Evolve Therapeutic Services: A 5-year outcome study of children and young people in out-of-home care with complex and extreme behavioural and mental health problems

Klag, Stefanie Marie Luise; Fox, Tara; Martin, Graham; Eadie, Kathryn; Bergh, Warren; Keegan, Frank; Turner, Duncan L.; Raeburn, Narelle

doi:10.1016/j.childyouth.2016.08.017

Cited by 12 publications

(15 citation statements)

References 23 publications

(13 reference statements)

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“…Clinical mental health interventions include an initial and ongoing comprehensive assessment of the bio/psycho/social/cultural aspects of the C/YP and their significant others; risk management and safety planning; attachment and/or trauma focused therapies, which may include dyadic work, individual therapy, family-based intervention or the use of other treatment modalities; and, stakeholder coordination and support. ETS is an evidence based program that offers individual and systemic interventions that lead to improved consumer and carer wellbeing, placement stability, interpersonal relations, and stakeholder engagement (Eadie, 2017; Klag et al, 2016).…”

Section: Methodsmentioning

confidence: 99%

Assessment of mental health difficulties in children and young people in care attending a specialist mental health service

Eadie

Wegener

Bergh

2020

Developmental Child Welfare

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The purpose of this study is to test the validity of the Assessment Checklist measures in assessing complex mental health and behavioural difficulties of children and young people in care attending a specialist mental health service in Queensland, Australia. Fifty-eight consumers (53% male) with an average age of 8 years were assessed by carers on the Assessment Checklist for Children—Short Form and Strengths and Difficulties Questionnaire, and 44 consumers (36% male) with an average age of 13 years were assessed by carers on the Assessment Checklist for Adolescents—Short Form and Strengths and Difficulties Questionnaire. Results showed that the Assessment Checklist for Children—Short Form total score correlated with the Strengths and Difficulties Questionnaire total score. There were some correlations between subscales on both the measures. The Assessment Checklist for Adolescents—Short Form and Strengths and Difficulties Questionnaire correlated on very few domains. Domains of the Assessment Checklist measures that assess emotional dysregulation, trauma, interpersonal/attachment styles, sexual behaviour and food maintenance appear to provide additional clinical information about consumers that the standard Child and Youth Mental Health Service carer-report measure (Strengths and Difficulties Questionnaire) does not. It is recommended that the Assessment Checklist measures be used as an additional measure to assess the complexity of the children and young people in care who attend specialist mental health services.

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Section: Methodsmentioning

confidence: 99%

Assessment of mental health difficulties in children and young people in care attending a specialist mental health service

Eadie

Wegener

Bergh

2020

Developmental Child Welfare

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“…A summary of each study's design, participant characteristics, and intervention content is presented in Supplementary Table 2. All studies were conducted across various states and territories in Australia, with the majority from Victoria (n = 19), followed by New South Wales (n = 6, Conrad et al, 2017;Curtis et al, 2016;Howe et al, 2017;Hudson et al, 2015;Nasstasia et al, 2017Nasstasia et al, , 2019, Queensland (n = 5, Daubney et al, 2021;Edwards et al, 2018;Farrell et al, 2012;Klag et al, 2016;Tan & Martin, 2015), Western Australia (n = 3, Goel et al, 2021;Porter & Nuntavisit, 2016;Sabbioni et al, 2018), andTasmania (n = 1, Westwater et al, 2020). Two studies were conducted nationally (Bassilios et al, 2017;Rickwood et al, 2015), and the final study collected data from three states (VIC, NSW, and QLD, Hall et al, 2021).…”

Section: Summary Of Studiesmentioning

confidence: 99%

“…Two studies reported that the majority of young people (66% and 90%) were receiving government benefits (Hides et al, 2011;. Finally, one study assessed a program that was specifically tailored for youth living in in out-of-home care (Klag et al, 2016).…”

Section: Participant Characteristicsmentioning

confidence: 99%

“…Interventions were delivered weekly for 4.5 months on average, (M = 18.17 weeks, SD = 17.34). However, there was significant variation in the duration and intensity of support across interventions depending on the young person's needs, ranging from one session of family therapy (Hopkins et al, 2017;Westwater et al, 2020) to over 18 months of engagement (Klag et al, 2016). Frequency of contact varied, with up to three times a week or daily for the more intensive programs (Green et al, 2015;Porter et al, 2016;Schley et al, 2012).…”

Section: Characteristics Of Interventionsmentioning

confidence: 99%

“…Kennair et al (2011) evaluated the Adolescent Day Program, an intensive community-based group program (3 × 5-h sessions per week) for young people case managed by CAMHS, which included skills-based work (i.e., social skills training, anger management), practical community outings, and a focus on the achievement of psychosocial goals. Klag et al (2016) evaluated Evolve Therapeutic Services, a trauma-informed wrap-around model of care where a multidisciplinary team provides coordinated in-house therapeutic and behavioral supports to young people in out-of-home care. Similarly, youth received multidisciplinary in-house support (i.e., therapy, medication, and support with psychosocial stressors, such as housing, finances, schooling) from the Youth Community Assessment and Treatment Team (Goel et al, 2021).…”

Section: Integrated One-stop-shop Servicesmentioning

confidence: 99%

See 2 more Smart Citations

The Impact of Community Mental Health Programs for Australian Youth: A Systematic Review

Savaglio

O’Donnell

Hatzikiriakidis

et al. 2022

Clin Child Fam Psychol Rev

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Australia has undergone significant youth mental health reform over the past 10 years, leading to numerous studies examining the effects of community-based mental health care programs for Australian youth. However, no synthesis of this literature currently exists. Therefore, this systematic review aimed to: (1) describe the types of community-based mental health programs that have been delivered to Australian youth in the past 10 years; and (2) examine their impact in improving young people’s mental health symptomology and psychosocial functioning. A systematic search of the peer-reviewed literature was conducted. Studies were included if they evaluated the extent to which such programs improved mental health symptomology (e.g., depression, anxiety, substance use) and/or psychosocial outcomes (e.g., social functioning, school engagement, employment) for Australian youth aged 10–25 years. Thirty-seven studies were included. Four types of community-based youth mental health care programs were identified: therapy (n = 16), case management (n = 9), integrated ‘one-stop-shop’ (n = 6) and lifestyle (n = 6) programs. The majority of therapeutic programs were effective in reducing mental health symptomology. Case management and integrated approaches consistently yielded significant improvements in both symptomology and psychosocial outcomes. Lifestyle programs were effective in alleviating depressive symptoms, but inconclusive for other outcomes. This review provides support for youth-friendly, systemic, multidisciplinary and integrated assertive outreach models of community mental health care to improve outcomes for young Australians experiencing mental health concerns. Several recommendations for future research are provided to strengthen the local evidence-base supporting community mental health programs to ultimately enhance young people’s life trajectory.

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Outcomes of Assertive Community Treatment for Adolescents with Complex Mental Health Problems Who are Difficult to Engage

et al. 2021

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Evolve Therapeutic Services: A 5-year outcome study of children and young people in out-of-home care with complex and extreme behavioural and mental health problems

Cited by 12 publications

References 23 publications

Assessment of mental health difficulties in children and young people in care attending a specialist mental health service

Assessment of mental health difficulties in children and young people in care attending a specialist mental health service

The Impact of Community Mental Health Programs for Australian Youth: A Systematic Review

Outcomes of Assertive Community Treatment for Adolescents with Complex Mental Health Problems Who are Difficult to Engage

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