Of the approximately half a million children and adolescents in foster care in the United States, experts believe that 42 to 60 per cent of them have emotional and behavioral disorders. Despite the prevalence of mental disorders in foster children, very little is known about how pre-existing mental health affects their effectiveness in operation.
A new study co-author Jung-Min Park and Joseph P. Ryan, a professor at the College of Social Work at the University of Illinois, since 5978 children in foster care in Illinois for several years to determine whether these children in permanent placement and the results were presented at the intensity of their stories about mental health care. State of all children and adolescents, 3-18-year-olds, in caring for the first time from 1997 to 2001. They were in June 2005.
Based on children's rights and reports Medicaid, the study on behalf of children receive mental health care in the hospital because it is easy to identify a marker of severe emotional and behavioral disorders, and it is very demanding of mental health. Five per cent (296) children, at least one episode of hospitalization for mental health care before you enter.
"According to my previous study, children who received inpatient psychiatric care ended up in foster care within two years of their first inpatient episode," Park said.
"Children who receive inpatient psychiatric care have a substantially greater risk for parent-child separation. Our current study shows that when those children enter the child-welfare system, they are more likely to suffer poor outcomes and be left behind in the system."
The study showed that children with episodes of psychiatric hospitalization are at increased risk of frequent accidents and accommodation were less likely to return to their families of origin or adoption.
About half of the sample for more than three changes in his first placement in care. The cases of hospitalization for mental health among white children increases the risk of instability for the transfer of 75 per cent, while those events, accommodation of 24 percent among black children.
The study also indicated that access was restricted, and the use of psychiatric care in the African-American children.
"Children with a history of inpatient mental health treatment, especially when placed in foster care, benefit from continued follow-up and referrals to community mental health agencies to reduce placement disruptions and facilitate timely permanence," Park said.
Care places, significant cost to taxpayers: placement in a therapeutic aid worth $ 30,000 or more a year, as well as placement in a residential mental health care a lot.
"Early identification of service needs and related interventions for children and youth with intensive mental health needs can be cost-efficient by helping them achieve placement stability and permanence," Park said.
During the observation period, approximately 70 percent of children in the study, the durability of return to their families or through adoption or guardianship.
The study appears in the January 2009 issue of Journal of Research on Social Work Practice.
Source: Sharita Forrest
University of Illinois at Urbana-Champaign (http://www.uiuc.edu/)
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