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Caregiver strain among biological, foster, and adoptive caregivers caring for youth receiving outpatient care in a public mental health system

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  • Fawley-King, Kya
  • Trask, Emily V.
  • Ferrand, John
  • Aarons, Gregory A.

Abstract

Caregivers of children with mental health disorders often report high levels of stress. Although children in the child welfare system have high rates of mental health problems, to date, little is known about the stress experienced by foster and adoptive caregivers. The purpose of the present study was to examine differences in both internalized (e.g., worry and guilt) and externalized (e.g., anger and resentment) caregiver strain among biological, foster and adoptive caregivers, and assess the degree to which characteristics of the caregivers and the children in their care impact strain. Caregivers of youth under age 18 who were receiving treatment in a publically-funded mental health system completed the Caregiver Strain Questionnaire (CSQ), along with the Youth Services Survey for Families (YSSF) which has questions about the youth’s functioning and the mental health care he or she is receiving. A total of 1828 caregivers returned surveys that were eligible for analyses. Generalized Estimating Equations were used examine associations between caregiver type and internalized and externalized strain while controlling for caregiver demographics and social support, and youth demographics, functioning, and time in treatment.

Suggested Citation

  • Fawley-King, Kya & Trask, Emily V. & Ferrand, John & Aarons, Gregory A., 2020. "Caregiver strain among biological, foster, and adoptive caregivers caring for youth receiving outpatient care in a public mental health system," Children and Youth Services Review, Elsevier, vol. 111(C).
    • Handle: RePEc:eee:cysrev:v:111:y:2020:i:c:s0190740919311855
    DOI: 10.1016/j.childyouth.2020.104874
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    References listed on IDEAS

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    1. Angold, A. & Farmer, E.M.Z. & Costello, E.J. & Burns, B.J. & Stangl, D. & Messer, S.C., 1998. "Perceived parental burden and service use for child and adolescent psychiatric disorders," American Journal of Public Health, American Public Health Association, vol. 88(1), pages 75-80.
    2. Villagrana, Margarita, 2010. "Mental health services for children and youth in the child welfare system: A focus on caregivers as gatekeepers," Children and Youth Services Review, Elsevier, vol. 32(5), pages 691-697, May.
    3. Kurtz, P. David & Gaudin, James M. & Howing, Phyllis T. & Wodarski, John S., 1993. "The consequences of physical abuse and neglect on the school age child: Mediating factors," Children and Youth Services Review, Elsevier, vol. 15(2), pages 85-104.
    4. McSherry, Dominic & Fargas Malet, Montserrat & Weatherall, Kerrylee, 2016. "Comparing long-term placements for young children in care: Does placement type really matter?," Children and Youth Services Review, Elsevier, vol. 69(C), pages 56-66.
    5. Judea Pearl, 2014. "Comment: Understanding Simpson's Paradox," The American Statistician, Taylor & Francis Journals, vol. 68(1), pages 8-13, February.
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    1. McLaren, Helen & Patmisari, Emi & Jones, Michelle, 2024. "Professional quality of life of Australian Mockingbird FamilyTM foster carers: Compassion satisfaction, burnout, and secondary traumatic stress," Children and Youth Services Review, Elsevier, vol. 158(C).
    2. Hassall, Alison & McKenna, Sarah & Pasalich, Dave S., 2024. "How does kinship and foster care differ on caregiver-child relationship quality and child and caregiver mental health?," Children and Youth Services Review, Elsevier, vol. 156(C).

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