Child Abuse & Neglect, Год журнала: 2023, Номер 146, С. 106528 - 106528
Опубликована: Ноя. 6, 2023
Язык: Английский
Trauma Violence & Abuse, Год журнала: 2024, Номер 25(4), С. 2829 - 2844
Опубликована: Фев. 16, 2024
The mental health and wellbeing of children young people who have been in care, primarily foster kinship care or residential remains a public priority. Care-experienced cHildren people’s Interventions to improve Mental wEll-being outcomes Systematic review (CHIMES) synthesized evidence for the effectiveness interventions targeting: subjective wellbeing; mental, behavioral neurodevelopmental disorders; suicide-related outcomes. Searches were conducted 16 bibliographic databases 22 websites between 1990 2022. This was supplemented by citation tracking, screening relevant systematic reviews, expert recommendation. We identified 35 interventions, with 44 evaluations via randomized controlled trials. Through meta-analyses, we found that small beneficial impact on variety short term (0–6 months). improved total social, emotional, problems ( d = −0.15, 95% CI [−0.28, −0.02]), social-emotional functioning difficulties −0.18, [−0.31, −0.05]), externalizing problem behaviors −0.30, [−0.53, −0.08]), internalizing −0.35, [−0.61, −0.08]); depression anxiety −0.26, [−0.40, −0.13]). did not demonstrate any assessed longer (>6 Certainty limited risk bias imprecision. There available targeting Future intervention design delivery must ensure programs are sufficient activate causal mechanisms facilitate change. Evaluation research should use robust methodology. PROSPERO Registration: CRD42020177478
Язык: Английский
Процитировано
5
Journal of Evidence-Based Social Work, Год журнала: 2025, Номер unknown, С. 1 - 23
Опубликована: Фев. 8, 2025
Purpose A good fit between program theory and the needs of target population is essential to success an intervention. Still, empirical investigation a rare activity in theoretical frameworks for intervention development. The study objective was inform development relevant support youth transitioning from out-of-home care (OHC) Sweden light fit. Self-efficacy, mental health, resilience, self-determination have been identified as potentially important malleable mediators that can be targeted by independent living services (ILS). This aimed establish extent which measurement instruments used capture these measure similarly across belong potential ILS those who do not.
Язык: Английский
Процитировано
0
Social Sciences, Год журнала: 2025, Номер 14(3), С. 120 - 120
Опубликована: Фев. 20, 2025
Background: Care-experienced young people face an elevated risk of experiencing disadvantages across manifold domains, including health, housing, education, and employment. There is a dearth accessible interventions targeted at this population to help them navigate the ‘cliff-edge’ transition adulthood improve their life chances. The 8-week I-CAN programme was designed address provision gaps support care-experienced people’s learning, personal development, progression. Methods: A mixed methods design used as part pilot evaluation study. participants were n = 11 adults (three males; eight females); aged 19–30 years, M 22 (3.17). data collection comprised statistics, well-validated, self-reported questionnaires, focus group with recipients. Results: integrated quantitative qualitative findings showed tentative for effectiveness programme, majority transitioning confirmed progression route (training, or employment) after completing programme. cautiously suggest that alongside proposed learning outcomes, recipients benefited in terms development (mental wellbeing positive self-image empowerment). Some candidate core ‘ingredients’ factors had facilitated outcomes also identified. Conclusions: Future research should on integrating theoretical, outcome, process issues, refining theory change.
Язык: Английский
Процитировано
0
Child and Adolescent Social Work Journal, Год журнала: 2024, Номер unknown
Опубликована: Янв. 28, 2024
Abstract Children and young people with care-experience (e.g. foster, kinship residential care) report poorer mental health wellbeing than the general population. Despite an emerging evidence-base for intervention, it is not clear if current approaches create, exacerbate or mitigate outcome inequities between different types of participants. We conducted a systematic review international interventions targeting health, subjective suicide-related outcomes amongst care-experienced children aged up to 25 years old. The included narrative synthesis intervention inequities, exploring they were more less effective participant groups. Eight interventions, 14 study reports, presented relevant data. Overall, there was no evidence that participation could lead inequitable impacts, being However, some tentative indication individuals lower exposure maltreatment, fewer care placements, increased baseline problems, might be responsive other There limited data availability suicide. Future evaluation should focus on assessing potential sustain how may designed this risk.
