Mental Health Service Utilization by Children in Foster Care in California

Halfon, Neal; Berkowitz, Gale; Klee, Linnea

doi:10.1542/peds.89.6.1238

Cited by 147 publications

(9 citation statements)

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“…Approximately one third of adolescents in the social service and mental health group were residing in a foster care placement, and this finding highlights a potential area of need for trauma-specific treatment and services for foster care-involved youth. Foster care youth have documented high rates of mental and physical health service utilization, but those services are not necessarily targeted for trauma treatment (Halfon, Berkowitz, & Klee, 1992).…”

Section: Discussionmentioning

confidence: 99%

Service usage typologies in a clinical sample of trauma-exposed adolescents: A latent class analysis.

Choi¹,

Briggs²,

Seng³

et al. 2018

Psychological Trauma: Theory, Research, Practice, and Policy

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This study provides new evidence about patterns of service utilization by trauma exposed, treatment seeking adolescents. Most of these adolescents appear to be involved with at least 2 service systems prior to seeking trauma treatment. Higher cumulative exposure to multiple types of trauma was associated with greater service utilization intensity and complexity, but trauma symptomatology was not. (PsycINFO Database Record (c) 2018 APA, all rights reserved).

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Section: Discussionmentioning

confidence: 99%

Service usage typologies in a clinical sample of trauma-exposed adolescents: A latent class analysis.

Choi¹,

Briggs²,

Seng³

et al. 2018

Psychological Trauma: Theory, Research, Practice, and Policy

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“…Regrettably, few programs have come forward to address these severe and continuing needs (Chernoff et al, 1994; Halfon & Klee, 1987; Halfon & Klee, 1991, 1995; Pinkney, 1994; Simms, 1989). Of great concern is the absence of awareness among caregivers and social-service agencies of many of these problems (Chernoff et al, 1994; Halfon, Berkowitz, & Klee, 1992; Halfon et al, 1995; Weston, Klee, & Halfon, 1989).…”

Section: Mental Health Of Foster Childrenmentioning

confidence: 99%

Foster care's youngest: A preliminary report.

Klee¹,

Kronstadt²,

Zlotnick³

1997

American Journal of Orthopsychiatry

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The impact of welfare reform on foster care is examined in relation to children's mental health. Initial assessment of 125 young foster children randomly assigned to a special program found that half rated below normal on mental and psychomotor development, with two-thirds below normal on emotional regulation and motor quality. Implications for social policy and program planning, and the need for ongoing research, are discussed.

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“…Given that as many as half of foster children may have significant emotional and behavioral problems (Burns et al, 2004; Glisson, 1996; Halfon, Berkowitz, & Klee, 1992), how behavior problems relate to different care outcomes is an important question. Although it has been suggested that adopted adolescents demonstrate more behavior problems (Miller, Fan, Christensen, Grotevant, & Van Dulmen, 2000) and are more likely to be disruptive than younger children (Barth & Berry, 1988; Rosenthal et al, 1988), it is unclear from the literature whether behavior problems affect the likelihood of adolescent adoption.…”

mentioning

confidence: 99%

Predicting family reunification, adoption, and subsidized guardianship among adolescents in foster care.

Leathers

Falconnier

Spielfogel

2010

American Journal of Orthopsychiatry

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Although national legislation has attempted to decrease the length of time that children spend in foster care, these policies have been less effective with adolescents than with children, raising questions about how best to promote permanency for adolescents. This study examined factors that predict adolescent adoption, subsidized guardianship, and reunification. The caseworkers and foster parents of 203 randomly selected 12-13 year olds placed in traditional or specialized foster care were interviewed. Permanency outcomes were prospectively tracked for eight years. By the end of the study, over 40% of the adolescents were placed in permanent homes. As hypothesized, a strong relationship with a biological mother predicted successful reunification, and a high degree of integration into a foster home predicted adoption. Additionally, as compared to adoption, subsidized guardianship with foster parents occurred more frequently for youth with strong relationships with their biological mothers and weaker relationships with their foster families. Unexpectedly, behavior problems were not related to any permanency outcomes. Results suggest that promotion of strong relationships with adults is key in efforts to find permanent families for foster children. Furthermore, efforts to attain permanency should not cease during adolescence.In 1997, at a point when over 500,000 children were living in foster care, concern about the increasing number of children who remained in care for extended periods of time led to the passage of the Adoption and Safe Families Act (ASFA) . This legislation limited the amount of time parents had to meet reunification requirements, and in most cases required that a petition for termination of parental rights be filed if a child had been in care for 15 out of the most recent 22 months. Data on permanency outcomes indicate that implementation of ASFA was followed by a slight decline in reunification with biological parents and an increase in adoptions (U.S. Department of Health and Human Services [U.S. DHHS], 2005). Because a consequence of this legislation is that children now tend to be legally free at a younger age, a greater proportion of children who might have otherwise experienced extended stays in foster care are more likely to be adopted (Cowan, 2004). Furthermore, the focus on attaining permanency in a shorter time frame has supported increased use of subsidized guardianship arrangements, in which a private guardian assumes legal rights and responsibilities for the child, but some of the biological parent's rights are retained (Bissell & Miller, 2004;Testa & Rolock, 1999).Unfortunately, ASFA has been less successful in influencing permanency outcomes for adolescents than for younger children (Barth, Wulczyn, & Crea, 2005). Given the advantages that result from establishing permanent ties to a family before leaving care (Bussiere, 2006), it is important to understand more about permanency among adolescents. Little is known about factors that predict different placement outcomes, pa...

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Mental Health Service Utilization by Children in Foster Care in California

Cited by 147 publications

References 0 publications

Service usage typologies in a clinical sample of trauma-exposed adolescents: A latent class analysis.

Service usage typologies in a clinical sample of trauma-exposed adolescents: A latent class analysis.

Foster care's youngest: A preliminary report.

Predicting family reunification, adoption, and subsidized guardianship among adolescents in foster care.

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