Brianne H. Kothari

Development and feasibility of a sibling intervention for youth in foster care

Due to their ubiquity and possible influence on youth mental health, academic, and other outcomes, sibling-focused intervention strategies may be important for the development and implementation of evidence-based practices (EBPs) in child welfare. However, there is no rigorous evidence as to either the best methods for, or feasibility of, incorporating the sibling link within existing clinical treatments for foster youth. This paper applies the literature on evidence-based practices (EBP) and implementation research in child welfare to sibling-focused intervention; and presents data concerning the development, delivery, cost, and feasibility of a novel sibling-focused intervention program, Supporting Siblings in Foster Care (SIBS-FC). Results suggest that despite the challenges and costs involved with delivering SIBS-FC, the program catered to the diverse needs of pre-adolescent and adolescent siblings living together and apart, was viewed positively by youth, and was implemented with a high degree of fidelity. These findings underscore the importance of attending to the early-stage development of psychosocial interventions in child welfare and highlight the role of interagency collaboration, program planning, staff training and supervision, and fidelity tracking for EBP development in child welfare. Implications for prevention research and sibling-focused intervention programming in child welfare are discussed.

An intervention to improve sibling relationship quality among youth in foster care: Results of a randomized clinical trial

Sibling programming is an important part of a prevention framework, particularly for youth in foster care. After children are removed from their families and placed into foster care in the aftermath of maltreatment, the sibling relationship is often the most viable ongoing relationship available to the child, and may be critical to a youths sense of connection, emotional support, and continuity. The promise of dyadic sibling programming in particular rests on the ability of interventions to enhance the quality of sibling relationships; yet little research exists that suggests that sibling interventions can improve relationship quality among foster youth. The primary aim of the current study was to examine the effects of a specific dyadic sibling-focused intervention for older and younger siblings on sibling relationship quality. One hundred sixty four dyads (328 youth) participated in the study, with each dyad consisting of an older sibling between 11 and 15 years of age at baseline and a younger sibling separated in age by less than 4 years. Hierarchical linear models were applied to self-reported, observer-reported and observational data over the 18-month study period. Findings suggest that the sibling intervention holds promise for improving sibling relationship quality among youth in foster care. Implications and future directions for research are discussed.

Alcohol and Substance Use in Adolescence and Young Adulthood: The Role of Siblings

Interpersonal relationships within and outside the family have been a central part of alcohol and substance use research. Many studies have focused on the role of parents and peers; fewer studies have focused on siblings. This article examines siblings’ roles in alcohol, tobacco, and other drug (ATOD) use patterns and trajectories in the context of familial and nonfamilial factors across time. First, intraclass correlations were used to examine the degree to which older siblings’ ATOD use was associated with younger siblings’ ATOD use. Second, hierarchical regression analyses were conducted to examine the degree to which individual, parent, sibling, and peer factors over time were associated with adolescents’ and young adults’ ATOD use. It should be noted that developmentally proximal predictors were utilized in these models and within-family replication was also examined. Results demonstrate strong associations between older and younger siblings’ ATOD use. Moreover, the developmentally proximal sibling variables were predictive of younger sibling ATOD use in the context of other variables across all substances. Study findings are discussed in terms of identifying promising and potentially malleable points of intervention for future investigators.

Perceptions of the African American Experience (PAAX): A New Measure of Adaptive Identities Among African American Men and Women

Differential treatment based on race impacts the adoption of prosocial or maladaptive behaviors and attitudes of African Americans, which in turn influences their perceived wellbeing. In essence, the African American experience is shaped by intrapersonal, interpersonal, and institutional social determinants. As such the nature of the African American experience is predicated on the identity formulated and the associated lifestyle adopted by African Americans. To empirically verify this proposition, the newly developed Perceptions of African American Experience (PAAX) scale was tested. The PAAX includes 2 maladaptive and two adaptive subscales that define 4 identities among African American men and women. The maladaptive identities, Depreciated and Vulnerable coping styles, are theoretically connected to risk, unhealthy social determinants and anti-social outcomes. The adaptive identities, Transcendent and Integrated coping styles, involve resiliency characteristics resulting in both healthy and prosocial outcomes. It was hypothesized that the 4 PAAX subscales would show acceptable psychometric properties for internal consistency and validity, but that the 2 higher order dimensions, Risk and Resilience, would emerge with factor analytic approaches. An item analysis demonstrated it is feasible to maintain subscale integrity while retaining only those items from the 4 hypothesized subscales, which produces acceptable internal consistencies. A higher order confirmatory factor analytic approach was then used. The confirmatory factor analysis supported the hypothesis that for African Americans the 4 adaptive identities load on 2 underlying dimensions, Risk and Resilience. Implications for the future study of the PAAX scale among clinical populations as well as with other racially diverse groups are highlighted.

