Pub Date : 2023-01-19DOI: 10.1177/25161032231153643
G. Roberts, Samantha Halstead, Rebecca Pepper, L. Mcdonnell
Social care professionals support many children and their families with experiences of developmental trauma. There is a notable gap in research exploring the barriers these professionals face to working with an attachment and trauma-informed approach in the UK. The present study explores social care professionals’ reported barriers to using trauma and attachment principles in their practice. A thematic analysis was performed on responses drawn from a questionnaire completed by a sample of social care staff (n = 98) who had received attachment and trauma-informed work training. These items explored barriers to working in an attachment and trauma-informed way on a personal and professional level, an organisational level, as well as what may overcome their identified barriers. Four main themes emerged from the analysis: (1) the widespread impact of trauma, (2) lack of funding, (3) inconsistent supportive culture, (4) inconsistent multiagency approach to trauma-informed care. Findings suggest that a whole systems approach to attachment and trauma is needed, in which there is an awareness of the impact of trauma, structures are in place to best support staff in their work, and everyone has a shared understanding and approach to working with these children and families. This study presents a promising start to identifying and making recommendations about what social care staff require to work in an attachment and trauma-informed way.
{"title":"Social care professionals’ perceived barriers to implementing attachment and trauma-informed care training in their practice","authors":"G. Roberts, Samantha Halstead, Rebecca Pepper, L. Mcdonnell","doi":"10.1177/25161032231153643","DOIUrl":"https://doi.org/10.1177/25161032231153643","url":null,"abstract":"Social care professionals support many children and their families with experiences of developmental trauma. There is a notable gap in research exploring the barriers these professionals face to working with an attachment and trauma-informed approach in the UK. The present study explores social care professionals’ reported barriers to using trauma and attachment principles in their practice. A thematic analysis was performed on responses drawn from a questionnaire completed by a sample of social care staff (n = 98) who had received attachment and trauma-informed work training. These items explored barriers to working in an attachment and trauma-informed way on a personal and professional level, an organisational level, as well as what may overcome their identified barriers. Four main themes emerged from the analysis: (1) the widespread impact of trauma, (2) lack of funding, (3) inconsistent supportive culture, (4) inconsistent multiagency approach to trauma-informed care. Findings suggest that a whole systems approach to attachment and trauma is needed, in which there is an awareness of the impact of trauma, structures are in place to best support staff in their work, and everyone has a shared understanding and approach to working with these children and families. This study presents a promising start to identifying and making recommendations about what social care staff require to work in an attachment and trauma-informed way.","PeriodicalId":36239,"journal":{"name":"Developmental Child Welfare","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-01-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42004284","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-11-30DOI: 10.1177/25161032221142602
Andrew M. Winters, A. N. Verbist, Becky F. Antle, Crystal Collins-Camargo, Ashley R. Logsdon, Lisa M. Purdy
Engaging families in the behavioral health assessment process for child welfare-involved youth is a best practice standard in obtaining vital information about the context affecting their safety, permanency, and wellbeing. As family functioning plays a role in successful reunification for youth out-of-home care (OOHC), family engagement may also increase the likelihood of buy-in, clinical treatment participation and outcomes. The purpose of this study is to explore the relationship between standardized assessment domains of child and family needs and the prescription of family-focused treatment. Results suggest that there were overall low rates of prescription of family-focused treatment. There were significant differences in the prescription of family-focused treatment based on youth identified trauma, behavioral, emotional and family needs. Despite the impact of family functioning on placement, the low rate of prescribed family-focused treatment may reflect barriers such as communication and collaboration between providers, distance between family and placement, or a siloed approach to treating children in OOHC separate from their families. Approaches to address these barriers are discussed.
