Children in foster care: Mental health, service use and costs
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To assess the prevalence of mental health problems in children in foster care, their families’ use of services and the associated costs.
Information on mental health problems, service use and costs was collected, by postal questionnaires and home interviews, on 182 children, their foster carers and teachers from 17 local authorities in Central Scotland.
Over 90% of the children had previously been abused or neglected and 60 % had evidence of mental health problems including conduct problems, emotional problems, hyperactivity and problems with peer relations. When compared with 251 children from local schools, the children in foster care had significantly higher symptom scores for Reactive Attachment Disorder. Those children with highest scores for mental health problems were attracting a high level of service support from a wide range of agencies, except Child and Adolescent Mental Health Services (CAMHS). Costs were associated with learning disability, mental health problems, and a history of residential care.
Children in “mainstream” foster care are at greater risk of mental health problems, and are attracting greatest costs, but CAMHS are not successfully targeting these problems. CAMHS may need to develop new models of service delivery.
Key wordsfoster care service use costs
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- 1.American Psychiatric Association (1994) Diagnostic and Statistical Manual of Mental Disorders, 4th edn, American Pscyhiatric Association, Washington, DCGoogle Scholar
- 4.Butler S, Del Priore C, Ferguson L, Dimigen G,Evans S (1998) The Need for a Psychological Service for Children being Looked After and Accommodated by the Local Authority. Unpublished WorkGoogle Scholar
- 9.Fanshel D, Finch SJ, Grundy JF (1990) Foster Children in a Life Course Perspective. Columbia University Press, New YorkGoogle Scholar
- 15.Health Advisory Service (1995) Child and Adolescent Mental Health Services: Together we Stand HMSO, LondonGoogle Scholar
- 16.Hellinckx W, Grietens H (1994) Prevalence of problem behavior in foster children in Flanders. Community Alternatives: Int J Family Care 6(2):27–46Google Scholar
- 17.House of Commons Health Committee (1997) Child and Adolescent Mental Health Services. Fourth Report, Session 1996–1997, HC26-1 HMSO, LondonGoogle Scholar
- 18.Huber PJ (1967) The behaviour of maximum liklihood estimates under nonstandard conditions. Proceedings of the Fifth Berkeley Symposium on Mathematical Statistics and Probability 1:221–233Google Scholar
- 21.Knapp M, Fenyo A (1989) Economic perspectives on foster care. In: Carter P, Jeffs T, Smith M (eds) Social Work and Social Welfare Year Book. Open University Press, Buckingham, pp 175–189Google Scholar
- 23.McAuley C, Knapp M, Beecham J, Mc-Curry N, Sleed M (2004) Young Families Under Stress: Outcomes and Costs of Home-Start Support, Joseph Rowntree Foundation, York, pp 67 (ISBN 1-85935-217-0)Google Scholar
- 25.McLoone P (1997) Carstairs Scores for Scottish Postcode Sectors from the 1991 Census. Public Health Research Unit, University of GlasgowGoogle Scholar
- 26.Meltzer H, Gatward R, Corbin T, Goodman R, Ford T (2002) National Statistics. The Mental Health of Young People Looked After by Local Authorities in England, London: TSOGoogle Scholar
- 27.Minnis H, Devine C (2001) The effect of foster carer training on the emotional and behavioural functioning of looked after children. Adoption and Fostering 25(1):44–54Google Scholar
- 28.Minnis H, Pelosi A, Knapp M, Dunn J (2001) Mental health and foster carer training. Arch Dis Childhood 84:302–306Google Scholar
- 30.Netten A, Dennett J (1997) Unit Costs of Health and Social Care, Personal Social Services Research Unit, Kent, UK, 5Google Scholar
- 32.Romeo R, Byford S, Knapp M (2003) Economic evaluation of child and adolescent mental health services: a systemic review (Unpublished Work)Google Scholar
- 35.Triseliotis J, Borland M, Hill M (1998) Fostering Good Relations: a Study of Foster Care and Foster Carers in Scotland. First edn, Scottish Office Central Research Unit, EdinburghGoogle Scholar
- 36.World Health Organisation (1992) The ICD-10 Classification of Mental and Behavioural Disorders: Clinical Descriptions and Diagnostic Guidelines.World Health Organisation, GenevaGoogle Scholar