Intervention Effects on Health-Risking Sexual Behavior Among Girls in Foster Care: The Role of Placement Disruption and Tobacco and Marijuana Use

Kim, Hong; Pears, Katherine C.; Leve, Leslie D.; Chamberlain, Patricia; Smith, Dana K.

doi:10.1080/1067828x.2013.788880

Cited by 24 publications

(21 citation statements)

References 53 publications

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“…For example, a prospective study of girls in foster care examined placement changes (e.g., disruption from one foster home and placement in a new home) between ages 11 and 12 and found that these changes were associated with a cascade of delinquency-related problems 2 years later, including tobacco and marijuana use and early engagement in sexual activity (Kim, Pears, Leve, Chamberlain, & Smith, 2013). Participation in a parenting- and skill-building focused intervention helped increase placement stability and was associated with more positive behavioral outcomes for these at-risk girls.…”

Section: Risk and Protective Factors During Early And Middle Childhoodmentioning

confidence: 99%

Risks, Outcomes, and Evidence-Based Interventions for Girls in the US Juvenile Justice System

Leve

Chamberlain

Kim

2015

Clin Child Fam Psychol Rev

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The proportion of the juvenile justice population that is comprised of females is increasing, yet few evidence-based models have been evaluated and implemented with girls in the juvenile justice system. Although much is known about the risk and protective factors for girls who participate in serious delinquency, significant gaps in the research base hamper the development and implementation of theoretically based intervention approaches. In this review, we first summarize the extant empirical work about the predictors and sequelae of juvenile justice involvement for girls. Identified risk and protective factors that correspond to girls’ involvement in the juvenile justice system have been shown to largely parallel those of boys, although exposure rates and magnitudes of association sometimes differ by sex. Second, we summarize findings from empirically validated, evidence-based interventions for juvenile justice–involved youths that have been tested with girls. The interventions include Functional Family Therapy, Multisystemic Therapy, Multidimensional Family Therapy, and Treatment Foster Care Oregon (formerly known as Multidimensional Treatment Foster Care). We conclude that existing evidence-based practices appear to be effective for girls. However, few studies have been sufficiently designed to permit conclusions about whether sex-specific interventions would yield any better outcomes for girls than would interventions that already exist for both sexes and that have a strong base of evidence to support them. Third, we propose recommendations for feasible, cost-efficient next steps to advance the research and intervention agendas for this under-researched, under-served population of highly vulnerable youths.

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Section: Risk and Protective Factors During Early And Middle Childhoodmentioning

confidence: 99%

Risks, Outcomes, and Evidence-Based Interventions for Girls in the US Juvenile Justice System

Leve

Chamberlain

Kim

2015

Clin Child Fam Psychol Rev

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“…First, this study replicates significant intervention effects of the middle school version of the KEEP SAFE program (Middle School Success) on reducing substance use among early adolescent girls in foster care (Kim & Leve, 2011; Kim et al, 2013). Middle School Success takes the same family-based and skill-focused approach but is developmentally timed at the transition to middle school (see Kim & Leve, 2011 for details).…”

Section: Discussionmentioning

confidence: 60%

“…In particular, substance use problems are among the most frequently noted mental health issues for foster care-involved youth (Keller et al, 2010), with prevalence rates for alcohol abuse, drug abuse, and drug dependency at two to five times higher than their peers with no histories of foster care involvement (Pilowsky & Wu, 2006). This is alarming because such substance use problems often lead to a host of other health risking behaviors, such as risky sexual behaviors (e.g., failure to use protection, multiple sexual partners), teen pregnancy, and poor academic achievement, all of which are likely to have long-lasting effects on youths’ adjustment throughout adolescence and adulthood (Kim, Pears, Leve, Chamberlain, & Smith, 2013). …”

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confidence: 99%

Pathways to Preventing Substance Use Among Youth in Foster Care

2017

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Substance use problems are highly prevalent among youth in foster care. Such problems in adolescence have long-lasting implications for subsequent adjustment throughout adulthood and even across generations. Although several programs have demonstrated positive results in reducing substance use in at-risk youth, few studies have systemically examined how such programs work for foster youth and whether they are effective for both genders. This study examined the efficacy of KEEP SAFE, a family-based and skill-focused program designed to prevent substance use and other related health risking behaviors among youth in foster care. We hypothesized that improving the caregiver—youth relationship would lead to later reductions in youths’ involvement with deviant peers, which subsequently would lead to less substance use, and that this mechanism would work comparably for both genders. A sample of 259 youth (154 girls, ages 11–17 years) in foster care and their caregivers participated in a randomized controlled trial and was followed for 18 months postbaseline. Results indicated that the intervention significantly reduced substance use in foster youth at 18 months postbaseline and that the intervention influenced substance use through two processes: youths’ improved quality of relationships with caregivers at 6 months postbaseline and fewer associations with deviant peers at 12 months postbaseline. This suggests that these two processes may be fruitful immediate targets in substance use prevention programs for foster youth. We also found little gender differences in direct and mediating effects of the intervention, suggesting KEEP SAFE may be effective for both genders in foster care.

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“…This is relevant for client populations across the age spectrum, from childhood into older adulthood. For example, prevention programs aimed at reducing highrisk sexual behaviors for adolescents in the child welfare system have shown promising results in terms of condom awareness and HIV-risk knowledge (McGuinness, Mason, Tolbert, & DeFontaine, 2002), as well as lower levels of high-risk sexual behaviors approximately 3 years post-intervention (Kim, Pears, Leve, Chamberlain, & Smith, 2013). As social workers are so frequently employed and extensively involved in the child welfare system, they can play an integral part in delivering pregnancy and STI prevention interventions.…”

Section: Discussionmentioning

confidence: 99%

MSW student perceptions of sexual health as relevant to the profession: Do social work educational experiences matter?

Winter

O’Neill

Begun

et al. 2016

Social Work in Health Care

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Many social work clients are at an increased risk for negative outcomes related to sexual behavior, including unwanted pregnancies and sexually transmitted infections (STIs). However, there is a dearth of literature on social work student experiences with these topics in social work classrooms and their perceptions about the topic's relevance to their practice. The purpose of this study is to explore relationships between experiences with STIs and contraception as topics in social work education and practica experiences on student perceptions toward sexual health as a relevant topic for social work. Among a national sample of MSW students (N = 443), experiences with STIs and contraception as topics in practica was significantly related to perceptions toward sexual health's relevance to social work. Findings and implications are discussed.

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Intervention Effects on Health-Risking Sexual Behavior Among Girls in Foster Care: The Role of Placement Disruption and Tobacco and Marijuana Use

Cited by 24 publications

References 53 publications

Risks, Outcomes, and Evidence-Based Interventions for Girls in the US Juvenile Justice System

Risks, Outcomes, and Evidence-Based Interventions for Girls in the US Juvenile Justice System

Pathways to Preventing Substance Use Among Youth in Foster Care

MSW student perceptions of sexual health as relevant to the profession: Do social work educational experiences matter?

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