{"title":"Prevalence and Predictors of Prescription of Family-Focused Treatment in Child Welfare","authors":"Andrew M. Winters, A. N. Verbist, Becky F. Antle, Crystal Collins-Camargo, Ashley R. Logsdon, Lisa M. Purdy","doi":"10.1177/25161032221142602","DOIUrl":"https://doi.org/10.1177/25161032221142602","url":null,"abstract":"Engaging families in the behavioral health assessment process for child welfare-involved youth is a best practice standard in obtaining vital information about the context affecting their safety, permanency, and wellbeing. As family functioning plays a role in successful reunification for youth out-of-home care (OOHC), family engagement may also increase the likelihood of buy-in, clinical treatment participation and outcomes. The purpose of this study is to explore the relationship between standardized assessment domains of child and family needs and the prescription of family-focused treatment. Results suggest that there were overall low rates of prescription of family-focused treatment. There were significant differences in the prescription of family-focused treatment based on youth identified trauma, behavioral, emotional and family needs. Despite the impact of family functioning on placement, the low rate of prescribed family-focused treatment may reflect barriers such as communication and collaboration between providers, distance between family and placement, or a siloed approach to treating children in OOHC separate from their families. Approaches to address these barriers are discussed.","PeriodicalId":36239,"journal":{"name":"Developmental Child Welfare","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-11-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41604869","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-10-14DOI: 10.1177/25161032221128614
K. Eadie, Hannah Galloway, C. Middeldorp
Objective: Children and adolescents in care experience higher rates of mental illness. No studies have looked at differences in treatment effect amongst age groups for children/young people in care accessing mental health services. This study aims to determine if age is associated with outcomes for children and adolescents in care receiving treatment from a specialist mental health service in Queensland, Australia. Method: This 5-year retrospective cohort study consisted of a sample of 1338 children and adolescents in care aged 0–17 with pre- and post-treatment data. The Children’s Global Assessment Scale (CGAS) and the Health of the Nations Outcome Scale for Children and Adolescents (HoNOSCA) were used to assess functioning and mental health outcomes. Results: Data analysis revealed significant differences between the age groups. Age 0–4 also showed significantly greater improvement on a number of domains when compared with older age groups, including overactivity and attention, scholastic and language skills, emotional symptoms, peer relationships, and family life and relationships. Conclusion: This study demonstrated positive outcomes for all ages, yet better outcomes for the younger age groups in a cohort of children and adolescents in care attending a specialist mental health service. It highlights the importance of providing mental health interventions to children/young people in care, particularly age 0–4. Further, it calls for validated measures for young children to be utilised across mental health services to aid research in this area and optimise outcomes for this vulnerable population.
{"title":"Comparisons of outcomes between different age groups attending a specialist mental health service for children and young people in care","authors":"K. Eadie, Hannah Galloway, C. Middeldorp","doi":"10.1177/25161032221128614","DOIUrl":"https://doi.org/10.1177/25161032221128614","url":null,"abstract":"Objective: Children and adolescents in care experience higher rates of mental illness. No studies have looked at differences in treatment effect amongst age groups for children/young people in care accessing mental health services. This study aims to determine if age is associated with outcomes for children and adolescents in care receiving treatment from a specialist mental health service in Queensland, Australia. Method: This 5-year retrospective cohort study consisted of a sample of 1338 children and adolescents in care aged 0–17 with pre- and post-treatment data. The Children’s Global Assessment Scale (CGAS) and the Health of the Nations Outcome Scale for Children and Adolescents (HoNOSCA) were used to assess functioning and mental health outcomes. Results: Data analysis revealed significant differences between the age groups. Age 0–4 also showed significantly greater improvement on a number of domains when compared with older age groups, including overactivity and attention, scholastic and language skills, emotional symptoms, peer relationships, and family life and relationships. Conclusion: This study demonstrated positive outcomes for all ages, yet better outcomes for the younger age groups in a cohort of children and adolescents in care attending a specialist mental health service. It highlights the importance of providing mental health interventions to children/young people in care, particularly age 0–4. Further, it calls for validated measures for young children to be utilised across mental health services to aid research in this area and optimise outcomes for this vulnerable population.","PeriodicalId":36239,"journal":{"name":"Developmental Child Welfare","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-10-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42263953","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-09-23DOI: 10.1177/25161032221129287
Delphine West, F. Van Holen, Camille Verheyden, Laura Gypen, J. Vanderfaeillie
Family foster care is the option of choice in case of out-of-home placements in Flanders, resulting in rising numbers of family foster care placements. As a number of the foster children experienced traumatic events and all of them were separated from their primary caregivers, concerns can be raised about the quality of attachment between foster children and their foster carers. Additionally, international research regarding associated factors with attachment quality is scarce and inconclusive and to our knowledge, Flemish research into this matter was non-existent. The sample of this research consisted out of 68 young foster children and their foster mothers. The attachment behavior was scored by the foster mothers on the Attachment Insecurity Screening Index. The mean for the total Attachment Insecurity Screening Index was non-clinical, but significantly higher than the mean of the norm group, this points to foster mothers perceiving more insecure attachment behavior in the relationship with their foster children. The rates for insecure attachment were comparable to the regular population. Parenting stress and problem behavior were positively associated with insecure attachment scores and, negatively with self-reported sensitivity of foster mothers. These factors were entered in a multiple linear regression model. This model shows that higher levels of parenting stress and more behavior problems were associated with higher insecure attachment scores. We recommend to pay sufficient attention to the attachment relationship of foster children and their foster carers, parenting stress and behavior problems by monitoring them regularly and providing additional support and interventions when these are indicated.
