IDEAS home Printed from https://ideas.repec.org/a/eee/cysrev/v50y2015icp38-43.html
   My bibliography  Save this article

Continuity of care for youth in foster care with serious emotional disturbances

Author

Listed:
  • Fontanella, Cynthia A.
  • Gupta, Lipi
  • Hiance-Steelesmith, Danielle L.
  • Valentine, Sedona

Abstract

Continuity of mental health care has long been considered an essential component to the delivery of a high-quality mental health services, particularly for children with special needs. Unfortunately, discontinuities in care are common for children in foster care due in part to placement instability, disruptions in health coverage, and the fragmented health system. This retrospective cohort study examined factors associated with continuity of care for youth (aged 5–17years) in foster care diagnosed with schizophrenia and bipolar disorder. Information on individual-level (demographic and clinical characteristics) and contextual-level variables (county socio-demographic and health care resources) were abstracted from Medicaid claim files and the Area Resource File. Continuity of care was defined as regularity of care—utilization of at least one outpatient mental health visit per month during the year. Multilevel modeling was used to assess the association between individual and contextual-level variables and continuity of care. Of the 952 youth in the study sample, 439 (46.1%) received regular monthly outpatient visits over the 1year follow-up period. The odds of receipt of regular outpatient treatment were associated with prior outpatient care (odds ratio (OR): 7.43, 95% confidence interval (CI): 2.60–21.20), the presence of a chronic medical illness (OR: 1.45, 95% CI: 0.98–2.16), comorbid anxiety (Or: 1.76, 95% CI 1.22–2.53), or conduct disorder (OR: 1.57, 95% CI: 1.13–2.18), and the use of multiple psychotropic medications as compared to no medications (OR: 1.55, 95% CI: 1.08–2.23). The odds of receiving regular outpatient treatment were higher for youths who resided in suburban areas as compared to metropolitan areas (OR: 1.97, 95% CI: 1.04–3.73) and for those who resided in areas with greater supply of psychiatrists per capita (OR: 1.22, 95% CI: 1.02–1.45). Study findings underscore the need for quality improvement initiatives that improve access to care, care coordination, and continuity of care.

Suggested Citation

  • Fontanella, Cynthia A. & Gupta, Lipi & Hiance-Steelesmith, Danielle L. & Valentine, Sedona, 2015. "Continuity of care for youth in foster care with serious emotional disturbances," Children and Youth Services Review, Elsevier, vol. 50(C), pages 38-43.
    • Handle: RePEc:eee:cysrev:v:50:y:2015:i:c:p:38-43
    DOI: 10.1016/j.childyouth.2015.01.004
    as

    Download full text from publisher

    File URL: http://www.sciencedirect.com/science/article/pii/S0190740915000146
    Download Restriction: Full text for ScienceDirect subscribers only
    File URL: https://libkey.io/10.1016/j.childyouth.2015.01.004?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. 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. Landsverk, John & Davis, Inger & Ganger, William & Newton, Rae & Johnson, Ivory, 1996. "Impact of child psychosocial functioning on reunification from out-of-home placement," Children and Youth Services Review, Elsevier, vol. 18(4-5), pages 447-462.
    3. Eberhardt, M.S. & Pamuk, E.R., 2004. "The importance of place of residence: Examining health in rural and nonrural areas," American Journal of Public Health, American Public Health Association, vol. 94(10), pages 1682-1686.
    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. Cross, Theodore P. & Tran, Steve P. & Betteridge, Eliza & Hjertquist, Robert & Spinelli, Tawny & Prior, Jennifer & Jordan, Neil, 2021. "The relationship of needs assessed at entry into out-of-home care to children and youth’s later emotional and behavioral problems in care," Children and Youth Services Review, Elsevier, vol. 122(C).
    2. Naert, Jan & Roose, Rudi & Rapp, Richard C. & Vanderplasschen, Wouter, 2017. "Continuity of care in youth services: A systematic review," Children and Youth Services Review, Elsevier, vol. 75(C), pages 116-126.
    3. St. Jean, Spencer & Murphy, Ashley & Wright, Kendra & Law, Clara & Risser, Heather J., 2024. "Understanding the needs of foster parents of youth with special health care needs: Perceptions, barriers, and recommendations," Children and Youth Services Review, Elsevier, vol. 158(C).

