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Evidence-based treatments for trauma among culturally diverse foster care youth: Treatment retention and outcomes

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  • Weiner, Dana A.
  • Schneider, Alison
  • Lyons, John S.

Abstract

This study describes the implementation of three evidence-based treatments addressing traumatic stress symptoms within a wraparound foster care program in Illinois. Child-Parent Psychotherapy (CPP), Trauma-Focused Cognitive Behavioral Therapy (TF-CBT), and Structured Psychotherapy for Adolescents Responding to Chronic Stress (SPARCS) were implemented with a racially diverse sample of youth ages 3-18 at six agencies. Culturally sensitive adaptations were made to treatment approaches to improve client retention and outcomes. Data analyses revealed no racial differences in retention in the program and no differences in outcomes between minority youth exposed to the intervention and other participants. All three evidence-based treatments were effective in reducing symptoms and improving functioning among minority youth. Implementation issues, including challenges and culturally competent accommodations, are discussed.

Suggested Citation

  • Weiner, Dana A. & Schneider, Alison & Lyons, John S., 2009. "Evidence-based treatments for trauma among culturally diverse foster care youth: Treatment retention and outcomes," Children and Youth Services Review, Elsevier, vol. 31(11), pages 1199-1205, November.
    • Handle: RePEc:eee:cysrev:v:31:y:2009:i:11:p:1199-1205
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    Cited by:

    1. Esterer, Madeline & Carlson, John S. & Roschmann, Sarina & Kim, HaeDong & Cowper, Amy & Cranmer-Fosdick, Holly & Ludtke, Mary & DeCicco, Barry, 2023. "Exploring early termination patterns and effectiveness of trauma-focused cognitive behavioral therapy for children in foster care," Children and Youth Services Review, Elsevier, vol. 147(C).
    2. Alto, Michelle E. & Petrenko, Christie L.M., 2017. "Fostering secure attachment in low- and middle-income countries: Suggestions for evidence-based interventions," Evaluation and Program Planning, Elsevier, vol. 60(C), pages 151-165.
    3. Bartlett, Jessica Dym & Griffin, Jessica L. & Spinazzola, Joseph & Fraser, Jenifer Goldman & Noroña, Carmen Rosa & Bodian, Ruth & Todd, Marybeth & Montagna, Crystaltina & Barto, Beth, 2018. "The impact of a statewide trauma-informed care initiative in child welfare on the well-being of children and youth with complex trauma," Children and Youth Services Review, Elsevier, vol. 84(C), pages 110-117.
    4. Troy, Jesse D. & Torrie, Ryan M. & Warner, Daniel N., 2021. "A machine learning approach for identifying predictors of success in a Medicaid-funded, community-based behavioral health program using the Child and Adolescent Needs and Strengths (CANS)," Children and Youth Services Review, Elsevier, vol. 126(C).
    5. Childs, Kristina K. & Bryson, Sara L. & Soderstrom, Melanie F.P. & Reed, April, 2024. "An Assessment of the Internal Structure of the Child and Adolescent Needs and Strengths (CANS) Using Two Samples of High-Risk Adolescents," Children and Youth Services Review, Elsevier, vol. 156(C).
    6. Auslander, Wendy & Edmond, Tonya & Foster, April & Smith, Penny & McGinnis, Hollee & Gerke, Donald & Tlapek, Sarah & Threlfall, Jennifer & Voth Schrag, Rachel & Dunn, Jerry & Jonson-Reid, Melissa, 2020. "Cognitive behavioral intervention for trauma in adolescent girls in child welfare: A randomized controlled trial," Children and Youth Services Review, Elsevier, vol. 119(C).
    7. O'Brien, Jennifer & Finkelhor, David & Jones, Lisa, 2022. "Improving services for youth survivors of commercial sexual exploitation: Insights from interventions with other high-risk youth," Children and Youth Services Review, Elsevier, vol. 132(C).
    8. Rosanbalm, Katie D. & Snyder, Elizabeth H. & Lawrence, C. Nicole & Coleman, Kanisha & Frey, Joseph J. & van den Ende, Johanna B. & Dodge, Kenneth A., 2016. "Child wellbeing assessment in child welfare: A review of four measures," Children and Youth Services Review, Elsevier, vol. 68(C), pages 1-16.
    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. Chor, Ka Ho Brian & McClelland, Gary M. & Weiner, Dana A. & Jordan, Neil & Lyons, John S., 2012. "Predicting outcomes of children in residential treatment: A comparison of a decision support algorithm and a multidisciplinary team decision model," Children and Youth Services Review, Elsevier, vol. 34(12), pages 2345-2352.
    11. Sokol, Rebeccah L. & Li, Juliann & Victor, Bryan G. & Miller, Alison L. & Ryan, Joseph P. & Perron, Brian E., 2020. "Changes in Child and Adolescent Needs and Strengths (CANS) scores over time: A systematic review," Children and Youth Services Review, Elsevier, vol. 112(C).

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