one natural mentor in 9th grade. Participants completed surveys at two‐time points, in 9th and 10th grade, and responded to measures of their feelings toward adults, quality of their natural mentoring relationships, self‐esteem, intrinsic academic motivation, and coping self‐efficacy. More trust in adults was indirectly, but not directly, associated with higher coping self‐efficacy via higher mentoring relational quality and self‐esteem. Positive expectations of adults may open Latinx youth to closeness in natural mentoring relationships and positive self‐perceptions, which may, in turn, bolster coping ability.

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Depressive symptoms and self-harm among youngsters referred to child welfare: The role of trust in caregiver support and communication

Cited by 16 publications

References 52 publications

Attachment‐Based Family Therapy in a Psychiatric Inpatient Unit for Young Adults

Attachment‐Based Family Therapy in a Psychiatric Inpatient Unit for Young Adults

Barriers and Facilitators to Implementing Attachment‐based Family Therapy into a Child Welfare Setting: A Qualitative Process Evaluation

Latinx adolescents' trust in adults: A precursor to psychological well‐being via mentoring relational quality and self‐esteem

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