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Why Current and Former Recipients of Foster Care Need High Quality Mental Health Services

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Abstract

This commentary presents data about the emotional, behavioral, and substance abuse disorders of youth in foster care and former recipients of foster care (“alumni”) in the United States to underscore the reasons why high quality mental health services are essential.

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Notes

  1. These data are from the federal Adoption and Foster Care Analysis and Reporting System (AFCARSs)—which used data from 45 states and other jurisdictions, including Washington, DC and Puerto Rico, to derive these estimates. For total children served in 2008, see: http://www.acf.hhs.gov/programs/cb/stats_research/afcars/trends.htm Note that AFCARS data are periodically updated, therefore, the data cited may not match the data on the current website.

  2. The most accurate and comprehensive length of stay and other placement data, however, are not from point-in-time snapshot studies, but from cohort or administrative data base studies that follow children over time to pick up the dynamics of change. With these data, we see that infants and adolescents spent longer periods in care (Wulczyn et al. 2007).

  3. For PTSD rates of American war veterans see: Kulka et al. (1990); and Hoge et al. (2004).

References

  • Achenbach, T. M. (1991). Manual for the child behavior checklist/4–18 and 1991 profile. Burlington, VT: University of Vermont, Department of Psychiatry.

    Google Scholar 

  • Auslander, W. F., McMillen, C. J., Elze, D., Thompson, R., Jonson-Reid, M., & Stiffman, M. (2002). Mental health problems and sexual abuse among adolescents in foster care: Relationship to HIV risk behaviors and intentions. AIDS and Behavior, 6(4), 351–359.

    Article  Google Scholar 

  • Barth, R. B., Wildfire, J., & Green, R. L. (2006). Placement into foster care and the interplay of urban city, child behavior problems, and poverty. American Journal of Orthopsychiatry, 76(3), 358–366.

    Article  PubMed  Google Scholar 

  • Berrick, J. D., Needell, B., Barth, R. P., & Jonson-Reid, M. (1998). The tender years: Toward developmentally sensitive child welfare services for very young children. New York: Oxford University Press.

    Google Scholar 

  • Brandford, C., & English, D. (2004). Foster youth transition to independence study. Seattle, WA: Office of Children’s Administration Research, Washington Department of Social and Health Services.

    Google Scholar 

  • Clausen, J. M., Landsverk, J., Ganger, W., Chadwick, D., & Litrownik, A. (1998). Mental health problems of children in foster care. Journal of Child and Family Studies, 7(3), 283–296.

    Article  Google Scholar 

  • Cook, A., Spinazzola, J., Ford, J., Lanktree, C., Blaustein, M., Sprague, C., et al. (2007). Complex trauma in children and adolescents. Focal Point, 21, 4–8.

    Google Scholar 

  • Courtney, M. E., Dworsky, A., Cusick, G. R., Keller, T., Havlicek, J., Perez, A., et al. (2007). Midwest evaluation of adult functioning of former foster youth: Outcomes at age 21. Chicago, IL: University of Chicago, Chapin Hall Center for Children.

    Google Scholar 

  • Courtney, M., Dworsky, A., Ruth, G., Keller, T., Havlicek, J., & Bost, N. (2005). Midwest evaluation of the adult functioning of former foster youth: Outcomes at age 19. Chicago: Chapin Hall Center for Children at the University of Chicago.

    Google Scholar 

  • dosReis, S., Zito, J. M., Safer, D. J., & Soeken, K. L. (2001). Mental health services for youths in foster care and disabled youths. American Journal of Public Health, 91(7), 1094.

    Article  CAS  PubMed  Google Scholar 

  • Huey, S. J., & Polo, A. (2008). Evidence-based psychosocial treatments for ethnic minority youth. Journal of Clinical Child & Adolescent Psychology, 37(1), 262–301.

    Article  Google Scholar 

  • Hoge, C. W., Castro, C. A., Messer, S. C., McGurk, D., Cotting, D. I., & Koffman, R. L. (2004). Combat duty in Iraq and Afghanistan, mental health problems, and barriers to care. The New England Journal of Medicine, 351(1), 13–22.

    Article  CAS  PubMed  Google Scholar 

  • James Bell Associates. (2004). Preliminary findings of the child and family services reviews in fiscal years 2001 and 2002. Washington, DC: Author.

    Google Scholar 

  • Kendall-Tackett, K., & Giacomoni, S. M. (Eds.). (2003). Treating the lifetime health effects of childhood victimization. Kingston, NJ: Civic Research Institute.

    Google Scholar 

  • Kulka, R. A., Fairbank, J. A., Jordan, K., & Weiss, D. (1990). Trauma and the Vietnam War generation: Report of findings from the National Vietnam Veterans Readjustment Study. New York: Brunner/Mazel.

    Google Scholar 

  • Landsverk, J., Burns, B., Stambaugh, L. F., & Rolls-Reutz, J. A. (2006). Mental health care for children and adolescents in foster care: Review of research literature. Seattle, WA: Casey Family Programs.

    Google Scholar 

  • McMillen, J. C., & Raghavan, R. (2009). Pediatric to adult mental health service use of young people leaving the foster care system. Journal of Adolescent Health, 44, 7–13.

    Article  PubMed  Google Scholar 

  • McMillen, J. C., Zima, B. T., Scott, L. D., Auslander, W. F., Munson, M. R., Ollie, M. T., et al. (2005). Prevalence of psychiatric disorders among older youths in the foster care system. Journal of the American Academy of Child & Adolescent Psychiatry, 44(1), 88–95.

