Strengths and limitations of this study► This study focuses on an under-researched group (ie, foster carers and young people in their care) and uses qualitative methods to provide in-depth understanding of carers' experiences. ► Young people in care have well-documented high rates of mental health difficulties and while carers are central to providing day-to-day support, we know little about carers' views on their role. ► As this study uses qualitative methods, we cannot conclude whether different styles of support might be associated with different outcomes for young people. ► The study is also focused on carers from a single urban English local authority.
AbStrACtObjectives Young people who have been removed from their family home and placed in care have often experienced maltreatment and there is well-developed evidence of poor psychological outcomes. Once in care, foster carers often become the adult who provides day-today support, yet we know little about how they provide this support or the challenges to and facilitators of promoting better quality carer-child relationships. The aim of this study was to understand how carers support the emotional needs of the young people in their care and their views on barriers and opportunities for support.Design and participants Participants were 21 UK foster carers, recruited from a local authority in England. They were predominantly female (86%), aged 42-65 years old and ranged from those who were relatively new to the profession (<12 months' experience) to those with over 30 years of experience as a carer. We ran three qualitative focus groups to gather in-depth information about their views on supporting their foster children's emotional wellbeing. Participants also completed short questionnaires about their training experiences and sense of competence. results Only half of the sample strongly endorsed feeling competent in managing the emotional needs of their foster children. While all had completed extensive training, especially on attachment, diagnosis-specific training for mental health problems (eg, trauma-related distress, depression) was less common. Thematic analysis showed consistent themes around the significant barriers carers faced navigating social care and mental health systems, and mixed views around the best way to support young people, particularly those with complex mental health needs and in relation to reminders of their early experiences.Conclusions Findings have important implications for practice and policy around carer training and support, as well as for how services support the mental health needs of young people in care.