{"title":"Attachment of young foster children","authors":"Delphine West, F. Van Holen, Camille Verheyden, Laura Gypen, J. Vanderfaeillie","doi":"10.1177/25161032221129287","DOIUrl":"https://doi.org/10.1177/25161032221129287","url":null,"abstract":"Family foster care is the option of choice in case of out-of-home placements in Flanders, resulting in rising numbers of family foster care placements. As a number of the foster children experienced traumatic events and all of them were separated from their primary caregivers, concerns can be raised about the quality of attachment between foster children and their foster carers. Additionally, international research regarding associated factors with attachment quality is scarce and inconclusive and to our knowledge, Flemish research into this matter was non-existent. The sample of this research consisted out of 68 young foster children and their foster mothers. The attachment behavior was scored by the foster mothers on the Attachment Insecurity Screening Index. The mean for the total Attachment Insecurity Screening Index was non-clinical, but significantly higher than the mean of the norm group, this points to foster mothers perceiving more insecure attachment behavior in the relationship with their foster children. The rates for insecure attachment were comparable to the regular population. Parenting stress and problem behavior were positively associated with insecure attachment scores and, negatively with self-reported sensitivity of foster mothers. These factors were entered in a multiple linear regression model. This model shows that higher levels of parenting stress and more behavior problems were associated with higher insecure attachment scores. We recommend to pay sufficient attention to the attachment relationship of foster children and their foster carers, parenting stress and behavior problems by monitoring them regularly and providing additional support and interventions when these are indicated.","PeriodicalId":36239,"journal":{"name":"Developmental Child Welfare","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-09-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45344227","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-08-27DOI: 10.1177/25161032221118910
Louise Roberts, J. Scourfield, H. Taussig
Young people with experience of out-of-home care have usually faced significant adversities whilst growing up. Adults aged 18–22 from a Western US state, who were part of a longitudinal study and originally recruited when in out-of-home care, were asked whether they had experienced a major turning point that changed the way they thought about something or how they behaved. Four in five reported having had such a turning point and the vast majority saw theirs as positive. A qualitative overview is provided of themes from these responses. Turning points were linked to actions and achievements, positive relationships and resources, and personal reflection. Reference was made to both objective and subjective change and turning points arising both from specific events and from extended processes. Some seemingly mundane events and interactions had a powerful impact. The findings suggest the on-going potential for care-experienced children and young people to have turning points, despite past adversity and current challenges. Opportunities need to be offered to support the development of agency, bolster self-esteem and aspiration, and offer reassurance, so that in the event of future adversity, care-experienced young people might have the personal resources to navigate and create meaning.
