Young People in, and Transitioning from, Out-of-home Care and their Mental Health Issues: A Call for Evidence

Baidawi, Susan; Mendes, Philip; Snow, Pamela

doi:10.1017/cha.2014.27

Cited by 12 publications

(9 citation statements)

References 42 publications

(80 reference statements)

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“…Given a diverse array of scenarios discussed in these focus groups, future qualitative studies may focus on narrative accounts that explore in greater detail multiple perspectives of the same collaboration. Longitudinal accounts that consider outcomes for young people will be particularly valuable (Baidawi et al, 2014).…”

Section: Discussionmentioning

confidence: 99%

How can mental health practitioners collaborate with child welfare practitioners to improve mental health for young people in out of home care?

Monson

Herrman

Moeller‐Saxone

et al. 2021

Early Intervention Psych

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Background Young people who grow up in out of home care have higher risk of poor mental health outcomes than peers who grow up with their family‐of‐origin. Interagency collaboration is an important service‐level intervention to improve access to mental healthcare. However, few descriptions of collaboration provide guidance about collaboration between individual practitioners. Aim This substudy aimed to contribute to a larger study—the Ripple project—through exploring the experiences of practitioners working across child welfare and mental health services regarding collaboration in the care of young people; and to identify practices that might enhance collaborative work and improve mental health outcomes. Methods Practitioners from across child welfare and mental health services were purposively sampled and participated in focus groups. Recordings and transcriptions of focus groups were analysed to identify themes within and between groups. A cross‐sector expert advisory group was involved in this work. Results Focus groups were convened with 43 practitioners. We identified four themes during analysis, these were: shared understanding of the history and context of problems; specific skills and practices; self‐awareness of workers and carers; and involving and supporting carers. Conclusions A number of practices were identified that might lead to enhanced collaboration between agencies and across interdisciplinary care teams. Supporting mental health practitioners to adopt these might assist interagency and interdisciplinary working.

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Section: Discussionmentioning

confidence: 99%

How can mental health practitioners collaborate with child welfare practitioners to improve mental health for young people in out of home care?

Monson

Herrman

Moeller‐Saxone

et al. 2021

Early Intervention Psych

View full text Add to dashboard Cite

show abstract

“…The existing research into mental health service delivery for young people in OOHC Given the complex and highly changeable needs of this population, longitudinal research into therapeutic outcomes specific to young people in OoHC is limited (Webster & Temple-Smith, 2012;Baidawi et al, 2014;Schmied et al, 2006). Existing research tends to focus on evaluating specific types of therapy that can be used with this population (see Hambrick et al, 2016;Green et al, 2014;Grace et al, 2018;Herrman et al, 2016).…”

Section: Young People's Needs In Oohc and Challenges In Providing A M...mentioning

confidence: 99%

An exploratory study protocol examining if assertive integrated service delivery better meets the psychosocial and mental health needs of young people in out of home care

Foord

Drever

Diaz

et al. 2022

Developmental Child Welfare

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Young people in Out of Home Care (OoHC) have complex mental health and psychosocial needs due to a range of individual, systemic and intergenerational factors that may limit the effectiveness of usual clinic-based services. To address this, in 2017 an assertive-integrated service (AIS) model of care was adopted by the Child and Adolescent Mental Health Service (CAMHS) in South Western Sydney Local Health District (SWSLHD), Australia, through outreach to the young person in the community. This paper outlines the study protocol comparing AIS with clinic-based CAMHS usual care to meet the physical, mental health and wellbeing needs of young people in OoHC. Using routinely collected outcome data, the AIS model will be compared to clinic-based CAMHS treatment as usual care. Measures of overall functioning (e.g. Global Assessment Scale [CGAS]), psychological functioning (e.g. Strength and Difficulties Questionnaire [SDQ]), general health and social functioning (e.g. Health of the Nation Outcome Scales for Children and Adolescents [HoNOSCA]) and other relevant socio-demographic and clinical variables will be collected at intake and at 3-month intervals until discharge from the respective services. Semi-structured interviews will also be conducted with young people, their carers, and service providers, to examine qualitative themes about the suitability of service provision. It is expected that a better understanding of the key indicators of functioning for young people accessing AIS and clinic-based services will help inform what works for these young people so that they can receive targeted and tailored support from the start of service engagement.

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“…Lack of in-care planning, and financial and social support may result in young people leaving care without sufficient knowledge or capacity to navigate the housing market [31]. These factors are worsened by structural forces such as lack of available low-cost housing, poor economic conditions, and insufficient mental health services [22,32].…”

Section: Risk and Protective Factors For Homelessnessmentioning

confidence: 99%

Patterns of homelessness and housing instability and the relationship with mental health disorders among young people transitioning from out-of-home care: Retrospective cohort study using linked administrative data

et al. 2022

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Objectives The study examined the relationship between mental health, homelessness and housing instability among young people aged 15–18 years old who transitioned from out-of-home in 2013 to 2014 in the state of Victoria, Australia with follow-up to 2018. We determined the various mental health disorders and other predictors that were associated with different levels of homelessness risk, including identifying the impact of dual diagnosis of mental health and substance use disorder on homelessness. Methodology Using retrospective de-identified linked administrative data from various government departments we identified various dimensions of homelessness which were mapped from the European Topology of Homelessness (ETHOS) framework and associated mental health variables which were determined from the WHO ICD-10 codes. We used ordered logistic regression and Poisson regression analysis to estimate the impact of homelessness and housing instability respectively. Results A total homelessness prevalence of 60% was determined in the care-leaving population. After adjustment, high risk of homelessness was associated with dual diagnosis of mental health and substance use disorder, intentional self-harm, anxiety, psychotic disorders, assault and maltreatment, history of involvement with the justice system, substance use prior to leaving care, residential and home-based OHC placement and a history of staying in public housing. Conclusions There is clearly a need for policy makers and service providers to work together to find effective housing pathways and integrated health services for this heterogeneous group of vulnerable young people with complex health and social needs. Future research should determine longitudinally the bidirectional relationship between mental health disorders and homelessness.

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Young People in, and Transitioning from, Out-of-home Care and their Mental Health Issues: A Call for Evidence

Cited by 12 publications

References 42 publications

How can mental health practitioners collaborate with child welfare practitioners to improve mental health for young people in out of home care?

How can mental health practitioners collaborate with child welfare practitioners to improve mental health for young people in out of home care?

An exploratory study protocol examining if assertive integrated service delivery better meets the psychosocial and mental health needs of young people in out of home care

Patterns of homelessness and housing instability and the relationship with mental health disorders among young people transitioning from out-of-home care: Retrospective cohort study using linked administrative data

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