IDEAS home Printed from https://ideas.repec.org/a/eee/cysrev/v32y2010i5p685-690.html
   My bibliography  Save this article

Timely identification of mental health problems in two foster care medical homes

Author

Listed:
  • Jee, Sandra
  • Szilagyi, Moira
  • Blatt, Steven
  • Meguid, Victoria
  • Auinger, Peggy
  • Szilagyi, Peter

Abstract

Despite known high rates of mental health problems among children in foster care, these problems are often not identified promptly by primary care or other systems. A novel delivery system is a centralized primary care practice for foster care. The purpose of this study was to examine the identification of mental health within two pediatric medical homes for foster care. We conducted a retrospective medical chart review of all children, aged 6-18Â years, newly entering foster care, in two foster care clinics serving two county-wide populations. Our sample of 242 children describes demographics, rates for mental health problem identification, and length of time after entering foster care that mental health needs were identified. We used logistic regression analyses to examine variables associated with identification of mental health needs. Both centralized foster care medical homes had high rates for identification of mental health problems (>Â 70% in both sites), timely identification (the majority identified within two months after entry into care), and high mental health referral rates for children entering foster care (>Â 70%). Our findings suggest that attention to mental health needs for children in foster care within their primary care setting can impact identification rates and management of mental health.

Suggested Citation

  • Jee, Sandra & Szilagyi, Moira & Blatt, Steven & Meguid, Victoria & Auinger, Peggy & Szilagyi, Peter, 2010. "Timely identification of mental health problems in two foster care medical homes," Children and Youth Services Review, Elsevier, vol. 32(5), pages 685-690, May.
    • Handle: RePEc:eee:cysrev:v:32:y:2010:i:5:p:685-690
    as

    Download full text from publisher

    File URL: http://www.sciencedirect.com/science/article/pii/S0190-7409(10)00009-5
    Download Restriction: Full text for ScienceDirect subscribers only
    ---><---

    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. 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.
    2. Southerland, Dannia & Casanueva, Cecilia E. & Ringeisen, Heather, 2009. "Young adult outcomes and mental health problems among transition age youth investigated for maltreatment during adolescence," Children and Youth Services Review, Elsevier, vol. 31(9), pages 947-956, September.
    3. Hatcher, Schnavia Smith & Maschi, Tina & Morgen, Keith & Toldson, Ivory A., 2009. "Exploring the impact of racial and ethnic differences in the emotional and behavioral responses of maltreated youth: Implications for culturally competent services," Children and Youth Services Review, Elsevier, vol. 31(9), pages 1042-1048, September.
    Full references (including those not matched with items on IDEAS)

    Citations

    Citations are extracted by the CitEc Project, subscribe to its RSS feed for this item.
    as


    Cited by:

    1. Cepukiene, Viktorija & Pakrosnis, Rytis, 2011. "The outcome of Solution-Focused Brief Therapy among foster care adolescents: The changes of behavior and perceived somatic and cognitive difficulties," Children and Youth Services Review, Elsevier, vol. 33(6), pages 791-797, June.
    2. Jaudes, Paula K. & Weil, Lindsey E.G. & Prior, Jennifer M. & Sharp, Douglas P & Holzberg, Mark & McClelland, Gary M., 2016. "Wellbeing of children and adolescents with special health care needs in the child welfare system," Children and Youth Services Review, Elsevier, vol. 70(C), pages 276-283.
    3. Espeleta, Hannah C. & Bakula, Dana M. & Cherry, Amanda S. & Lees, Julie & Shropshire, Deborah & Domm, Kathleen & Ruggiero, Kenneth J. & Mullins, Larry L. & Gillaspy, Stephen R., 2023. "Caregiver perceptions of the pediatric medical home model to address the health services needs of youth in foster care," Children and Youth Services Review, Elsevier, vol. 150(C).
    4. Jee, Sandra & Szilagyi, Moira & Schriefer, Jan & Conn, Anne-Marie & Weld, Julia & Scribano, Philip V. & Sagor, Linda & Forkey, Heather & Arnold-Clark, Janet & Carmack, Adrienne & Chytraus, Chris & Ada, 2015. "Quality improvement learning collaborative to examine foster care guidelines," Children and Youth Services Review, Elsevier, vol. 59(C), pages 84-88.

