Psychosocial treatment of children in foster care: a review.
ABSTRACT A substantial number of children in foster care exhibit psychiatric difficulties. Recent epidemiological and historical trends in foster care, clinical findings about the adjustment of children in foster care and adult outcomes are reviewed, followed by a description of current approaches to treatment and extant empirical support. Available interventions for these children can be categorized as either symptom-focused or systemic, with empirical support for specific methods ranging from scant to substantial. Even with treatment, behavioral and emotional problems often persist into adulthood resulting in poor functional outcomes. We suggest that self-regulation may be an important mediating factor in the appearance of emotional and behavioral disturbance in these children.
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ABSTRACT: Adolescents in foster care experience mental health and substance use problems that place them at risk for HIV, yet the exact nature of the relationship remains unclear. This study examined the co-occurring influences of mental health problems and substance use on HIV risk and determined whether substance use moderated the effect of mental health problems on HIV risk behaviors among adolescents in foster care. Regression analyses of cross-sectional data collected through structured interviews with 334 adolescents, aged 15-18 years, determined which mental health problems and substances increased HIV risk behaviors. Adolescents with delinquency and anxiety/depression engaged in significantly more HIV risk behaviors than their counterparts, controlling for race, gender, and type of childhood abuse. Further, any marijuana use significantly moderated the effects of delinquent behaviors on HIV risk, differentially increasing HIV risk among those who engaged in delinquent behaviors.Journal of HIV/AIDS & Social Services 06/2014; 13(2):179-197.
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ABSTRACT: We discuss preliminary findings from a study that investigated the effectiveness of a Holistic Arts-Based Group Program (HAP) for the development of resilience in children in need. The HAP teaches mindfulness using arts-based methods, and aims to teach children how to understand their feelings and develop their strengths. We assessed the effectiveness of the HAP by using comparison and control groups, and standardized measures. We hypothesized that children who participated in the HAP would have better scores on resilience and self-concept compared with children who took part in an Arts and Crafts group (the comparison group), and children who were waiting to attend the HAP (the control group). A total of 36 children participated in the study; 20 boys aged 8–13 years and 16 girls aged 8–14 years. A mixed-designed MANOVA was conducted using scores from 21 participants. We found evidence that the HAP program was beneficial for the children in that they self-reported lower emotional reactivity (a resilience measure) post-intervention. No changes were noted for perceptions of self-concept. Consideration should be given to how we can attend to young people’s needs in relevant ways as resilience is a condition of a community’s ability to provide resources as much as it is part of an individual’s capacity for growth. Programs such as the HAP can engage children in a creative and meaningful process that is enjoyable and strengths-based.Journal of Child and Family Studies 10/2011; 21(5). · 1.42 Impact Factor
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ABSTRACT: Many legal issues involve conflicts that are at least as much psychological and relational as they are legal in nature. Juvenile and family courts have always embraced a helping philosophy under the parens patriae legal doctrine. These courts address problems where family relationships are central, for example, custody and coparenting disputes, divorce, child abuse and neglect, foster care, intimate partner violence, and juvenile delinquency. Family therapists are playing a growing role in all of these matters. In this article, we use child custody disputes as a more in-depth example for exploring new, potential roles for family therapists, particularly as mediators and parenting coordinators. To show the breadth of the role for family therapists, we also more briefly consider the topics of child abuse and neglect, foster care, juvenile delinquency, and drug and alcohol issues.Muchas cuestiones legales están relacionadas con conflictos que son al menos tanto de índole psicológica y relacional como legal. Los juzgados de menores y de familia siempre han adoptado una filosofía auxiliadora en el marco de la doctrina legal parens patriae. Estos juzgados abordan problemas donde las relaciones familiares son fundamentales, por ejemplo, disputas sobre tutela y co-crianza, divorcio, abuso y abandono infantil, guarda de menores, violencia en la pareja y delincuencia de menores. Los terapeutas familiares cumplen una función cada vez más importante en todos estos asuntos. En este artículo, utilizamos las disputas relacionadas con la tutela de menores como ejemplos más detallados para analizar nuevos y posibles roles de los terapeutas familiares, particularmente como mediadores y coordinadores de la crianza de los niños. Para demostrar la amplitud del rol de los terapeutas familiares, también tenemos en cuenta brevemente los temas de abuso y abandono infantil, la guarda de menores, la delincuencia de menores y los problemas de drogas y alcohol.很多法律问题都涉及到不仅仅是法律性质的,而且是心理和关系性质的冲突。青少年和家庭法庭一贯秉承”国家有权在特定条件下干涉辅助家庭生活”(parens patriae)的法律原理。这些法庭处理以家庭关系为主的问题,例如监护权和共同担当家长责任方面的纠纷, 离异,虐待儿童,忽视儿童,寄养照料,亲密伴侣暴力,及青少年犯罪。家庭心理治疗师在处理这些问题中扮演着日益重要的角色。在本文中,我们用儿童监护权纠纷作为一个深入例子,探讨家庭心理治疗师潜在的新角色,特别是作为调解者和抚养子女协调者的角色。为说明家庭心理治疗师所扮演角色的广度,我们还简短的讨论了虐待儿童,忽视儿童,寄养照料,青少年犯罪,滥用毒品和酒精等话题。Family Process 05/2014; · 1.73 Impact Factor