Young People with Complex Needs Leaving Out-of-Home Care: Service Issues and the Need to Enhance Practice and Policy

2015 ◽  
Vol 41 (1) ◽  
pp. 69-79 ◽  
Author(s):  
Catia Malvaso ◽  
Paul Delfabbro
Keyword(s):  
Young People ◽  
Home Care ◽  
Living Arrangements ◽  
Mental Health Problems ◽  
Current System ◽  
Vulnerable Groups ◽  
Policy And Practice ◽  
Complex Needs ◽  
Out Of Home Care ◽  
Service Engagement

Leaving statutory out-of-home care (OOHC) is a challenging time for many young people; however, certain groups have greater difficulty transitioning to independence. This includes young people with multiple and complex needs, such as those suffering from mental health problems and disabilities, as well as young people with borderline conditions or who disengage from services. The aim of this study was to gain a deeper understanding of the service issues pertaining to these vulnerable groups in South Australia, as well as to identify ways that policy and practice can be enhanced to better facilitate service engagement. Twenty-nine individual interviews and focus groups were conducted with people working in organisations who have knowledge of, or contact with, young people leaving care (N = 66). Thematic analysis was used to organise responses according to two overarching themes: (1) Issues with current leaving care services and preparation, and (2) Enhancing policy and practice. The principal challenges related to difficulties in matching the structure of formal services to a population with highly unstructured living arrangements, a history of problematic engagement with the care system, and difficulties arising due to service ineligibility issues. Potential improvements to the current system and program delivery are discussed.

What Does International Research Identify as the Best Practice Housing Pathways for Young People Transitioning from Out of Home Care?

2021 ◽  
pp. 234930032110643
Author(s):  
Jacinta Chavulak ◽  
Philip Mendes
Keyword(s):  
Young People ◽  
Home Care ◽  
Affordable Housing ◽  
Best Practice ◽  
Transition Planning ◽  
Policy And Practice ◽  
Out Of Home Care ◽  
Extended Care ◽  
Care Leavers ◽  
Housing Pathways

Young people transitioning from out-of-home care (often called care leavers) are globally a disadvantaged group who can be particularly vulnerable to experiences of housing instability and homelessness. This article presents a scoping review of international scholarly literature pertaining to housing pathways for care leavers from 2015–2020. The 15 publications identified were analysed according to location, methodology, sample accessed, key findings regarding housing pathways and outcomes, and recommendations for policy and practice reform. Our findings suggest that good transition planning, continuing support from responsible adults, the availability of safe and affordable housing and extended care till at least 21 years should enable more positive housing transitions.

Assisting Carers to Respond to the Mental Health Needs of Children

2017 ◽  
Vol 42 (1) ◽  
pp. 30-37 ◽  
Author(s):  
Josh Fergeus ◽  
Cathy Humphreys ◽  
Carol Harvey ◽  
Helen Herrman
Keyword(s):  
Mental Health ◽  
Young People ◽  
Home Care ◽  
Mental Health Problems ◽  
Health Needs ◽  
Mental Health Needs ◽  
Children And Young People ◽  
Out Of Home Care ◽  
Effective Interventions ◽  
Developed World

Across the developed world, efforts are being made to identify and develop effective interventions that will reduce the prevalence and severity of mental health problems among children and young people in out-of-home care. Foster and kinship carers have been identified as critically important in this process. In order to develop an understanding of what interventions and/or supports assist carers in responding effectively to the mental health needs of the children and young people in their care, a scoping review was undertaken. Using the scoping study method, 1064 publications were identified, and 82 publications were selected for further analysis. The review shows that promising interventions that aim to improve the mental health of children and young people living in out-of-home care have been developed and trialled both in Australia and internationally. However, the review also highlights the lack of research specifically focused on the role of the carer.

Policy and practice supports for young people transitioning from out-of-home care: An analysis of six recent inquiries in Australia

2019 ◽  
Vol 20 (5) ◽  
pp. 599-619 ◽  
Author(s):  
Philip Mendes ◽  
Samone McCurdy
Keyword(s):  
Young People ◽  
Home Care ◽  
Lived Experience ◽  
Child Protection ◽  
Policy Issue ◽  
Sources Of Information ◽  
Policy And Practice ◽  
Out Of Home Care ◽  
Care Leavers ◽  
The Impact

Summary Government and parliamentary inquiries into child protection have historically exerted a significant impact on policy and practice reform. Yet to date, there has been no analysis of the impact of such inquiries on programme and service supports for young people transitioning from out-of-home care (often termed leaving care). This article uses a content analysis methodology to critically examine and compare the findings of six recent Australian child protection inquiries (five at state and territory level and one Commonwealth) in relation to their discrete sections on leaving care. Attention is drawn to how the policy issue is framed including key terminology, the major concerns identified, the local and international research evidence cited and the principal sources of information including whether or not priority is given to the lived experience of care leavers. Findings All six inquiries identified major limitations in leaving care legislation, policy and practice including poor outcomes in key areas such as housing, education and employment. There was a consensus that post-18 assistance should be expanded, and most of the reports agreed that greater attention should be paid to the specific cultural needs of the large number of Indigenous care leavers. Applications Care leavers universally are a vulnerable group; leaving care policy should be informed by the lived experience and expertise of care leavers; governments have a responsibility to provide ongoing supports beyond 18 years of age, particularly in areas such as housing and education, training and employment

Service approaches to young people with complex needs leaving out-of-home care

2016 ◽  
Vol 22 (2) ◽  
pp. 128-147 ◽  
Author(s):  
Catia Malvaso ◽  
Paul Delfabbro ◽  
Louisa Hackett ◽  
Hayley Mills
Keyword(s):  
Young People ◽  
Home Care ◽  
Complex Needs ◽  
Out Of Home Care

Evolve Therapeutic Services: Outcomes for Children and Young People in Out-of-Home Care with Complex Behavioural and Mental Health Problems

2017 ◽  
Vol 42 (4) ◽  
pp. 277-284 ◽  
Author(s):  
Kathryn Eadie
Keyword(s):  
Mental Health ◽  
Young People ◽  
Home Care ◽  
Repeated Measures ◽  
Mental Health Problems ◽  
Health Problems ◽  
Post Treatment ◽  
Children And Young People ◽  
Out Of Home Care ◽  
Therapeutic Services

This study evaluated Evolve Therapeutic Services, an innovative Queensland, Australian programme employing a trauma-informed collaborative wrap-round model of care in combination with a flexible intervention approach that is individually tailored to children and young people in out-of-home care who present with complex and extreme behavioural and mental health problems. The sample consisted of 768 children and young people. Three measures, the Children's Global Assessment Scale, Health of the Nation Outcome Scales for Children and Adolescents and the Strengths and Difficulties Questionnaire were used to assess functioning via a pre-post treatment design. Outcomes were assessed by comparing pre and post-treatment mean scores using repeated-measurest-tests. For estimates of differences in the proportion of children and young people in the clinical range between pre and post-treatment the McNemar test was used. In addition, surveys were completed by carers and stakeholders. Results provided a demographic profile, clinical profile and pre and post-treatment comparisons. Results revealed significant improvements across a range of problem areas: general functioning and adjustment; antisocial behaviour; overactivity and poor attention; non-accidental self-injury; problems with scholastic and language skills; emotional symptoms; peer and family relationships; self-care and independence; and school attendance. Survey data supported the outcomes from the stakeholder-rated and carer-rated measures. Findings provide ongoing evidence for the effectiveness of the therapeutic intervention programme.

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