Язык: Английский
Процитировано
2
Children and Youth Services Review, Год журнала: 2023, Номер 156, С. 107321 - 107321
Опубликована: Ноя. 8, 2023
The COVID-19 pandemic, and associated lockdowns, saw numerous services move to online remote delivery. This included mental health wellbeing interventions for care-experienced young people. To date there has been limited consideration of how different stakeholders experienced the receipt or delivery provision during this period. We conducted one-to-one small group interviews with: people with experience care (n=3); a person whose biological parents were foster carers (n=1); kinship (n=10); social affiliated professionals (n=9). further engaged relevant stakeholder consultation groups refine confirm study findings. Five central themes generated, that reflected participants' range services, while also serving as recommendations future development optimisation provision: 1) Awareness: is lack general awareness understanding what available support people, specific knowledge regarding support; 2) Choice tailoring: need choice flexibility in identifying best suits their needs, includes decision receive online, blended in-person services; 3) Training: training on relationships ensure safety child protection; 4) Safety, protection risk: have safe private spaces when accessing 5) Access resources: don't always access support, appropriate technological devices prohibitive restrictions. Taken together, findings offer insight into may be developed optimised moving forward they are meeting needs care, maximize likely effectiveness.
Язык: Английский
Процитировано
5
Journal of Human Rights and Social Work, Год журнала: 2024, Номер unknown
Опубликована: Окт. 5, 2024
Abstract This paper examines the intricate dynamics of transethnic foster placement in Norway, focusing on African minority youth and how ‘culture’ ‘identity’ is conceptualised within this context. Through semi-structured interviews, study builds lived experiences a set 15 families (including 60 children), alongside insights from fostered individuals, parents, official. The discussion delves into profound effects cultural dislocation identity crisis experienced by youth, problematising often leads to adverse life trajectories, including issues with uprootedness, substance abuse, psychiatric illness, loss ethnic identity. At core contention that while child protection system Norway mandated safeguard children, it inadvertently neglects rights development youth. Employing insight Franz Fanon Jean-Paul Sartre articulate psychological impact moral implications such placements, argues for re-evaluating assimilation practices framework, highlighting need culturally sensitive rights-based approach care. research contributes broader discourse human social work, emphasising ethical legal dimensions fostering children.
Язык: Английский
Процитировано
1
Public Health Research, Год журнала: 2024, Номер unknown, С. 1 - 124
Опубликована: Дек. 1, 2024
Background Children and young people with experience of being in care (e.g. foster care, kinship residential or at home a supervision requirement order) are higher risk adverse mental health well-being outcomes compared to the general population. Despite range policy recommendations interventions, it is not clear what approaches effective United Kingdom, how context factors give rise facilitators inhibitors implementation acceptability. Objectives The CHIMES review complex-systems-informed mixed-method systematic that aimed synthesise international evidence base for interventions addressing care-experienced children (age ≤ 25 years) assess potential transportability this Kingdom context. Data sources We searched 16 electronic bibliographic databases 22 websites from 1990 May 2022. conducted citation tracking, screened relevant reviews contacted experts. Method used convergent synthesis design. first constructed an map confirm scope before undertaking method-level syntheses outcome evaluations, process evaluations economic evaluations. These elements were integrated into review-level identify evidence-based may progress further development, adaptation evaluation Kingdom. stakeholder consultations prioritise intervention theories, types outcomes. Results identified 64 124 study reports. Interventions primarily evaluated States targeted people’s competencies carers’ parenting practices. Meta-analysis reported limited effectively improved shorter term (0–6 months): total social, emotional behavioural problems ( d = − 0.15, 95% confidence interval −0.28 −0.02); internalising problem behaviours −0.35, −0.61 −0.08); externalising −0.30, −0.53 depression anxiety −0.26, −0.40 −0.13) social–emotional functioning difficulties −0.18, −0.31 −0.05), but these impacts observed longer (> 6 months). Five key potentially explain challenges acceptability: lack system resources; time, cognitive burden delivery participation; interprofessional tensions; devaluing people, meaning they felt unable express dissatisfaction interventions; devaluating expertise needs. From evidence, consultation two priority interventions: (1) mentoring by individuals knowledge (2) ethos change create harmonisation between organisations facilitate relationships. Well-being suicide-related alongside health. Limitations was paucity theory so unclear might function their cost-effectiveness. insufficiently described, making challenging base. Outcome poorly reported. Due ongoing restrictions COVID-19, later than intended smaller number attendees. Conclusions some impacting short term. There system-level target subjective Future targeting culture. Study registration This registered as PROSPERO CRD42020177478. Funding award funded National Institute Health Care Research (NIHR) Public programme (NIHR ref: NIHR129113) published full Research; Vol. 12, No. 14. See NIHR Awards website information.
