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Project Title:<\/strong>\u00a0Improving Outcomes for Youth in Foster Care: Trauma-focused CBT (R34) Abstract:<\/strong><\/p>\n Children and adolescents in foster care have significant, and often unmet, mental health needs1<\/sup>. For school-aged youth, the most common problems are disruptive behavior disorders and sequelae of trauma exposure (e.g., Posttraumatic Stress Disorder [PTSD], Depression)2<\/sup>. Such mental health problems, in turn, are linked to a range of negative outcomes (e.g., functioning, placement stability\/permanency)3,4<\/sup>. There is tremendous interest in the field to increase use of evidence-based treatments that target specific mental health problems and needs of youth in foster care. Trauma-focused Cognitive Behavioral Therapy (TF-CBT) potentially provides an excellent fit. Evidence from randomized trials supports the efficacy of TF-CBT in treating PTSD, behavior problems, and other trauma sequelae5<\/sup>. Although TF-CBT holds promise for youth in foster care, there are likely complexities in providing it to such youth. Findings from dismantling research indicate that caregiver involvement is crucial for maximizing treatment effects of TF-CBT6<\/sup>. However, available evidence and our clinical experience suggest that foster parents are infrequently engaged in a proactive and ongoing manner in their foster children\u2019s mental health treatment. Therefore the primary aim of the proposed R34 is to conduct a pilot study of TF-CBT with children and adolescents in foster care, with a targeted focus on engaging foster parents in treatment. The proposed project brings together two complementary interventions\u2014evidence-based engagement strategies7<\/sup>\u00a0and TF-CBT8,9<\/sup>\u2014in an attempt to improve treatment and outcomes for youth in foster care. The project includes two phases: Phase 1: (a) preliminary feasibility study (N = 10) of the evidence-based engagement strategies and TF-CBT; and (b) refinement and development of a manualized engagement intervention based on feedback from foster parents and other key informants. Phase 2: pilot study (N=80) of the refined engagement strategies and TF-CBT (E+TF-CBT) compared to \u2018usual practice\u2019 TF-CBT (i.e., no specialized engagement) to assess implementation of the combined intervention and provide preliminary data on critical outcomes (e.g., PTS symptoms, behavioral problems, placement stability). Findings will be used to inform a large-scale randomized trial (i.e., R-01) on effectiveness of E+TF-CBT to improve outcomes for youth in foster care with mental health problems.<\/p>\n Referenced on the Web:<\/strong><\/p>\n Publications:<\/strong><\/p>\n Presentations:<\/strong><\/p>\n References:<\/strong><\/p>\n 1<\/sup>\u00a0Leslie, L., Hurlburt, M., Landsverk, J., Barth, P., & Slymen, D. (2004). Outpatient mental health services for children in foster care: A national perspective.\u00a0Child Abuse & Neglect, 28<\/em>, 699-714.<\/p>\n 2<\/sup>\u00a0Landsverk, J., Burns, B. J., Stambaugh, L. F., & Reutz, J. A. R. (2006).\u00a0Mental health care for children and adolescents in foster care: Review of research literature<\/em>. Report prepared for Casey Family Programs. Seattle, WA: Casey Family Programs.<\/p>\n 3<\/sup>\u00a0James, S., Landsverk, J., & Slyman, D. (2004) Patterns of placement movement in out-of-home care.\u00a0Children and Youth Services Review, 26<\/em>, 185-206.<\/p>\n 4<\/sup>\u00a0Landsverk, J., Davis, I., Ganger, W. Newton, R., & Johnson, I. (1996). Impact of psychosocial functioning on reunification from out-of-home placement.\u00a0Children and Youth Services Review, 18<\/em>, 447-462.<\/p>\n 5<\/sup>\u00a0Cohen, J. A., Deblinger, E., Mannarino, A. P., & Steer, R. A. (2004). A multisite, randomized controlled trial for children with sexual abuse-related PTSD symptoms.\u00a0Journal of the American Academy of Child and Adolescent Psychiatry, 43<\/em>, 393-403.<\/p>\n 6<\/sup>\u00a0Deblinger, E., Lippmann, J., & Steer, R. A. (1996). Sexually abused children suffering posttraumatic stress symptoms: Initial treatment outcome findings.\u00a0Child Maltreatment, 1<\/em>, 310-321.<\/p>\n 7<\/sup>\u00a0McKay, M. M., Stoewe, J., McCadam, K., & Gonzales, J. (1998) Increasing access to child mental health services for urban children and their caregivers.\u00a0Health Social Work, 23<\/em>\u00a0(1), 9-15.<\/p>\n 8<\/sup>\u00a0Cohen. J. A., Mannarino, A. P., & Deblinger, E. (2006).\u00a0Treating trauma and traumatic grief in children and adolescents.<\/em>\u00a0New York: Guilford Press.<\/p>\n 9<\/sup>\u00a0Deblinger, E., & Heflin, A. H. (1996).\u00a0Treating sexually abused children and their nonoffending parents: A cognitive behavioral approach<\/em>. Thousand Oaks, CA: Sage Publications.<\/p>\n","protected":false},"excerpt":{"rendered":" Project Title:\u00a0Improving Outcomes for Youth in Foster Care: Trauma-focused CBT (R34) PI:\u00a0Shannon Dorsey, Ph.D. Co-Investigators:\u00a0Lucy Berliner, LICSW; Robert McMahon, Ph.D. Funding:\u00a0National Institute of Mental Health (NIMH, 2008 \u2013 2012) Abstract: Children and adolescents in foster care have significant, and often unmet, mental health needs1. For school-aged youth, the most common problems … <\/p>\n
\nPI:<\/strong>\u00a0Shannon Dorsey, Ph.D.
\nCo-Investigators:<\/strong>\u00a0Lucy Berliner, LICSW; Robert McMahon, Ph.D.
\nFunding:<\/strong>\u00a0National Institute of Mental Health (NIMH, 2008 \u2013 2012)<\/p>\n\n
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