Emotional and Behavioral Problems Reported in Child Welfare Over 3 Years

Abstract

Child welfare agencies are required to provide services that ensure that children receive adequate mental health care. This study provides a comprehensive view of the emotional and behavioral problems of children who are referred to child welfare services, using nationally representative data. Bivariate analyses compare rates by child demographics, and conditional probability tables present changes in clinical status. Results show that 62% of children have at least one clinical-level score over 3 years. Rates are highest at baseline. Posttraumatic stress most frequently improves, whereas thought, attention, and aggressive/ delinquent behavior problems are most persistent. Sexualized behavior is more common among White and Hispanic children, and boys are reported with more internalizing problems than do girls. Targeted services are needed for young children who experience posttraumatic stress, as is treatment for attention problems that accounts for both biological and environmental components. Distinguishing the effects of age, environment, and assessment methods on boys' internalizing problems is also critical.

Neuropsychological Profile of Children, Adolescents and Adults Experiencing Maltreatment: A Meta-analysis

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Service System Involvement and Delinquent Offending at System of Care Entry

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Kinship Foster Care Among African American Youth: Interaction Effects at Multiple Contextual Levels

“…Children removed from the home by child welfare services generally exhibit poorer mental health outcomes (Grogan-Kaylor, Ruffolo, Ortega, & Clarke, 2008; Leslie et al, 2000; McCrae, 2009). Research shows African American youth are disproportionately involved in the child welfare system, and these youth experience greater rates of child abuse and neglect as well as the associated negative impacts on mental health (Ards, Myers, Malkis, Sugrue, & Zhou, 2003).…”