Evidence-Based Practice in Foster Parent Training and Support ...

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EBP in Foster Parent Training and Supportand plan to continue fostering, the major reasons foster parents provided for quitting includedlack of agency support, poor communication with caseworkers, lack of say in children’s futures,and difficulties with foster children’s behavior (Rhodes et al., 2001). Thus it seems that increasedstress combined with a lack of support can influence parents to discontinue their service to fosterchildren and youth.As the number of children and youth entering out-of-home placement continues toincrease, so does the need for quality foster care homes (Sanchiricho, Lau, Jablonka, & Russell,1998). Unfortunately, there is currently a shortage of family-based foster homes (Rhodes et al.,2001). There is a need to not only recruit new family-based foster homes, but more importantly,to retain the skilled, experienced foster parents who currently provide care for foster children andyouth in an effort to reduce placement disruptions and improve outcomes for foster care childrenand youth.In order to accomplish this we need to 1) understand the areas in which foster parents feela lack of support, 2) develop programs of support to address those areas, and 3) evaluate theeffectiveness of those various programs of support. Unlike studies of foster parent training,which are beginning to have widely disseminated curricula and evaluation data, service andsupport programs for foster caregivers and evaluations appear infrequently in the researchliterature.This section of the report is intended to assist Foster Family-Based TreatmentAssociation (FFTA) agencies identify the most successful practices of foster parent services andsupport by providing a comprehensive literature review and annotated bibliography of evidence-Center for Advanced Studies in Child Welfare (CASCW)University of Minnesota School of Social WorkContact: Kristine N. Piescher, Ph.D. kpiesche@umn.edu 91
EBP in Foster Parent Training and Supportbased practices in foster parent support. This section focuses on studies that examine theeffectiveness of interventions and models of support for foster parents, as well as preliminaryresearch evidence regarding the benefits of various types of foster parent supports (whentraditional evaluative research is not available). The following services and supports are coveredin this section of the report: benefits (health insurance, service provision, and stipends), fosterparent collaboration with agency staff and biological families, level of care, respite, support fromagency workers and community members, support inventories, and integrated models of supportand training.BenefitsHealth Insurance & Managed CareChildren and adolescents with special healthcare needs constitute a highly vulnerablesubpopulation of the nation’s youth. By definition, they experience ongoing health issues thatrequire continuing interaction with the healthcare system. Their underlying chronic conditionsput them at added risk for health complications that may undermine their normal functioning atschool, in the family, and in the community (Newacheck, 2007). Families of youth with specialhealth care needs may also sustain adverse emotional and financial consequences as a result oftheir child’s health difficulties and elevated care needs. Receipt of timely and effectivehealthcare services is vital to maintaining and improving the health of these youth and thestability of their families.Center for Advanced Studies in Child Welfare (CASCW)University of Minnesota School of Social WorkContact: Kristine N. Piescher, Ph.D. kpiesche@umn.edu 92
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