Youth and parent perceptions of aftercare supports at discharge from residential care

While much is known about youth struggles after reintegration into the home and community settings following stays in out‐of‐home care, little is known about appropriate supports for aftercare, or parent (see Note ¹ ) and youth perceptions during this critical transition period. This study seeks to begin to address these questions through surveys evaluating youth (n = 48) and parent (n = 48) perceptions of (i) transition planning, family preparedness and aftercare; (ii) youth preparedness for the transition period across major life domains (e.g. education, health care, relationships); and (iii) the importance of specific aftercare supports and services. Results indicate differences between youth and parents on perceptions of need for continued supports, likelihood of participation in aftercare programs; and youth preparedness for success in relationships, family and independent living domains. In contrast, similarities were found on youth and parent ratings regarding the importance of specific services and supports, with both groups indicating supports in education as most important and supports in mental health as least. Study limitations, future research and implications are provided.     

Adopted foster youths' psychosocial functioning: a longitudinal perspective

Researchers have long debated whether adopted youth manifest disproportionate levels of psychological dysfunction compared with non‐adopted youth. Yet, missing from the debate has been a clear understanding of the specific subgroups of adopted youth who may develop behaviour problems and of the risk factors associated with various vulnerable populations. This longitudinal study examined one subpopulation of adopted youth – former foster children – in order to determine their immediate and long‐term functioning, particularly in comparison with their adopted non‐foster care peers. The central goal of this study was to ascertain the prevalence of behavioural problems in adopted foster youth compared with adopted non‐foster youth and to chart the longitudinal course of their behavioural problems. Participants included adopted foster youth (n = 293) and adopted non‐foster youth (n = 312) from a statewide sample of adopted youth, aged 2–18 years. Data were collected from the adoptive parents at approximately 2, 4 and 8 years after adoption. Adoptive parents rated youths’ functioning with the Behaviour Problems Inventory. According to parental report, a striking number of the foster youth displayed behaviour problems, although the non‐foster care group of children also displayed noteworthy levels of problem behaviours. The rates of behaviour problems in both groups far exceed what is observed in the general population of children.     

Development,Feasibility, and Piloting of a Novel Natural Mentoring Intervention for Older Youth in Foster Care

Aging out of foster care is associated with deleterious emerging adulthood outcomes. The enduring presence of a caring adult, such as a natural mentor, can improve outcomes for emancipating foster youth. Caring Adults ‘R’ Everywhere (C.A.R.E.) is a novel, child welfare-based intervention designed to facilitate natural mentor relationships among aging-out youth. Our aims were to test the feasibility of implementing C.A.R.E. and the feasibility of conducting a randomized controlled study with older foster youth. Twenty-four foster youth aged 18–20.5 years were recruited and randomly assigned to the intervention (n = 12) or control groups (n = 12). Ten natural mentors were identified and contacted for participation in the intervention and study. Process-oriented qualitative data and quantitative pre- and postintervention outcome data were collected and analyzed. Utilizing a controlled rigorous design, the findings highlight the positive experience of both the intervention youth and their natural mentors with C.A.R.E. Overall, results support the continued refinement, delivery, and rigorous testing of C.A.R.E. with great promise for programmatically supporting natural mentor relationships among youth aging out of foster care.     

Measuring Family Caregiver Perceptions of Support in Caring for Children and Youth With Mental Health Concerns

ABSTRACT

This correlational study assessed how families of children with mental illness perceived the levels of support they received from informal and formal resource providers and the associations between perceived support and child outcomes. Adult caregivers (N = 904) of youth receiving public mental health care services were administered the Family Caregiver Perceptions of Support Scale developed by the authors to assess family caregiver perceptions of support prior to and at termination of services. Factor analysis identified three types of caregiver anticipated supports: informal support resources, support for treatment plan influence, and health care resources. The domains were significantly and positively associated with one another but did not uniformly correlate with youth mental health outcomes. The study provides preliminary evidence that treatment gains in youth mental health outcomes are observed when caregivers perceive support in treatment processes. Suggestions for future research are made, stressing the importance of caregivers and providers working together and describing needs related to future scale improvements.     