Язык: Английский
Процитировано
1
American Journal of Community Psychology, Год журнала: 2024, Номер 74(1-2), С. 74 - 85
Опубликована: Март 4, 2024
Abstract Youth in out‐of‐home care are at high risk for suicide‐related thoughts and behaviors (STB), yet there no known efficacious interventions that reduce STB this population. Fostering Healthy Futures Preteens (FHF‐P) is a 9‐month community‐based mentoring skills training preventive intervention children care. A randomized controlled trial enrolled 156 participants aged 9–11 years who were placed over the prior year. Participants 48.9% female, 54.1% Hispanic, 30.1% Black, 27.1% American Indian. Follow‐up interviews, conducted 7–12 postintervention (85.2% retention rate), asked young adult participants, 18–22, to self‐report lifetime as indexed by non‐suicidal self‐injury, suicidal thoughts, plans, and/or attempts. There was nonsignificant reduction odds of group follow‐up (OR = 0.74; CI, 0.32, 1.69). However, FHF‐P significantly moderated effect baseline STB; control youth reported had 10 times 10.44, 2.28, 47.78), but increase adult‐reported youth. Findings suggest buffers impact pre‐existing on care‐experienced Further research needed identify mechanisms may
Язык: Английский
Процитировано
0
JMIR Human Factors, Год журнала: 2024, Номер 11, С. e64681 - e64681
Опубликована: Ноя. 6, 2024
Background Youth in out-of-home care encounter substantial mental health challenges because of the absence stable family and social support systems. Their vulnerability is heightened by trauma, neglect, abuse. They struggle, especially when transitioning to independent living, coping with loneliness, anxiety, pressure. Objective This study aimed develop a mobile app high accessibility long-term continuous effects living improve among youth care. The approach used was systematic step-by-step intervention mapping (IM) framework. Methods program created using IM framework had 6 steps. Drawing from data individual focus group interviews literature reviews, we developed logical model problem. We established outcomes objectives, defining performance objectives variable determinants. identified theoretical evidence-based methods that influence design integrated these into practical applications, allowing for creation self-management emotional tools. development process included ongoing discussions between designers research team ensure user needs preferences were addressed. Results Individual revealed managing daily routines regulating emotions. based on transtheoretical model, cognitive theory, elaboration likelihood model. Key features goal setting, structured routines, emotion recognition flashcards, character models demonstrating regulation strategies, verbal persuasion, self-monitoring tools habit formation regulation. An implementation plan facilitate app’s adoption, execution, maintenance, while an evaluation established, including usage analytics, logs, feedback surveys. A randomized controlled trial will be conducted assess impact outcomes, focusing reducing anxiety depressive symptoms, improving regulation, enhancing skills. Conclusions beneficial developing enhance produced grounded theory evidence caters individuals. Further should aim verify effectiveness real-world settings refine it continuously input.
Язык: Английский
Процитировано
0
Digital Health, Год журнала: 2024, Номер 10
Опубликована: Янв. 1, 2024
For youth and young adults (YYAs) with mental health concerns, digital (dMH) can improve access to care support collaboration providers. Measurement-based using a dMH platform may further optimize YYA outcomes by individualizing treatment approaches. Engaging service providers provides an opportunity better understand how mitigate implementation challenges.
Язык: Английский
Процитировано
0