Group Work for Foster Carers Caring for Children with Complex Problems

Golding, Kim; Picken, Wendy

doi:10.1177/030857590402800105

Cited by 42 publications

(74 citation statements)

References 17 publications

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“…However, as indicated above, almost half of the original sample did not complete treatment. Foster parents receiving the IY parent training intervention were more satisfied than those having the Fostering Attachments intervention in the study by Golding and Picken, 511 with 84% saying that they found the programme to be very helpful, compared with 60% in the fostering attachment group. Only half of each intervention group stated that they had some increase in their understanding and confidence.…”

Section: Caregivers' Viewsmentioning

confidence: 90%

“…The remainder were in Canada (four studies 170,[658][659][660][661] ), the UK (14 studies 145,169,481,511,538,[662][663][664][665][666][667][668][669][670] ) and elsewhere in Europe: the Netherlands (three studies 497,671,672 ), Norway (three studies [673][674][675] ) and Sweden (one study 676 ), with one multisite review of services 145,146,640,[665][666][667][668][669][670] across Italy, the Netherlands and the UK. A small number of studies were based outside North America and Europe: Australia (two studies 506,677 ), Brazil (one study 678 ), India (one study 679 ) and the Philippines (one study 680 ).…”

Section: Description Of Included Acceptability Studiesmentioning

confidence: 99%

“…621,629 ) to a large national sample of n = 1085. 634 The majority of sample sizes were < 50 cases (40 studies 169,175,497,504,506,510,511,526,533,538,621,629,[636][637][638][639][641][642][643]645,646,648,651,652,658,[661][662][663]665,666,[668][669][670]675,677,678,680 ), between 50 and 100 cases (15 studies 107,170,176,481,482,492,505,644,647,…”

Section: Description Of Included Acceptability Studiesmentioning

confidence: 99%

“…All three 510,511,635 studies used a parent satisfaction questionnaire, which we have used as an indicator of acceptability. The views of children were not reported in any of the studies.…”

Section: Acceptabilitymentioning

confidence: 99%

“…Group facilitator feedback was described by Golding and Picken 511 Facilitators stated that attendance had been good, with a high degree of participation. They emphasised the importance of trainers having a sound understanding of the needs of looked-after children.…”

Section: Staff Viewsmentioning

confidence: 99%

See 4 more Smart Citations

The effectiveness, acceptability and cost-effectiveness of psychosocial interventions for maltreated children and adolescents: an evidence synthesis

Macdonald

Livingstone

Hanratty

et al. 2016

Health Technol Assess

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BackgroundChild maltreatment is a substantial social problem that affects large numbers of children and young people in the UK, resulting in a range of significant short- and long-term psychosocial problems.ObjectivesTo synthesise evidence of the effectiveness, cost-effectiveness and acceptability of interventions addressing the adverse consequences of child maltreatment.Study designFor effectiveness, we included any controlled study. Other study designs were considered for economic decision modelling. For acceptability, we included any study that asked participants for their views.ParticipantsChildren and young people up to 24 years 11 months, who had experienced maltreatment before the age of 17 years 11 months.InterventionsAny psychosocial intervention provided in any setting aiming to address the consequences of maltreatment.Main outcome measuresPsychological distress [particularly post-traumatic stress disorder (PTSD), depression and anxiety, and self-harm], behaviour, social functioning, quality of life and acceptability.MethodsYoung Persons and Professional Advisory Groups guided the project, which was conducted in accordance with Cochrane Collaboration and NHS Centre for Reviews and Dissemination guidance. Departures from the published protocol were recorded and explained. Meta-analyses and cost-effectiveness analyses of available data were undertaken where possible.ResultsWe identified 198 effectiveness studies (including 62 randomised trials); six economic evaluations (five using trial data and one decision-analytic model); and 73 studies investigating treatment acceptability. Pooled data on cognitive–behavioural therapy (CBT) for sexual abuse suggested post-treatment reductions in PTSD [standardised mean difference (SMD) –0.44 (95% CI –4.43 to –1.53)], depression [mean difference –2.83 (95% CI –4.53 to –1.13)] and anxiety [SMD –0.23 (95% CI –0.03 to –0.42)]. No differences were observed for post-treatment sexualised behaviour, externalising behaviour, behaviour management skills of parents, or parental support to the child. Findings from attachment-focused interventions suggested improvements in secure attachment [odds ratio 0.14 (95% CI 0.03 to 0.70)] and reductions in disorganised behaviour [SMD 0.23 (95% CI 0.13 to 0.42)], but no differences in avoidant attachment or externalising behaviour. Few studies addressed the role of caregivers, or the impact of the therapist–child relationship. Economic evaluations suffered methodological limitations and provided conflicting results. As a result, decision-analytic modelling was not possible, but cost-effectiveness analysis using effectiveness data from meta-analyses was undertaken for the most promising intervention: CBT for sexual abuse. Analyses of the cost-effectiveness of CBT were limited by the lack of cost data beyond the cost of CBT itself.ConclusionsIt is not possible to draw firm conclusions about which interventions are effective for children with different maltreatment profiles, which are of no benefit or are harmful, and which factors encourage people to seek therapy, accept the offer of therapy and actively engage with therapy. Little is known about the cost-effectiveness of alternative interventions.LimitationsStudies were largely conducted outside the UK. The heterogeneity of outcomes and measures seriously impacted on the ability to conduct meta-analyses.Future workStudies are needed that assess the effectiveness of interventions within a UK context, which address the wider effects of maltreatment, as well as specific clinical outcomes.Study registrationThis study is registered as PROSPERO CRD42013003889.FundingThe National Institute for Health Research Health Technology Assessment programme.

