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Gepubliceerd in: Journal of Child and Family Studies 12/2015

20-03-2015 | Original Paper

Perceived Mental Health, Behavioral, and Adaptive Needs for Children in Medical Foster Care

Auteurs: Julia Ogg, Mario Montesino, Deborah Kozdras, Renee Ornduff, Gary Yu Hin Lam, Jennifer Takagishi

Gepubliceerd in: Journal of Child and Family Studies | Uitgave 12/2015

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Abstract

The prevalence of both mental and physical health concerns among children in foster care is elevated compared to the general population; however, less is known about the overlap between the behavioral/mental health needs of children in foster care with significant medical issues. The purpose of this study was to examine the mental/behavioral health needs and adaptive behavior of children in medical foster care (MFC), a unique group of children in foster care with medically fragile conditions. Two sequential studies were conducted. In the first study, focus groups were conducted with MFC parents (n = 10), MFC nurses and social workers (n = 8), and foster care case managers (n = 9). The themes that emerged from the focus groups indicated externalizing behaviors and feeding issues were common concerns and there were a number of challenges for MFC parents to receive timely services to address mental health needs. In a follow-up study, 36 MFC parents were surveyed using the Child Behavior Checklist, the Behavioral Pediatrics Feeding Assessment, the Adaptive Behavior Assessment System, and the Parenting Stress Index. Results indicated that on average parents perceived children’s externalizing, internalizing, and feeding behaviors to fall within typical limits; however, a significant portion of the parents rated their child’s behavior in the clinical range. Parents indicated significantly below average adaptive behavior. On average, parents did not report elevated stress levels. Findings from this study suggest that mental health needs among the MFC population are similar to the general foster care population; however, there is a lot of variability in this group and individualized assessment is needed.
Literatuur
go back to reference Abidin, R. R. (1995). Parenting Stress Index (3rd ed.) Lutz, FL: Psychological Assessment Resources. Abidin, R. R. (1995). Parenting Stress Index (3rd ed.) Lutz, FL: Psychological Assessment Resources.
go back to reference Achenbach, T. M., & Rescorla, L. A. (2000). Manual for the ASEBA preschool forms & profiles. Burlington, VT: University of Vermont, Research Center for Children, Youth, & Families. Achenbach, T. M., & Rescorla, L. A. (2000). Manual for the ASEBA preschool forms & profiles. Burlington, VT: University of Vermont, Research Center for Children, Youth, & Families.
go back to reference Achenbach, T. M., & Rescorla, L. A. (2001). Manual for the ASEBA school-age forms & profiles. Burlington, VT: University of Vermont, Research Center for Children, Youth, & Families. Achenbach, T. M., & Rescorla, L. A. (2001). Manual for the ASEBA school-age forms & profiles. Burlington, VT: University of Vermont, Research Center for Children, Youth, & Families.
go back to reference American Academy of Pediatrics, Committee on Early Childhood, Adoption, and Dependent Care. (2000). Developmental issues for young children in foster care. Pediatrics, 106, 1145–1150. American Academy of Pediatrics, Committee on Early Childhood, Adoption, and Dependent Care. (2000). Developmental issues for young children in foster care. Pediatrics, 106, 1145–1150.
go back to reference American Academy of Pediatrics, Committee on Early Childhood, Adoption, and Dependent Care. (2002). Health care of young children in foster care. Pediatrics, 109, 536–541. American Academy of Pediatrics, Committee on Early Childhood, Adoption, and Dependent Care. (2002). Health care of young children in foster care. Pediatrics, 109, 536–541.
go back to reference American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Washington, DC: Author. American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Washington, DC: Author.
go back to reference Benjasuwantep, B., Chaithirayanon, S., & Eiamudomkan, M. (2013). Feeding problems in healthy young children: Prevalence, related factor and feeding practices. Pediatric Reports, 5, 38–42. PubMedCentralCrossRefPubMed Benjasuwantep, B., Chaithirayanon, S., & Eiamudomkan, M. (2013). Feeding problems in healthy young children: Prevalence, related factor and feeding practices. Pediatric Reports, 5, 38–42. PubMedCentralCrossRefPubMed
