Better Futures: a Randomized Field Test of a Model for Supporting Young People in Foster Care with Mental Health Challenges to Participate in Higher Education

  • Sarah Geenen
  • Laurie E. Powers
  • Lee Ann Phillips
  • May Nelson
  • Jessica McKenna
  • Nichole Winges-Yanez
  • Linda Blanchette
  • Adrienne Croskey
  • Lawrence D. Dalton
  • Amy Salazar
  • Paul Swank
Article

Abstract

The purpose of the study was to conduct a preliminary efficacy evaluation of the Better Futures model, which is focused on improving the postsecondary preparation and participation of youth in foster care with mental health challenges. Sixty-seven youth were randomized to either a control group that received typical services or an intervention group, which involved participation in a Summer Institute, individual peer coaching, and mentoring workshops. Findings indicate significant gains for the intervention group on measures of postsecondary participation, postsecondary and transition preparation, hope, self-determination, and mental health empowerment, as compared to the control group. Youth in the intervention group also showed positive trends in the areas of mental health recovery, quality of life, and high school completion. Implications for future research and practice are discussed, while emphasizing the capacities of youth in foster care with mental health conditions to successfully prepare for and participate fully in high education.

References

  1. 1.
    U.S. Department of Health and Human Services, Administration for Children and Families, Children’s Bureau. AFCARS preliminary report for FY 2012 (20). Available online at http://www.acf.hhs.gov/programs/cb. Accessed January 5, 2014.
  2. 2.
    Courtney ME, Dworsky A. Early outcomes for young adults transitioning from out-of-home care in the USA. Child and Family Social Work. 2006; 11(3): 209-219.CrossRefGoogle Scholar
  3. 3.
    Courtney ME, Dworksy A, Brown A, et al. Midwest evaluation of the adult functioning of former foster youth: outcomes at age 26. Chicago, IL: Chapin Hall Center for Children at the University of Chicago; 2011Google Scholar
  4. 4.
    Goerge RM, Bilaver L, Lee BJ, et al. Employment outcomes for youth aging out of foster care. Chicago, IL: Chapin Hall Center for Children at the University of Chicago; 2002.Google Scholar
  5. 5.
    McMillen JC, Tucker, J. The status of older adolescents at exit from out-of-home care. Child Welfare. 1999; 78: 339-360.PubMedGoogle Scholar
  6. 6.
    Pecora PJ, Kessler RC, Williams J, et al. Improving family foster care: Findings from the Northwest Foster Care Alumni Study. Seattle, WA: Casey Family Programs; 2005.Google Scholar
  7. 7.
    Anctil TM, McCubbin LD, O’Brien K, et al. Predictors of adult quality of life for foster care alumni with physical and/or psychiatric disabilities. Child Abuse & Neglect. 2007; 31(10): 1087-1100.CrossRefGoogle Scholar
  8. 8.
    Edelman PB, Holzer HJ. Connecting the disconnected: Improving education and employment outcomes among disadvantaged youth. Bonn, Germany: Eza; 2013. Policy paper No. 56Google Scholar
  9. 9.
    Baum S, Mau J. Education pays 2007: The benefits of higher education for individuals and society. New York: College Board; 2007.Google Scholar
  10. 10.
    Institute for Higher Education. The investment payoff: A 50-state analysis of the public and private benefits of higher education. Washington, DC: Institute for Higher Education; 2005.Google Scholar
  11. 11.
    Peters C, Dworsky A, Courtney M, et al. Extending foster care to age 21: Weighing the costs to government against the benefits to youth. Chicago, IL: Chapin Hall, University of Chicago; 2009Google Scholar
  12. 12.
