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Mental health interventions for children in foster care: A systematic review

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  • Hambrick, Erin P.
  • Oppenheim-Weller, Shani
  • N'zi, Amanda M.
  • Taussig, Heather N.

Abstract

Children in foster care have high rates of adverse childhood experiences and are at risk for mental health problems. These problems can be difficult to ameliorate, creating a need for rigorous intervention research. Previous research suggests that intervening with children in foster care can be challenging for several reasons, including the severity and complexity of their mental health problems, and challenges engaging this often transitory population in mental health services. The goal of this article was to systematically review the intervention research that has been conducted with children in foster care, and to identify future research directions. This review was conducted on mental health interventions for children, ages 0 to 12, in foster care, using ERIC, CINAHL, PsycINFO, PubMed, ProQuest's Dissertation and Theses Database, Social Services Abstracts, and Social Work Abstracts. It was restricted to interventions that are at least “possibly efficacious” (i.e., supported by evidence from at least one randomized controlled trial). Studies were evaluated for risk of bias. Ten interventions were identified, with diverse outcomes, including mental health and physiological. Six interventions were developed for children in foster care. Interventions not developed for children in foster care were typically adapted to the foster context. Most interventions have yet to be rigorously evaluated in community-based settings with children in foster care. Little research has been conducted on child and family engagement within these interventions, and there is a need for more research on moderators of intervention outcomes and subgroups that benefit most from these interventions. In addition, there is no consensus regarding how to adapt interventions to this population. Future research should focus on developing and testing more interventions with this population, rigorously evaluating their effectiveness in community-based settings, determining necessary adaptations, and identifying which interventions work best for whom.

Suggested Citation

  • 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.
    • Handle: RePEc:eee:cysrev:v:70:y:2016:i:c:p:65-77
    DOI: 10.1016/j.childyouth.2016.09.002
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    1. David Moher & Alessandro Liberati & Jennifer Tetzlaff & Douglas G Altman & The PRISMA Group, 2009. "Preferred Reporting Items for Systematic Reviews and Meta-Analyses: The PRISMA Statement," PLOS Medicine, Public Library of Science, vol. 6(7), pages 1-6, July.
    2. 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.
    3. Bessell, Sharon, 2011. "Participation in decision-making in out-of-home care in Australia: What do young people say?," Children and Youth Services Review, Elsevier, vol. 33(4), pages 496-501, April.
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    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).
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    4. Chiu, Hsin-Yao & McGuire, Austen B. & Jackson, Yo & Stoolmiller, Mike L. & Rodriguez, Alyssa M., 2023. "Maneuvering through life with positivity: Estimating the effects of foster youth’s appraisal on coping styles," Children and Youth Services Review, Elsevier, vol. 155(C).
    5. Waid, Jeffrey & Wojciak, Armeda Stevenson, 2019. "Evaluating the impact of camp-based reunification on the resilience of siblings separated by foster care," Children and Youth Services Review, Elsevier, vol. 100(C), pages 274-282.
    6. 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).
    7. Tomlinson, Camie A. & McDonald, Shelby E. & Brown, Samantha M. & Shin, Sunny H., 2023. "Exploring dimensions of childhood adversity as predictors of psychological adjustment among adolescents involved in the child welfare system: A latent profile analysis," Children and Youth Services Review, Elsevier, vol. 155(C).
    8. MacDonald, Sarah & Trubey, Rob & Noyes, Jane & Vinnicombe, Soo & Morgan, Helen E. & Willis, Simone & Boffey, Maria & Melendez-Torres, G.J. & Robling, Michael & Wooders, Charlotte & Evans, Rhiannon, 2024. "Mental health and wellbeing interventions for care-experienced children and young people: Systematic review and synthesis of process evaluations," Children and Youth Services Review, Elsevier, vol. 156(C).
    9. Lee, Jane Jiyoun & Holmes, Lisa, 2021. "Longitudinal trajectories of behavioral problems among children in out-of-home care: A systematic review," Children and Youth Services Review, Elsevier, vol. 127(C).
    10. Evans, Rhiannon & Cunningham, Emily & Stabler, Lorna & Vaughan, Rachael & Davies, Brittany & Cummings, Aimee & Boffey, Maria & Wooders, Charlotte & Mannay, Dawn, 2024. "Acceptability, feasibility and perceived effectiveness of online and remote mental health and wellbeing interventions during the COVID-19 pandemic: A qualitative study with care-experienced young peop," Children and Youth Services Review, Elsevier, vol. 156(C).
    11. Collins, Cyleste C. & Bai, Rong & Fischer, Robert & Crampton, David & Lalich, Nina & Liu, Chun & Chan, Tsui, 2020. "Housing instability and child welfare: Examining the delivery of innovative services in the context of a randomized controlled trial," Children and Youth Services Review, Elsevier, vol. 108(C).
    12. Brewsaugh, Katrina & Holmes, Allison K. & Richardson, Audrey & Barnard, Suzanne & Weaver, Cynthia & O'Brien, Kirk & Parker, Elizabeth & Pecora, Peter J. & DuMont, Kimberly & Munson, Sara & Smith, Joan, 2022. "Research and knowledge gaps in child welfare in the United States: A national survey of agency staff, allied disciplines, tribal leaders, and people who have experienced child welfare," Children and Youth Services Review, Elsevier, vol. 138(C).
    13. Straatmann, Viviane S. & Jackisch, Josephine & Brännström, Lars & Almquist, Ylva B., 2021. "Intergenerational transmission of out-of-home care and the role of mental health problems: Findings from Stockholm birth cohort multigenerational study," Social Science & Medicine, Elsevier, vol. 284(C).
    14. Furlong, Mairead & McLoughlin, Fergal & McGilloway, Sinead, 2021. "The incredible years parenting program for foster carers and biological parents of children in foster care: A mixed methods study," Children and Youth Services Review, Elsevier, vol. 126(C).

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