Mental health interventions for children in foster care: A systematic review |
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| Institution: | 1. The Kempe Center for the Prevention and Treatment of Child Abuse and Neglect, Department of Pediatrics University of Colorado School of Medicine, United States;2. Department of Psychiatry, University of Colorado School of Medicine, United States;3. University of Denver Graduate School of Social Work, United States;1. Masaryk University, Institute for Research of Children, Youth and Family, Faculty of Social Sciences, Brno, Czech Republic;2. Eastern Mediterranean University, Department of Psychology, Faculty of Arts & Sciences, Famagusta, Cyprus;3. Institute of Sociology, Romanian Academy, Romania;1. University of Washington, School of Medicine Department of Psychiatry and Behavioral Sciences, 6200 NE, 74th Street, Suite 100 Seattle, Washington 98115, United States;2. Washington State Department of Social and Health Services, Children''s Administration, Division of Program and Policy, 1115 Washington St. SE, Olympia, WA 98504, United States;3. University of Denver Graduate School of Social Work, 2148 S High St, Denver, CO 80208, United States;1. University of Washington, School of Medicine, 2815 Eastlake Ave East, Suite 200, Seattle, WA 98102, USA;2. Department of Social and Health Services, Children''s Administration, P.O. Box 45710, Olympia, WA 98504, USA;3. Building Changes, 2014 E. Madison, Suite 200, Seattle, WA 98122, USA;4. Harborview Center for Sexual Assault and Traumatic Stress, 401 Broadway, #2027, Seattle, WA 98122, USA;5. Department of Health, Access Care and Coordination Section, Healthy Starts and Transitions, P.O. Box 47880, Tumwater, WA 98505-7880, USA;6. Washington State Health Care Authority, 626 8th Ave SE, Olympia, WA 98501, USA;7. Department of Social and Health Services, Behavioral Health & Service Integration Administration, P.O. Box 45330, Olympia, WA 98504, USA;1. School of Social Work, Portland State University, Portland, OR, USA;2. Regional Research Institute for Human Services, Portland State University, Portland, OR, USA;3. School of Social Work, Yonsei University, Seoul, Republic of Korea |
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| Abstract: | Children in foster care have high rates of adverse childhood experiences and are at risk for mental health problems. These problems can be difficult to ameliorate, creating a need for rigorous intervention research. Previous research suggests that intervening with children in foster care can be challenging for several reasons, including the severity and complexity of their mental health problems, and challenges engaging this often transitory population in mental health services. The goal of this article was to systematically review the intervention research that has been conducted with children in foster care, and to identify future research directions. This review was conducted on mental health interventions for children, ages 0 to 12, in foster care, using ERIC, CINAHL, PsycINFO, PubMed, ProQuest's Dissertation and Theses Database, Social Services Abstracts, and Social Work Abstracts. It was restricted to interventions that are at least “possibly efficacious” (i.e., supported by evidence from at least one randomized controlled trial). Studies were evaluated for risk of bias. Ten interventions were identified, with diverse outcomes, including mental health and physiological. Six interventions were developed for children in foster care. Interventions not developed for children in foster care were typically adapted to the foster context. Most interventions have yet to be rigorously evaluated in community-based settings with children in foster care. Little research has been conducted on child and family engagement within these interventions, and there is a need for more research on moderators of intervention outcomes and subgroups that benefit most from these interventions. In addition, there is no consensus regarding how to adapt interventions to this population. Future research should focus on developing and testing more interventions with this population, rigorously evaluating their effectiveness in community-based settings, determining necessary adaptations, and identifying which interventions work best for whom. |
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