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Examining the mental health indicators and service needs of children living with foster families

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  • Stewart, Shannon L.
  • Graham, Alana A.
  • Poss, Jeffrey W.

Abstract

There is a paucity of recent research examining the mental health needs of treatment-seeking foster children and youth within the Canadian context. The present data utilized 101,182 archived assessments from the comprehensive interRAI data set to examine the mental health indicators and service needs of children living with foster families who are seeking mental health services. It was predicted that children living with foster families (compared to non-foster children) would demonstrate higher acuity levels across mental health indicators and greater service care requirements. Results indicated that children living with foster families experienced significantly greater trauma (across domains), externalizing symptoms, risky or problematic sexual behaviour, greater service urgency, and resource intensity requirements, compared to clinically referred children who were not in foster families. A strong, positive relationship was found between the number of trauma types experienced and foster placement, with foster children seven times more likely to experience four types of trauma. Clinical implications stress the importance of trauma-informed interventions, given the specific needs of foster children, including the high acuity and intensity of service needs.

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  • Stewart, Shannon L. & Graham, Alana A. & Poss, Jeffrey W., 2023. "Examining the mental health indicators and service needs of children living with foster families," Children and Youth Services Review, Elsevier, vol. 147(C).
    • Handle: RePEc:eee:cysrev:v:147:y:2023:i:c:s0190740923000282
    DOI: 10.1016/j.childyouth.2023.106833
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    References listed on IDEAS

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    1. Lindquist, Matthew J. & Santavirta, Torsten, 2014. "Does placing children in foster care increase their adult criminality?," Labour Economics, Elsevier, vol. 31(C), pages 72-83.
    2. Narendorf, Sarah Carter & McMillen, J. Curtis, 2010. "Substance use and substance use disorders as foster youth transition to adulthood," Children and Youth Services Review, Elsevier, vol. 32(1), pages 113-119, January.
    3. Leathers, Sonya J. & Spielfogel, Jill E. & Gleeson, James P. & Rolock, Nancy, 2012. "Behavior problems, foster home integration, and evidence-based behavioral interventions: What predicts adoption of foster children?," Children and Youth Services Review, Elsevier, vol. 34(5), pages 891-899.
    4. Marie-Josée Fleury & André Ngamini Ngui & Jean-Marie Bamvita & Guy Grenier & Jean Caron, 2014. "Predictors of Healthcare Service Utilization for Mental Health Reasons," IJERPH, MDPI, vol. 11(10), pages 1-28, October.
    5. Ramseyer Winter, Virginia & Brandon-Friedman, Richard A. & Ely, Gretchen E., 2016. "Sexual health behaviors and outcomes among current and former foster youth: A review of the literature," Children and Youth Services Review, Elsevier, vol. 64(C), pages 1-14.
    6. Guillaume Bronsard & Marine Alessandrini & Guillaume Fond & Anderson Loundou & Pascal Auquier & Sylvie Tordjman & Laurent Boyer, 2016. "The Prevalence of Mental Disorders Among Children and Adolescents in the ă Child Welfare System: A Systematic Review and Meta-Analysis," Post-Print hal-01482508, HAL.
    7. Braciszewski, Jordan M. & Colby, Suzanne M., 2015. "Tobacco use among foster youth: Evidence of health disparities," Children and Youth Services Review, Elsevier, vol. 58(C), pages 142-145.
    8. Evans, Rhiannon & White, James & Turley, Ruth & Slater, Thomas & Morgan, Helen & Strange, Heather & Scourfield, Jonathan, 2017. "Comparison of suicidal ideation, suicide attempt and suicide in children and young people in care and non-care populations: Systematic review and meta-analysis of prevalence," Children and Youth Services Review, Elsevier, vol. 82(C), pages 122-129.
    9. Hambrick, Erin P. & Oppenheim-Weller, Shani & N'zi, Amanda M. & Taussig, Heather N., 2016. "Mental health interventions for children in foster care: A systematic review," Children and Youth Services Review, Elsevier, vol. 70(C), pages 65-77.
    10. 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.
    11. Perry, Kristin J. & Price, Joseph M., 2018. "Concurrent child history and contextual predictors of children's internalizing and externalizing behavior problems in foster care," Children and Youth Services Review, Elsevier, vol. 84(C), pages 125-136.
    12. Fowler, Patrick J. & Marcal, Katherine E. & Zhang, Jinjin & Day, Orin & Landsverk, John, 2017. "Homelessness and aging out of foster care: A national comparison of child welfare-involved adolescents," Children and Youth Services Review, Elsevier, vol. 77(C), pages 27-33.
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