A narrative review of mental and relational health interventions for children in family-based out-of-home care

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dc.contributor.authorTarren-Sweeney, Michael
dc.date.accessioned2022-10-25T02:14:29Z
dc.date.available2022-10-25T02:14:29Z
dc.date.issued2021en
dc.date.updated2022-08-17T23:38:48Z
dc.description.abstractThe present article reviews the evidence base for psychosocial interventions provided to children in family-based out-of-home care that seek to improve children’s mental health, felt security, and/or the quality, strength or permanence of their attachment relationships. The review identified very few high-quality treatment trials carried out with this population. The interventions with the strongest demonstrated efficacy are Keeping Foster Parents Trained and Supported (KEEP) and Attachment and Biobehavioral Catchup (ABC). KEEP’s effectiveness has also been demonstrated in a community setting. Complex attachment- and trauma-related difficulties manifested by children in care following early maltreatment follow a long-term developmental course and have trait-like durability. Treatment trials should be designed as long-term studies, providing at least several years of post-treatment assessment. Practitioner points: Very few high-quality intervention trials have been conducted with children and adolescents in out-of-home care and/or their caregivers. The interventions with the strongest demonstrated efficacy are Keeping Foster Parents Trained and Supported (KEEP) and Attachment and Biobehavioral Catchup (ABC). Given the enduring nature of complex trauma- and attachment-related problems, treatment trials should include long-term follow-up mental health and relational measures. The effectiveness of treatments administered directly to adolescents are moderated by caregiver involvement and ‘buy-in’.en
dc.identifier.citationTarren-Sweeney M (2021). A narrative review of mental and relational health interventions for children in family-based out-of-home care. Journal of Family Therapy. 43(3). 376-391.en
dc.identifier.doihttp://doi.org/10.1111/1467-6427.12341
dc.identifier.issn0163-4445
dc.identifier.issn1467-6427
dc.identifier.urihttps://hdl.handle.net/10092/104604
dc.languageen
dc.language.isoenen
dc.publisherWileyen
dc.rightsAll rights reserved unless otherwise stateden
dc.rights.urihttp://hdl.handle.net/10092/17651en
dc.subject.anzsrc1607 Social Worken
dc.subject.anzsrc1701 Psychologyen
dc.subject.anzsrcFields of Research::42 - Health sciences::4203 - Health services and systems::420313 - Mental health servicesen
dc.subject.anzsrcFields of Research::42 - Health sciences::4206 - Public health::420601 - Community child healthen
dc.subject.anzsrcFields of Research::52 - Psychology::5201 - Applied and developmental psychology::520101 - Child and adolescent developmenten
dc.subject.anzsrcFields of Research::52 - Psychology::5203 - Clinical and health psychology::520302 - Clinical psychologyen
dc.subject.anzsrcFields of Research::44 - Human society::4409 - Social work::440901 - Clinical social work practiceen
dc.titleA narrative review of mental and relational health interventions for children in family-based out-of-home careen
dc.typeJournal Articleen
uc.collegeFaculty of Health
uc.departmentSchool of Health Sciences
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