    Rönkäa A, Oravala S, Pulkkinen L. Turning points in adults’ lives: The effects of gender and the amount of choice. Journal of Adult Development. 2003; 10(3): 203-215.CrossRefGoogle Scholar
  13. 13.
    Scanlon D, Mellard DF. Academic and participation profiles of school-age dropouts with and without disabilities. Council for Exceptional Children. 2002; 68(2): 239-258.Google Scholar
  14. 14.
    Courtney ME, Dworsky A, Lee J, et al. Midwest evaluation of the adult functioning of former foster youth: Outcomes at ages 23 and 24. Chicago, IL: Chapin Hall Center for Children at the University of Chicago; 2010Google Scholar
  15. 15.
    McMillen C, Auslander W, Elze D, et al. Educational experiences and aspirations of older youth in foster care. Washington, DC: Child Welfare League of America; 2003.Google Scholar
  16. 16.
    Tzawa-Hayden A. Take me higher: Helping foster youth pursue higher education. Child Law Practice. 2004; 23(10): 163-166.Google Scholar
  17. 17.
    National Working Group on Foster Care and Education. Fostering success in education: National factsheet on the educational outcomes of children in foster care. Available online at http://www.fostercareandeducation.org/Database.aspx?EntryID=1279&Command=Core_Download&method=inline. Accessed January 27, 2014.
  18. 18.
    Courtney ME, Dworsky A, Cusick GR, et al. Midwest evaluation of the adult functioning of former foster youth: Outcomes at age 21. Chicago: Chapin Hall Center for Children at the University of Chicago; 2007.Google Scholar
  19. 19.
    Wagner M, Newman L, Cameto R, et al. Perceptions and expectations of youth with disabilities. A special topic report of findings from the National Longitudinal Transition Study-2 (NLTS2). Menlo Park, CA: SRI International; 2007. Available online at www.nlts2.org/reports/2007_08/nlts2_report_2007_08_complete.pdf. Accessed December 10, 2013.
  20. 20.
    Newman L, Wagner M, Cameto R, et al. The post-high school outcomes of youth with disabilities up to 4 years after high school. A report of findings from the National Longitudinal Transition Study-2 (NLTS2) (NCSER 2009-3017). Menlo Park, CA: SRI International. Available online at www.nlts2.org/reports/2009_04/nlts2_report_2009_04_complete.pdf. Accessed January 10, 2014
  21. 21.
    Day A, Riebschleger J, Dworksy A, et al. Maximizing educational opportunities for youth aging out of foster care by engaging youth voices in partnership for social change. Children and Youth Review. 2012; 34(5): 1007-1014.CrossRefGoogle Scholar
  22. 22.
    Dworsky, A, Perez A. Helping former foster youth graduate from college through campus support programs. Children and Youth Services Review. 2010; 32(2): 255-263.CrossRefGoogle Scholar
  23. 23.
    Pecora PJ, Kessler RC, O'Brien, K. Educational and employment outcomes of adults formerly placed in foster care: Results from the Northwest Foster Care Alumni Study. Children and Youth Services Review. 2006; 28: 1459-1481CrossRefGoogle Scholar
  24. 24.
    Wolanin TR. Higher education opportunities for foster youth: A primer for policymakers. Washington, DC: The Institute for Higher Education Policy; 2005Google Scholar
  25. 25.
    Geenen S, Powers LE. Are we ignoring youths with disabilities in foster care: An examination of their school performance. Social Work. 2006; 51(3): 233-241.CrossRefPubMedGoogle Scholar
  26. 26.
    Smithgall C, Gladden RM, Yang DH, et al. Behavior problems and educational disruptions among children in out-of-home care in Chicago. Chicago, IL: Chapin Hill; 2005.Google Scholar
  27. 27.
    Smithgall C, Jarpe-Ratner E, Walker L. Looking back, moving forward: Using integrated assessments to examine the educational experiences of children entering foster care. Chicago, IL: Chapin Hall at the University of Chicago; 2010.Google Scholar