Social functioning and mental health among children who have been living in kinship and non‐kinship foster care: results from an 8‐year follow‐up with a Norwegian sample

Studies have shown relatively high rates of emotional and behavioural problems among children living in out‐of‐home care. This study reports the prevalence of social problems at an 8‐year follow‐up for a group of children/young adults. Predictors for prevalence and change in emotional and behavioural problems at the follow‐up are examined. A prospective cohort design with 233 children who had been living in foster care was used. Forty‐eight per cent (n = 111) of those interviewed at baseline were located and interviewed at follow‐up. Mean age was 17.4 (standard deviation = 2.9) years. Mental health symptomatology was measured with Child Behaviour Checklist and Adult Self‐Report. Linear and generalized mixed model analyses were used. Changes in internalizing and externalizing problems from baseline to follow‐up was associated with gender. Boys showed more problems at a young age, whereas girls developed more problems later. Predictors for social problems at follow‐up were mental health at baseline, kinship care and care placement away from the local community.     

Parental empowerment and child behavioural problems during youth care involvement

The aim of this study was to examine changes in parental empowerment and child behavioural problems during a period of youth care and how changes are related to the kind of services provided. We compared a preservation service that was family‐centred (FCS) with out‐of‐home services that were primarily child‐centred (CCS). The sample consisted of 621 families who were supported by FCS (n = 434) or CCS (n = 137). Information about parental empowerment and child behavioural problems was gathered at the start and end of youth care. Significant changes during treatment were identified with t tests and effect sizes. Significant improvements emerged on all empowerment scales for FCS but only on the behavioural control subscale for CCS. Moreover, significant improvements emerged on all child behavioural scales for both FCS as CCS. Cross‐lagged analysis showed that the kind of service, in favour of FCS, predicted parental empowerment but not child behavioural problems. Parental empowerment and child behavioural problems were negatively related. This paper discusses the potential for parental empowerment and FCS elements in CCS out‐of‐home care and the need for follow‐up research on this subject.     

Analysis of care and education pathways of refugee and asylum‐seeking children in care in England: Implications for social work

There are currently 4,560 refugee and asylum‐seeking children in care in England, but little is known about their care histories and educational outcomes. This study analysed the educational outcomes of unaccompanied refugee and asylum‐seeking children in care at age 16 (n = 167) in 2013, using secondary data analysis. It compared their care histories and educational experiences with other children in care and those in the general population. Secondly, it used linear regression to determine what factors predict educational outcomes. Refugee and asylum‐seeking young people in care faced fewer difficulties than their peers in care or those in need, but they lagged behind children in the general population. Age at entry, placement type, Strengths and Difficulties Questionnaire scores, school type and mobility predicted attainment. Special educational needs (SEN), number of placements and absences did not. Better care planning and a greater understanding of SEN are required to enhance the well‐being of this population.     

Working the ‘spaces’ between policy and practice: the contributions offered by resilience theory and action research

The policy‐practice dimension often presents challenges particularly in the policy arena of child well‐being. Policy designers identify risk factors and design programmes intended to develop protective factors in areas of need. The 2004 Australian Communities for Children (CfC) initiative aimed to improve the social, health and educational outcomes for young children living in socio‐economically disadvantaged localities. Its method was to engage local community members to contribute towards developing protective factors. Rather than considering this national–local arrangement, an unworkable alliance, we examine the performance of CfC through three examples and demonstrate how resilience theory and action research can assist this programme achieve its social inclusion aims and well‐being outcomes. We choose not to disregard policy programmes like CfC, rather we emphasize the possibilities offered when working these complex spaces involving multiple and inherent contradictions. The spaces that often exist between the policy and its implementation are rethought to allow a greater opportunity for the growth of innovation and change.     

Impacts of media on sexual behaviour and relationships among youth in foster care

Youth in foster care (YFC) are at high risk of negative reproductive and other health outcomes and may be especially vulnerable to negative impacts of media due to early adversity and a lack of stable caregiver relationships. The aim of this project was to explore how access and exposure to media impacts YFC in order to inform future research in this realm and promote resilience in this understudied population. We conducted semistructured interviews with YFC ages 15–21 (n = 22) and focus groups with foster caregivers (n = 86). We used thematic analysis to analyse data for themes related to media. Youth and caregivers described four main themes: (a) impacts of media on youth norms and attitudes, (b) impacts of media on youth behaviour, (c) impacts of youth exposure to pornography, and (d) caregiver monitoring and mediation of media. Data from this study indicate that media has unique, important effects on YFC norms and behaviours, including sexual behaviours. Foster caregivers encounter multiple barriers to monitoring and mediating media use for YFC. Further research is needed to explore differential effects of media on YFC versus non‐YFC in order to develop effective interventions and mitigate potential negative effects of media.     

