Caregiver and child agreement on traumatic events, PTSD, internalizing, externalizing, and ADHD problems in a child welfare population

Abstract

Child welfare recipients face unique obstacles for accurate mental health screening and assessment. This study examined the concordance between youth and caregiver respondents on mental health problems. Agreement between youths and caregivers about traumatic event exposure was mostly Moderate or Substantial, but greater discrepancy was associated with greater child psychopathology. Both caregivers and children endorsed PTSD symptoms more often than internalizing, externalizing, and ADHD problems. Single respondents – whether child, foster parent, or biological parent – significantly underestimated severity compared to multiple respondents. Repeat screenings showed that concordance between youth and caregiver endorsements did not improve after six months of entering care.

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