Product Featured: Behavioral healthcare for children and youth in Texas foster care Specific topic of focus: Combining psychotherapy with anti-depressants is more effective to treat depressive disorders than treating with psychotherapy alone or antidepressants alone. White paper type: Scientific/peer-reviewed journal type piece because it is written in a journal-type style and supported by references to research studies. The Psychology of Abuse: Combining Psychotherapy and Antidepressants to Treat Texas Foster Children and Youth with Depressive Disorders Richard U. Steinberg Centene Corporation The Psychology of Abuse: Combining Psychotherapy and Antidepressants to Treat Texas Foster Children and Youth with Depressive Disorders Introduction Children and youth who enter the Texas foster care system have multiple healthcare needs including those related to emotional or psychological stress. They enter the foster care due to abuse or neglect under duress after leaving what may have been turbulent caregiving situations, displaying a variety of different symptoms from past psychological trauma, and may have difficulties with attachment, mood regulation, behavioral control, and other areas of functioning. After entering foster care, children and youth require comprehensive mental health evaluations to determine treatment plans for psychological disorders. Depending on the circumstances, they may need psychotropic medications. However, the state of the child welfare system,
adolescent boy and girls, are physically and sexually abused. CPS claims that among the children who enter foster care, most will
When an adolescent comes into for therapy there is really never an easy task of finding out what is going on. Adolescent that come in who are part of the foster care system will add another degree of challenges. Children and adolescents that are put into the foster care system are not there because they choose to be, they are there due to some event in their life putting them there.
Other health problems arise when the trauma from past experiences such as abuse or violence in the home cause long term effects in the children. The needs of children in foster care are multifaceted and the problems are exacerbated when the resources in the community are scarce and when the service system is fragmented (Halfon, Berkowitz, & Klee, 1993). Due to the complexity of their problems and the degree of vulnerability, a well-trained and
In the past few decades there has be an increasing amount of children placed in the foster care system. With the amount of rising teen pregnancies and maternal drug abuse means increasing numbers of infants abandoned at birth. There have been many cases of child abuse or neglect that have been on the rise. State and local agencies are unable to suitably supervise foster homes or arrange adoptions. Statistics show that many children will spend most of their childhood and teenage years in the foster care system, which has shown to leave emotional scars on the child. Today, Child Welfare groups are looking for federal funding and legislation to increase programs and services aimed at keeping families together.
“The child welfare and substance abuse systems are integrally linked through the children and families they serve (Blome, W., Shields, J., & Verdieck, M., 2009). There is a dearth of knowledge, however, on how children who have experienced foster care fare when they are treated for substance abuse issues as adults” (Blome, W., Shields, J., & Verdieck,
Foster children struggle immensely within healthcare and the foster care system. They are not receiving the correct support to help them when they go out into the real world.Within foster care, children and teens can either go into a foster home or a group home. Group homes can prevent permanent and authentic connections, while in foster homes, adolescents experience abuse and they are aware that there is no long term stability. For fifteen years, Betsy Krebs has worked with teens in the foster care
Every year in the United States, hundreds of children and adolescents are taken from their parents and primary caregivers and placed in out-of-home care situations due to issues in their homes and family lives which contribute to unsafe living conditions. These children and adolescents often face many health, behavioral, developmental, and psychological issues.
Children suffer significantly until someone decides to protect them. The government allocates funds to establish the foster care system and that system advances to enforce rights for children. When the right to remove children from an abusive situation first originated, the foster care system established a separation procedure for children from their abusive homes. This act of removing children from their families brought about psychological issues and trauma. Throughout earlier years, the foster care system adjusted their program according to the rules and regulations established to provide for the needs of children. However, problems keep appearing elsewhere. These children endure the brunt of every new philosophy in behavioral health management. Often, the biological parents will be left out of the solution. The foster care system develops services to train foster families in caring for foster children and behavioral issues. For some reason, the foster care system believes improvement simpler to reform the children and makes a trivial attempt of the reformation with family. The foster care system needs to try to achieve bonds within the biological family instead of the sole reliability on removal of children to be an adequate answer. The foster care system’s obligation should be to develop a training system for the rehabilitation of families and offer support to achieve the greatest outcome in child rearing. Foster care needs to adapt to supporting families emotionally,
No two children in foster care have the same background. The youths can vary by the age when placed into care, the number of times they were put into care, the quality of the home and family they lived with, and the youths own emotional outlooks (Zlotnick 539). They can develop abandonment issues due to being separated from their biological parents, and stunted emotional growth due to the trauma that foster care puts on a young child. Children need to be raised in a stable and safe environment, and while plenty of foster care parents are loving and nurturing to the child, they may still be affected by being raised by multiple families in a negative way. Every year, over 1 million children experience maltreatment, and about half of these children enter foster care (Greeson et al. 92). Those who enter foster care have usually encountered multiple traumatic events, from either their parents or another caregiver in their lives.