    Article  Google Scholar 

  • National Research Council and the Institute of Medicine. (2009). Preventing mental, emotional and behavioral disorders among young people: Progress and possibilities. Washington, DC: National Research Council and the Institute of Medicine of the National Academies.

    Google Scholar 

  • Pecora, P. J., Kessler, R. C., Williams, J., Downs, A. C., English, D., White, J., et al. (2010). What works in family foster care? Identifying key components of success from an alumni follow-up study. New York and Oxford, England: Oxford University Press.

    Google Scholar 

  • Pecora, P. J., Kessler, R. C., Williams, J., O’Brien, K., Downs, A. C., English, D., et al. (2005). Improving family foster care: Findings from the Northwest Foster Care Alumni Study. Seattle, WA: Casey Family Programs.

    Google Scholar 

  • Pecora, P. J., White, C. R., Jackson, L. J., & Wiggins, T. (2009). Mental health of current and former recipients of foster care: A review of recent studies in the United States. Child and Family Social Work, 14, 132–146.

    Article  Google Scholar 

  • Pecora, P. J., Williams, J., Kessler, R. C., Downs, A. C., O’Brien, K., Hiripi, E., et al. (2003). Assessing the effects of foster care: Early results from the Casey National Alumni Study. Seattle, WA: Casey Family Programs.

    Google Scholar 

  • Shonkoff, J., & Phillips, D. (2000). From neurons to neighborhoods: The science of early childhood development. Washington, DC: National Research Council and Institute of Medicine.

    Google Scholar 

  • Sparrow, S., Balla, D. D., & Cicchetti, D. (1984). Vineland adaptive behavior scales: Interview edition, survey form manual. Circle Pines, MN: American Guidance Service.

    Google Scholar 

  • Stahmer, A. C., Leslie, L. K., Hurlburt, M., Barth, R. P., Webb, M. B., Landsverk, J., et al. (2005). Developmental and behavioral needs and service use for young children in child welfare. Pediatrics, 116, 891–900.

    Article  PubMed  Google Scholar 

  • The REACH Institute, Casey Family Programs and Annie E. Casey Foundation. (2008). Guidelines for mental health in child welfare. Contact the www.TheReachInstitute.org.

  • The REACH Institute, Casey Family Programs and Annie E. Casey Foundation. (2009). Mental health practices in child welfare guidelines toolkit. New York City: www.TheReachInstitute.org and Seattle: www.casey.org.

  • U.S. Department of Health and Human Services, Administration for Children and Families, Children’s Bureau (2009b). Trends in foster care and adoptionFY 2002-FY 2007 based on data submitted by states as of January 16, 2008, Washington DC: US Department of Health and Human Services. Retrieved from http://www.acf.hhs.gov/programs/cb/stats_research/afcars/trends.htm.

  • U.S. Department of Health, Human Services, Administration on Children, Youth, Families. (2009). Child Maltreatment 2007. Washington, DC: U.S. Government Printing Office.

    Google Scholar 

  • Walker, J. S., & Weaver, A. (2007). Traumatic stress and the child welfare system. Focal Point, 21, 3.

    Google Scholar 

  • White, C. R., Havalchak, A., Jackson, L. J., O’Brien, K., & Pecora, P. J. (2007). Mental health, ethnicity, sexuality, and spirituality among youth in foster care: Findings from the Casey field office mental health study. Seattle, WA: Casey Family Programs. www.casey.org.

    Google Scholar 

  • Wulczyn, F. H. (2008). Child well-being as human capital. Chicago: Chapin Hall Center for Children at the University of Chicago. Retrieved August 24, 2008 from http://www.chapinhall.org/article_abstract.aspx?ar=1468&L2=61&L3=130.

  • Wulczyn, F. H., Barth, R. P., Yuan, Y. T., Harden, B., & Landsverk, J. (2005). Beyond common sense: Child welfare, child well-being, and the evidence for policy reform. Piscataway, NJ: Aldine Transaction.

    Google Scholar 

  • Wulczyn, F. H., Chen, L., & Hislop, K. B. (2007). Foster care dynamics: 2003–2005: A report from the multistate foster care data archive. Chicago: The University of Chicago, Chapin Hall Center for Children.

    Google Scholar 

  • Wulczyn, F. H., Orlebeke, B., & Haight, J. (2009). Finding the return on investment: A framework for monitoring local child welfare agencies. Chicago: Chapin Hall at the University of Chicago. http://www.chapinhall.org/sites/default/files/Finding_Return_On_Investment_07_20_09.pdf.

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Acknowledgments

Thanks to the youth in foster care and alumni who shared their stories and completed interviews for the studies we summarized. I also appreciate the comments from two anonymous reviewers which helped strengthen this article. Special thanks to my co-authors of a recent journal article devoted to the mental health functioning of children and alumni of foster care that I drew from: Catherine Roller White of Casey Family Programs, Lovie J. Jackson of the Western Psychiatric Institute and Clinic in Pittsburgh, and Tamera Wiggins of the Psychology Department, Royal Brisbane & Women’s Hospital, Queensland Health, Australia.

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Correspondence to Peter J. Pecora.

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Pecora, P.J. Why Current and Former Recipients of Foster Care Need High Quality Mental Health Services. Adm Policy Ment Health 37, 185–190 (2010). https://doi.org/10.1007/s10488-010-0295-y

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