IDEAS home Printed from https://ideas.repec.org/a/eee/cysrev/v143y2022ics0190740922003103.html
   My bibliography  Save this article

Preliminary evaluation of A Home Within psychotherapy with clients with a history of foster care

Author

Listed:
  • Ruff, Saralyn C.
  • Linville, Deanna
  • Clausen, June M.
  • Kjellstrand, Jean

Abstract

Children and youth in foster care often experience numerous traumas both in and out of the child welfare system, and as a result many need access to mental health support. Researchers report low utilization rates of mental health services among individuals who have lived in foster care, often attributed to barriers to both access and receipt of consistent mental healthcare. A Home Within is a national nonprofit organization that aims to reduce these barriers to mental healthcare for those with past or current involvement in foster care by facilitating their access to consistent pro bono psychotherapy for “as long as it takes.” Eighty-five A Home Within therapists completed interviews with trained research assistants at two time points. Interviews included 44 closed- and open-ended questions regarding therapist demographics, client demographics, clients’ presenting concerns and mental health status, and treatment description. Repeated measures analysis of variance (ANOVA) models showed significant decreases in all five outcomes from baseline to termination of treatment. The associated effect sizes for length of time in treatment were medium to large for depression, anxiety, conduct disorder, and perpetrating aggression/violence. There was a small to medium associated effect size for peer relationship problems and the effect of time was not significant for cohabitation relationship problems. Findings provide preliminary support for continued development and evaluation of mental health services facilitated through A Home Within among clients currently or previously in foster care.

Suggested Citation

  • Ruff, Saralyn C. & Linville, Deanna & Clausen, June M. & Kjellstrand, Jean, 2022. "Preliminary evaluation of A Home Within psychotherapy with clients with a history of foster care," Children and Youth Services Review, Elsevier, vol. 143(C).
    • Handle: RePEc:eee:cysrev:v:143:y:2022:i:c:s0190740922003103
    DOI: 10.1016/j.childyouth.2022.106674
    as