  28. 28.
    Kerker BD, Dore MM. Mental health needs and treatment of foster youth: Barriers and opportunities. American Journal of Orthopsychiatry. 2006; 76(1): 138-147.CrossRefPubMedGoogle Scholar
  29. 29.
    Quest AD, Fullerton A, Geenen S, et al. Voices of youth in foster care and special education regarding their educational experiences and transition to adulthood. Children and Youth Services. 2012; 34(9): 1604-1615.CrossRefGoogle Scholar
  30. 30.
    Unrau YA, Font SA, Rawls G. Readiness for college engagement among students who have aged out of foster care. Children and Youth Services Review. 2012; 34: 76-83.CrossRefGoogle Scholar
  31. 31.
    Singer ER, Berzin SC, Hokanson K. Voices of former foster youth: Supportive relationships in the transition to adulthood. Children and Youth Services Review. 2013; 35(12): 2110-2117.CrossRefGoogle Scholar
  32. 32.
    Schmidt J, Cunningham M, Dalton L, et al. Assessing restrictiveness: A closer look at the foster care placements and perceptions of youth with and without disabilities aging out of care. Journal of Public Child Welfare. 2013; 7(5): 586-609.CrossRefPubMedCentralPubMedGoogle Scholar
  33. 33.
    Westat. A National Evaluation of Title IV-E Foster Care Independent Living Programs for Youth: Phase 2. (Contract No. OHDS 105-87-1608). U.S. Department of Health and Human Services. Rockville, MD: Author; 1991.Google Scholar
  34. 34.
    Courtney ME, Hughes-Heuring D. The transition to adulthood for youth “aging out” of the foster care system. In: DW Osgood, EM Foster, C Flanagan, GR Ruth (Eds). On your own without a net: The transition to adulthood for vulnerable populations. Chicago: The University of Chicago Press; 2005.Google Scholar
  35. 35.
    Hochman G, Hochman A, Miller J. Foster care: Voices from the inside. Pew Commission on Children in Foster care. Available online at http://pewfostercare.org/research/voices/voices-complete.pdf 2004. Accessed January 30, 2014.
  36. 36.
    U.S. Government Accountability Office. Foster Youth: HHS actions could improve coordination of services and monitoring of States’ independent living program. Washington, DC: Author; 2004.Google Scholar
  37. 37.
    Fried T. Community colleges step up to support foster care students. Community College Journal. 2008: 38-39.Google Scholar
  38. 38.
    Massinga R, Pecora PJ. Providing better opportunities for older children in the child welfare system. The Future of Children: Children, Families and Foster Care. 2004; 14(1): 151-173.CrossRefGoogle Scholar
  39. 39.
    Phillips LA, Oca S, Geenen S, et al. Better futures: helping young people in foster care with mental health challenges prepare for and participate in higher education. Portland, OR: Portland State University, Pathways to Positive Futures Research and Training Center. Focal Point: Youth, Young Adults, & Mental Health, Education and Employment. 2013; 27: 5-8.Google Scholar
  40. 40.
    Powers LE, Geenen S, Powers J, et al. My Life: Effects of a longitudinal, randomized study of self-determination enhancement on the transition outcomes of youth in foster care and special education. Children and Youth Services Review. 2012; 34(11): 2179-2187.CrossRefGoogle Scholar
  41. 41.
    Casey Family Programs. It’s my life: Postsecondary education and training. Seattle, WA: Author, 2006.Google Scholar
  42. 42.
    Geenen S, Powers LE, Powers J, et al. Experimental study of a self-determination intervention for youth in foster care. Career Development and Transition for Exceptional Individuals. 2013; 36(2): 84-95.CrossRefGoogle Scholar
  43. 43.
