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Development and piloting of a treatment foster care program for older youth with psychiatric problems

Overview of attention for article published in Child and Adolescent Psychiatry and Mental Health, June 2015
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Title
Development and piloting of a treatment foster care program for older youth with psychiatric problems
Published in
Child and Adolescent Psychiatry and Mental Health, June 2015
DOI 10.1186/s13034-015-0057-4
Pubmed ID
Authors

J. Curtis McMillen, Sarah Carter Narendorf, Debra Robinson, Judy Havlicek, Nicole Fedoravicius, Julie Bertram, David McNelly

Abstract

Older youth in out-of-home care often live in restrictive settings and face psychiatric issues without sufficient family support. This paper reports on the development and piloting of a manualized treatment foster care program designed to step down older youth with high psychiatric needs from residential programs to treatment foster care homes. A team of researchers and agency partners set out to develop a treatment foster care model for older youth based on Multi-dimensional Treatment Foster Care (MTFC). After matching youth by mental health condition and determining for whom randomization would be allowed, 14 youth were randomized to treatment as usual or a treatment foster home intervention. Stakeholders were interviewed qualitatively at multiple time points. Quantitative measures assessed mental health symptoms, days in locked facilities, employment and educational outcomes. Development efforts led to substantial variations from the MTFC model and a new model, Treatment Foster Care for Older Youth was piloted. Feasibility monitoring suggested that it was difficult, but possible to recruit and randomize youth from and out of residential homes and that foster parents could be recruited to serve them. Qualitative data pointed to some qualified clinical successes. Stakeholders viewed two team roles - that of psychiatric nurse and skills coaches - very highly. However, results also suggested that foster parents and some staff did not tolerate the intervention well and struggled to address the emotion dysregulation issues of the young people they served. Quantitative data demonstrated that the intervention was not keeping youth out of locked facilities. The intervention needed further refinement prior to a broader trial. Intervention development work continued until components were developed to help address emotion regulation problems among fostered youth. Psychiatric nurses and skills coaches who work with youth in community settings hold promise as important supports for older youth with psychiatric needs.

Mendeley readers

Mendeley readers

The data shown below were compiled from readership statistics for 150 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Unknown 150 100%

Demographic breakdown

Readers by professional status Count As %
Student > Ph. D. Student 23 15%
Student > Doctoral Student 19 13%
Researcher 15 10%
Student > Master 12 8%
Other 7 5%
Other 18 12%
Unknown 56 37%
Readers by discipline Count As %
Psychology 37 25%
Social Sciences 20 13%
Medicine and Dentistry 12 8%
Nursing and Health Professions 10 7%
Unspecified 2 1%
Other 7 5%
Unknown 62 41%
Attention Score in Context

Attention Score in Context

This research output has an Altmetric Attention Score of 1. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 04 July 2015.
All research outputs
#18,417,643
of 22,815,414 outputs
Outputs from Child and Adolescent Psychiatry and Mental Health
#554
of 654 outputs
Outputs of similar age
#189,311
of 263,581 outputs
Outputs of similar age from Child and Adolescent Psychiatry and Mental Health
#13
of 19 outputs
Altmetric has tracked 22,815,414 research outputs across all sources so far. This one is in the 11th percentile – i.e., 11% of other outputs scored the same or lower than it.
So far Altmetric has tracked 654 research outputs from this source. They typically receive more attention than average, with a mean Attention Score of 9.9. This one is in the 5th percentile – i.e., 5% of its peers scored the same or lower than it.
Older research outputs will score higher simply because they've had more time to accumulate mentions. To account for age we can compare this Altmetric Attention Score to the 263,581 tracked outputs that were published within six weeks on either side of this one in any source. This one is in the 16th percentile – i.e., 16% of its contemporaries scored the same or lower than it.
We're also able to compare this research output to 19 others from the same source and published within six weeks on either side of this one. This one is in the 1st percentile – i.e., 1% of its contemporaries scored the same or lower than it.