Interventions and Practice Models for Improving Health and Psychosocial Outcomes for Children in Residential Out-of-Home Care: Systematic Review

Galvin, Emma; O’Donnell, Renée; Breman, Rachel Blankstein; Avery, Julie; Mousa, Aya; Halfpenny, Nick; Skouteris, Helen

doi:10.1080/0312407x.2020.1856394

Cited by 8 publications

(4 citation statements)

References 16 publications

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“…Aboriginal children are over-represented in OOHC, and their placement out-of-home potentially adds harm to an already vulnerable population whose health outcomes are poorer than the general Australian population [ 9 , 10 ]. The available evidence suggests that in order to achieve improved health outcomes for those in OOHC, regional-specific data are required [ 11 , 12 , 13 , 14 ]. Therefore, research identifying local challenges in OOHC is needed to develop effective recommendations and practical solutions.…”

Section: Introductionmentioning

confidence: 99%

Health Outcomes of Children Living in Out-of-Home Care in Metropolitan Western Australia: A Sequential Mixed-Methods Study—A Protocol Paper

et al. 2023

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The research protocol described aims to examine and establish the health outcomes of children and young people living in Out-of-Home Care (OOHC) in Perth, Western Australia (WA) from the perspective of the care recipients and service providers. A Study Advisory Panel (SAP) will be established comprised of Aboriginal Elders (because of the over-representation of Aboriginal children in OOHC), health professionals and other relevant stakeholders to help co-design all phases of the study. Mixed methods will be used in data collection and analysis. In the quantitative phase, it is proposed to collect retrospective data from three WA Department of Communities (DOC) districts. The data proposed to be collected includes: the number of children who received initial and annual health assessments, the health needs identified, and interventions put in place to address these needs. The qualitative phase will consist of interviews with service recipients (young people who have exited OOHC and Carers), health service providers (Community Health Nurses, School Nurses, General Practitioners and Paediatricians) and OOHC Case Workers. The research will provide an overview of the current health needs of children and young people in OOHC in WA and the perspectives of these young people, their Carers and service providers on current processes for accessing healthcare. It is anticipated that the study will provide valuable evidence for quality improvement in health service delivery to better meet the health needs of children and young people in OOHC.

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Section: Introductionmentioning

confidence: 99%

Health Outcomes of Children Living in Out-of-Home Care in Metropolitan Western Australia: A Sequential Mixed-Methods Study—A Protocol Paper

et al. 2023

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“…Extensive evidence highlights the significant health disparities and socio-economic inequities experienced by Indigenous populations in Australia compared to non-Indigenous Australians (Calma et al, 2017; Dickson et al, 2019; Galvin et al, 2020). This includes a notable overrepresentation of Indigenous children and young people in the child protection system, including out-of-home-care, as well as an elevated risk of adverse mental health outcomes among this population (Menzies and Grace, 2022; Zuchowski et al, 2022).…”

Section: Introductionmentioning

confidence: 99%

Enhancing child safety and well-being in the northern territory: Bridging gaps in support services and strengthening community engagement

Reynolds,

Roche,

Piatkowski

2023

Qualitative Social Work

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This article reports on a study that provides insights into the challenges faced by practitioners in the Northern Territory (NT) who support families in enhancing child safety and well-being, particularly for children at risk of or exposed to domestic or family violence. Despite increased funding for programs aimed at improving children's safety and well-being, reports and substantiations of child maltreatment in the NT continue to escalate. Interviews with twelve participants from various organizations involved in child protection services, family support services, and residential care shed light on the existing gaps in support services, including limited resources for families escaping domestic violence and inadequate assistance for children transitioning from out-of-home care. The findings emphasize the need for early intervention services targeted at families displaying risk factors for child maltreatment. Additionally, community consultation is crucial for the design and implementation of support programs that align with the unique needs of communities, including the necessity of maintaining connections to community, culture, and family to address concerns related to meeting basic needs. The study calls for a comprehensive approach that integrates community input, cultural safety, and tailored support programs to bridge these gaps and facilitate lasting positive changes. By addressing these challenges, there is a potential to mitigate child maltreatment and improve the well-being of children and families in the NT, contributing to the overall welfare of the community.

