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Published in: The Journal of Behavioral Health Services & Research 2/2015

01-04-2015

Better Futures: a Randomized Field Test of a Model for Supporting Young People in Foster Care with Mental Health Challenges to Participate in Higher Education

Authors: Sarah Geenen, PhD, Laurie E. Powers, PhD, Lee Ann Phillips, MSW, May Nelson, MSW, Jessica McKenna, Nichole Winges-Yanez, MSW, Linda Blanchette, Adrienne Croskey, Lawrence D. Dalton, MA, Amy Salazar, PhD, Paul Swank, PhD

Published in: The Journal of Behavioral Health Services & Research | Issue 2/2015

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Abstract

The purpose of the study was to conduct a preliminary efficacy evaluation of the Better Futures model, which is focused on improving the postsecondary preparation and participation of youth in foster care with mental health challenges. Sixty-seven youth were randomized to either a control group that received typical services or an intervention group, which involved participation in a Summer Institute, individual peer coaching, and mentoring workshops. Findings indicate significant gains for the intervention group on measures of postsecondary participation, postsecondary and transition preparation, hope, self-determination, and mental health empowerment, as compared to the control group. Youth in the intervention group also showed positive trends in the areas of mental health recovery, quality of life, and high school completion. Implications for future research and practice are discussed, while emphasizing the capacities of youth in foster care with mental health conditions to successfully prepare for and participate fully in high education.
Literature
2.
go back to reference Courtney ME, Dworsky A. Early outcomes for young adults transitioning from out-of-home care in the USA. Child and Family Social Work. 2006; 11(3): 209-219.CrossRef Courtney ME, Dworsky A. Early outcomes for young adults transitioning from out-of-home care in the USA. Child and Family Social Work. 2006; 11(3): 209-219.CrossRef
3.
go back to reference Courtney ME, Dworksy A, Brown A, et al. Midwest evaluation of the adult functioning of former foster youth: outcomes at age 26. Chicago, IL: Chapin Hall Center for Children at the University of Chicago; 2011 Courtney ME, Dworksy A, Brown A, et al. Midwest evaluation of the adult functioning of former foster youth: outcomes at age 26. Chicago, IL: Chapin Hall Center for Children at the University of Chicago; 2011
4.
go back to reference Goerge RM, Bilaver L, Lee BJ, et al. Employment outcomes for youth aging out of foster care. Chicago, IL: Chapin Hall Center for Children at the University of Chicago; 2002. Goerge RM, Bilaver L, Lee BJ, et al. Employment outcomes for youth aging out of foster care. Chicago, IL: Chapin Hall Center for Children at the University of Chicago; 2002.
5.
go back to reference McMillen JC, Tucker, J. The status of older adolescents at exit from out-of-home care. Child Welfare. 1999; 78: 339-360.PubMed McMillen JC, Tucker, J. The status of older adolescents at exit from out-of-home care. Child Welfare. 1999; 78: 339-360.PubMed
6.
go back to reference Pecora PJ, Kessler RC, Williams J, et al. Improving family foster care: Findings from the Northwest Foster Care Alumni Study. Seattle, WA: Casey Family Programs; 2005. Pecora PJ, Kessler RC, Williams J, et al. Improving family foster care: Findings from the Northwest Foster Care Alumni Study. Seattle, WA: Casey Family Programs; 2005.
7.
go back to reference Anctil TM, McCubbin LD, O’Brien K, et al. Predictors of adult quality of life for foster care alumni with physical and/or psychiatric disabilities. Child Abuse & Neglect. 2007; 31(10): 1087-1100.CrossRef Anctil TM, McCubbin LD, O’Brien K, et al. Predictors of adult quality of life for foster care alumni with physical and/or psychiatric disabilities. Child Abuse & Neglect. 2007; 31(10): 1087-1100.CrossRef
8.
go back to reference Edelman PB, Holzer HJ. Connecting the disconnected: Improving education and employment outcomes among disadvantaged youth. Bonn, Germany: Eza; 2013. Policy paper No. 56 Edelman PB, Holzer HJ. Connecting the disconnected: Improving education and employment outcomes among disadvantaged youth. Bonn, Germany: Eza; 2013. Policy paper No. 56
9.
go back to reference Baum S, Mau J. Education pays 2007: The benefits of higher education for individuals and society. New York: College Board; 2007. Baum S, Mau J. Education pays 2007: The benefits of higher education for individuals and society. New York: College Board; 2007.