Validation of a Measure of Foster Home Integration for Foster Youth

Objectives: This article introduces a youth-reported measure (Essential Youth Experiences [EYE]) developed to assess the experiences of foster youth in their home environment and their critical relationships across a number of service systems. Empirically, the article reports on the psychometric properties of a 9-item scale within the EYE that measures the construct of positive home integration (PHI). Methods: The EYE was administered to 328 preadolescent and adolescent youth (164 sibling dyads) enrolled in a larger randomized clinical trial. Results: Correlational analysis suggests that the PHI Scale shows good psychometric properties and strong current and predictive validity. Conclusion: The PHI is a reliable and valid scale that measures youth perspectives of inclusion in the foster home and relationships with their foster care provider. This scale quickly gathers youth perspectives and differentiates between youth who have more versus less significant needs. Implications for research and social work practice are discussed.

Racial Respect: Initial Testing and Validation of the Racial Respect Scale

Objective: To investigate the utility of an adapted version of a racial respect scale originally developed for African American youth. We modified the scales for gender-specific use with adult African Americans, and added a subscale to assess racial respect related to romantic partnerships. The current study seeks to investigate the relationship between the reliability and construct validity of the racial respect scale and a measure encompassing 4 theorized adaptive and maladaptive identity types, the Perceptions of African American Experience (PAAX). The study authors also investigate the hypothesized relationship between racial respect and health outcomes and mental health adjustment. Method: The newly developed African American Respect Scale –Women (AARS-W) and African American Respect Scale – Men (AARS-M) are psychometrically tested with samples of adult African Americans (N = 278) recruited in 3 U.S. cities: Portland, Oregon; St. Louis, Missouri; and Washington, D.C., which were selected to represent the diversity in East Coast, Midwest, and West Coast populations. Results: Findings from the current study provide evidence that racial respect predicts prosocial adaptive identity and is associated with participation in prosocial activities and positive health outcomes while the lack of it predicts maladaptive identity and poor mental health adjustment as well as the lack of access to the social determinants of health such as adequate education and employment opportunities. Conclusions: Social workers working with adult African Americans will find the results from the current study helpful in their professional practice.

Network Indicators of the Social Ecology of Adolescents in Relative and Non-Relative Foster Households

Though the presence, composition, and quality of social relationships-particularly as found in family networks-has an important influence on adolescent well-being, little is known about the social ecology of youth in foster care. This study examined the social networks of foster youth participating in a large RCT of an intervention for siblings in foster care. Youth reported on the people they lived with and the relatives they were in contact with, which provided indicators of network size, composition, and relationship quality. Cluster analysis was used to identify five family network profiles for youth living in foster homes. Two identified subgroups reflected robust family networks where youth were living with relative caregiver(s) and related youth, and also reported multiple family ties outside the household, including with biological parents. The remaining three profiles reflected youth reports of fewer family connections within or beyond the foster household, with distinctions by whether they lived with siblings and/or reported having positive relationships with their mothers and/or fathers. The identified network profiles were validated using youth- and caregiver-reported measures of mental health functioning, with increased caregiver report of post-traumatic stress symptoms indicated for the three subgroups that were not characterized by a robust family network.

Visualizing and describing foster care placement pathways

ABSTRACT This paper introduces a flowchart-based methodology for describing the movement of foster youth in and out of placements of differing types and durations. This longitudinal methodology is designed to be sufficiently simple to appeal to policymakers and administrators seeking to chart the movement of groups of youth over time and the sequencing of their placements, and sufficiently descriptive to be of use to researchers seeking to predict the placement trajectories of subgroups of foster youth. The paper provides an example of the use of the method drawing upon state administrative data from a large study of preadolescent and adolescent youth in foster care situated in Oregon. Implications for the application of the methodology to different issues of interest to researchers, policymakers, and administrators are discussed.

Foster Home Integration as a Temporal Indicator of Relational Well-Being

This study sought to identify factors that contribute to the relational well-being of youth in substitute care. Using data from the [BLIND] study, youth responded to a 9-item measure of positive home integration, a scale designed to assess the relational experiences of youth to their caregivers and their integration into the foster home. Data were collected from youth in six month intervals, for an 18-month period of time. Latent growth curve modeling procedures were employed to determine if child, family, and case characteristics influenced youths home integration trajectories. Results suggest stability in youth reports of home integration over time; however, children who were older at the time of study enrollment and youth who experienced placement changes during the period of observation experienced decreased home integration during the 18-month period. Results suggest youths perspectives of home integration may in part be a function of the childs developmental stage and their experiences with foster care placement instability. Implications for practice and future research are discussed.