Health Services For Children In Foster Care

The inadequacy of the foster care system has long been recognized. One of the biggest obstacles to reforming the system is the relative unavailability of research data from the field, information that would shed light on key empirical trends and pressing issues. ø This long overdue volume provides a much-needed overview of the current state of foster care. Leading researchers and practitioners summarize and discuss the results of their current research, providing through their data an unparalleled, detailed glimpse of the inner workings of the foster care system in its entirety. The volume is also valuable for its survey and syntheses of important issues and trends affecting foster care. Subjects discussed include welfare reform, reporting systems, family reunification, mental health services, and the needs of minority children. Wide-ranging and detailed in its coverage, this collection is destined to become an essential reference and guide to the foster care system.

More than half of children either in foster care, or adopted from care in the developed world, have a measurable need for mental health services, while up to one quarter present with complex and severe trauma- and attachment-related psychological disorders. This book outlines how services can effectively detect, prevent, and treat mental health difficulties in this vulnerable population. Responding to increasing evidence that standard child and adolescent mental health services are poorly matched to the mental health service needs of children and young people who have been in foster care, this book provides expert guidance on the design of specialised services. The first part provides an overview of these children’s mental health needs, their use of mental health services and what is known about the effectiveness of mental health interventions provided to them. The second part presents some recent innovations in mental health service delivery, concentrating on advances in clinical and developmental assessment and treatment. The final part confronts the challenges for delivering effective mental health services in this area. This is the definitive international reference for the design of specialised mental health services for children and young people in care and those adopted from care. It is invaluable reading for health and social care professionals working with this population and academics with an interest in child and adolescent mental health from a range of disciplines, including social work, nursing and psychology.

More than half of children either in foster care, or adopted from care in the developed world, have a measurable need for mental health services, while up to one quarter present with complex and severe trauma- and attachment-related psychological disorders. This book outlines how services can effectively detect, prevent, and treat mental health difficulties in this vulnerable population. Responding to increasing evidence that standard child and adolescent mental health services are poorly matched to the mental health service needs of children and young people who have been in foster care, this book provides expert guidance on the design of specialised services. The first part provides an overview of these children’s mental health needs, their use of mental health services and what is known about the effectiveness of mental health interventions provided to them. The second part presents some recent innovations in mental health service delivery, concentrating on advances in clinical and developmental assessment and treatment. The final part confronts the challenges for delivering effective mental health services in this area. This is the definitive international reference for the design of specialised mental health services for children and young people in care and those adopted from care. It is invaluable reading for health and social care professionals working with this population and academics with an interest in child and adolescent mental health from a range of disciplines, including social work, nursing and psychology.

Approximately 641,000 children spend some time in foster care each year. Most enter care because they have experienced neglect or abuse by their parents. Between 35% and 60% of children entering foster care have at least one chronic or acute physical health condition that needs treatment. As many as one-half to three-fourths show behavioral or social competency problems that may warrant mental health services. A national survey of children adopted from foster care found that 54% had special health care needs. Research on youth who aged out of foster care shows these young adults are more likely than their peers to report having a health condition that limits their daily activities and to participate in psychological and substance abuse counseling.

All children are dependent on others for their care and well-being, but children in foster care are uniquely dependent upon governments and their agencies and services. These children have complex problems rooted in family, social, and environmental conditions, and often need a broad range of health, mental health, and developmental services to overcome the effects of abuse and neglect. This guide will help purchasers of managed health care understand the complex health care and social service needs of children in foster care.

Providing health care services for foster children, who often have significant health care needs, can be challenging. The Admin. for Children and Families (ACF) oversees foster care, but state child welfare agencies are responsible for ensuring that these children receive health care services, which are often financed by Medicaid. Here is a report on states' efforts to improve foster children's receipt of health services. This report has these objectives. It describes specific actions that some states have taken to: (1) identify health care needs; (2) ensure delivery of appropriate health services; and (3) document and monitor the health care of children in foster care. It also describes the related technical assistance ACF offers to states. Charts and tables.