10.
go back to reference Institute for Higher Education. The investment payoff: A 50-state analysis of the public and private benefits of higher education. Washington, DC: Institute for Higher Education; 2005. Institute for Higher Education. The investment payoff: A 50-state analysis of the public and private benefits of higher education. Washington, DC: Institute for Higher Education; 2005.
11.
go back to reference Peters C, Dworsky A, Courtney M, et al. Extending foster care to age 21: Weighing the costs to government against the benefits to youth. Chicago, IL: Chapin Hall, University of Chicago; 2009 Peters C, Dworsky A, Courtney M, et al. Extending foster care to age 21: Weighing the costs to government against the benefits to youth. Chicago, IL: Chapin Hall, University of Chicago; 2009
12.
go back to reference Rönkäa A, Oravala S, Pulkkinen L. Turning points in adults’ lives: The effects of gender and the amount of choice. Journal of Adult Development. 2003; 10(3): 203-215.CrossRef Rönkäa A, Oravala S, Pulkkinen L. Turning points in adults’ lives: The effects of gender and the amount of choice. Journal of Adult Development. 2003; 10(3): 203-215.CrossRef
13.
go back to reference Scanlon D, Mellard DF. Academic and participation profiles of school-age dropouts with and without disabilities. Council for Exceptional Children. 2002; 68(2): 239-258. Scanlon D, Mellard DF. Academic and participation profiles of school-age dropouts with and without disabilities. Council for Exceptional Children. 2002; 68(2): 239-258.
14.
go back to reference Courtney ME, Dworsky A, Lee J, et al. Midwest evaluation of the adult functioning of former foster youth: Outcomes at ages 23 and 24. Chicago, IL: Chapin Hall Center for Children at the University of Chicago; 2010 Courtney ME, Dworsky A, Lee J, et al. Midwest evaluation of the adult functioning of former foster youth: Outcomes at ages 23 and 24. Chicago, IL: Chapin Hall Center for Children at the University of Chicago; 2010
15.
go back to reference McMillen C, Auslander W, Elze D, et al. Educational experiences and aspirations of older youth in foster care. Washington, DC: Child Welfare League of America; 2003. McMillen C, Auslander W, Elze D, et al. Educational experiences and aspirations of older youth in foster care. Washington, DC: Child Welfare League of America; 2003.
16.
go back to reference Tzawa-Hayden A. Take me higher: Helping foster youth pursue higher education. Child Law Practice. 2004; 23(10): 163-166. Tzawa-Hayden A. Take me higher: Helping foster youth pursue higher education. Child Law Practice. 2004; 23(10): 163-166.
18.
go back to reference Courtney ME, Dworsky A, Cusick GR, et al. Midwest evaluation of the adult functioning of former foster youth: Outcomes at age 21. Chicago: Chapin Hall Center for Children at the University of Chicago; 2007. Courtney ME, Dworsky A, Cusick GR, et al. Midwest evaluation of the adult functioning of former foster youth: Outcomes at age 21. Chicago: Chapin Hall Center for Children at the University of Chicago; 2007.
21.
go back to reference Day A, Riebschleger J, Dworksy A, et al. Maximizing educational opportunities for youth aging out of foster care by engaging youth voices in partnership for social change. Children and Youth Review. 2012; 34(5): 1007-1014.CrossRef Day A, Riebschleger J, Dworksy A, et al. Maximizing educational opportunities for youth aging out of foster care by engaging youth voices in partnership for social change. Children and Youth Review. 2012; 34(5): 1007-1014.CrossRef
22.
