Engaging families in the behavioral health assessment process for child welfare-involved youth is a best practice standard in obtaining vital information about the context affecting their safety, permanency, and wellbeing. As family functioning plays a role in successful reunification for youth out-of-home care (OOHC), family engagement may also increase the likelihood of buy-in, clinical treatment participation and outcomes. The purpose of this study is to explore the relationship between standardized assessment domains of child and family needs and the prescription of family-focused treatment. Results suggest that there were overall low rates of prescription of family-focused treatment. There were significant differences in the prescription of family-focused treatment based on youth identified trauma, behavioral, emotional and family needs. Despite the impact of family functioning on placement, the low rate of prescribed family-focused treatment may reflect barriers such as communication and collaboration between providers, distance between family and placement, or a siloed approach to treating children in OOHC separate from their families. Approaches to address these barriers are discussed.
VerbistA. N.WintersA. M.AntleB. F.Collins-CamargoC. (2022). The Relationship Between Treatment Prescription and Standardized Assessment for Youth With Identified Trauma, Behavior Problems, or Substance Use. Journal of Emotional and Behavioral Disorders, 30(4), 300–312. https://doi.org/10.1177/10634266221076465
2.
VerbistA.N.WintersA.M.Collins-CamargoC. (2020). Standardized Assessment Domains as Predictors of Prescription of Trauma-focused Treatment for Youth in Out-Of-Home Care. Children and Youth Services Review, 118. https://doi.org/10.1016/j.childyouth.2020.105401
3.
WintersA.M.Collins-CamargoC.AntleB.F. (2021). Implementing Trauma-Responsive Screening and Assessment: Lessons Learned from a Statewide Demonstration Study in Child Welfare. Professional Development: The International Journal of Continuing Social Work Education, 24(1), 15–28.
4.
WintersA.Collins-CamargoC.AntleB.VerbistA. (2020). Implementation of system-wide change in child welfare and behavioral health: The role of capacity, collaboration, and readiness for change. Children and Youth Services Review, 108. https://doi-org.echo.louisville.edu/10.1016/j.childyouth.2019.104580
5.
AaronsG. A.PalinkasL. A. (2007). Implementation of evidence-based practice in child welfare: Service provider perspectives. Administration and Policy in Mental Health, 34(4), 411–419. https://doi.org/10.1007/s10488-007-0121-3
6.
AhnH.KeyserD.Hayward-EversonR. A. (2016). A multi-level analysis of individual and agency effects on implementation of family-centered practice in child welfare. Children and Youth Services Review, 69(1), 11–18. https://doi-org.echo.louisville.edu/10.1016/j.childyouth.2016.07.014
7.
AlpertL. (2005). Parents’ service experience—amissing element in research on foster care outcomes. Child and Family Social Work, 10(4), 361–366. https://doi.org/10.1111/j.1365-2206.2005.00387.x
8.
AndersonR. L. (2008). Finding the balance in evolving service sectors for youth with co-occurring disorders: Measurement and policy implications. Residential Treatment for Children & Youth, 24(3), 261–281. https://doi.org/10.1080/08865710802115759
9.
AndersonR.EstleG. (2001). Predicting level of mental health care among children served in a delivery system in a rural state. Journal Of Rural Health, 17(3), 259–265. https://doi.org/10.1111/j.1748-0361.2001.tb00963.x
10.
AndersonR. L.LyonsJ. S.GilesD. M.PriceJ. A.EstleG. (2003). Reliability of the child and adolescent needs and strengths-mental health (cans-mh) scale. Journal of Child and Family Studies, 12(3), 279–289. https://doi.org/10.1023/a:1023935726541
11.
AyreP. (2001). Child protection and the media: Lessons from the last three decades. The British Journal of Social Work, 31(6), 887–901. https://doi.org/10.1093/bjsw/31.6.887
12.
BakerD. R.LancourA. M.BurtM.OldsM. Z.New York (State). Department of Social Services (1995). Child welfare legal manual: For dss attorney and law guardians (2nd ed.). American Bar Association.
13.
BellamyJ. L. (2008). Behavioral problems following reunification of children in long-term foster care. Children and Youth Services Review, 30(2), 216–228. https://doi.org/10.1016/j.childyouth.2007.09.008
BurnsB. J.CostelloE. J.AngoldA.TweedD.StanglD. L.FarmerE. M. Z.ErkanliA. (1995). Children’s mental health service use across service sectors. Health Affairs, 14(3), 147–159. https://doi.org/10.1377/hlthaff.14.3.147
16.
Chadwick Trauma-Informed Systems Project (2013). Creating trauma-informed child welfare systems: A guide for administrators (2nd ed.). Chadwick Center for Children and Families.
17.
ChorK. B.McClellandG. M.WeinerD. A.JordanN.LyonsJ. S. (2012). Predicting outcomes of children in residential treatment: A comparison of a decision support algorithm and a multidisciplinary team decision model. Children and Youth Service Review, 34(2), 2345–2352. https://doi.org/10.1016/j.childyouth.2012.08.016
18.
ChorK. H. B.McClellandG. M.WeinerD. A.JordanN.LyonsJ. S. (2013). Patterns of out-of-home placement decision-making in child welfare. Child Abuse & Neglect, 37(10), 871–882. https://doi.org/10.1016/j.chiabu.2013.04.016
19.