    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. repec:rre:publsh:v:39:y:2009:i:2:p:149-69 is not listed on IDEAS
    2. 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.
    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. Li, Jing, 2014. "The influence of state policy and proximity to medical services on health outcomes," Journal of Urban Economics, Elsevier, vol. 80(C), pages 97-109.
    5. José J. Escarce & Kanika Kapur, 2009. "Do patients bypass rural hospitals? Determinants of inpatient hospital choice in rural California," Working Papers 200902, School of Economics, University College Dublin.
    6. 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.
    7. 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.
    8. Marsh, Jeanne C. & Ryan, Joseph P. & Choi, Sam & Testa, Mark F., 2006. "Integrated services for families with multiple problems: Obstacles to family reunification," Children and Youth Services Review, Elsevier, vol. 28(9), pages 1074-1087, September.
    9. Srikant Devaraj & Marcus T. Wolfe & Pankaj C. Patel, 2021. "Creative destruction and regional health: evidence from the US," Journal of Evolutionary Economics, Springer, vol. 31(2), pages 573-604, April.
    10. Sandra C. Thompson & Lee Nedkoff & Judith Katzenellenbogen & Mohammad Akhtar Hussain & Frank Sanfilippo, 2019. "Challenges in Managing Acute Cardiovascular Diseases and Follow Up Care in Rural Areas: A Narrative Review," IJERPH, MDPI, vol. 16(24), pages 1-17, December.
    11. Alex T. Ramsey & Timothy B. Baker & Giang Pham & Faith Stoneking & Nina Smock & Graham A. Colditz & Aimee S. James & Jingxia Liu & Laura J. Bierut & Li-Shiun Chen, 2020. "Low Burden Strategies Are Needed to Reduce Smoking in Rural Healthcare Settings: A Lesson from Cancer Clinics," IJERPH, MDPI, vol. 17(5), pages 1-11, March.
    12. Bellamy, Jennifer L., 2008. "Behavioral problems following reunification of children in long-term foster care," Children and Youth Services Review, Elsevier, vol. 30(2), pages 216-228, February.
    13. Natasa Sedlar & Mitja Lainscak & Jerneja Farkas, 2020. "Living with Chronic Heart Failure: Exploring Patient, Informal Caregiver, and Healthcare Professional Perceptions," IJERPH, MDPI, vol. 17(8), pages 1-16, April.
    14. Gary S. Young & Mary A. Fox & Michael Trush & Norma Kanarek & Thomas A. Glass & Frank C. Curriero, 2012. "Differential Exposure to Hazardous Air Pollution in the United States: A Multilevel Analysis of Urbanization and Neighborhood Socioeconomic Deprivation," IJERPH, MDPI, vol. 9(6), pages 1-22, June.
    15. Mariaelena Gonzalez & Anna E. Epperson & Bonnie Halpern-Felsher & Deanna M. Halliday & Anna V. Song, 2021. "Smokers Are More Likely to Smoke More after the COVID-19 California Lockdown Order," IJERPH, MDPI, vol. 18(5), pages 1-9, March.
    16. Maluccio, Anthony N. & Whittaker, James K., 1997. "Learning from the "family preservation" initiative," Children and Youth Services Review, Elsevier, vol. 19(1-2), pages 5-16.
    17. Keil, Vivien & Price, Joseph M., 2006. "Externalizing behavior disorders in child welfare settings: Definition, prevalence, and implications for assessment and treatment," Children and Youth Services Review, Elsevier, vol. 28(7), pages 761-779, July.
    18. Shore, Nancy & Sim, Kelly E. & Le Prohn, Nicole S. & Keller, Thomas E., 2002. "Foster parent and teacher assessments of youth in kinship and non-kinship foster care placements: are behaviors perceived differently across settings?," Children and Youth Services Review, Elsevier, vol. 24(1-2), pages 109-134.
    19. Elizabeth Lawrence & Robert A. Hummer & Kathleen Mullan Harris, 2017. "The Cardiovascular Health of Young Adults: Disparities along the Urban-Rural Continuum," The ANNALS of the American Academy of Political and Social Science, , vol. 672(1), pages 257-281, July.
    20. Dunn, Richard A. & Sharkey, Joseph R. & Horel, Scott, 2012. "The effect of fast-food availability on fast-food consumption and obesity among rural residents: An analysis by race/ethnicity," Economics & Human Biology, Elsevier, vol. 10(1), pages 1-13.
    21. 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.

    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:50:y:2015:i:c:p:38-43. 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.