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“…Despite evidence relating to the prevalence of need for this population in AHP‐related areas, there is a noted paucity of relevant research (Byrne, 2017; Galvin et al, 2022; Hickey et al, 2021). For example, Galvin et al (2022) focused their systematic review on interventions and practice models for improving health and psychosocial outcomes for young people with challenging behaviours in out‐of‐home care (OoHC) and located only four studies that met their inclusion criteria. Although this study was not specifically focused on AHP services, it demonstrates a lack of research examining how health and psychosocial outcomes of young people living in care are improved through the implementation of interventions and practice models.…”

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Allied health professional support for children and young adults living in and leaving care: A systematic scoping review

Blair

Leonard

Linden

et al. 2023

Child

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BackgroundChildren and young people living in and leaving care are known to have experienced significant childhood adversity and trauma resulting in potentially deleterious impact on their health and well‐being across the life course. Studies point to the complex needs of this population who may benefit from allied health professional (AHP)‐related support with limited studies located. This review sought to address this gap by systematically scoping empirical literature focused on the provision of AHP support to this cohort of children and young adults to assist an understanding of the service needs for this vulnerable population.MethodsThis scoping review followed Arskey and O′Malley's five steps framework (2005) to identify and review relevant literature. A focus on identifying the evidence, challenges and gaps in research relating to AHP support for children and young people living in and leaving care was initially agreed, followed by a systematic search using a combination of three key concepts to identify relevant studies in five AHP disciplinary areas to identify best evidence in the past decade (2011–2021). Study inclusion criteria were based on empirical studies of children and young people living in care (0–17 years) and leaving care (18–25 years). A data extraction table was formulated as a means of charting the data, aligned with the scope and objectives of this review. Finally, data were subsequently collated, synthesised and reported based on key thematic areas emerging from included studies regarding AHP support to children and young people living in and leaving care.ResultsA total of 13 studies met the review inclusion criteria. Included studies reported specifically on speech and language therapist (SLT; n = 5), occupational therapist (OT; n = 3) and arts‐based therapies (n = 5). No studies were identified with regard to the use of physiotherapy and dietetics with this population. Results indicated that children and young people living in and leaving care have high rates of speech, language, communication and sensory needs. More rigorous screening, assessment and early intervention were identified as essential for this vulnerable group. Increased multidisciplinary collaboration and OT support for young adults in preparation for transition to independent living was identified as an urgent requirement. Included studies indicate promising results in relation to access to arts‐based therapies with particular reference to identity formation for children and young people living in and leaving care.ConclusionsAlthough evidence of effectiveness remains limited, AHP service provision (specifically speech and language therapy, occupational therapy and arts‐based therapies) has the potential to contribute positively to addressing the complex and interacting needs of this vulnerable population. As a result, it is recommended that AHP service provision is integrated into the collaborative, multidisciplinary care available to children living in and leaving care. More extensive, higher quality research related to the benefits of AHP provision for this population of children and young people is essential to provide a more robust evidence base across the various professional disciplines that constitute allied health provision.

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Interventions and Practice Models for Improving Health and Psychosocial Outcomes for Children in Residential Out-of-Home Care: Systematic Review

Cited by 8 publications

References 16 publications

Health Outcomes of Children Living in Out-of-Home Care in Metropolitan Western Australia: A Sequential Mixed-Methods Study—A Protocol Paper

Health Outcomes of Children Living in Out-of-Home Care in Metropolitan Western Australia: A Sequential Mixed-Methods Study—A Protocol Paper

Enhancing child safety and well-being in the northern territory: Bridging gaps in support services and strengthening community engagement

Allied health professional support for children and young adults living in and leaving care: A systematic scoping review

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