go back to reference Dworsky, A, Perez A. Helping former foster youth graduate from college through campus support programs. Children and Youth Services Review. 2010; 32(2): 255-263.CrossRef Dworsky, A, Perez A. Helping former foster youth graduate from college through campus support programs. Children and Youth Services Review. 2010; 32(2): 255-263.CrossRef
23.
go back to reference Pecora PJ, Kessler RC, O'Brien, K. Educational and employment outcomes of adults formerly placed in foster care: Results from the Northwest Foster Care Alumni Study. Children and Youth Services Review. 2006; 28: 1459-1481CrossRef Pecora PJ, Kessler RC, O'Brien, K. Educational and employment outcomes of adults formerly placed in foster care: Results from the Northwest Foster Care Alumni Study. Children and Youth Services Review. 2006; 28: 1459-1481CrossRef
24.
go back to reference Wolanin TR. Higher education opportunities for foster youth: A primer for policymakers. Washington, DC: The Institute for Higher Education Policy; 2005 Wolanin TR. Higher education opportunities for foster youth: A primer for policymakers. Washington, DC: The Institute for Higher Education Policy; 2005
25.
go back to reference Geenen S, Powers LE. Are we ignoring youths with disabilities in foster care: An examination of their school performance. Social Work. 2006; 51(3): 233-241.CrossRefPubMed Geenen S, Powers LE. Are we ignoring youths with disabilities in foster care: An examination of their school performance. Social Work. 2006; 51(3): 233-241.CrossRefPubMed
26.
go back to reference Smithgall C, Gladden RM, Yang DH, et al. Behavior problems and educational disruptions among children in out-of-home care in Chicago. Chicago, IL: Chapin Hill; 2005. Smithgall C, Gladden RM, Yang DH, et al. Behavior problems and educational disruptions among children in out-of-home care in Chicago. Chicago, IL: Chapin Hill; 2005.
27.
go back to reference Smithgall C, Jarpe-Ratner E, Walker L. Looking back, moving forward: Using integrated assessments to examine the educational experiences of children entering foster care. Chicago, IL: Chapin Hall at the University of Chicago; 2010. Smithgall C, Jarpe-Ratner E, Walker L. Looking back, moving forward: Using integrated assessments to examine the educational experiences of children entering foster care. Chicago, IL: Chapin Hall at the University of Chicago; 2010.
28.
go back to reference Kerker BD, Dore MM. Mental health needs and treatment of foster youth: Barriers and opportunities. American Journal of Orthopsychiatry. 2006; 76(1): 138-147.CrossRefPubMed Kerker BD, Dore MM. Mental health needs and treatment of foster youth: Barriers and opportunities. American Journal of Orthopsychiatry. 2006; 76(1): 138-147.CrossRefPubMed
29.
go back to reference Quest AD, Fullerton A, Geenen S, et al. Voices of youth in foster care and special education regarding their educational experiences and transition to adulthood. Children and Youth Services. 2012; 34(9): 1604-1615.CrossRef Quest AD, Fullerton A, Geenen S, et al. Voices of youth in foster care and special education regarding their educational experiences and transition to adulthood. Children and Youth Services. 2012; 34(9): 1604-1615.CrossRef
30.
go back to reference Unrau YA, Font SA, Rawls G. Readiness for college engagement among students who have aged out of foster care. Children and Youth Services Review. 2012; 34: 76-83.CrossRef Unrau YA, Font SA, Rawls G. Readiness for college engagement among students who have aged out of foster care. Children and Youth Services Review. 2012; 34: 76-83.CrossRef
31.
go back to reference Singer ER, Berzin SC, Hokanson K. Voices of former foster youth: Supportive relationships in the transition to adulthood. Children and Youth Services Review. 2013; 35(12): 2110-2117.CrossRef Singer ER, Berzin SC, Hokanson K. Voices of former foster youth: Supportive relationships in the transition to adulthood. Children and Youth Services Review. 2013; 35(12): 2110-2117.CrossRef
32.