go back to reference Bradshaw, C. P., Schaeffer, C. M., Petras, H., & Ialongo, N. (2010). Predicting negative life outcomes from early aggressive-disruptive behavior trajectories: Gender differences in maladaptation across life domains. Journal of Youth and Adolescence, 39, 953–966. CrossRefPubMed Bradshaw, C. P., Schaeffer, C. M., Petras, H., & Ialongo, N. (2010). Predicting negative life outcomes from early aggressive-disruptive behavior trajectories: Gender differences in maladaptation across life domains. Journal of Youth and Adolescence, 39, 953–966. CrossRefPubMed
go back to reference Carter, A. S., Wagmiller, R. J., Gray, S. O., McCarthy, K. J., Horwitz, S. M., & Briggs-Gowan, M. J. (2010). Prevalence of DSM-IV disorder in a representative, healthy birth cohort at school entry: Sociodemographic risks and social adaptation. Journal of the American Academy of Child and Adolescent Psychiatry, 49, 686–698. PubMedCentralPubMed Carter, A. S., Wagmiller, R. J., Gray, S. O., McCarthy, K. J., Horwitz, S. M., & Briggs-Gowan, M. J. (2010). Prevalence of DSM-IV disorder in a representative, healthy birth cohort at school entry: Sociodemographic risks and social adaptation. Journal of the American Academy of Child and Adolescent Psychiatry, 49, 686–698. PubMedCentralPubMed
go back to reference Chernoff, R., Coombs-Orne, T., Risley-Curtiss, C., & Heisler, A. (1994). Assessing the health status of children entering foster care. Pediatrics, 93, 594–601. PubMed Chernoff, R., Coombs-Orne, T., Risley-Curtiss, C., & Heisler, A. (1994). Assessing the health status of children entering foster care. Pediatrics, 93, 594–601. PubMed
go back to reference Clausen, J., 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. CrossRef Clausen, J., 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. CrossRef
go back to reference Crist, W., McDonnell, P., Beck, M., Gillespie, C. T., Barrett, P., & Mathews, J. (1994). Behavior at mealtimes and the young child with cystic fibrosis. Journal of Developmental and Behavioral Pediatrics, 15, 157–161. CrossRef Crist, W., McDonnell, P., Beck, M., Gillespie, C. T., Barrett, P., & Mathews, J. (1994). Behavior at mealtimes and the young child with cystic fibrosis. Journal of Developmental and Behavioral Pediatrics, 15, 157–161. CrossRef
go back to reference Crist, W., & Napier-Phillips, A. (2001). Mealtime behaviors of young children: A comparison of normative and clinical data. Developmental and Behavioral Pediatrics, 22, 279–286. CrossRef Crist, W., & Napier-Phillips, A. (2001). Mealtime behaviors of young children: A comparison of normative and clinical data. Developmental and Behavioral Pediatrics, 22, 279–286. CrossRef
go back to reference Davis, A., Canter, K., Odar-Stough, C., Dreyer-Gillette, M., & Patton, S. (2014). Measurement of mealtime behaviors in rural overweight children: An exploratory factor analysis of the behavioral pediatrics feeding assessment scale. Journal of Pediatric Psychology, 39, 332–339. doi: 10.​1093/​jpepsy/​jst089. PubMedCentralCrossRefPubMed Davis, A., Canter, K., Odar-Stough, C., Dreyer-Gillette, M., & Patton, S. (2014). Measurement of mealtime behaviors in rural overweight children: An exploratory factor analysis of the behavioral pediatrics feeding assessment scale. Journal of Pediatric Psychology, 39, 332–339. doi: 10.​1093/​jpepsy/​jst089. PubMedCentralCrossRefPubMed
go back to reference Diaz, A., Edwards, S., Neal, W., Elbirt, P., Rappaport, M., Kierstead, R., & Colon, B. (2004). Foster children with special needs: The children’s aid society experience. The Mount Sinai Journal of Medicine, 71(3), 166–169. PubMed Diaz, A., Edwards, S., Neal, W., Elbirt, P., Rappaport, M., Kierstead, R., & Colon, B. (2004). Foster children with special needs: The children’s aid society experience. The Mount Sinai Journal of Medicine, 71(3), 166–169. PubMed
go back to reference dosReis, S., Magno- Zito, J., Safer, D., & Soeken, K. (2001). Mental health services for youths in foster care and disabled youths. American Journal of Public Health, 91(7), 1094–1099. PubMedCentralCrossRefPubMed dosReis, S., Magno- Zito, J., Safer, D., & Soeken, K. (2001). Mental health services for youths in foster care and disabled youths. American Journal of Public Health, 91(7), 1094–1099. PubMedCentralCrossRefPubMed
go back to reference Eyberg, S. M., Nelson, M. M., & Boggs, S. R. (2008). Evidence-based psychosocial treatments for children and adolescents with disruptive behavior. Journal of Clinical Child & Adolescent Psychology, 37(1), 215–237. CrossRef Eyberg, S. M., Nelson, M. M., & Boggs, S. R. (2008). Evidence-based psychosocial treatments for children and adolescents with disruptive behavior. Journal of Clinical Child & Adolescent Psychology, 37(1), 215–237. CrossRef
