Improving Adjustment Outcomes For Foster Children With Emotional And Behavioral Disorders

Clark, Hewitt B.; Prange, Mark E.; Lee, Barbara; Boyd, Laura; McDonald, Beth A.; Stewart, Elizabeth

doi:10.1177/106342669400200403

Cited by 90 publications

(110 citation statements)

References 13 publications

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“…In two cases there was initial disagreement between the authors but these were resolved through discussion (in relation to Prange, 1994 andEvans et al, 1994; see Figure 1). Data were independently extracted by the authors and recorded on proforma data extraction sheets (available from the authors).…”

Section: Coding Proceduresmentioning

confidence: 97%

Treatment Foster Care for Improving Outcomes in Children and Young People: A Systematic Review

Turner

Macdonald

2011

Research on Social Work Practice

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Objective: To assess the impact of treatment foster care (TFC) on psychosocial and behavioral outcomes, delinquency, placement stability, and discharge status for children and adolescents who, for reasons of severe medical, social, psychological and behavioural problems, were placed in out-of-home care in restrictive settings or at risk of placement in such settings. Method: Electronic bibliographic databases, web searches, and article reference lists were used to identify randomized controlled trials (RCTs) investigating the effectiveness of TFC with children and young people. The Cochrane Collaboration's criteria were used to assess the methodological quality of studies that met the inclusion criteria. Wherever possible, extracted outcome data from similar studies were synthesized with random effects meta-analyses. Results: A total of 5 studies including 390 participants were included in this review. Data suggest that TFC may be a useful intervention for children and young people with complex emotional, psychological, and behavioural need, who are at risk of placements in nonfamily settings that restrict their liberty and opportunities for social inclusion. Conclusion: Although the inclusion criteria for this systematic review set a study design threshold higher than that of previous reviews, the findings mirror those of earlier reviews. While the results of individual studies generally indicate that TFC is a promising intervention for children and youth experiencing mental health problems, behavioral problems, or problems of delinquency, the evidence base is not robust and more research is needed due to the limited number of studies in this area.

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Section: Coding Proceduresmentioning

confidence: 97%

Treatment Foster Care for Improving Outcomes in Children and Young People: A Systematic Review

Turner

Macdonald

2011

Research on Social Work Practice

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“…The full Rast et al study (2008) (2001) estimation methods assuming p = .05 for significant outcomes and ES = 0.00 for nonsignificant outcomes submitted for publication, and preliminary findings were included in two paper presentations ) and the published policy paper on wraparound . Earlier reports of Clark and his colleagues' study (1998) were initially made available in two journal articles (Clark et al 1996;Clark and Prange 1994) and a conference presentation (Clark et al 1997), before the final book chapter was published with outcomes based on the longest follow-up. As mentioned previously, Evans and Bickman produced federal reports (Bickman 2002;Evans et al 1998a) expanding on their published studies (Bickman et al 2003;Evans et al 1998b).…”

Section: Publication Sourcementioning

confidence: 99%

Effectiveness of the Wraparound Process for Children with Emotional and Behavioral Disorders: A Meta-Analysis

Suter

Bruns

2009

Clin Child Fam Psychol Rev

144

129

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Wraparound is a team-based service planning and coordination process intended to improve outcomes for children and youth with serious emotional and behavioral disorders and support them in their homes, schools, and communities. Given the substantial resources devoted to implementing wraparound, a meta-analysis of outcome studies was conducted to better understand current empirical support for this process. A literature search identified seven studies between 1986 and 2008 that documented the effects of youth receiving wraparound compared to control groups. Mean treatment effects across outcome domains ranged from medium for youth living situation (0.44) to small for mental health outcomes (0.31), overall youth functioning (0.25), school functioning (0.27), and juvenile justice-related outcomes (0.21). The overall mean effect size across studies was 0.33. Interpretation of results was complicated by the lack of consistent documentation of implementation fidelity across studies and conditions, variations in target population and intended outcomes, and methodological concerns. The authors conclude that, though the published wraparound research base is expanding and findings are largely positive, it continues to be in a preliminary state of development. However, there are insufficient data to support calls for wraparound's acceptance or dismissal based on the strength of existing studies.