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Section: Caregivers' Viewsmentioning

confidence: 90%

Section: Description Of Included Acceptability Studiesmentioning

confidence: 99%

Section: Description Of Included Acceptability Studiesmentioning

confidence: 99%

“…All three 510,511,635 studies used a parent satisfaction questionnaire, which we have used as an indicator of acceptability. The views of children were not reported in any of the studies.…”

Section: Acceptabilitymentioning

confidence: 99%

Section: Staff Viewsmentioning

confidence: 99%

See 3 more Smart Citations

The effectiveness, acceptability and cost-effectiveness of psychosocial interventions for maltreated children and adolescents: an evidence synthesis

Macdonald

Livingstone

Hanratty

et al. 2016

Health Technol Assess

View full text Add to dashboard Cite

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Attachment Interventions with Foster and Adoptive Parents: A Systematic Review

Kerr

Cossar

2014

Child Abuse Review

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Children who have been adopted or fostered are at high risk of experiencing interpersonal difficulties and placement breakdown may occur if these difficulties are not addressed through interventions. The aim of this review was to identify the impact of attachment interventions with foster and adoptive parents on children's behavioural, emotional and relational functioning. A systematic search process was undertaken; electronic databases were searched; key journals were hand searched; reference lists of included articles were searched; and authors who have published work in the field were contacted. Ten studies met the inclusion criteria. There is some evidence to support the positive impact of these interventions for children, particularly young children aged six months to six years. However, overall, the studies were of relatively poor methodological quality, making conclusions about the efficacy of these interventions difficult. Further research is therefore required to draw clearer conclusions about the impact of attachment interventions for fostered and adopted children. Copyright © 2014 John Wiley & Sons, Ltd. KEY PRACTITIONER MESSAGES:• A number of the reviewed studies reported positive outcomes in child behavioural functioning and to a lesser degree in emotional and relational functioning following intervention.• Interventions focused on constructs such as parental sensitivity, attunement to the child and the impact of abuse and neglect on attachment to new caregivers.• When quality criteria were applied, two studies focused on children aged six months to six years were found to be methodologically strong, providing some evidence for the benefit of early attachment-based interventions within this population.

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Development of an Intervention for Foster Parents of Young Foster Children with Externalizing Behavior: Theoretical Basis and Program Description

Vanschoonlandt

Vanderfaeillie

Holen

et al. 2012

Clin Child Fam Psychol Rev

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Foster parents are often faced with serious externalizing behaviors of their foster child. These behavioral problems may induce family stress and are related to less effective parenting and often increase. Foster children with behavioral problems are also more at risk of placement breakdown. An intervention to support foster parents of young foster children with externalizing behaviors is necessary to improve the effectiveness of foster placements. Based on research on effective parenting interventions and special needs of foster children, a treatment protocol was developed. This paper describes theoretical foundations for the content and form of the intervention and gives an overview of the modular treatment protocol. Preliminary outcomes of this intervention as well as challenges and future developments and research activities are discussed.

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Group Work for Foster Carers Caring for Children with Complex Problems

Cited by 42 publications

References 17 publications

The effectiveness, acceptability and cost-effectiveness of psychosocial interventions for maltreated children and adolescents: an evidence synthesis

The effectiveness, acceptability and cost-effectiveness of psychosocial interventions for maltreated children and adolescents: an evidence synthesis

Attachment Interventions with Foster and Adoptive Parents: A Systematic Review

Development of an Intervention for Foster Parents of Young Foster Children with Externalizing Behavior: Theoretical Basis and Program Description

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