Sally Raphel

. . . on Foster Care International Society of Psychiatric-Mental Health Nurses

PROBLEM Mental health problems are particularly widespread for foster children. There are approximately 700,000 youth in foster care and nonfamily settings in the United States. The mean entry age is 3 years. The average stay is 2 years. Experts estimate that between 30% and 85% of youngsters in out-of-home care have significant emotional disturbances. Foster care children represent 5% of Medicaid enrollees but use approximately 40% of Medicaid funds. A substantial number of these children have psychological problems so serious that they require residential placement. Adolescents living with foster parents or in group homes have about four times the rate of serious psychiatric disorders than those living with their own families (2009a). Despite this level of need, less than one-third of children in the child protective system are receiving mental health services (2009a). SOURCES Child psychiatric nurse advocates from the Association of Child and Adolescent Psychiatric Nurses Division of the International Society of Psychiatric-Mental Health Nurses compiled this position statement for adoption by the Board of Directors as the Associations formal statement on the plight of children and adolescents in foster care. CONCLUSIONS Areas that need to be addressed include (a) lack of consistent and comprehensive service planning; (b) communications across agencies and with the youth, their foster parents, and key stakeholders; (c) use of evidence-based interventions to prevent and reduce the incidence of disability; (d) education of child welfare case workers about mental and emotional therapeutic management; and (e) education of foster parents and youth about mental health issues and appropriate treatments.

What are the watchdogs for children planning for 2007? Part II.

I n 2007, the people who advocate for children, their health and mental health are still at it. Interesting and important initiatives are underway. As mentioned in the last issue, it has actually taken two Eye on Washington columns to describe them for you. This is part II. At home, we have the Creating Parenting-Rich Communities Initiative, the Cradle to Prison Pipeline© Initiative, Services for Younger Grandparents Legislation, the new AFCARS Reports, and the new Journal of Public Child Welfare just to name a few.