go back to reference Fisher, P. A., Gunnar, M. R., Chamberlain, P., & Reid, J. B. (2000). Preventive intervention for maltreated preschool children: Impact on children’s behavior, neuroendocrine activity, and foster parent functioning. American Academy of Child Adolescent Psychiatry, 39, 1356–1364. CrossRef Fisher, P. A., Gunnar, M. R., Chamberlain, P., & Reid, J. B. (2000). Preventive intervention for maltreated preschool children: Impact on children’s behavior, neuroendocrine activity, and foster parent functioning. American Academy of Child Adolescent Psychiatry, 39, 1356–1364. CrossRef
go back to reference Flory, K., Milich, R., Lynam, D. R., Leukefeld, C., & Clayton, R. (2003). Relation between childhood disruptive behavior disorders and substance use and dependence symptoms in young adulthood: Individuals with symptoms of attention-deficit/hyperactivity disorder are uniquely at risk. Psychology of Addictive Behaviors, 17(2), 151. CrossRefPubMed Flory, K., Milich, R., Lynam, D. R., Leukefeld, C., & Clayton, R. (2003). Relation between childhood disruptive behavior disorders and substance use and dependence symptoms in young adulthood: Individuals with symptoms of attention-deficit/hyperactivity disorder are uniquely at risk. Psychology of Addictive Behaviors, 17(2), 151. CrossRefPubMed
go back to reference Greene, R. W., Biederman, J., Zerwas, S., Monuteaux, M. C., Goring, J. C., & Faraone, S. V. (2002). Psychiatric comorbidity, family dysfunction, and social impairment in referred youth with oppositional defiant disorder. American Journal of Psychiatry, 159(7), 1214–1224. CrossRefPubMed Greene, R. W., Biederman, J., Zerwas, S., Monuteaux, M. C., Goring, J. C., & Faraone, S. V. (2002). Psychiatric comorbidity, family dysfunction, and social impairment in referred youth with oppositional defiant disorder. American Journal of Psychiatry, 159(7), 1214–1224. CrossRefPubMed
go back to reference Harrison, P. L., & Oakland, T. (2008). Adaptive behavior assessment system (2nd ed.). Portland, OR: Western Psychological Services. Harrison, P. L., & Oakland, T. (2008). Adaptive behavior assessment system (2nd ed.). Portland, OR: Western Psychological Services.
go back to reference Heflinger, C. A., Simpkins, C. G., & Combs-Orme, T. (2000). Using the CBCL to determine the clinical status of children in state custody. Children and Youth Services Review, 22, 55–73. CrossRef Heflinger, C. A., Simpkins, C. G., & Combs-Orme, T. (2000). Using the CBCL to determine the clinical status of children in state custody. Children and Youth Services Review, 22, 55–73. CrossRef
go back to reference Horwitz, S., Balestracci, K., & Simms, M. (2001). Foster care placement improves children’s functioning. Archives Pediatrics Adolescent Medicine, 155(11), 1255–1260. CrossRef Horwitz, S., Balestracci, K., & Simms, M. (2001). Foster care placement improves children’s functioning. Archives Pediatrics Adolescent Medicine, 155(11), 1255–1260. CrossRef
go back to reference Horwitz, S., Owens, P., & Simms, M. (2000). Specialized assessments for children in foster care. Pediatrics, 106, 59–66. CrossRefPubMed Horwitz, S., Owens, P., & Simms, M. (2000). Specialized assessments for children in foster care. Pediatrics, 106, 59–66. CrossRefPubMed
go back to reference Hummer, V. L., Dollard, N., Robst, J., & Armstrong, M. I. (2010). Innovations in implementation of trauma-informed care practices in youth residential treatment: A curriculum for organizational change. Child Welfare, 89, 79–95. PubMed Hummer, V. L., Dollard, N., Robst, J., & Armstrong, M. I. (2010). Innovations in implementation of trauma-informed care practices in youth residential treatment: A curriculum for organizational change. Child Welfare, 89, 79–95. PubMed
go back to reference Jee, S., Szilagyi, M., Blatt, S., Meguid, V., Auinger, P., & Szilagyi, P. (2010). Timely identification of mental health problems in two foster care medical homes. Child Youth Services Review, 32, 685–690. CrossRef Jee, S., Szilagyi, M., Blatt, S., Meguid, V., Auinger, P., & Szilagyi, P. (2010). Timely identification of mental health problems in two foster care medical homes. Child Youth Services Review, 32, 685–690. CrossRef
go back to reference Kelley, S. J. (1992). Parenting stress and child maltreatment in drug-exposed children. Child Abuse and Neglect, 16, 317–328. CrossRefPubMed Kelley, S. J. (1992). Parenting stress and child maltreatment in drug-exposed children. Child Abuse and Neglect, 16, 317–328. CrossRefPubMed