    Download full text from publisher

    File URL: http://www.sciencedirect.com/science/article/pii/S0190740922003103
    Download Restriction: Full text for ScienceDirect subscribers only
    File URL: https://libkey.io/10.1016/j.childyouth.2022.106674?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. Watt, Toni & Kim, Seoyoun, 2019. "Race/ethnicity and foster youth outcomes: An examination of disproportionality using the national youth in transition database," Children and Youth Services Review, Elsevier, vol. 102(C), pages 251-258.
    2. Petrenko, Christie L.M. & Culhane, Sara E. & Garrido, Edward F. & Taussig, Heather N., 2011. "Do youth in out-of-home care receive recommended mental health and educational services following screening evaluations?," Children and Youth Services Review, Elsevier, vol. 33(10), pages 1911-1918, October.
    3. Shook, Jeffrey J. & Vaughn, Michael G. & Litschge, Christy & Kolivoski, Karen & Schelbe, Lisa, 2009. "The importance of friends among foster youth aging out of care: Cluster profiles of deviant peer affiliations," Children and Youth Services Review, Elsevier, vol. 31(2), pages 284-291, February.
    4. 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.
    5. DosReis, S. & Zito, J.M. & Safer, D.J. & Soeken, K.L., 2001. "Mental health services for youths in foster care and disabled youths," American Journal of Public Health, American Public Health Association, vol. 91(7), pages 1094-1099.
    6. Ruff, Saralyn C. & Harrison, Kristi, 2020. "“Ask Me What I Want”: Community-based participatory research to explore transition-age foster Youth’s use of support services," Children and Youth Services Review, Elsevier, vol. 108(C).
    7. Kaija R. Stern & Zaneta M. Thayer, 2019. "Adversity in childhood and young adulthood predicts young adult depression," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 64(7), pages 1069-1074, September.
    8. Johnson, Emily & Menna, Rosanne, 2017. "Help seeking among adolescents in foster care: A qualitative study," Children and Youth Services Review, Elsevier, vol. 76(C), pages 92-99.
    9. Kerman, Benjamin & Wildfire, Judith & Barth, Richard P., 2002. "Outcomes for Young Adults Who Experienced Foster Care," Children and Youth Services Review, Elsevier, vol. 24(5), pages 319-344, May.
    10. Leathers, Sonya J. & Atkins, Marc S. & Spielfogel, Jill E. & McMeel, Lorri S. & Wesley, Julia M. & Davis, Rafe, 2009. "Context-specific mental health services for children in foster care," Children and Youth Services Review, Elsevier, vol. 31(12), pages 1289-1297, December.
    11. Hass, Michael & Graydon, Kelly, 2009. "Sources of resiliency among successful foster youth," Children and Youth Services Review, Elsevier, vol. 31(4), pages 457-463, April.
    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. 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.
    2. Ruff, Saralyn C. & Harrison, Kristi, 2020. "“Ask Me What I Want”: Community-based participatory research to explore transition-age foster Youth’s use of support services," Children and Youth Services Review, Elsevier, vol. 108(C).
    3. Haune, Monica & Christiansen, Øivin & Heiervang, Einar R. & Haavind, Hanne, 2024. "“Great day! But now what?” Adolescents’ and foster carers’ experiences of a comprehensive health assessment for children in out-of-home care," Children and Youth Services Review, Elsevier, vol. 158(C).
    4. Duke, Taylor & Farruggia, Susan P. & Germo, Gary R., 2017. "“I don't know where I would be right now if it wasn't for them”: Emancipated foster care youth and their important non-parental adults," Children and Youth Services Review, Elsevier, vol. 76(C), pages 65-73.
    5. Blocker, Madeline S. & Noell, George H. & Clark, Kelly N., 2021. "Promoting assertiveness in youth in foster care: Pilot testing a brief intervention in a randomized trial," Children and Youth Services Review, Elsevier, vol. 126(C).
    6. Unrau, Yvonne A. & Dawson, Ann W. & Anthony, Jonathan C. & Toutant, Tamara M. & Hamilton, Ronicka D., 2020. "An exploration of life outcomes for college graduates with foster care histories by race: Preliminary results from a campus-based program," Children and Youth Services Review, Elsevier, vol. 116(C).
    7. Graham, Kara E. & Schellinger, Annie R. & Vaughn, Lisa M., 2015. "Developing strategies for positive change: Transitioning foster youth to adulthood," Children and Youth Services Review, Elsevier, vol. 54(C), pages 71-79.
    8. Blakey, Joan M. & Leathers, Sonya J. & Lawler, Michelle & Washington, Tyreasa & Natschke, Chiralaine & Strand, Tonya & Walton, Quenette, 2012. "A review of how states are addressing placement stability," Children and Youth Services Review, Elsevier, vol. 34(2), pages 369-378.
    9. Farruggia, Susan P. & Germo, Gary R., 2015. "Problem behavior among older youth in foster care: Examining gender," Children and Youth Services Review, Elsevier, vol. 48(C), pages 20-30.
    10. Coleman, Kanisha L. & Wu, Qi, 2016. "Kinship care and service utilization: A review of predisposing, enabling, and need factors," Children and Youth Services Review, Elsevier, vol. 61(C), pages 201-210.
    11. Shpiegel, Svetlana & Ocasio, Kerrie, 2015. "Functioning patterns among older adolescents in foster care: Results from a cluster analysis," Children and Youth Services Review, Elsevier, vol. 58(C), pages 227-235.
    12. Liang, Alicia & Lashewicz, Bonnie & Mitchell, Jennifer & Smith, Walter, 2021. "Mixed perceptions of self-determination: Struggles facing youth with disabilities transitioning from foster care," Children and Youth Services Review, Elsevier, vol. 121(C).
    13. 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.
    14. Vanschoonlandt, Femke & Vanderfaeillie, Johan & Van Holen, Frank & De Maeyer, Skrällan & Robberechts, Marijke, 2013. "Externalizing problems in young foster children: Prevalence rates, predictors and service use," Children and Youth Services Review, Elsevier, vol. 35(4), pages 716-724.
    15. 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).
    16. Radney, Angelise & Lee, Joyce Y. & Xu, Amy & Steinke, Hannah R. & Mengo, Cecilia & Johnson-Motoyama, Michelle, 2024. "Racial and ethnic disparities in healthcare utilization among children in U.S. foster care: Recommendations to challenge the status quo based on a scoping review," Children and Youth Services Review, Elsevier, vol. 162(C).
    17. Soffer-Elnekave, Ruth & Haight, Wendy & Nashandi, Ndilimeke J.C. & Cho, Minhae & Suleiman, Johara & Park, Sookyoung, 2023. "Re-orienting narratives of moral injury towards positive development: The experiences of emerging adults with child welfare histories," Children and Youth Services Review, Elsevier, vol. 149(C).
    18. Scott Jr., Lionel D. & Munson, Michelle R. & White, Tony, 2009. "Satisfaction with counseling among black males in transition from the foster care system," Children and Youth Services Review, Elsevier, vol. 31(1), pages 161-168, January.
    19. Laurier, Catherine & Lafortune, Denis & Collin, Johanne, 2010. "Compliance with psychotropic medication treatment among adolescents living in youth care centres," Children and Youth Services Review, Elsevier, vol. 32(1), pages 67-73, January.
    20. Barn, Ravinder & Tan, Jo-Pei, 2015. "Foster youth and drug use: Exploring risk and protective factors," Children and Youth Services Review, Elsevier, vol. 56(C), pages 107-115.

    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:143:y:2022:i:c:s0190740922003103. 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.