![]() ![]() Indeed, placement changes are all too common, with 35% of young people experiencing more than two placements (Casey Family Programs, 2018). foster care system is placement disruption. Although removal is sometimes the only option for ensuring a young person’s safety, the act itself can be traumatic (Mitchell & Kuczynski, 2010).Īnother source of potential trauma for young people in the U.S. Research suggests that such adverse experiences can be traumatic, meaning they can be “experienced by an individual as physically or emotionally harmful or life threatening and … lasting adverse effects on the individual’s functioning and mental, physical, social, emotional, or spiritual well-being” (Substance Abuse and Mental Health Services Administration, Trauma and Justice Strategic Initiative, 2012, p. Most of these young people were removed from their homes because of adverse experiences, such as neglect (63%), parental substance use (34%), and physical abuse 13% (HHS, 2020). Department of Health and Human Services, 2020). Conclusions: Findings suggest that telehealth TF-CBT with young people in care is feasible but relatively low completion rates suggest that barriers to treatment completion remain.Īlmost 425,000 young people in the United States (US) experienced foster care in 2019 (U.S. ![]() Themes emerging from the focus group centered on home environment, caregiver participation, and systemic topics. The mean decrease in scores was 12.07 with a 95% confidence interval ranging from 8.60 to 15.55. ![]() Results: Responses from the Child and Adolescent Trauma Screen showed a significant decrease in posttraumatic stress symptoms when comparing pre-treatment scores (M = 25.64, SD = 7.85) to post-treatment scores (13.57, SD = 5.30), t(13) = 7.50, p < .001. A paired-sample t-test was conducted to evaluate the impact of the intervention for the 14 patients who completed treatment. Methods: Patient data were collected retrospectively from the electronic health records of 46 patients who received telehealth TF-CBT between March 2020 and April 2021, and feedback was sought via focus group from 7 of the clinic’s mental health providers. The current study sought to address this gap by examining outcomes for patients who received telehealth TF-CBT, along with factors that may have impacted successful completion, at an integrated primary care clinic exclusively serving young people in care. Studies have yet to examine the feasibility of telehealth TF-CBT with young people in care. A few studies have found that the clinical outcomes of telehealth TF-CBT are comparable to those found from clinic-based, in-person treatment administration. One strategy for alleviating barriers to such treatments is using telehealth. Purpose: Despite the high rate of trauma exposure among young people with child welfare involvement, various systematic and patient barriers exist that inhibit utilization of evidence-based trauma treatments. ![]()
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