{"title":"Insights into turning points from the perspective of young people with out-of-home care experience: events, impact and facilitators of change","authors":"Louise Roberts, J. Scourfield, H. Taussig","doi":"10.1177/25161032221118910","DOIUrl":"https://doi.org/10.1177/25161032221118910","url":null,"abstract":"Young people with experience of out-of-home care have usually faced significant adversities whilst growing up. Adults aged 18–22 from a Western US state, who were part of a longitudinal study and originally recruited when in out-of-home care, were asked whether they had experienced a major turning point that changed the way they thought about something or how they behaved. Four in five reported having had such a turning point and the vast majority saw theirs as positive. A qualitative overview is provided of themes from these responses. Turning points were linked to actions and achievements, positive relationships and resources, and personal reflection. Reference was made to both objective and subjective change and turning points arising both from specific events and from extended processes. Some seemingly mundane events and interactions had a powerful impact. The findings suggest the on-going potential for care-experienced children and young people to have turning points, despite past adversity and current challenges. Opportunities need to be offered to support the development of agency, bolster self-esteem and aspiration, and offer reassurance, so that in the event of future adversity, care-experienced young people might have the personal resources to navigate and create meaning.","PeriodicalId":36239,"journal":{"name":"Developmental Child Welfare","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-08-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47497583","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-08-27DOI: 10.1177/25161032221124330
Laura Gypen, Delphine West, L. Stas, Camille Verheyden, F. Van Holen, J. Vanderfaeillie
Research consistently shows that both foster- and residential care leavers achieve lower levels of educational qualification in comparison to the general population. However, in Western society, education remains an important gateway to success in employment, income and housing opportunities. This study explores and predicts educational achievement of care leavers in Flanders and investigates the effect of educational attainment on other outcomes (employment, income and housing). The study involves 220 care leavers (both family foster care (n = 138) and residential care (n = 82)). Data was collected using a self-reporting questionnaire touching multiple domains. The participants of the study (77 male, 143 female) are between 21 and 27 years old. Both foster- and residential care leavers achieve significantly lower qualifications, earn less and more often experience homelessness than their peers from the general population. Residential care leavers achieve lower qualifications and are more often unemployed than foster care leavers. Multiple regression analyses indicate that the level of qualification is a key factor in determining the results on employment, income and education. More placements and less support during the time in care are significantly associated with lower educational achievements. This lower qualification brings significantly higher risks of unemployment, financial- and housing obstacles in the long term. It is therefore important to support young care leavers in attaining their qualification, therefore providing equal opportunities in our society. Policy makers should focus on increased support regarding education during the time in care. School- and placement changes should be minimized, and society ought to invest in psychological support during placement.
{"title":"The key role of education for Flemish care leavers","authors":"Laura Gypen, Delphine West, L. Stas, Camille Verheyden, F. Van Holen, J. Vanderfaeillie","doi":"10.1177/25161032221124330","DOIUrl":"https://doi.org/10.1177/25161032221124330","url":null,"abstract":"Research consistently shows that both foster- and residential care leavers achieve lower levels of educational qualification in comparison to the general population. However, in Western society, education remains an important gateway to success in employment, income and housing opportunities. This study explores and predicts educational achievement of care leavers in Flanders and investigates the effect of educational attainment on other outcomes (employment, income and housing). The study involves 220 care leavers (both family foster care (n = 138) and residential care (n = 82)). Data was collected using a self-reporting questionnaire touching multiple domains. The participants of the study (77 male, 143 female) are between 21 and 27 years old. Both foster- and residential care leavers achieve significantly lower qualifications, earn less and more often experience homelessness than their peers from the general population. Residential care leavers achieve lower qualifications and are more often unemployed than foster care leavers. Multiple regression analyses indicate that the level of qualification is a key factor in determining the results on employment, income and education. More placements and less support during the time in care are significantly associated with lower educational achievements. This lower qualification brings significantly higher risks of unemployment, financial- and housing obstacles in the long term. It is therefore important to support young care leavers in attaining their qualification, therefore providing equal opportunities in our society. Policy makers should focus on increased support regarding education during the time in care. School- and placement changes should be minimized, and society ought to invest in psychological support during placement.","PeriodicalId":36239,"journal":{"name":"Developmental Child Welfare","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-08-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"66048892","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-08-24DOI: 10.1177/25161032221118379
A. H. Howard, Ian Forber-Pratt, N. Wilke
As a result of the COVID-19 pandemic, some governments issued mandates requiring that residential care providers rapidly return children and youth to family. The goal of the present study was to assess outcomes in a sample of families experiencing rapid unprepared return. Specifically, we sought to evaluate the placement stability, assess support services provided to families, and examine how services received impacted parental stress and family functioning. Participants and Setting: 115 families who had experienced rapid unprepared return across five nations, including Ethiopia, India, Kenya, Mexico, and Uganda. Using a quantitative design, results examined (1) placement stability, (2) services received, and (3) the impact of services on family wellbeing. Data revealed the majority of families were still intact after 1 year. More robust support services were associated with lower parental stress and better family functioning. Occupational/financial support, such as financial assistance and job training, and material support, such as home repairs and food assistance, were vital to family wellbeing 1 year following rapid unprepared return. Rapid unprepared return creates risks to families and children, and should not be continued or repeated. However, emergency situations, government mandates or unexpected crises may force conditions for rapid unprepared return. For families that have experienced rapid unprepared return, intensive support and appropriate case management can improve the likelihood of positive outcomes and improve family wellbeing.