Positive affect regulation in youth: Taking stock and moving forward

This article summarizes the four articles in the Social Development quartet focused on positive affect regulation in youth. Each article in the quartet shows that parents’ socialization of youth positive affect (e.g., encouraging, enhancing, savoring, or dampening responses) is associated with youth positive affect regulation and depressive symptoms. Further, three of the studies provide novel evidence for an indirect relationship whereby parental socialization predicts youth depressive symptoms through youth positive affect regulation. The studies include samples of youth across mid‐childhood and adolescence (7–18‐year‐olds) from three countries (the United States, Belgium, and India), and utilize several methods of assessing youth positive affect regulation or parental socialization (parent‐reported surveys, youth‐reported surveys, coded parent–child discussions). This integrative article also identifies several ways in which the study of youth positive affect regulation can be advanced. We address the conceptualization of positive affect regulation and the socialization of children's positive affect, constraints on the adaptiveness of upregulating positive emotions, methodological directions, potential moderated effects based on child characteristics such as sex or temperament, and the importance of studying outcomes beyond depression.     

Parenting challenges of African immigrants in Alberta,Canada

African immigrant children and youth have some of the poorest social and mental health outcomes in Canada. Although parenting challenges have been widely documented as a key driver of these outcomes, limited systematic research has investigated this phenomenon. In this paper, we report the results of a study examining parenting challenges among a sample of African immigrant parents in Alberta, Canada. We relied on the theoretical lens of transnationalism to collect and analyse data from a purposive sample of African community leaders (n = 14), African immigrant parents (n = 32), and a range of stakeholders (n = 30). Our thematic data analysis revealed several intricately intertwined parenting challenges, organized around six overarching themes, namely, cultural incompatibility, family tension, state interference, limited social supports, poor access to services, and low socioeconomic status. We present these themes and the policy and service implications of our findings.     

Defining Success: The Perspective of Emerging Adults with Foster Care Experience

Youth with experience in the foster care system are often more susceptible to negative outcomes in adulthood due to higher levels of cumulative risk; however, there is little research on perceptions of resilience among this population. This mixed-method pilot study presents results from a modified prototype analysis that examined both qualitative and quantitative aspects of how emerging adults (ages 18–25; n = 18) with foster care backgrounds viewed the concept of “success.” Specifically, the approach involved a demographic questionnaire, modified prototype analysis, Developmental Assets® assessment, and focus group discussion providing valuable insight into the perceptions and experiences of emerging adults who have spent time in the care of foster families. Results share youth's perspectives of how their foster families contributed to resiliency and successful adult development. Findings indicate that the definition of “success” is complex and subjectively defined based on personal goals and that specific Developmental Assets® are important for foster families to promote youth resilience. This deeper insight into perspectives of former foster youth gained through the modified prototype analysis can guide agencies, advocates, and parents, permitting a more intentional promotion of success, and maximizing opportunities for resiliency.     

‘Sex is violence’: African‐American parents' perceptions of the link between exposure to community violence and youth sexual behaviours

In Chicago, African‐American youth experience disproportionately high rates of exposure to community violence. Growing evidence documents that such exposures are related to youth sexual behaviours. This qualitative study seeks to illuminate the various ways in which violence and sex are intertwined in the lives of African‐American youth. Analysing data from four focus groups (N = 54), major themes indicated that parents linked community violence with: (i) influencing youth sexual interests and opportunities for having sex; (ii) specific notions of youth sexual identities and social status; (iii) increased gang involvement and sexual initiations; and (iv) girls' grudges and their sexual concurrency with boys. These findings suggest that addressing these specific issues is important in parent‐centred and community‐grounded interventions aimed at reducing risky sexual behaviours among African‐American youth.     

Early outcomes for young adults transitioning from out-of-home care in the USA

This paper describes the well‐being of participants in the Midwest Evaluation of the Adult Functioning of Former Foster Youth (n = 603), a study of youth leaving out‐of‐home care in the USA, at the point where they have been ‘young adults’ for about 1 year. Although some of these young adults are in stable situations and either moving forward with their education or employed in promising jobs, more of them are having significant difficulties during the early stages of the transition to adulthood. Too many are neither employed nor in school, have children that they are not able to parent, suffer from persistent mental illness or substance use disorders, find themselves without basic necessities, become homeless, or end up involved with the criminal justice system. They are doing worse than other young adults across a number of important dimensions. Most of these young adults continue to maintain relations with members of their family of origin, with many finding themselves living with family at age 19. Importantly, those young people who chose to remain under the care and supervision of the child welfare system experienced better outcomes than those who either chose to or were forced to leave care.     

