Mental Health Supports and Young People Transitioning from Out-of-home Care in Victoria

Rahamim, Adina; Mendes, Philip

doi:10.1017/cha.2015.35

Cited by 15 publications

(34 citation statements)

References 23 publications

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“…These findings are consistent across studies in Australia, USA, UK and Denmark [8–10, 12–14]. The young people are also less likely to have timely access to mental health care [9, 15–17]. Proactive, regular and voluntary help-seeking is infrequent among vulnerable young people [17, 18].…”

Section: Introductionsupporting

confidence: 76%

A controlled trial of implementing a complex mental health intervention for carers of vulnerable young people living in out-of-home care: the ripple project

et al. 2016

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BackgroundOut-of-home care (OoHC) refers to young people removed from their families by the state because of abuse, neglect or other adversities. Many of the young people experience poor mental health and social function before, during and after leaving care. Rigorously evaluated interventions are urgently required.This publication describes the protocol for the Ripple project and notes early findings from a controlled trial demonstrating the feasibility of the work. The Ripple project is implementing and evaluating a complex mental health intervention that aims to strengthen the therapeutic capacities of carers and case managers of young people (12-17 years) in OoHC.MethodsThe study is conducted in partnership with mental health, substance abuse and social services in Melbourne, with young people as participants. It has three parts:1. Needs assessment and implementation of a complex mental health intervention; 2. A 3-year controlled trial of the mental health, social and economic outcomes; and 3. Nested process evaluation of the intervention.ResultsEarly findings characterising the young people, their carers and case managers and implementing the intervention are available. The trial Wave 1 includes interviews with 176 young people, 52% of those eligible in the study population, 104 carers and 79 case managers.ConclusionsImplementing and researching an affordable service system intervention appears feasible and likely to be applicable in other places and countries. Success of the intervention will potentially contribute to reducing mental ill-health among these young people, including suicide attempts, self-harm and substance abuse, as well as reducing homelessness, social isolation and contact with the criminal justice system.Trial registrationAustralian New Zealand Clinical Trials Registry ACTRN12615000501549. Retrospectively registered 19 May 2015.

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Section: Introductionsupporting

confidence: 76%

A controlled trial of implementing a complex mental health intervention for carers of vulnerable young people living in out-of-home care: the ripple project

et al. 2016

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“…Whilst the majority of studies in this review (8/11) assessed the impact of the programme on a health-related outcome (e.g., mental health, social support, or physical health), the transition interventions themselves primarily aimed to assist young people to achieve indicators of independence (e.g., housing, employment), rather than specifically aiming to improve health outcomes, which may account for these findings. Research suggests that health outcomes may take longer to achieve than independent living outcomes as they are an ongoing process for young people (Rahamim & Mendes, 2015), which may also explain the current findings. Given the role that both independent living skills and health outcomes play in the holistic wellbeing of the individual (Muir et al, 2019), it is important that transition programmes focus on supporting both of these outcomes.…”

Section: Discussionmentioning

confidence: 71%

The impact of transition interventions for young people leaving care: a review of the Australian evidence

O’Donnell

Hatzikiriakidis

Mendes

et al. 2020

International Journal of Adolescence and Youth

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Whilst advancing outcomes for young people transitioning from out-ofhome care is a national priority, no synthesis of Australian interventions that support their transition from care and into independence currently exists. The aim of this systematic scoping review was to examine the characteristics of such interventions delivered in Australia and to evaluate their impact. Papers were included if they assessed the extent to which transitional support interventions, delivered in Australia, improved housing, employment, education, financial, health, or social functioning outcomes. Eleven studies were included. Interventions primarily adopted a case management approach to support care-leavers' transition. Interventions facilitated improvements in care-leavers' independent living outcomes (e.g., housing, education, and financial stability), but less so in health outcomes. This synthesis provides guidance for how research organizations in partnership with community service organizations and statutory services should develop and deliver interventions to support young Australians transitioning from care.

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“…Young people who experience OoHC have typically experienced risk factors for the development of mental ill‐health, such as exposure to physical abuse, sexual abuse and neglect (Kerker et al, 2015; Salazar et al, 2013). They experience poorer mental health outcomes than peers who grow up within a family of origin (Ford et al, 2007; Milburn et al, 2008; Rahamim & Mendes, 2016). They commonly experience substance use problems, suicidal ideation, self‐harm, and offending behaviours (Cashmore & Paxman, 2006; Osborn & Bromfield, 2007; Wise & Egger, 2009).…”

Section: Introductionmentioning

confidence: 99%

How can mental health practitioners collaborate with child welfare practitioners to improve mental health for young people in out of home care?

Monson

Herrman

Moeller‐Saxone

et al. 2021

Early Intervention Psych

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Background Young people who grow up in out of home care have higher risk of poor mental health outcomes than peers who grow up with their family‐of‐origin. Interagency collaboration is an important service‐level intervention to improve access to mental healthcare. However, few descriptions of collaboration provide guidance about collaboration between individual practitioners. Aim This substudy aimed to contribute to a larger study—the Ripple project—through exploring the experiences of practitioners working across child welfare and mental health services regarding collaboration in the care of young people; and to identify practices that might enhance collaborative work and improve mental health outcomes. Methods Practitioners from across child welfare and mental health services were purposively sampled and participated in focus groups. Recordings and transcriptions of focus groups were analysed to identify themes within and between groups. A cross‐sector expert advisory group was involved in this work. Results Focus groups were convened with 43 practitioners. We identified four themes during analysis, these were: shared understanding of the history and context of problems; specific skills and practices; self‐awareness of workers and carers; and involving and supporting carers. Conclusions A number of practices were identified that might lead to enhanced collaboration between agencies and across interdisciplinary care teams. Supporting mental health practitioners to adopt these might assist interagency and interdisciplinary working.

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Mental Health Supports and Young People Transitioning from Out-of-home Care in Victoria

Cited by 15 publications

References 23 publications

A controlled trial of implementing a complex mental health intervention for carers of vulnerable young people living in out-of-home care: the ripple project

A controlled trial of implementing a complex mental health intervention for carers of vulnerable young people living in out-of-home care: the ripple project

The impact of transition interventions for young people leaving care: a review of the Australian evidence

How can mental health practitioners collaborate with child welfare practitioners to improve mental health for young people in out of home care?

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