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Services according to mental health needs for youth in foster care? – A multi-informant study

Marit Larsen · Valborg Baste · Ragnhild Bjørknes · Trine Monica Myrvold · Stine Lehmann

46 citations0/0 files storedBMC Health Services Research

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Child Welfare and Adoption Child and Adolescent Psychosocial and Emotional Development Mental Health Treatment and Access

Abstract

BACKGROUND: Foster children have a high risk of mental disorders. This has contributed to increased international attention to service utilization for youth in foster care. The aim of this study is to examine whether youth in foster care receive services according to need, by using a multi-informant design. METHOD: Detailed information on the type and frequency of service use during the last 2 years and on youth mental health were collected from foster youths and their carers in Norway (n = 405, aged 11-17 years) through online questionnaires. Mental health was assessed with the Strengths and Difficulties Questionnaire. Statistical analyses were conducted using descriptive statistics and log-binominal regressions. RESULTS: In total, 48.8% of foster youths showed evidence of mental health problems, and 74.5% of foster families had contact with services. Increased mental health problems and living in non-kin foster care were associated with more service use. Youths with mental health problems had twice the probability of receiving services from the child and adolescent mental health service (CAMHS) and primary health care services compared to youths without problems. However, 57.0% of youths with carer-reported mental health problems did not have contact with CAMHS. CONCLUSIONS: Service use among foster youths was associated with service need rather than demographic and placement characteristics. The majority of youths with mental health problems did not receive services from CAMHS. However, many of them were in contact with primary health care services.

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References

2001Psychometric Properties of the Strengths and Difficulties Questionnaire 2005Informant Discrepancies in the Assessment of Childhood Psychopathology: A Critical Review, Theoretical Framework, and Recommendations for Further Study.1999The Extended Version of the Strengths and Difficulties Questionnaire as a Guide to Child Psychiatric Caseness and Consequent Burden 2010When to Use Broader Internalising and Externalising Subscales Instead of the Hypothesised Five Subscales on the Strengths and Difficulties Questionnaire (SDQ): Data from British Parents, Teachers and Children 2011Child Protection Systems 2007Psychiatric Disorders in Norwegian 8- to 10-Year-Olds 2016The Prevalence of Mental Disorders Among Children and Adolescents in the Child Welfare System 2000Children in foster care: factors influencing outpatient mental health service use

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2021In the Best Interest of the Child: the Norwegian Approach to Child Protection 2019Foster children are at risk for developing problems in social-emotional functioning: A follow-up study at 8 years of age 2020Comparing outcomes of children and youth with fetal alcohol spectrum disorder (FASD) in the child welfare system to those in other living situations in Canada: Results from the Canadian National FASD Database

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