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“…22,23 Mental health problems among children in outof-home care are similarly pervasive, having been detected in 48 to 80% of these children, compared with the 10% community-based rate 24 ; these problems include high rates of comorbidity (up to 50%) with other psychological disturbances. [25][26][27][28][29][30][31] Research suggests that there are worse child welfare outcomes for children with health or developmental problems. 18,32 Although evidence pointing to serious and complex health-related needs among children in nonrelative foster care is extensive, limited information exists regarding the health status of children who are placed in other care settings, i.e., returned to the care of biological parents or placed in kinship care with extended family members.…”

Section: Index Termsmentioning

confidence: 99%

The Physical, Developmental, and Mental Health Needs of Young Children in Child Welfare by Initial Placement Type

Leslie¹,

Gordon²,

Meneken³

et al. 2005

Journal of Developmental & Behavioral Pediatrics

171

122

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The American Academy of Pediatrics recommends comprehensive assessments for children entering foster care. These children may be placed with biological parents, kin, or in nonrelative foster care. It is not known whether health-related needs differ by placement. Chart abstractions were conducted of child welfare and medical records of 1542 children, ages 3 months to 5 years 11 months, admitted to San Diego's sole emergency shelter/receiving facility from April 1, 1998, through June 30, 1999, for investigation of alleged maltreatment. Children were discharged to three placement types: biological parents (28.5%), kinship caregivers (28.4%), or nonrelative foster parents (43.1%), Overall, 86.7% of children studied demonstrated physical, developmental, or mental health needs, with more than half displaying two or more problems. More than half of the children had a "Suspect" score on the Denver-II; 70.3% of children with "Suspect" scores were found to have delay on a development evaluation. Almost one tenth of the sample were diagnosed with one or more mental health conditions. Few differences were found for physical, developmental, or mental health concerns by placement. Results suggest that young children placed with biological parents or in kinship care have similar needs to those of children placed with foster parents. This study confirms the importance of comprehensive assessments for young children removed from their homes, regardless of placement. It also illustrates a need for standardized assessment criteria, particularly for developmental and mental health status, and for collaborative care models for all young children entering the child welfare system, regardless of their placement following investigation. Index termsfoster care; child welfare; developmental delay; mental health; physical healthThe estimated 826,000 children currently served by the child welfare/child protective services system 1 (hereafter termed child welfare) are more susceptible to poor health outcomes than any other subpopulation of youth in the United States. These children are removed from their homes when parents are unable to care for them due to prenatal drug/alcohol exposure, abuse, neglect, and/or violence. These background risk factors predispose these children to a myriad of physical, developmental, and mental health problems. Infants and toddlers, who are dependent on the care of others during a critical phase of brain development, 2-5 are especially vulnerable to both the experience and consequences of maltreatment 6-9 and are the most rapidly expanding age group entering child welfare. 3,10 Overall, the largest age group in child welfare (30%) is composed of children younger than 5 years of age. 1 Out-of-home placement can compound these problems if services are not provided effectively. Recent federal amendments to the Child Abuse Prevention and Treatment Act (CAPTA) in 2003 recommend that states enhance collaboration among public health agencies, child welfare, and community programs to address the comprehensive...

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Improving Adjustment Outcomes For Foster Children With Emotional And Behavioral Disorders

Cited by 90 publications

References 13 publications

Treatment Foster Care for Improving Outcomes in Children and Young People: A Systematic Review

Treatment Foster Care for Improving Outcomes in Children and Young People: A Systematic Review

Effectiveness of the Wraparound Process for Children with Emotional and Behavioral Disorders: A Meta-Analysis

The Physical, Developmental, and Mental Health Needs of Young Children in Child Welfare by Initial Placement Type

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