Over 600,000 children in the United States are in the foster care system. Reasons include, abuse, neglect and abandonment. These children lack nurturing environments and stable homes. Children within the foster care system have more mental, physical and developmental problems. It is imperative to understand the challenges children entering the foster care system are exposed to. The system works best when children are provided nurturing, and short-term care until they can be placed back home safely or a permanent adoptive family. For many children, however, the stay is longer, with 30% remaining in temporary care for over two years. Staying in the system is detrimental to the child’s well-being. The foster care system is an unsuccessful intervention for children that cultivates development, health and mental issues.
Far too often foster children are not given the appropriate care and attention required to successfully rehabilitate mentally. In the article, “Foster Youth are Traumatized Enough: Why Psych Meds Should be Better Regulated” Tisha Ortiz discusses the need for improved mental health services for foster children and closer monitoring of prescription psychotropic medication for children. Tisha Ortiz is a former foster child and student at California State University, East Bay. Ortiz creates a compelling argument for improved prescription psychotropic medication monitoring and mental health services for foster children by using ethos, pathos, and logos. Ortiz’s most effective mode of persuasion is ethos because of her ability to speak on the topic
The health of children entering the foster system is very important, but not always stressed. When entering the foster care system some children enter with health issues, such as developmental and psychiatric disorders (All Foster par. 3). There could be many reasons why they enter with these health issues. One could be due to the abuse and neglect many children encounter while with biological parents (par. 3). While in the care of foster parents, the health of foster children can be neglected as well (par. 4). “Younger foster children do not receive adequate preventive health care while in placement, many significant problems go undetected, or, when diagnosed are not evaluated and treated,” stated U.S. General Accounting Office (par. 5). (The U.S. General Accounting Office is an investigative arm for the U.S. Congress.) This is a problem and can result in death while a child is in care. Between 2000 and 2007, about thirty foster children died while in the care of foster parents,
Helping these vulnerable children access the services, interaction, and the stability needed for them to grow-up to being successful members of society can be provided with foster placement. If the process is well planned and if the foster parents are given adequate support, the foster care system can be a valuable resource for abused and neglected children (Crosson-Tower, 2014, p. 321).
Everywhere across the world, more and more children are being placed into foster care or a welfare type system. Foster care can benefit children or harm them; the effects of foster care differ for every individual. These types of systems often have a major effect on young children’s physiological state. Children entering in foster care are often malnourished and have untreated health problems. A high percentage of children who are placed in these types of systems have mental health, physical health, and/or developmental issue which often originates while the individuals are still in the custody of the biological parents. Children in foster care should be provided with a healthy and nurturing environment which often provides positive long term results. The age of children in a foster care varies across the world, but it is often seen that majority of these children are young (George para. 1). There are more young children in the system because younger children require more adequate care than older children that are already in the system. Placing these children in welfare systems is supposed to be a healing process for them. Although this is supposed to be a healing process, statistics say these children have a negative experience while being in these systems, but this is not always the case. A number of children in foster care fall sucker to continuous neglect and recurrent abuse with the lack of nurturing and an unstable environment. These same children often have unmet
The study consisted of 12 parents who foster children ages 2-8 years old. The high levels of conduct problems among children in the foster care system and the added cost to families, society and services, there is a pressing need to support foster parents. Providing foster care to children with increased emotional, behavioral, and medical needs requires not only time, but patience in dealing with the child’s demands. Foster parents often voice they are unprepared to meet demand of children with increased behavioral and emotional needs and adolescents in their care. This situation can result in placement disruption, which further strains foster care resources and has negative impacts on foster children and youth. The incidence of conduct disorder