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Barriers and facilitators to delivering effective mental health practice strategies for youth and families served by the child welfare system

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  • Garcia, Antonio R.
  • Circo, Elizabeth
  • DeNard, Christina
  • Hernandez, Natalie

Abstract

While the gap between need for and access to mental health services is well documented among children of color in foster care, little is known about why they are sustained. To illuminate barriers of service delivery, thirty-six caseworkers participated in one of five focus group meetings in a large urban Mid-Atlantic City. Ground Theory Methods revealed that there are barriers and facilitators at the macro, meso, and micro practice orientations. At the macro-level, development of effective practice strategies and proximity to effective services are likely to influence dissemination of effective practices. Secondly, at the meso-level, job support is needed to facilitate awareness, but for case managers to feel supported, they need effective training and opportunities to facilitate interagency collaboration. Finally, at the micro-level, cultural competence largely impacts implementation of effective practices. However, increased awareness around the social ills of stigma and the salience of “insider work” are needed to increase cultural competence. A “downstream” effect in which there are numerous barriers identified at the macro level has a direct negative impact on organizational capacity and readiness to deliver and engage youth and families in mental health services served by the child welfare system. Findings underscore the need for child welfare agencies to build supports at the macro, meso, and micro practice levels to ameliorate mental health service disparities.

Suggested Citation

  • Garcia, Antonio R. & Circo, Elizabeth & DeNard, Christina & Hernandez, Natalie, 2015. "Barriers and facilitators to delivering effective mental health practice strategies for youth and families served by the child welfare system," Children and Youth Services Review, Elsevier, vol. 52(C), pages 110-122.
  • Handle: RePEc:eee:cysrev:v:52:y:2015:i:c:p:110-122
    DOI: 10.1016/j.childyouth.2015.03.008
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    References listed on IDEAS

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    1. repec:eee:cysrev:v:88:y:2018:i:c:p:598-607 is not listed on IDEAS
    2. repec:eee:cysrev:v:88:y:2018:i:c:p:286-297 is not listed on IDEAS
    3. Garcia, Antonio R. & Kim, Minseop & DeNard, Christina, 2016. "Context matters: The state of racial disparities in mental health services among youth reported to child welfare in 1999 and 2009," Children and Youth Services Review, Elsevier, vol. 66(C), pages 101-108.

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