go back to reference Kortenkamp, K., & Ehrle, J. (2002). The well-being of children involved with the child welfare system. A national overview. The Urban Institute, 43, 1–7. Kortenkamp, K., & Ehrle, J. (2002). The well-being of children involved with the child welfare system. A national overview. The Urban Institute, 43, 1–7.
go back to reference Krueger, R. A., & Casey, M. A. (2000). Focus Groups: A practical guide for applied research (3rd ed.). Thousand Oaks, CA: Sage. Krueger, R. A., & Casey, M. A. (2000). Focus Groups: A practical guide for applied research (3rd ed.). Thousand Oaks, CA: Sage.
go back to reference Lavigne, J. V., & Faeir-Routman, J. (1992). Psychological adjustment to pediatric physical disorders: A meta-analytic review. Journal of Pediatric Psychology, 17, 133–157. CrossRefPubMed Lavigne, J. V., & Faeir-Routman, J. (1992). Psychological adjustment to pediatric physical disorders: A meta-analytic review. Journal of Pediatric Psychology, 17, 133–157. CrossRefPubMed
go back to reference McIntyre, A., & Keesler, T. (1986). Psychological disorders among foster children. Journal of Clinical Child Psychology, 15, 297–303. CrossRef McIntyre, A., & Keesler, T. (1986). Psychological disorders among foster children. Journal of Clinical Child Psychology, 15, 297–303. CrossRef
go back to reference McKay, M. M., Lynn, C. J., & Bannon, W. M. (2005). Understanding inner city child mental health need and trauma exposure: Implications for preparing urban service providers. American Journal of Orthopsychiatry, 75, 201–210. CrossRefPubMed McKay, M. M., Lynn, C. J., & Bannon, W. M. (2005). Understanding inner city child mental health need and trauma exposure: Implications for preparing urban service providers. American Journal of Orthopsychiatry, 75, 201–210. CrossRefPubMed
go back to reference Russ, H. G. (1988). The effects of adoption on pre-Oedipal mother-child interaction. Unpublished doctoral dissertation. Garden City, NY: Adelphi University. Russ, H. G. (1988). The effects of adoption on pre-Oedipal mother-child interaction. Unpublished doctoral dissertation. Garden City, NY: Adelphi University.
go back to reference Schor, E. L. (1982). The foster care system and health status of foster children. Pediatrics, 69, 521–528. PubMed Schor, E. L. (1982). The foster care system and health status of foster children. Pediatrics, 69, 521–528. PubMed
go back to reference Steele, J. S., & Buchi, K. F. (2008). Medical and mental health of children entering the Utah foster care system. Pediatrics, 122, e703–e709. CrossRefPubMed Steele, J. S., & Buchi, K. F. (2008). Medical and mental health of children entering the Utah foster care system. Pediatrics, 122, e703–e709. CrossRefPubMed
go back to reference Sullivan, D. J., & vanZyl, M. A. (2008). The well-being of children in foster care; exploring physical and mental health needs. Children and Youth Services Review, 30, 774–786. CrossRef Sullivan, D. J., & vanZyl, M. A. (2008). The well-being of children in foster care; exploring physical and mental health needs. Children and Youth Services Review, 30, 774–786. CrossRef
go back to reference Takayama, J. I., Wolfe, E., & Coulter, K. P. (1998). Relationship between reason for placement and medical findings among children in foster care. Pediatrics, 101, 201–207. CrossRefPubMed Takayama, J. I., Wolfe, E., & Coulter, K. P. (1998). Relationship between reason for placement and medical findings among children in foster care. Pediatrics, 101, 201–207. CrossRefPubMed
go back to reference Zima, B. T., Bussing, R., Freeman, S., Yang, X., Belin, T. R., & Forness, S. R. (2000). Behavior problems, academic skill delays and school failure among school-aged children in foster care: Their relationship to placement characteristics. Journal of Child and Family Studies, 9, 87–103. CrossRef Zima, B. T., Bussing, R., Freeman, S., Yang, X., Belin, T. R., & Forness, S. R. (2000). Behavior problems, academic skill delays and school failure among school-aged children in foster care: Their relationship to placement characteristics. Journal of Child and Family Studies, 9, 87–103. CrossRef
Metagegevens
Titel
Perceived Mental Health, Behavioral, and Adaptive Needs for Children in Medical Foster Care
Auteurs
Julia Ogg
Mario Montesino
Deborah Kozdras
Renee Ornduff
Gary Yu Hin Lam
Jennifer Takagishi
Publicatiedatum
20-03-2015
Uitgeverij
Springer US
Gepubliceerd in
Journal of Child and Family Studies / Uitgave 12/2015
Print ISSN: 1062-1024
Elektronisch ISSN: 1573-2843
DOI
https://doi.org/10.1007/s10826-015-0170-2

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