Mental Health Care for Children and Adolescents in Foster Care ...

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TABLE OF CONTENTS Overview .....................................................................................................................1 I. Need for Mental Health Care ..................................................................................9 II. Use of Mental Health Care ...................................................................................15 Use of Mental Health Care ..............................................................................16 Factors Associated with the Use of Mental Health Care..................................20 Summary .........................................................................................................21 III. Evidence-Based Interventions and Promising Practices ................................22 What Is Evidence?...........................................................................................26 What Is the Evidence for Interventions Addressing PTSD and Abuse-related Trauma, Disruptive Behavior Disorders, Depression, and Substance Abuse? 28 PTSD and Abuse-related Trauma.................................................................28 Trauma-Focused Cognitive Behavioral Therapy (TF-CBT)...................34 Abuse-Focused Cognitive Behavioral Therapy for Child Physical Abuse (AF-CBT) ...................................................................................35 Parent-Child Interaction Therapy (PCIT)...............................................36 Trauma-Focused Cognitive Behavioral Therapy (TF-CBT) for Child Traumatic Grief .....................................................................................37 Cognitive Behavioral Intervention for Trauma in Schools .....................38 Child-Parent Psychotherapy for Family Violence (CPP-FV) .................39 Project 12-Ways/Safe Care for Child Neglect .......................................39 Medication for Trauma..........................................................................40 Disruptive Behavior Disorders .....................................................................41 Parent Management Training ...............................................................41 Incredible Years....................................................................................42 Time Out Plus Signal Seat....................................................................42 Anger Coping, Problem Solving, and Assertiveness Training...............43 Anger Control Training with Stress Inoculation .....................................43 Rational Emotive Therapy (RET) ..........................................................43 ii
Medication for Disruptive Behavior Disorders .......................................44 Depression.....................................................................................................45 Psychotherapy ......................................................................................46 Medication for Depression ....................................................................48 Combined Psychotherapy and Medication............................................48 Substance Abuse ..........................................................................................49 Brief Interventions.................................................................................49 Cognitive Behavioral Therapy (CBT) ....................................................49 Family-based Interventions...................................................................50 Residential Treatment Centers .............................................................52 Inpatient Treatment...............................................................................54 The 12-step Model................................................................................54 Medication for Substance Abuse ..........................................................55 Summary .........................................................................................................55 Intensive Home and Community Based Interventions...............................56 Treatment Foster Care..........................................................................60 Multisystemic Therapy (MST) ...............................................................60 Intensive Case Management ................................................................61 Mentoring..............................................................................................62 Respite..................................................................................................62 Crisis.....................................................................................................63 Day Treatment ......................................................................................64 Transition to Independence ..................................................................64 Family Therapy ....................................................................................65 Family-based Education and Support...................................................66 Therapeutic Group Homes....................................................................66 How Are Evidence-based Interventions Spreading? ............................................67 Foster Care Initiatives......................................................................................69 Treatment for Complex and Co-occurring Conditions......................................70 Test Evidence-based Mental Health Practices within Child Welfare ...............72 iii
Page 1: Mental Health Care for Children and
Page 5 and 6: OVERVIEW Introduction In Fall 2005,
Page 7 and 8: There is growing recent evidence th
Page 9 and 10: foster care could benefit the child
Page 11 and 12: Limiting the number of decrees to t
Page 13 and 14: Mental Health Care for Children and
Page 15 and 16: in particular may be more prevalent
Page 17 and 18: score in the suspect range (67%) as
Page 19 and 20: foster care had clinically signific
Page 21 and 22: foster care represented less than 4
Page 23 and 24: there was evidence of mental health
Page 25 and 26: at home instead of out-of-home. Les
Page 27 and 28: on children in foster care (Fisher
Page 29 and 30: In contrast to the strong evidence
Page 31 and 32: does not work for youth with emotio
Page 33 and 34: eview is described briefly below to
Page 35 and 36: Table 1. Well-established and proba
Page 37 and 38: TF-CBT for Childhood Traumatic Grie
Page 39 and 40: Abuse-Focused Cognitive Behavioral
Page 41 and 42: abusive parents and their children
Page 43 and 44: Child-Parent Psychotherapy for Fami
Page 45 and 46: In summary, several treatments appe
Page 47 and 48: time-out. The signal seat, on which
Page 49 and 50: Lyons, & Findling, 2002). These imp
Page 51 and 52: Reynolds, & Kaslow, 1987). In this
Page 53 and 54:
14 years) and/or heavy use of subst
Page 55 and 56:
substance abuse occurs alongside be
Page 57 and 58:
that about half of residential trea
Page 59 and 60:
Medication for Substance Abuse Phar
Page 61 and 62:
Wraparound Milwaukee, is jointly fu
Page 63 and 64:
Transition to Independence 3 quasie
Page 65 and 66:
community resources. An overarching
Page 67 and 68:
temporarily provided by an alternat
Page 69 and 70:
the effectiveness of TIP is just no
Page 71 and 72:
family homes had fewer criminal off
Page 73 and 74:
the demonstration is over; thus, th
Page 75 and 76:
Treatment for Complex and Co-occurr
Page 77 and 78:
• Learn from the challenges of in
Page 79 and 80:
In summary, mental health care is a
Page 81 and 82:
• Consider additional candidate i
Page 83 and 84:
Frontier Recovery Network (FRN): ht
Page 85 and 86:
Organizations and University-Based
Page 87 and 88:
Appendix B Office for Victims of Cr
Page 89 and 90:
Appendix C National Training Resour
Page 91 and 92:
Multisystemic Therapy (MST) The maj
Page 93 and 94:
II. Journal of the American Academy
Page 95 and 96:
Casey, R. J., & Berman, J. S. (1985
Page 97 and 98:
216. Cohen, J. A. (2005). Combined
Page 99 and 100:
Psychiatry, 44(9), 872-887. Diamond
Page 101 and 102:
Institute, The National Implementat
Page 103 and 104:
of multisystemic therapy on drug us
Page 105 and 106:
adolescent major depression: A rand
Page 107 and 108:
385-401. Liddle, H. A. (2002). Adva
Page 109 and 110:
A review of the growing evidence ba
Page 111 and 112:
Simeon, J. G., Dinicola, V. F., Fer
Page 113 and 114:
of the Surgeon General. Rockville,
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