Correlates of Emotional Distress in Out‐of‐Home Youth

Harpin, Scott B.; Kenyon, DenYelle Baete; Kools, Susan; Bearinger, Linda H.; Ireland, Marjorie

doi:10.1111/jcap.12030

Cited by 15 publications

(8 citation statements)

References 37 publications

(33 reference statements)

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“…Self‐reported psychological problems were more severe and occurred at higher rates in girls compared with boys, especially girls aged 15–17 years and those in residential care. These findings are consistent with previous research: Rates of these problems are higher in young people from OoHC than in reference populations (Harpin et al, ; Simms et al, ), especially in girls (Harpin et al, ; Hornick et al, ; Keller, Salazar, & Courtney, ); and that internalizing behaviours in are more commonly seen in girls than boys (Neely‐Barnes & Whitted, ).…”

Section: Discussionsupporting

confidence: 91%

“…Hornick, Phillips, and Kerr () found more problems on the CBCL for girls in residential and foster care. Similarly, Harpin, Kenyon, Kools, Bearinger, and Ireland () reported greater self‐reported mental distress in girls in a large population‐based study of OoHC in Minnesota. No sex differences on the CBCL have also been noted (Heflinger, Simpkins, & Combs‐Orrne, ).…”

Section: Introductionmentioning

confidence: 90%

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Sex differences in psychological distress, behavioural and emotional problems, and substance use in young people in out‐of‐home care

Cotton

Rice

Moeller‐Saxone

et al. 2019

Child & Family Social Work

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The aim of the study was to examine sex differences in self‐reported psychological distress, behavioural and emotional problems, and substance use in young people living in out‐of‐home care (OoHC). One hundred seventy‐six young people aged 12–17 years (females 53.4%) in OoHC in metropolitan Melbourne, Australia, were interviewed. Participants completed self‐report measures: Kessler Psychological Distress Scale, Strengths and Difficulties Questionnaire, and the World Health Organization Alcohol, Smoking, and Substance Involvement Screening Test—Youth Version. Girls had more OoHC placement instability over the past year compared with boys (p = .019). Compared with boys, the girls had significantly higher levels of distress (p < .001) (p = .007), were more likely to have self‐reported emotional symptoms (p < .001) and peer relationship problems (p = .043) and were more likely to use sedatives (p = .004). Girls had more psychological distress, behavioural disturbance, and sedative abuse; placement instability might contribute to these problems. Greater integration across OoHC, mental health, and substance use sectors is required. Girls in OoHC may benefit from interventions targeting problems with peer relationship and substance use and supporting prosocial behaviour; such targets may reduce distress and emotional symptoms and possibly prevent longer term problems.

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Section: Discussionsupporting

confidence: 91%

Section: Introductionmentioning

confidence: 90%

Sex differences in psychological distress, behavioural and emotional problems, and substance use in young people in out‐of‐home care

Cotton

Rice

Moeller‐Saxone

et al. 2019

Child & Family Social Work

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“…Instead, youth in both groups seem to be suffering and showing internalizing symptoms of mental health distress as well as alcohol and marijuana use, but less frequently other drug use. The percentages seen in both groups are dramatically higher than those in the general population of Minnesota high school students ( Harpin, Kenyon, Kools, Bearinger, & Ireland, 2013 ).…”

Section: Discussionmentioning

confidence: 68%

Multiple perpetrator rape among girls evaluated at a hospital-based Child Advocacy Center: Seven years of reviewed cases

Edinburgh

Pape-Blabolil

Harpin

et al. 2014

Child Abuse & Neglect

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The aim of this study was to describe contextual events, abuse experiences, and disclosure processes of adolescents who presented to a hospital-based Child Advocacy Center for medical evaluation and evidentiary collection as indicated after experiencing multiple perpetrator rape during a single event (n = 32) and to compare these findings to a group of single perpetrator sexual assaults (n = 534). This study used a retrospective mixed-methods design with in-depth, forensic interviews and complete physical examinations of gang-raped adolescents. Patients ranged from 12 to 17 years (M = 14 years). Girls who experienced multiple perpetrator rape during a single event were more likely to have run away, to have drunk alcohol in the past month, and to have participated in binge drinking in the past 2 weeks. Acute presentation of these victims were rare but 30% had hymenal transections and 38% had sexually transmitted infections (STIs). Forensic interviews revealed alcohol was a common weapon used by offenders, and its use resulted in victims experiencing difficulty in remembering and reporting details for police investigation or physical and mental health care. Most victims were raped at parties they attended with people they thought they could trust, and they felt let down by witnesses who could have helped but did not intervene. Although relatively rare, multiple perpetrator rape during a single event is a type of severe sexual assault experience and has significant risks for deleterious health outcomes. These victims require health care by trained providers to diagnose physical findings, treat STIs, screen for trauma, and support victims.

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“…The adverse impact of out-of-home placement for these youth has been evidenced by many studies (e.g. Gowers et al, 2000;Harpin et al, 2013). For example, psychiatric hospitalization may cause strong affective reactions in adolescents and affect psychosocial dimensions of youth (Haynes et al, 2011), and may even lead to significantly worse mental health outcomes than in-home treatment (Gowers et al, 2000).…”

Section: Introductionmentioning

confidence: 99%

Changes in mental health outcomes with the intensive in‐home child and adolescent psychiatric service: a multi‐informant, latent consensus approach

Barbot

Bick

Bentley

et al. 2015

Int J Methods Psych Res

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This study investigates the Intensive In-home Child and Adolescent Psychiatric Service (IICAPS), a large-scale home-based intervention that collaboratively engages the family, school, and various other service providers (e.g. health practitioners or judicial systems) to prevent the hospitalization, institutionalization or out-of-home placement of children and adolescents with serious emotional disturbance. Multi-informant data (youth, parents and clinician) on the level of youth problem severity and functioning was gathered from 7169 youth and their families served by the IICAPS network, pre- and post-intervention. A newly developed "Multi-informant Latent Consensus" (MILC) approach was employed to measure mental health "baseline levels" and change, within a Structural Equation Modeling framework. The MILC approach demonstrated promise integrating information from multiple informants involved in the therapeutic process to yield a more accurate and systemic view of a child's level of functioning and problem severity than each report taken individually. Results indicated that the IICAPS family and community based intervention model led to a reduction of problem severity and improved functioning in children and adolescents with severe emotional disturbance.

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Correlates of Emotional Distress in Out‐of‐Home Youth

Cited by 15 publications

References 37 publications

Sex differences in psychological distress, behavioural and emotional problems, and substance use in young people in out‐of‐home care

Sex differences in psychological distress, behavioural and emotional problems, and substance use in young people in out‐of‐home care

Multiple perpetrator rape among girls evaluated at a hospital-based Child Advocacy Center: Seven years of reviewed cases

Changes in mental health outcomes with the intensive in‐home child and adolescent psychiatric service: a multi‐informant, latent consensus approach

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