    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. Roberts, Yvonne Humenay & English, Diana & Thompson, Richard & White, Catherine Roller, 2018. "The impact of childhood stressful life events on health and behavior in at-risk youth," Children and Youth Services Review, Elsevier, vol. 85(C), pages 117-126.
    2. Miller, Elizabeth A. & Paschall, Katherine W. & Azar, Sandra T., 2017. "Latent classes of older foster youth: Prospective associations with outcomes and exits from the foster care system during the transition to adulthood," Children and Youth Services Review, Elsevier, vol. 79(C), pages 495-505.
    3. 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.
    4. 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.
    5. Ralli, M. Asimina & Schiza Melpomeni & Tsiatsiou Alexandra, 2017. "Language and Psychosocial Skills of Institutionalized Children in Greece," The Open Family Studies Journal, Bentham Open, vol. 9(1), pages 76-87, August.
    6. Li, Fenfang & Godinet, Meripa T., 2014. "The impact of repeated maltreatment on behavioral trajectories from early childhood to early adolescence," Children and Youth Services Review, Elsevier, vol. 36(C), pages 22-29.
    7. Barnett, Erin R. & Boucher, Elizabeth A. & Neubacher, Katrin & Carpenter-Song, Elizabeth A., 2016. "Decision-making around psychotropic medications for children in foster care: Perspectives from foster parents," Children and Youth Services Review, Elsevier, vol. 70(C), pages 206-213.
    8. 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.
    9. Carpenter, Sara C. & Clyman, Robert B., 2004. "The long-term emotional and physical wellbeing of women who have lived in kinship care," Children and Youth Services Review, Elsevier, vol. 26(7), pages 673-686, July.
    10. 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).
    11. Dubois-Comtois, Karine & Bussières, Eve-Line & Cyr, Chantal & St-Onge, Janie & Baudry, Claire & Milot, Tristan & Labbé, Annie-Pier, 2021. "Are children and adolescents in foster care at greater risk of mental health problems than their counterparts? A meta-analysis," Children and Youth Services Review, Elsevier, vol. 127(C).
    12. Casanueva, Cecilia & Stambaugh, Leyla & Urato, Matthew & Fraser, Jenifer Goldman & Williams, Jason, 2011. "Lost in transition: Illicit substance use and services receipt among at-risk youth in the child welfare system," Children and Youth Services Review, Elsevier, vol. 33(10), pages 1939-1949, October.
    13. Garcia, Antonio & Aisenberg, Eugene & Harachi, Tracy, 2012. "Pathways to service inequalities among Latinos in the child welfare system," Children and Youth Services Review, Elsevier, vol. 34(5), pages 1060-1071.
    14. Park, Jung Min & Solomon, Phyllis & Mandell, David S., 2007. "Foster care placement among children who received inpatient psychiatric care," Children and Youth Services Review, Elsevier, vol. 29(7), pages 933-940, July.
    15. Simmel, Cassandra, 2012. "Highlighting adolescents' involvement with the child welfare system: A review of recent trends, policy developments, and related research," Children and Youth Services Review, Elsevier, vol. 34(7), pages 1197-1207.
    16. Solomon, David & Åsberg, Kia, 2012. "Effectiveness of child protective services interventions as indicated by rates of recidivism," Children and Youth Services Review, Elsevier, vol. 34(12), pages 2311-2318.
    17. Sullivan, Dana J. & van Zyl, Michiel A., 2008. "The well-being of children in foster care: Exploring physical and mental health needs," Children and Youth Services Review, Elsevier, vol. 30(7), pages 774-786, July.
    18. Littrell, Jill & Lyons, Peter, 2010. "Pediatric Bipolar Disorder: An issue for Child Welfare," Children and Youth Services Review, Elsevier, vol. 32(7), pages 965-973, July.
    19. Havlicek, Judy R. & Garcia, Antonio R. & Smith, Douglas C., 2013. "Mental health and substance use disorders among foster youth transitioning to adulthood: Past research and future directions," Children and Youth Services Review, Elsevier, vol. 35(1), pages 194-203.
    20. Noonan, Kathleen & Matone, Meredith & Zlotnik, Sarah & Hernandez-Mekonnen, Robin & Watts, Caroline & Rubin, David & Mollen, Cynthia, 2012. "Cross-system barriers to educational success for children in foster care: The front line perspective," Children and Youth Services Review, Elsevier, vol. 34(2), pages 403-408.

    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:32:y:2010:i:5:p:685-690. 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.