Helping Young People in Out-of-Home Care: Basic Elements

Drever, Saskia; Tarren‐Sweeney, Michael; Nunn, Kenneth; Jairam, Rajeev

doi:10.1016/j.jaac.2022.06.016

Cited by 1 publication

(2 citation statements)

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“…In addition, it is critical to consider the key elements which contribute to successful engagement and intervention with this very complex and challenging group of young people and their surrounding systems. These have been well detailed in a recent publication (Drever et al, 2022). One of the benefits of the OOHC-MHT is its provision of culturally informed service delivery which aims to meet the unique needs of this group.…”

Section: Discussionmentioning

confidence: 90%

“…In addition, it is important to consider other factors (e.g. duration of service involvement, number of placement changes) as alternative outcome measures, rather than relying solely on psychiatric symptom counts (Drever et al, 2022). We hope to explore and compare indices of engagement between services for young people in OOHC in future research.…”

Section: Discussionmentioning

confidence: 99%

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Outcomes for young people in out of home care accessing tiered mental health services in Sydney, Australia

Drever

Foord

Diaz

et al. 2023

Clin Child Psychol Psychiatry

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Young people in OOHC have complex mental health concerns, therefore the South Western Sydney Local Health District (SWSLHD) has trialled a tiered model of mental health care. Under this model the OOHC mental health team (OOHC-MHT) provides specialist tier four service delivery for those with the most severe, intense mental health needs. OOHC consumers with a reduced level of severity access services at a tier three centre-based iCAMHS. This study aims to understand the characteristics of young people in OOHC accessing different service provision options in Sydney, Australia. Sixty-six OOHC consumers 8–17 years accessing mental health services across SWSLHD from January 2020–December 2021 participated in the study. Group differences in OOHC-MHT and iCAMHS outcome measures were compared. HoNOSCA scores were significantly worse for OOHC-MHT than iCAMHS, indicating more severe psychopathology for OOHC-MHT at baseline. In OOHC-MHT, HoNOSCA decreased significantly from admission to discharge and scores on the CGAS increased significantly, indicating significant improvements in psychopathology and functioning. In the iCAMHS group scores on the HoNOSCA significantly decreased indicating improved psychopathology over this period. These findings support a tiered model of service delivery for OOHC consumers, with this tailored level of care resulting in significantly improved outcomes across a range of complexity.

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Section: Discussionmentioning

confidence: 90%

Section: Discussionmentioning

confidence: 99%