A national study of the impact of outpatient mental health services for children in long-term foster care.

A national study of the impact of outpatient mental health services for children in long-term foster care.
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DOI:
10.1177/1359104510377720
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发表时间:
2010-10-01
影响因子:
1.8
通讯作者:
Traube, Dorian E
Traube, Dorian E
中科院分区:
医学4区
文献类型:
--
作者:
Bellamy, Jennifer L;Gopalan, Geetha;Traube, Dorian E

文献摘要

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尽管寄养儿童有巨大的心理健康需求,而且寄养儿童使用心理健康服务的比例很高,但人们对门诊心理健康服务对这一人群行为健康的影响知之甚少。本研究利用了全国儿童和青少年福利调查(NSCAW)的数据,这是美国第一个具有全国代表性的儿童福利研究。本研究选取了439名经历过长期寄养的儿童作为样本。这些数据被用来评估门诊心理健康服务对长期寄养儿童外化和内化行为问题的影响。采用倾向评分匹配模型对治疗效果进行稳健估计。结果表明,经历过长期寄养的儿童并没有从接受门诊心理健康服务中受益。研究结果是在早期关于寄养儿童心理健康服务质量的研究背景下讨论的。
Despite the tremendous mental health need evidenced by children in foster care and high rates of use of mental health services among children in foster care, little is known about the impact of outpatient mental health services on the behavioral health of this population. This study utilizes data from the National Survey of Child and Adolescent Well-being (NSCAW), the first nationally representative study of child welfare in the United States. A subsample of 439 children who have experienced long-term foster care were included in this study. These data were used to estimate the impact of outpatient mental health services on the externalizing and internalizing behavior problems of children in long-term foster care. A propensity score matching model was employed to produce a robust estimate of the treatment effect. Results indicate that children who have experienced long-term foster care do not benefit from the receipt of outpatient mental health services. Study results are discussed in the context of earlier research on the quality of mental health services for children in foster care.