{"title":"Predictors of parental stress and family function one year after rapid unprepared return: A preliminary analysis from five nations","authors":"A. H. Howard, Ian Forber-Pratt, N. Wilke","doi":"10.1177/25161032221118379","DOIUrl":"https://doi.org/10.1177/25161032221118379","url":null,"abstract":"As a result of the COVID-19 pandemic, some governments issued mandates requiring that residential care providers rapidly return children and youth to family. The goal of the present study was to assess outcomes in a sample of families experiencing rapid unprepared return. Specifically, we sought to evaluate the placement stability, assess support services provided to families, and examine how services received impacted parental stress and family functioning. Participants and Setting: 115 families who had experienced rapid unprepared return across five nations, including Ethiopia, India, Kenya, Mexico, and Uganda. Using a quantitative design, results examined (1) placement stability, (2) services received, and (3) the impact of services on family wellbeing. Data revealed the majority of families were still intact after 1 year. More robust support services were associated with lower parental stress and better family functioning. Occupational/financial support, such as financial assistance and job training, and material support, such as home repairs and food assistance, were vital to family wellbeing 1 year following rapid unprepared return. Rapid unprepared return creates risks to families and children, and should not be continued or repeated. However, emergency situations, government mandates or unexpected crises may force conditions for rapid unprepared return. For families that have experienced rapid unprepared return, intensive support and appropriate case management can improve the likelihood of positive outcomes and improve family wellbeing.","PeriodicalId":36239,"journal":{"name":"Developmental Child Welfare","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-08-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42554784","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-06-01DOI: 10.1177/25161032221094045
Karmen Toros, Asgeir Falch-Eriksen
The pandemic of the Coronavirus disease 2019 (COVID-19) has affected children and families worldwide, disrupting their daily lives and well-being. A small-scale study involving 13 parents in Child Protective Services in Estonia was conducted using in-depth, semi-structured interviews to explore parents' experiences with COVID-19 and its impact on their families' well-being. The findings indicated that one of the areas most impacted by the COVID-19 pandemic was schooling, as the implementation of remote schooling often created tensions and conflicts at home. Parents reported regression in daily functioning, attributing this to the lack of supportive services during lockdown and additional distress resulting from increased workload at home and problems with balancing home and work life. Parents were exhausted by the various problems caused by the pandemic and questioned their ability to provide their children the support they needed. Discontinuation of services intensified existing challenges for both parents and children. Furthermore, a lack of trust in Child Protective Services was identified, serving as a barrier to asking for help in times of crisis.
{"title":"The voices of parents in child protective services: A qualitative analysis of families' struggles with COVID-19.","authors":"Karmen Toros, Asgeir Falch-Eriksen","doi":"10.1177/25161032221094045","DOIUrl":"10.1177/25161032221094045","url":null,"abstract":"<p><p>The pandemic of the Coronavirus disease 2019 (COVID-19) has affected children and families worldwide, disrupting their daily lives and well-being. A small-scale study involving 13 parents in Child Protective Services in Estonia was conducted using in-depth, semi-structured interviews to explore parents' experiences with COVID-19 and its impact on their families' well-being. The findings indicated that one of the areas most impacted by the COVID-19 pandemic was schooling, as the implementation of remote schooling often created tensions and conflicts at home. Parents reported regression in daily functioning, attributing this to the lack of supportive services during lockdown and additional distress resulting from increased workload at home and problems with balancing home and work life. Parents were exhausted by the various problems caused by the pandemic and questioned their ability to provide their children the support they needed. Discontinuation of services intensified existing challenges for both parents and children. Furthermore, a lack of trust in Child Protective Services was identified, serving as a barrier to asking for help in times of crisis.</p>","PeriodicalId":36239,"journal":{"name":"Developmental Child Welfare","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9047598/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48895835","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-05-23DOI: 10.1177/25161032221105301
K. Eadie, K. Moss, Judith Burton
Introduction: Children and young people in care are a key client group for child and youth mental health services. A collaborative approach to addressing the complex and long-term needs of children or young people in care is essential and carers who support these children or young people are vital team members of this collaboration. Method: This research surveyed carers over a 4-year period to gather feedback about a specialist mental health service. 277 carers responded to the Carer Perceptions Survey. Participants were mainly foster (65%) and kinship (17%) carers. However, residential workers (13%) and biological parents (5%) also responded to the survey. A thematic analysis was undertaken with responses to open-ended questions about most liked aspects of the service and ideas for service improvement. Results: Themes included support for carers, communication between carers and staff, personal attributes of staff, working in collaboration, accessibility to the service, and carer training. Carers expressed their appreciation of staff who provided support in collaborative and respectful ways and valued staff who listened to their experiences and ideas. In addition, carers expressed interest in receiving more information and training about how best to support the mental health of children and young people in their care. Conclusion: Effective mental health services for children and young people in care require clinical staff that foster respectful engagement and facilitate collaboration with carers in all aspects of care.
