IDEAS home Printed from https://ideas.repec.org/a/eee/cysrev/v129y2021ics0190740921002486.html
   My bibliography  Save this article

Process, practices, and outcomes of trauma-focused services in a statewide treatment foster care program

Author

Listed:
  • Ahuna, Jonathan K.
  • Hee, Puanani J.
  • Mueller, Charles W.

Abstract

Many youth in treatment foster care (TFC) have been exposed to traumatic life events that are associated with negative health outcomes, yet few studies have examined how TFC programs are addressing the needs of trauma-exposed youth. This study used clinical data from 542 youth enrolled in TFC services within a statewide publicly funded mental health system from 2008 to 2018 to explore (a) how many youth receive trauma treatment, including youth diagnosed with PTSD, (b) to what extent common elements for youth trauma treatment are among the interventions employed during months when trauma was included as a treatment focus, and (c) clinician-reported trauma treatment progress. Only 34% of all youth in TFC, and 56% of youth diagnosed with PTSD, received treatment with any focus on trauma during the first six months of TFC. Therapists used a variety of therapeutic strategies during months when trauma was treated, some of which were consistent with the evidence-base for youth traumatic stress. Therapists reported 36% of youth with some trauma treatment focus made, at most, minimal improvement on trauma concerns during this time. Considerations for research and clinical practice in trauma-focused treatment foster care services are discussed.

Suggested Citation

  • Ahuna, Jonathan K. & Hee, Puanani J. & Mueller, Charles W., 2021. "Process, practices, and outcomes of trauma-focused services in a statewide treatment foster care program," Children and Youth Services Review, Elsevier, vol. 129(C).
    • Handle: RePEc:eee:cysrev:v:129:y:2021:i:c:s0190740921002486
    DOI: 10.1016/j.childyouth.2021.106172
    as

    Download full text from publisher

    File URL: http://www.sciencedirect.com/science/article/pii/S0190740921002486
    Download Restriction: Full text for ScienceDirect subscribers only
    File URL: https://libkey.io/10.1016/j.childyouth.2021.106172?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    As the access to this document is restricted, you may want to search for a different version of it.

    References listed on IDEAS

    as
    1. Ryan, Joseph P. & Testa, Mark F., 2005. "Child maltreatment and juvenile delinquency: Investigating the role of placement and placement instability," Children and Youth Services Review, Elsevier, vol. 27(3), pages 227-249, March.
    2. Borntrager, Cameo & Chorpita, Bruce F. & Higa-McMillan, Charmaine K. & Daleiden, Eric L. & Starace, Nicole, 2013. "Usual care for trauma-exposed youth: Are clinician-reported therapy techniques evidence-based?," Children and Youth Services Review, Elsevier, vol. 35(1), pages 133-141.
    3. Larson, Anita M., 2010. "Cross system comparisons of children in treatment foster care: Using agency data to study cross-system child outcomes," Children and Youth Services Review, Elsevier, vol. 32(1), pages 89-97, January.
    4. Lee, Bethany R. & Thompson, Ron, 2008. "Comparing outcomes for youth in treatment foster care and family-style group care," Children and Youth Services Review, Elsevier, vol. 30(7), pages 746-757, July.
    Full references (including those not matched with items on IDEAS)