go back to reference Schmidt J, Cunningham M, Dalton L, et al. Assessing restrictiveness: A closer look at the foster care placements and perceptions of youth with and without disabilities aging out of care. Journal of Public Child Welfare. 2013; 7(5): 586-609.CrossRefPubMedCentralPubMed Schmidt J, Cunningham M, Dalton L, et al. Assessing restrictiveness: A closer look at the foster care placements and perceptions of youth with and without disabilities aging out of care. Journal of Public Child Welfare. 2013; 7(5): 586-609.CrossRefPubMedCentralPubMed
33.
go back to reference Westat. A National Evaluation of Title IV-E Foster Care Independent Living Programs for Youth: Phase 2. (Contract No. OHDS 105-87-1608). U.S. Department of Health and Human Services. Rockville, MD: Author; 1991. Westat. A National Evaluation of Title IV-E Foster Care Independent Living Programs for Youth: Phase 2. (Contract No. OHDS 105-87-1608). U.S. Department of Health and Human Services. Rockville, MD: Author; 1991.
34.
go back to reference Courtney ME, Hughes-Heuring D. The transition to adulthood for youth “aging out” of the foster care system. In: DW Osgood, EM Foster, C Flanagan, GR Ruth (Eds). On your own without a net: The transition to adulthood for vulnerable populations. Chicago: The University of Chicago Press; 2005. Courtney ME, Hughes-Heuring D. The transition to adulthood for youth “aging out” of the foster care system. In: DW Osgood, EM Foster, C Flanagan, GR Ruth (Eds). On your own without a net: The transition to adulthood for vulnerable populations. Chicago: The University of Chicago Press; 2005.
36.
go back to reference U.S. Government Accountability Office. Foster Youth: HHS actions could improve coordination of services and monitoring of States’ independent living program. Washington, DC: Author; 2004. U.S. Government Accountability Office. Foster Youth: HHS actions could improve coordination of services and monitoring of States’ independent living program. Washington, DC: Author; 2004.
37.
go back to reference Fried T. Community colleges step up to support foster care students. Community College Journal. 2008: 38-39. Fried T. Community colleges step up to support foster care students. Community College Journal. 2008: 38-39.
38.
go back to reference Massinga R, Pecora PJ. Providing better opportunities for older children in the child welfare system. The Future of Children: Children, Families and Foster Care. 2004; 14(1): 151-173.CrossRef Massinga R, Pecora PJ. Providing better opportunities for older children in the child welfare system. The Future of Children: Children, Families and Foster Care. 2004; 14(1): 151-173.CrossRef
39.
go back to reference Phillips LA, Oca S, Geenen S, et al. Better futures: helping young people in foster care with mental health challenges prepare for and participate in higher education. Portland, OR: Portland State University, Pathways to Positive Futures Research and Training Center. Focal Point: Youth, Young Adults, & Mental Health, Education and Employment. 2013; 27: 5-8. Phillips LA, Oca S, Geenen S, et al. Better futures: helping young people in foster care with mental health challenges prepare for and participate in higher education. Portland, OR: Portland State University, Pathways to Positive Futures Research and Training Center. Focal Point: Youth, Young Adults, & Mental Health, Education and Employment. 2013; 27: 5-8.
40.
go back to reference Powers LE, Geenen S, Powers J, et al. My Life: Effects of a longitudinal, randomized study of self-determination enhancement on the transition outcomes of youth in foster care and special education. Children and Youth Services Review. 2012; 34(11): 2179-2187.CrossRef Powers LE, Geenen S, Powers J, et al. My Life: Effects of a longitudinal, randomized study of self-determination enhancement on the transition outcomes of youth in foster care and special education. Children and Youth Services Review. 2012; 34(11): 2179-2187.CrossRef
41.
go back to reference Casey Family Programs. It’s my life: Postsecondary education and training. Seattle, WA: Author, 2006. Casey Family Programs. It’s my life: Postsecondary education and training. Seattle, WA: Author, 2006.