    Jivanjee P, Kruzich J, Gordon L. Community integration of transition-age individuals: Views of young adults with mental health disorders. Journal of Behavioral Health Services & Research. 2007; 35(4): 402-418.CrossRefGoogle Scholar
  44. 44.
    Pistrang N, Barker C, Humphreys K. Mutual help groups for mental health problems: A review of effectiveness studies. American Journal of Community Psychology. 2008; 42(1-2): 110-121CrossRefPubMedGoogle Scholar
  45. 45.
    Phillips L, Powers LE, Geenen S, et al. Lessons learned and strategies for the successful implementation of the Better Futures model. Portland, OR: Portland State University, Pathways to Positive Futures Research and Training Center; 2014.Google Scholar
  46. 46.
    Wehmeyer ML, Kelchner K. The Arc’s self-determination scale. Silver springs, MD: The Arc of the United States; 1995Google Scholar
  47. 47.
    Wolman J, Campeau P, Dubois P, et al. AIR self-determination scale and user guide. Pal Alto, CA: American Institute for Research; 1994.Google Scholar
  48. 48.
    Walker JS, Thorne EK, Powers LE, et al. Development of a scale to measure the empowerment of youth consumers of mental health services. Journal of Emotional and Behavioral Disorders. 2010; 18(1): 51-59.CrossRefGoogle Scholar
  49. 49.
    Young SL, Bullock WA. The mental health recovery measure. Toledo, OH: University of Toledo, Department of Psychology (#918); 2003.Google Scholar
  50. 50.
    Achenbach TM. Manual for the youth self-report and 1991 profile. Burlington, VT: University of Vermont, Department of Psychiatry; 1991Google Scholar
  51. 51.
    Schalock RL, Keith KD. Quality of life questionnaire. IDS Publishing Corporation; 1993Google Scholar
  52. 52.
    Kazdin AE, Rodgers A, Colbus D. The Hopelessness Scale for Children: Psychometric characteristics and concurrent validity. Journal of consulting and Clinical Psychology. 1986; 54(2): 241-245.CrossRefPubMedGoogle Scholar
  53. 53.
    Benz NE, Klein KL, Taylor KM. Evaluation of short form of the Career Decision-Making Self-efficacy Scale. Journal of Career Assessment. 1996; 4(1): 47-57.CrossRefGoogle Scholar
  54. 54.
    Liptak JL. Assessing barriers to education. Indianapolis, IN: JIST Publishing; 2008.Google Scholar
  55. 55.
    Croskey A, Jivanjee P. A study of the near-peer mentor experience from young adult and coach perspectives. Portland, OR: Portland State University, Pathways to Positive Futures Research and Training Center; 2014.Google Scholar
  56. 56.
    Pecora PJ. Maximizing educational achievement of youth in foster care and alumni: Factors associated with success. Children and Youth Services Review. 2012; 34(6): 1121-1129.CrossRefGoogle Scholar
  57. 57.
    Salazar AM, Keller TE, Gowen LK, et al. Trauma exposure and PTSD among older adolescents in foster care. Social Psychiatry and Psychiatric Epidemiology. 2012; 48(4): 545-551.CrossRefPubMedCentralPubMedGoogle Scholar

Copyright information

© National Council for Behavioral Health 2014

Authors and Affiliations

  • Sarah Geenen
    • 1
  • Laurie E. Powers
    • 1
  • Lee Ann Phillips
    • 1
  • May Nelson
    • 2
  • Jessica McKenna
    • 1
  • Nichole Winges-Yanez
    • 1
  • Linda Blanchette
    • 3
  • Adrienne Croskey
    • 1
  • Lawrence D. Dalton
    • 4
  • Amy Salazar
    • 5
  • Paul Swank
    • 6
  1. 1.Pathways to Positive Futures Research and Training CenterPortland State UniversityPortlandUSA
  2. 2.Portland Public SchoolsPortlandUSA
  3. 3.Portland Community CollegePortlandUSA
  4. 4.Oregon Department of Human ServicesPortlandUSA
  5. 5.School of Social WorkUniversity of WashingtonSeattleUSA
  6. 6.Innovative Thinking, IncHoustonUSA

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