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Izzo, Charles V. & Smith, Elliott G. & Sellers, Deborah E. & Holden, Martha J. & Nunno, Michael A., 2020. "Improving relationship quality in group care settings: The impact of implementing the CARE model," Children and Youth Services Review, Elsevier, vol. 109(C).
    2. Simmons-Horton, Sherri Y., 2017. "Providing age-appropriate activities for youth in foster care: Policy implementation process in three states," Children and Youth Services Review, Elsevier, vol. 82(C), pages 383-391.
    3. Sheerin, Kaitlin M. & Modrowski, Crosby A. & Williamson, Shannon & Kemp, Kathleen A., 2022. "The effect of sexual concerns on placement changes and school transfers for youth in the child welfare system," Children and Youth Services Review, Elsevier, vol. 138(C).
    4. Narendorf, Sarah C. & Brydon, Daphne M. & Santa Maria, Diane & Bender, Kimberly & Ferguson, Kristin M. & Hsu, Hsun-Ta & Barman-Adhikari, Anamika & Shelton, Jama & Petering, Robin, 2020. "System involvement among young adults experiencing homelessness: Characteristics of four system-involved subgroups and relationship to risk outcomes," Children and Youth Services Review, Elsevier, vol. 108(C).
    5. Portwood, Sharon G. & Boyd, Suzanne A. & Nelson, Ellissa Brooks & Murdock, Tamera B. & Hamilton, Jessica & Miller, Angela D., 2018. "A comparison of outcomes for children and youth in foster and residential group care across agencies," Children and Youth Services Review, Elsevier, vol. 85(C), pages 19-25.
    6. Spielfogel, Jill E. & Leathers, Sonya J. & Christian, Errick & McMeel, Lorri S., 2011. "Parent management training, relationships with agency staff, and child mental health: Urban foster parents' perspectives," Children and Youth Services Review, Elsevier, vol. 33(11), pages 2366-2374.
    7. Marshall, Jane Marie & Haight, Wendy L., 2014. "Understanding racial disproportionality affecting African American Youth who cross over from the child welfare to the juvenile justice system: Communication, power, race and social class," Children and Youth Services Review, Elsevier, vol. 42(C), pages 82-90.
    8. Ryan, Joseph P. & Hong, Jun Sung & Herz, Denise & Hernandez, Pedro M., 2010. "Kinship foster care and the risk of juvenile delinquency," Children and Youth Services Review, Elsevier, vol. 32(12), pages 1823-1830, December.
    9. Barn, Ravinder & Tan, Jo-Pei, 2012. "Foster youth and crime: Employing general strain theory to promote understanding," Journal of Criminal Justice, Elsevier, vol. 40(3), pages 212-220.
    10. Kim, Soyoun & Chun, JongSerl, 2016. "Aggressive behaviors among Korean children in out-of-home care: The role of placement characteristics," Children and Youth Services Review, Elsevier, vol. 66(C), pages 56-61.
    11. Yang, Jennifer & McCuish, Evan C. & Corrado, Raymond R., 2017. "Foster care beyond placement: Offending outcomes in emerging adulthood," Journal of Criminal Justice, Elsevier, vol. 53(C), pages 46-54.
    12. White, Kevin R. & Wu, Qi, 2014. "Application of the life course perspective in child welfare research," Children and Youth Services Review, Elsevier, vol. 46(C), pages 146-154.
    13. Tam, Christina C. & Abrams, Laura S. & Freisthler, Bridget & Ryan, Joseph P., 2016. "Juvenile justice sentencing: Do gender and child welfare involvement matter?," Children and Youth Services Review, Elsevier, vol. 64(C), pages 60-65.
    14. Lee, Madeline Y. & Jonson-Reid, Melissa, 2009. "Needs and outcomes for low income youth in special education: Variations by emotional disturbance diagnosis and child welfare contact," Children and Youth Services Review, Elsevier, vol. 31(7), pages 722-731, July.
    15. Alfano, Candice A., 2020. "Foster agency workers’ perceptions of sleep health among children in foster care," Children and Youth Services Review, Elsevier, vol. 117(C).
    16. Sheridan, Kathryn & Haight, Wendy L. & Cleeland, Leah, 2011. "The role of grandparents in preventing aggressive and other externalizing behavior problems in children from rural, methamphetamine-involved families," Children and Youth Services Review, Elsevier, vol. 33(9), pages 1583-1591, September.
    17. Topitzes, James & Mersky, Joshua P. & Dezen, Kristin A. & Reynolds, Arthur J., 2013. "Adult resilience among maltreated children: A prospective investigation of main effect and mediating models," Children and Youth Services Review, Elsevier, vol. 35(6), pages 937-949.
    18. Ryan, Joseph P. & Herz, Denise & Hernandez, Pedro M. & Marshall, Jane Marie, 2007. "Maltreatment and delinquency: Investigating child welfare bias in juvenile justice processing," Children and Youth Services Review, Elsevier, vol. 29(8), pages 1035-1050, August.
    19. Kim, Minseop & Garcia, Antonio R. & Lee, Lewis H., 2021. "Dual system youth: Subsequent system re-entry after receiving mental health services," Children and Youth Services Review, Elsevier, vol. 127(C).
    20. Mersky, Joshua P. & Janczewski, Colleen, 2013. "Adult well-being of foster care alumni: Comparisons to other child welfare recipients and a non-child welfare sample in a high-risk, urban setting," Children and Youth Services Review, Elsevier, vol. 35(3), pages 367-376.

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:eee:cysrev:v:129:y:2021:i:c:s0190740921002486. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: Catherine Liu (email available below). General contact details of provider: http://www.elsevier.com/locate/childyouth .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.