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

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EBP <strong>in</strong> <strong>Foster</strong> <strong>Parent</strong> Tra<strong>in</strong><strong>in</strong>g <strong>and</strong> <strong>Support</strong>Hansell, P. S., Hughes, C. B., Cali<strong>and</strong>ro,G., Russo, P., Bud<strong>in</strong>, W. C., & Hartman, B.et al. (1998). The effect of a social supportboost<strong>in</strong>g <strong>in</strong>tervention on stress, cop<strong>in</strong>g <strong>and</strong>social support <strong>in</strong> caregivers of children withHIV/AIDS. Nurs<strong>in</strong>g Research, 47, 79-86.Population: Biological <strong>and</strong> foster familieswith children who have HIV/AIDSMethod: This exploratory study exam<strong>in</strong>ed the effect of a social support boost<strong>in</strong>g<strong>in</strong>tervention on levels of stress, cop<strong>in</strong>g, <strong>and</strong> social support among caregivers ofchildren with HIV/AIDS. Participants were recruited from cl<strong>in</strong>ics <strong>and</strong> outreachcenters that provide care to women <strong>and</strong> children with HIV/AIDS. Participantsneeded to meet the follow<strong>in</strong>g criteria: identified themselves as the biological parent,blood relative, or foster parent, were legally assigned as the primary caregiver of achild who has symptomatic HIV/AIDS <strong>in</strong>fection, resided <strong>in</strong> the New York/NewJersey metropolitan area, <strong>and</strong> could read <strong>and</strong> write <strong>in</strong> English or Spanish. Thesample <strong>in</strong>cluded 70 caregivers (biological parents n= 39, extended family n=12, <strong>and</strong>foster parents n=19) who completed all <strong>in</strong>terventions <strong>and</strong> measures at the sixmonth follow-up.The social support boost<strong>in</strong>g <strong>in</strong>tervention used a modified case managementapproach that was implemented over a 12-month period through monthly contact(30-60 m<strong>in</strong>utes) between <strong>and</strong> <strong>in</strong>vestigator <strong>and</strong> the caregiver.F<strong>in</strong>d<strong>in</strong>gs: Initial f<strong>in</strong>d<strong>in</strong>gs showed no significant differences between experimental<strong>and</strong> control groups on any of the dependant variables (stress, cop<strong>in</strong>g <strong>and</strong> socialsupport). However, when HIV status of the caregiver was controlled, researchersfound that HIV-<strong>in</strong>fected caregivers (biological parents) had significantly greaterstress levels <strong>and</strong> used fewer cop<strong>in</strong>g strategies as compared with HIV negativecaregivers (extended family members <strong>and</strong> foster parents). The results also suggestthat the <strong>in</strong>tervention resulted <strong>in</strong> <strong>in</strong>creased levels of social support for extendedfamily <strong>and</strong> foster parents (<strong>in</strong> the experimental group).Kramer, L. & Houston, D. (1999). Hope forthe children: A community-based approachto support<strong>in</strong>g families who adopt childrenwith special needs. Child Welfare, 78, 611-635.Limitations: Attrition was a major concern <strong>in</strong> the study, most likely due to thedegenerative <strong>and</strong> progressive nature of HIV/AIDS. Attrition rates were 47% fromstudy entry to the six month follow-up <strong>and</strong> 68% <strong>and</strong> the 12 month follow-up.Method: This descriptive study explored the need for <strong>and</strong> use of support by preadoptivefamilies of children with special needs <strong>in</strong> the Hope for the Children (HFTC)program. Participants <strong>in</strong>cluded 12 families (17 parents) with at least one parentfrom each of the families. Each HFTC parent was a licensed foster care providerwho was car<strong>in</strong>g for one or more children (aged 2-17) who lived with them for atleast six months.Center for Advanced Studies <strong>in</strong> Child Welfare (CASCW)University of M<strong>in</strong>nesota School of Social WorkContact: Krist<strong>in</strong>e N. Piescher, Ph.D. kpiesche@umn.edu 142

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