Preventing Internalizing and Externalizing Problems in Girls in Foster Care as They Enter Middle School: Impact of an Intervention

Smith, Dana K.; Leve, Leslie D.; Chamberlain, Patricia

doi:10.1007/s11121-011-0211-z

Cited by 42 publications

(48 citation statements)

References 36 publications

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“…145,[183][184][185][186][187][188][189][190][191] Fisher et al 192 and Graham et al 193 were COSs. Graham et al 193 used a subsample recruited from the trial conducted by Fisher et al [183][184][185][186][187][188] Biehal et al…”

Section: Methodsmentioning

confidence: 99%

“…Nine studies [183][184][185][186][187][188][189][190][191][192][193][194][195][196][197][198] examined the effects of these models of care. Five studies [183][184][185][186][187][188]190,191,194,198 measured psychological distress, five studies 189,192,194,197,198 looked at behavioural outcomes, four studies 190,191,194,195,197 explored social functioning, three studies 190,191,197 measured cognitive performance, two studies 194,198 examined addiction behaviour, one study 190,191 examined resilience and two studies 190,191 looked at placement stability.…”

Section: Intensive Service Modelsmentioning

confidence: 99%

“…Sexual abuse was the most commonly cited type of abuse across the acceptability studies (33 studies 161,[169][170][171]189,492,497,505,506,526,533,538,621,633,[636][637][638][640][641][642][643]645,647,648,653,657,660,662,664,668,673,[677][678][679][680] ) and some intervention categories reported data for only this population group [systemic interventions, 526,533,621,673,678 psychoeducational interventions, 161,538,647,664 peer mentoring 660 (note: there was only one study in this category)]. Three studies 510,639,65...…”

Section: Description Of Included Acceptability Studiesmentioning

confidence: 99%

“…treatment foster care 145,[183][184][185][186][187][188][189][190][191][192][193] 2. therapeutic residential or day-care services [194][195][196][197] 3. co-ordinated care. 198 In this context, treatment foster care is used to describe a number of intensive interventions targeted at children in foster care, rather than -as is sometimes done -as the name of an intervention.…”

Section: Intensive Service Modelsmentioning

confidence: 99%

“…198 In this context, treatment foster care is used to describe a number of intensive interventions targeted at children in foster care, rather than -as is sometimes done -as the name of an intervention. Because of the heterogeneity of these studies, 145,[183][184][185][186][187][188][189][190][191][192][193][194][195][196][197][198] we discuss each group of studies separately, beginning with treatment foster care.…”

Section: Intensive Service Modelsmentioning

confidence: 99%

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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: Methodsmentioning

confidence: 99%

Section: Intensive Service Modelsmentioning

confidence: 99%

Section: Description Of Included Acceptability Studiesmentioning

confidence: 99%

Section: Intensive Service Modelsmentioning

confidence: 99%

Section: Intensive Service Modelsmentioning

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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ODD and Conduct Disorder

2015

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A Developmental Psychopathology Perspective on Foster Care Research

Fisher

Leve

Delker

et al. 2016

Developmental Psychopathology

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This chapter provides a developmental psychopathology perspective on foster care research. Empirical studies of foster children have existed for over 100 years, documenting risks faced by this population and instances in which foster children display remarkable resilience. Knowledge emanating from the published studies on foster children, especially where it intersects with research on other populations that have experienced early life adversity, has potential to shed light on how healthy development can be negatively affected, but also how it may be preserved, when adverse rearing conditions exist. Investigations in this area have been conducted across numerous disciplines. Following a brief history of foster care in the United States and elsewhere, we review what is known about nine topics that are germane to the study of foster children from a developmental psychopathology perspective and conclude with a discussion of the translational implications of prior research and directions for future research.

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Preventing Internalizing and Externalizing Problems in Girls in Foster Care as They Enter Middle School: Impact of an Intervention

Cited by 42 publications

References 36 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

ODD and Conduct Disorder

A Developmental Psychopathology Perspective on Foster Care Research

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