Journal of the American Academy of Child & Adolescent Psychiatry
ARTICLESStrengths of Children and Adolescents in Residential Settings: Prevalence and Associations With Psychopathology and Discharge Placement
Section snippets
METHOD
This study was conducted as an aspect of a feasibility study of bundled rate methodology for Medicaid in Florida. Fifteen residential placement sites that bill Medicaid for mental health services were selected for review. A 16th site that expressed interest in billing Medicaid in the future also agreed to participate. At each site, a random sample of 30 children and adolescents were selected from among cases who had received any Medicaid billing for services rendered in the previous year. At
RESULTS
The sample consisted of 450 cases, 123 of which had already been discharged from the residential facility at the time of the review. Of the full sample, 55% were boys and 45% girls. The ages ranged from 5 to 19 years, with an average age of 13.7 years. Nearly half of the sample was white (49%), about one third (35%) was African-American, 11% was Hispanic, and the remaining 5% was made up of Native Americans and Asian/Pacific Islanders.
Table 2 presents the frequency of each level of the 30
DISCUSSION
The findings of this study demonstrate the potential importance of strengths of children and adolescents in the provision of mental health services. There was substantial variation across individuals and across types of strengths. In addition to the notable variation, correlational analyses suggest that strengths may serve an important role in level of functioning and dispositional planning. While the individual's level of strengths was associated with symptoms and risk behaviors, it was also
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The association between strengths and post-residential treatment needs of youth in the child welfare system
2019, Children and Youth Services ReviewAn examination of youth protective factors and caregiver parenting skills at entry into the child welfare system and their association with justice system involvement
2019, Children and Youth Services ReviewCitation Excerpt :The CANS is not intended, however, to offer a total or overall score. The psychometric properties of the CANS have been demonstrated across child-serving settings including child welfare, mental health, and juvenile justice (Kisiel et al., 2018; Kisiel et al., 2017; Kisiel et al., 2009; Leon, Ragsdale, Miller, & Spacarelli, 2008; Lyons, Uziel-Miller, Reyes, & Sokol, 2000; Lyons & Weiner, 2009; Sieracki, Leon, Miller, & Lyons, 2008). Further, while in some cases CANS ratings are intended to capture the severity of needs or symptoms that may be associated with particular diagnoses, the CANS does not explicitly identify diagnoses.
Where Do We Go from Here? Additional Opportunities to Address Well-Being in Child Psychiatry Clinical Practice and Advocacy for Children and Families
2019, Child and Adolescent Psychiatric Clinics of North AmericaCitation Excerpt :In the absence of mental illness, this study suggests that positive attributes are protective in preventing clinically significant psychiatric problems. Among a clinical population, Lyons and colleagues6 demonstrated that children living in a residential treatment center who have higher level of strengths are more likely to have a positive disposition outcome (ie, return home) and those with fewer strengths were more likely to have a negative disposition outcome (ie, detention, hospital). The investigators also demonstrated that individual strengths were inversely correlated with functional impairment, independent of symptom severity.
Child strengths and placement stability among racial/ethnic minority youth in the child welfare system
2018, Child Abuse and NeglectCitation Excerpt :Strengths and mental health symptoms among child welfare youth have significant yet independent associations with functioning and risk behaviors (Lyons, Uziel-Miller, Reyes, & Sokol, 2000). Thus, building strengths for youth in the child welfare system may improve outcomes separate from success related to treating their mental illnesses (Lyons et al., 2000). Findings from cross-sectional studies indicate that a greater number of traumas are associated with increased risk behaviors, while strengths are associated with better global functioning and reduced likelihood of engaging in risky behaviors among traumatized youth (Griffin, Germain, & Wilkerson, 2012; Griffin et al., 2011, 2009).
The role of strengths in anger and conduct problems in maltreated adolescents
2017, Child Abuse and NeglectChild wellbeing assessment in child welfare: A review of four measures
2016, Children and Youth Services ReviewCitation Excerpt :While CSPI items have not been found to significantly predict length of hospital stay after a crisis screening (Leon et al., 1999), they have been found to significantly predict re-admission to psychiatric hospitals (Fontanella, 2008). For youth exiting residential treatment, CSPI items have also been found to significantly predict positive or negative discharge placements (Lyons et al., 2000). Among children in foster care whose parental rights were not terminated, Yampolskaya, Armstrong, and Vargo (2007) found significant associations between CANS-MH item ratings and length of stay and foster care re-entry.
Reviewed under and accepted by Michael S. Jellinek, M.D., Associate Editor.
The research reported in this article was funded in part by the Florida Agency for Health Care Administration.