Nonformal education for improving educational outcomes for street children and street youth in developing countries: A systematic review

Tens of millions of children and youth (up to 24 years of age) live and work on the streets of developing countries. Most of them are forced to leave formal education. As a potential solution, nonformal education (NFE) interventions have spread worldwide. However, no previous attempt has been made to address the state of evidence regarding effectiveness studies of NFE for street children and youth. This review addresses this gap by conducting the first systematic review concerning the effectiveness of NFE for improving educational outcomes for street children and street youth. The search was conducted in 35 structured electronic databases and numerous organizations and experts were also contacted. The screening of 9,271 titles resulted in the identification of zero prospective effectiveness studies with a counterfactual. Lessons are drawn from the highest quality excluded studies to inform future evaluations that seek to address this knowledge gap. Key Practitioner Message: ● Practitioners should implement comparable intake and monitoring assessments to track changes consistently over time; ● Programs informed by critical pedagogy and empowerment‐based approaches may improve behavioral outcomes; ● Programs that work with street children and street youth should clarify how they identify their target population.     

Participation of youth in decision‐making procedures during residential care: A narrative review

Participation in decision‐making procedures of young people in care is considered a key element that affects their current or future living circumstances and might improve the quality of decision‐making on and delivery of provided services. This narrative literature review, covering the period 2000–2016, focuses on the opportunities of young people to participate, the challenges and facilitators to participation, and the outcomes of care related to participation. Sixteen studies met our search criteria. Several studies show that young people seem to have limited possibilities to “meaningful” participation in decision‐making. Various challenges and facilitators in the participation process emerge with regard to the level of the young person, the professional, and the (sociocultural) context. None of the studies provides evidence for a connection between the “amount” of youth participation in decision‐making and/or treatment during the care process and the outcomes of residential care. Implications for research and practice are reflected upon.     

Worried,concerned and untroubled: antecedents and consequences of youth worry

Using a pattern‐based approach, worry was explored in relation to military youths' developmental and contextual characteristics, and pivotal outcomes (depressive symptoms, self‐efficacy, well‐being, coping styles, academic performance and deployment adjustment). Data were collected from parents and adolescents, age 11 to 18, living in the USA (n = 273 families). Variations in individual characteristics (age and gender), military family factors (rank, recent deployment, parents' resilient coping abilities) and family relational characteristics (parents' marital status, warm parenting, marital quality) were related to heterogeneous worry typologies. Depressive symptoms, self‐efficacy and well‐being, varied across the worry typologies. Implications are drawn from these findings for identifying potential interventions that can be accessed to modify these worry patterns and limit their harmful effects.     

Effects of psychosocial interventions on behavioural problems in youth: A close look at Cochrane and Campbell reviews

Research indicates that a number of psychosocial interventions are effective for reducing behavioural problems in youth. These interventions are now often included on best practice lists aiming to facilitate informed treatment choices among practitioners. However, analyses in neighbouring research areas have highlighted serious shortcomings in how primary studies are analysed and how studies are synthesised in research reviews. This study took a closer look at the evidence of efficacy for psychosocial interventions that aim to reduce behavioural problems in youth, as shown in systematic research reviews by the Cochrane and the Campbell Collaborations (n = 8). The findings suggest a bias towards overemphasising the efficacy of the interventions in several reviews, an over‐confidence in the validity of the findings in some reviews and, overall, a somewhat uncertain evidence base for the efficacy of the interventions. Systematic reviews are crucial for summarising research but more attention to methodological issues may be needed in this area.     

Gerontological Social Workers' Perceived Efficacy for Influencing Client Outcomes

Using a sample of practitioners (n = 269) from the 2004 National Study of Licensed Social Workers, this article employs a quality assurance structure–process–outcome model to examine factors at the practitioner, workplace, and service delivery levels that influence the perceived efficacy of licensed gerontological social workers to affect client outcomes in the context of a highly challenging health care environment. A regression model accounted for 33.9% of the variance (adjusted R ² = .291) in perceived efficacy with 3 aspects of service delivery satisfaction having significant effects: ability to address complex/chronic care, to influence the design of services, and to help clients navigate the system.