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

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  • 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
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    References listed on IDEAS

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    1. 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.
    2. 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.
    3. 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.
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    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. 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.
    4. 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).

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