Psychiatric disorder among children at time of entering local authority care: questionnaire survey

Dimigen, Gisela; Priore, C Del; Butler, Sophie; Evans, Sara; Ferguson, Lauren; Swan, Michael P.

doi:10.1136/bmj.319.7211.675

Cited by 110 publications

(77 citation statements)

References 2 publications

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“…Prevalence studies have indicated that children in child welfare suffer two to seven times more psychopathology compared to their peers [10,13,15]. Children in foster care show an increased prevalence of psychopathology that range from 15 to 57% [6,14,24,30,32,38].…”

Section: Introductionmentioning

confidence: 99%

Screening for psychopathology in child welfare: the Strengths and Difficulties Questionnaire (SDQ) compared with the Achenbach System of Empirically Based Assessment (ASEBA)

Janssens

Deboutte

2009

Eur Child Adolesc Psychiatry

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Whilst children in child welfare suffer more psychopathology than their community peers, only a small percentage of them actually receive mental health care. Previous literature suggested that all children entering child welfare should be screened. This study evaluated whether the Strengths and Difficulties Questionnaire (SDQ) could be used for this purpose. The extended version of the SDQ and the Achenbach System of Empirically Based Assessment (ASEBA) questionnaire were administered to parents and caregivers of 292 children in child welfare. Children older than 11 years also completed the SDQ self-report and the Youth Self Report (YSR). Furthermore, the child’s history of service use was recorded and informants were asked if the actual care was sufficient. Inter-informant correlations for the scores from the SDQ and ASEBA were high and comparable or favoured the use of the SDQ (for parents and caregivers). Internal consistency was satisfactory to good. For all informants, high correlations were found between SDQ and ASEBA. Despite high scores on the SDQ, only 29% of the children had received mental health care. Service use was only correlated with the parent SDQ and the CBCL and TRF. Additional help, as requested by 21% of the parents and 37% of the caregivers, correlated moderately with the SDQ and ASEBA scores. Compared to the total difficulties score, the impact supplement is a better predictor of service use and the informant’s request for additional help. This study illustrates that the Dutch version of the SDQ, similar to the English and German versions, has equal validity as the Dutch ASEBA for screening children. Caution is warranted when the SDQ is the only source of information for referrals to specialized care

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Section: Introductionmentioning

confidence: 99%

Screening for psychopathology in child welfare: the Strengths and Difficulties Questionnaire (SDQ) compared with the Achenbach System of Empirically Based Assessment (ASEBA)

Janssens

Deboutte

2009

Eur Child Adolesc Psychiatry

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“…Some of the most disadvantaged and vulnerable children are now cared for in family settings, by foster carers who very often have limited access to professional support and training networks. Research shows that these children have substantially higher rates of mental health difficulties than children in the general population (McCann et al, 1996), and an especially high incidence of behavioural problems (Dimigen et al, 1999). Other research suggests that the commonest causes of placement breakdown are a) child behaviour difficulties and b) foster carers' lack of confidence (Sinclair et al, 2000).…”

Section: Introductionmentioning

confidence: 99%

Fostering Changes: A Cognitive-Behavioural Approach to Help Foster Carers Manage Children

Pallett¹,

Scott

Blackeby

et al. 2002

Adoption & Fostering

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Fostering changes A cognitive-behavioural approach to help foster carers manage children A project has been set up in a socially deprived inner-London borough to provide foster carers with practical skills in the management of child behaviour. Clare Pallett, Stephen Scott, Kathy Blackeby, William Yule and Roger Weissman discuss why the project was set up and consider how carers learn best. Social workers often provide good general support to carers and placements, but may not offer more specific practical advice in managing behaviour so well. A training course based on cognitivebehavioural theory is described and case examples given. The evidence presented shows significant improvements in carer-child interaction, child difficulty, specific child problems causing most worry to carers, and child emotional symptoms; insignificant improvements were seen in hyperactivity and conduct problems.

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“…Youth who are involved in child protection experience physical (Chernoff et al 1994;Halfon et al 1995;Simms et al 2000), mental health (Burns, et al 2004;Clausen et al 1998;Dimigen et al 1999;Harman et al 2000;Kerker and Dore 2006;Konenkamp and Ehrle 2002;McMillen et al 2005;Pilowsky 1995;Racusin et al 2005;Tarren-Sweeney 2008), social (Clausen et al 1998;Price and Landsverk 1998), developmental (Cahill et al 1999;Pilowsky 1995) and educational problems (Zima, et al 2000) more frequently than youth from the general population. There is a growing trend toward recognizing these problems as symptoms of traumatic life experiences, typically caused by the events that precipitated involvement in child protection services, such as physical or sexual abuse, family violence, or neglect (Cook et al 2005).…”

mentioning

confidence: 96%

Trauma Experiences, Maltreatment-Related Impairments, and Resilience Among Child Welfare Youth in Residential Care

Collin‐Vézina

Coleman

Milne

et al. 2011

Int J Ment Health Addiction

183

113

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The aim of this paper was to provide a description of the trauma experiences, trauma-related sequels, and resilience features of a sample of Canadian youth in residential care facilities, as well as to explore the impact of gender and of the number of different traumas experienced on trauma-related sequels and resilience features. A convenience sample of 53 youth aged 14 to 17 recruited from six child protection residential care units agreed to voluntarily participate in the study. They were administered the Childhood Trauma Questionnaire, the Trauma Symptom Checklist for Children, and the Child and Youth Resilience Measure. Results revealed high rates of abusive and neglectful experiences in the lives of these youth. Most have experienced multiple forms of trauma. Girls were more likely to report sexual abuse and to display clinical levels of sexual concerns, as well as posttraumatic stress and dissociation symptoms. Multiple forms of trauma were related to higher clinical levels of depression, anger, posttraumatic stress, and dissociation, as well as to lower individual, relational, and community resilience features.

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Psychiatric disorder among children at time of entering local authority care: questionnaire survey

Cited by 110 publications

References 2 publications

Screening for psychopathology in child welfare: the Strengths and Difficulties Questionnaire (SDQ) compared with the Achenbach System of Empirically Based Assessment (ASEBA)

Screening for psychopathology in child welfare: the Strengths and Difficulties Questionnaire (SDQ) compared with the Achenbach System of Empirically Based Assessment (ASEBA)

Fostering Changes: A Cognitive-Behavioural Approach to Help Foster Carers Manage Children

Trauma Experiences, Maltreatment-Related Impairments, and Resilience Among Child Welfare Youth in Residential Care

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