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Bethan Carter, a research associate at Cardiff University, discusses the ReThink Project; a project run in collaboration with Adoption UK and Coram Voice to investigate what processes are linked to mental health and wellbeing of care-experienced young people and how they manage at two key transitions in life.
Find out more about the conference series 'On the Journey: Navigating Mental Health' here: https://www.exchangewales.org/on-the-journey-navigating-mental-health/
Abstract
Background
The mental health and well-being of care-experienced children and young people remains a concern. Despite a range of interventions, the existing evidence base is limited in scope, with a reliance on standalone outcome evaluations which limits understanding of how contextual factors influence implementation and acceptability. The care-experienced children and young people’s interventions to improve mental health and well-being outcomes systematic review (CHIMES) aimed to synthesise evidence of intervention theory, outcome, process and economic effectiveness. This…
Abstract:
Young people transitioning from out-of-home care (OOHC), often called care leavers, are known to experience mental health challenges. This article presents a scoping review of research studies completed on the mental health care needs and outcomes of care leavers in Australia from 2015 to 2021. Incorporating 17 studies consisting of six peer-reviewed papers and 11 grey literature reports, the review identified several common concerns pertaining to high levels of poor mental health and psychosocial complexity.
These concerns were attributed to a number of factors…
ABSTRACT
Therapeutic residential care (TRC) privileges healing from trauma for vulnerable children and young people. It presents an opportunity for staff to partner with families to overcome trauma-induced conflicts and separations and build positive, resilient relationships. Co-parenting of residents by staff and parents can become possible. Positive impacts of effective family partnering in residential care generally, and within TRC specifically, are affirmed by international evidence. Family partnering in TRC has not, however, been formally researched in Australia. This preliminary…
Abstract
Objectives
To examine associations between being the subject of child protection reports in early childhood and diagnoses of mental disorders during middle childhood, by level of service response.
Design, setting, participants
Retrospective analysis of linked New South Wales administrative data, 2001–2016, for a population cohort of children (mean age in 2016, 13.2 years; SD, 0.37 years) enrolled in the longitudinal NSW Child Development Study (NSW‐CDS), wave 2 linkage.
Main outcome measures
Associations between being the subject of a child protection report (any,…
Abstract
Youth with experience of out-of-home-care (OoHC) typically have poorer mental health than their peers in the general population, and lack opportunities to contribute to service planning. Promoting mental health through leadership training may improve young people’s mental health and facilitate system change. The Bounce Project is a pilot youth-leadership mental health training programme co-designed with young people who have experienced OoHC. In this study, we evaluated the Bounce Project from the young people’s perspectives to explore the acceptability, successes and limitations…
Abstract
Young people in out of home care (OoHC) typically have worse mental health outcomes than peers who grow up within a family of origin. Innovations to improve the mental health of this group have tended to focus on pathology rather than mental health promotion and prevention of mental illnesses, and are often costly and challenging to implement. This qualitative study explored perspectives from young people with experience of OoHC in Melbourne, Australia regarding the promotion of mental health in OoHC. The study informed the subsequent development of a system-level intervention to…
Abstract
Although children residing in statutory out-of-home care and those adopted from care are more likely than not to have mental health difficulties requiring clinical intervention or support, their difficulties often remain undetected. Children’s agencies have a duty of care to identify those child clients who require therapeutic and other support services, without regard to the availability of such services. The present article proposes a first-stage mental health screening procedure (calibrated for high sensitivity) for children and adolescents (ages 4–17) in alternative care,…
Abstract
Aboriginal children in Australia are over-represented in both the child protection and juvenile justice systems. Using Western therapeutic models of practice with Aboriginal people who live in remote communities can be highly problematic. Moreover, the historical legacy of past and present legislation, government interventions and racist service provision needs to be acknowledged and addressed prior to any service implementation. This paper presents a therapeutic model of practice that incorporates Aboriginal concepts of healing and spirit within a creative therapeutic framework.…
Abstract
The present article reports findings of a narrative review of self- and carer-report mental health data that addressed the research question: Do adolescents who reside in statutory out-of-home care (OOHC) systematically underreport their mental health difficulties in population studies? A literature search was conducted to identify population studies of the mental health of older children and adolescents in OOHC that obtained self-report data. Studies were selected for review if mental health data were gathered in population studies (i.e., not clinical or treatment studies); data…