{"title":"Carer perceptions of a specialist mental health service for children and young people in care","authors":"K. Eadie, K. Moss, Judith Burton","doi":"10.1177/25161032221105301","DOIUrl":"https://doi.org/10.1177/25161032221105301","url":null,"abstract":"Introduction: Children and young people in care are a key client group for child and youth mental health services. A collaborative approach to addressing the complex and long-term needs of children or young people in care is essential and carers who support these children or young people are vital team members of this collaboration. Method: This research surveyed carers over a 4-year period to gather feedback about a specialist mental health service. 277 carers responded to the Carer Perceptions Survey. Participants were mainly foster (65%) and kinship (17%) carers. However, residential workers (13%) and biological parents (5%) also responded to the survey. A thematic analysis was undertaken with responses to open-ended questions about most liked aspects of the service and ideas for service improvement. Results: Themes included support for carers, communication between carers and staff, personal attributes of staff, working in collaboration, accessibility to the service, and carer training. Carers expressed their appreciation of staff who provided support in collaborative and respectful ways and valued staff who listened to their experiences and ideas. In addition, carers expressed interest in receiving more information and training about how best to support the mental health of children and young people in their care. Conclusion: Effective mental health services for children and young people in care require clinical staff that foster respectful engagement and facilitate collaboration with carers in all aspects of care.","PeriodicalId":36239,"journal":{"name":"Developmental Child Welfare","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-05-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49654667","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-05-06DOI: 10.1177/25161032221100233
L. Amédée, Laurence Cyr-Desautels, Houria Bénard, Katherine Pascuzzo, K. Dubois-Comtois, M. Hébert, Célia Matte-Gagné, C. Cyr
The purpose of this study was to examine, in a sample of residential care children, the moderating role of cognitive flexibility in the association between maltreatment and emotion regulation competencies. The sample included 69 children aged 8 to 12 and their group home educator as their primary caretaker. Educators completed questionnaires evaluating child emotion regulation competencies and cognitive flexibility. Child history of maltreatment and sociodemographic data were collected on the basis of the children’s child protective services files. Moderation analyses showed that the effect of child maltreatment on emotion regulation was only present for children with high levels of cognitive flexibility, such that the less children experienced severe maltreatment, the more they showed emotion regulation competencies. Children with low cognitive flexibility displayed lower levels of emotion regulation regardless of their maltreatment history. These results suggest that focusing on cognitive flexibility when intervening with children in residential care could help strengthen their emotion regulation competencies, which may prevent further maladaptive behaviors.
{"title":"Cognitive flexibility moderates the association between maltreatment and emotion regulation in residential care children of the middle childhood period","authors":"L. Amédée, Laurence Cyr-Desautels, Houria Bénard, Katherine Pascuzzo, K. Dubois-Comtois, M. Hébert, Célia Matte-Gagné, C. Cyr","doi":"10.1177/25161032221100233","DOIUrl":"https://doi.org/10.1177/25161032221100233","url":null,"abstract":"The purpose of this study was to examine, in a sample of residential care children, the moderating role of cognitive flexibility in the association between maltreatment and emotion regulation competencies. The sample included 69 children aged 8 to 12 and their group home educator as their primary caretaker. Educators completed questionnaires evaluating child emotion regulation competencies and cognitive flexibility. Child history of maltreatment and sociodemographic data were collected on the basis of the children’s child protective services files. Moderation analyses showed that the effect of child maltreatment on emotion regulation was only present for children with high levels of cognitive flexibility, such that the less children experienced severe maltreatment, the more they showed emotion regulation competencies. Children with low cognitive flexibility displayed lower levels of emotion regulation regardless of their maltreatment history. These results suggest that focusing on cognitive flexibility when intervening with children in residential care could help strengthen their emotion regulation competencies, which may prevent further maladaptive behaviors.","PeriodicalId":36239,"journal":{"name":"Developmental Child Welfare","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-05-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44258371","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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