ColeE. (1995). Becoming family centered: Child welfare’s challenge. Families in Society: The Journal of Contemporary Human Services, 76(3), 1. https://doi.org/10.1177/104438949507600304
20.
CordellK. D.SnowdenL. R.HosierL. (2016). Patterns and priorities of service need identified through the child and adolescent needs and strengths (CANS) assessment. Children & Youth Services Review, 60, 129–135. https://doi.org/10.1016/j.childyouth.2015.11.020
21.
FlukeJ. D.CorwinT. W.HollinsheadD. M.MaherE. J. (2016). Family preservation or child safety? Associations between child welfare workers' experience, position, and perspectives. Children & Youth Services Review, 69(1), 210–218. https://doi.org/10.1016/j.childyouth.2016.08.012
HeA. S.LimC. S.LecklitnerG.OlsonA.TraubeD. E. (2015). Interagency collaboration and identifying mental health needs in child welfare: Findings from Los Angeles County. Children and Youth Services Review, 53, 39–43. https://doi.org/10.1016/j.childyouth.2015.03.013
24.
IngramS. D.CashS. J.OatsR. G.SimpsonA.ThompsonR. W. (2015). Development of an evidence-informed in-home family services model for families and children at risk of abuse and neglect. Child & Family Social Work, 20(2), 139–148. https://doi-org.echo.louisville.edu/10.1111/cfs.12061
25.
KernsS. E. U.PullmannM. D.PutnamB.BuherA.HollandS.BerlinerL.SilvermanE. W.PaytonL.FourreL.ShogrenD.TrupinE. W. (2014). Child welfare and mental health: Facilitators of and barriers to connecting children and youths in out-of-home care with effective mental health treatment. Children and Youth Services Review, 46, 315–324. https://doi.org/10.1016/j.childyouth.2014.09.013
26.
KilmerR. P.CookJ. R.Palamaro MunsellE. (2010). Moving from principles to practice: Recommended policy changes to promote family-centered care. American Journal of Community Psychology, 46(3–4), 332–341. https://doi-org.echo.louisville.edu/10.1007/s10464-010-9350-9
27.
KisielC. L.BlausteinM. E.FoglerJ.EllisB. H.SaxeG. N. (2009). Treating children with traumatic experiences: Understanding and assessing needs and strengths. Report on Emotional and Behavioral Disorders in Youth, 9(1), 13–19.
28.
KisielC.ConradiL.FehrenbachT.TorgersenE.BriggsE. C. (2014). Assessing the effects of trauma in children and adolescents in practice settings. Child and Adolescent Psychiatric Clinics of North America, 23(2), 223–vii. https://doi.org/10.1016/j.chc.2013.12.007
29.
KisielC.FehrenbachT.SmallL.LyonsJ. S. (2009). Assessment of complex trauma exposure, responses, and service needs among children and adolescents in child welfare. Journal of Child & Adolescent Trauma, 2(1), 143–160. https://doi.org/10.1080/19361520903120467
30.
KruzichJ. M.JivanjeeP.RobinsonA.FriesenB. J. (2003). Family caregivers' perceptions of barriers to and supports of participation in their children's out-of-home treatment. Psychiatric Services, 54(11), 1513–1518. https://doi-org.echo.louisville.edu/10.1176/appi.ps.54.11.1513
31.
LardnerM. D. (2015). Are restrictiveness of care decisions based on youth level of need? A multilevel model analysis of placement levels using the child and adolescent needs and strengths assessment. Residential Treatment For Children & Youth, 32(3), 195–207. https://doi.org/10.1080/0886571X.2015.1080993
32.
LauA. S.LitrownikA. J.NewtonR. R.LandsverkJ. (2003). Going home: The complex effects of reunification on internalizing problems among children in foster care. Journal of Abnormal Child Psychology, 31(4), 345–358. https://doi.org/10.1023/a:1023816000232
33.
LittellJ. H.TajimaE. A. (2000). A multilevel model of client participation in intensive family preservation services. Social Service Review, 74(3), 405–435. https://doi.org/10.1086/516411
34.
LyonsJ. S. (2009). Communimetric: A communication theory of measurement in human service settings. Springer.
35.
Praed Foundation (2015). Child and adolescent needs and strengths (CANS). https://praedfoundation.org/tools/the-child-and-adolescent-needs-andstrengths- cans/
36.
Praed Foundation (2016). Child and adolescent needs and strengths: 2016 reference guide. Chapin Hall.
37.
RosanbalmK. K.SnyderE. H.LawrenceC. N.ColemanK.FreyJ. J.van den EndeJ. B.DodgeK. A. (2016). Child wellbeing assessment in child welfare: A review of four measures. Children & Youth Services Review, 68(1), 1–16. https://doi.org/10.1016/j.childyouth.2016.06.023
38.
SmithgallC.Jarpe-RatnerE.Gnedko-BerryN.MasonS. (2015). Developing and testing a framework for evaluating the quality of comprehensive family assessment in child welfare. Child Abuse & Neglect, 44, 194–206. https://doi-org.echo.louisville.edu/10.1016/j.chiabu.2014.12.001
39.
ThompsonH. M.ColvinM. L. (2018). Perceived needs of therapeutic service providers in their work with families in the child welfare system. Child and Adolescent Social Work Journal, 35(1), 57–71. https://doi-org.echo.louisville.edu/10.1007/s10560-017-0506-4
