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Emotional and behavioral problems of children in residential care: Screening detection and referrals to mental health services

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  • González-García, Carla
  • Bravo, Amaia
  • Arruabarrena, Ignacia
  • Martín, Eduardo
  • Santos, Iriana
  • Del Valle, Jorge F.

Abstract

Adverse family conditions, abuse and neglect during childhood present important risk factors for the appearance of emotional and behavioral problems. The main aim of this paper is to describe the presence of these kinds of disorders in children in residential child care and to explore individual, socio-family and care process factors associated with the use of mental health services. The sample consisted of 1216 children 6–18years old in residential care in several Spanish regions. Information about emotional and behavioral problems was gathered according to two criteria: receiving some kind of treatment services and/or being identified as within the clinical range in the Child Behavior Checklist (CBCL). Results showed that 49% of cases were receiving some kind of mental health treatment and 61% were identified as within the clinical range in some of the broad band scales of the CBCL. In terms of agreement between referral to treatment and CBCL scores, results showed that four out of ten cases identified as within the clinical range were not receiving any kind of treatment. Several factors related to the type of problems detected in the CBCL, personal variables, and child care arrangements are associated with greater use of mental health services.

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  • González-García, Carla & Bravo, Amaia & Arruabarrena, Ignacia & Martín, Eduardo & Santos, Iriana & Del Valle, Jorge F., 2017. "Emotional and behavioral problems of children in residential care: Screening detection and referrals to mental health services," Children and Youth Services Review, Elsevier, vol. 73(C), pages 100-106.
    • Handle: RePEc:eee:cysrev:v:73:y:2017:i:c:p:100-106
    DOI: 10.1016/j.childyouth.2016.12.011
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    Cited by:

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    4. Orúzar, Harry & Miranda, Rafael & Oriol, Xavier & Montserrat, Carme, 2019. "Self-control and subjective-wellbeing of adolescents in residential care: The moderator role of experienced happiness and daily-life activities with caregivers," Children and Youth Services Review, Elsevier, vol. 98(C), pages 125-131.
    5. Martín, Eduardo & González-García, Carla & del Valle, Jorge F. & Bravo, Amaia, 2020. "Detection of behavioral and emotional disorders in residential child care: Using a multi-informant approach," Children and Youth Services Review, Elsevier, vol. 108(C).
    6. Zárate-Alva, Nair Elizabeth & Sala-Roca, Josefina, 2019. "Socio-emotional skills of girls and young mothers in foster care," Children and Youth Services Review, Elsevier, vol. 100(C), pages 50-56.
    7. McLean, Lavinia & Penco, Rebecca, 2020. "Physical activity: Exploring the barriers and facilitators for the engagement of young people in residential care in Ireland," Children and Youth Services Review, Elsevier, vol. 119(C).
    8. Smales, Madelaine & Savaglio, Melissa & Webster, Susan & Skouteris, Helen & Pizzirani, Bengianni & O'Donnell, Renee & Green (nee Cox), Rachael, 2020. "Are the voices of young people living in out-of-home care represented in research examining their health?: A systematic review of the literature," Children and Youth Services Review, Elsevier, vol. 113(C).
    9. Castro, Emma & Magalhães, Eunice & del Valle, Jorge Fernández, 2023. "A systematic review of non-specific and specific treatment factors associated with lower or greater internalising and externalising symptoms in therapeutic residential care," Children and Youth Services Review, Elsevier, vol. 147(C).
    10. Shalem, Netanel & Attar-Schwartz, Shalhevet, 2022. "Good enough residential care setting: Child-parent contact and youth adjustment in the context of staff attitudes towards parent involvement," Children and Youth Services Review, Elsevier, vol. 143(C).
    11. Palazón-Carrión, Esperanza & Sala-Roca, Josefina, 2020. "Communication and language in abused and institutionalized minors. A scoping review," Children and Youth Services Review, Elsevier, vol. 112(C).
    12. Águila-Otero, A. & Bravo, A. & Santos, I. & Del Valle, J.F., 2020. "Addressing the most damaged adolescents in the child protection system: An analysis of the profiles of young people in therapeutic residential care," Children and Youth Services Review, Elsevier, vol. 112(C).
    13. Carla González-García & Alba Águila-Otero & Carme Montserrat & Susana Lázaro & Eduardo Martín & Jorge Fernandez del Valle & Amaia Bravo, 2022. "Subjective Well-Being of Young People in Therapeutic Residential Care from a Gender Perspective," Child Indicators Research, Springer;The International Society of Child Indicators (ISCI), vol. 15(1), pages 249-262, February.
    14. Graaf, Genevieve & Snowden, Lonnie, 2017. "The role of Medicaid home and community-based service policies in organizing and financing care for children with severe emotional disturbance," Children and Youth Services Review, Elsevier, vol. 81(C), pages 272-283.
    15. Mack, Judith & Wanderer, Sina & Keitel, Janin & Bittner, Jana & Herrmann, Elisabeth & Ehrlich, Stefan & Roessner, Veit, 2017. "Better together? Cooperation between youth welfare office and child and adolescent psychiatry: A methodological approach," Children and Youth Services Review, Elsevier, vol. 79(C), pages 44-49.
    16. Antigonos Sochos & Najla Al‐Jasas, 2020. "Attachment provision in the Saudi orphanages: Exploring the narratives of residential staff," International Journal of Social Welfare, John Wiley & Sons, vol. 29(3), pages 244-254, July.
    17. Cristina Soriano-Díaz & Juan Manuel Moreno-Manso & María Elena García-Baamonde & Mónica Guerrero-Molina & Pilar Cantillo-Cordero, 2022. "Behavioral and Emotional Difficulties and Personal Wellbeing of Adolescents in Residential Care," IJERPH, MDPI, vol. 20(1), pages 1-14, December.
    18. Joan Llosada-Gistau & Ferran Casas & Carme Montserrat, 2020. "Factors Influencing the Subjective Well-Being of Adolescents in out-of-Home Care. A Mixed Method Study," Applied Research in Quality of Life, Springer;International Society for Quality-of-Life Studies, vol. 15(3), pages 835-863, July.
    19. Martín, Eduardo & González-Navasa, Patricia & Betancort, Moisés, 2020. "Who will go back home? Factors associated with decisions to address family reunification from residential care," Children and Youth Services Review, Elsevier, vol. 109(C).

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