42.
go back to reference Geenen S, Powers LE, Powers J, et al. Experimental study of a self-determination intervention for youth in foster care. Career Development and Transition for Exceptional Individuals. 2013; 36(2): 84-95.CrossRef Geenen S, Powers LE, Powers J, et al. Experimental study of a self-determination intervention for youth in foster care. Career Development and Transition for Exceptional Individuals. 2013; 36(2): 84-95.CrossRef
43.
go back to reference Jivanjee P, Kruzich J, Gordon L. Community integration of transition-age individuals: Views of young adults with mental health disorders. Journal of Behavioral Health Services & Research. 2007; 35(4): 402-418.CrossRef Jivanjee P, Kruzich J, Gordon L. Community integration of transition-age individuals: Views of young adults with mental health disorders. Journal of Behavioral Health Services & Research. 2007; 35(4): 402-418.CrossRef
44.
go back to reference Pistrang N, Barker C, Humphreys K. Mutual help groups for mental health problems: A review of effectiveness studies. American Journal of Community Psychology. 2008; 42(1-2): 110-121CrossRefPubMed Pistrang N, Barker C, Humphreys K. Mutual help groups for mental health problems: A review of effectiveness studies. American Journal of Community Psychology. 2008; 42(1-2): 110-121CrossRefPubMed
45.
go back to reference Phillips L, Powers LE, Geenen S, et al. Lessons learned and strategies for the successful implementation of the Better Futures model. Portland, OR: Portland State University, Pathways to Positive Futures Research and Training Center; 2014. Phillips L, Powers LE, Geenen S, et al. Lessons learned and strategies for the successful implementation of the Better Futures model. Portland, OR: Portland State University, Pathways to Positive Futures Research and Training Center; 2014.
46.
go back to reference Wehmeyer ML, Kelchner K. The Arc’s self-determination scale. Silver springs, MD: The Arc of the United States; 1995 Wehmeyer ML, Kelchner K. The Arc’s self-determination scale. Silver springs, MD: The Arc of the United States; 1995
47.
go back to reference Wolman J, Campeau P, Dubois P, et al. AIR self-determination scale and user guide. Pal Alto, CA: American Institute for Research; 1994. Wolman J, Campeau P, Dubois P, et al. AIR self-determination scale and user guide. Pal Alto, CA: American Institute for Research; 1994.
48.
go back to reference Walker JS, Thorne EK, Powers LE, et al. Development of a scale to measure the empowerment of youth consumers of mental health services. Journal of Emotional and Behavioral Disorders. 2010; 18(1): 51-59.CrossRef Walker JS, Thorne EK, Powers LE, et al. Development of a scale to measure the empowerment of youth consumers of mental health services. Journal of Emotional and Behavioral Disorders. 2010; 18(1): 51-59.CrossRef
49.
go back to reference Young SL, Bullock WA. The mental health recovery measure. Toledo, OH: University of Toledo, Department of Psychology (#918); 2003. Young SL, Bullock WA. The mental health recovery measure. Toledo, OH: University of Toledo, Department of Psychology (#918); 2003.
50.
go back to reference Achenbach TM. Manual for the youth self-report and 1991 profile. Burlington, VT: University of Vermont, Department of Psychiatry; 1991 Achenbach TM. Manual for the youth self-report and 1991 profile. Burlington, VT: University of Vermont, Department of Psychiatry; 1991
51.
go back to reference Schalock RL, Keith KD. Quality of life questionnaire. IDS Publishing Corporation; 1993 Schalock RL, Keith KD. Quality of life questionnaire. IDS Publishing Corporation; 1993
52.
go back to reference Kazdin AE, Rodgers A, Colbus D. The Hopelessness Scale for Children: Psychometric characteristics and concurrent validity. Journal of consulting and Clinical Psychology. 1986; 54(2): 241-245.CrossRefPubMed Kazdin AE, Rodgers A, Colbus D. The Hopelessness Scale for Children: Psychometric characteristics and concurrent validity. Journal of consulting and Clinical Psychology. 1986; 54(2): 241-245.CrossRefPubMed
53.
go back to reference Benz NE, Klein KL, Taylor KM. Evaluation of short form of the Career Decision-Making Self-efficacy Scale. Journal of Career Assessment. 1996; 4(1): 47-57.CrossRef Benz NE, Klein KL, Taylor KM. Evaluation of short form of the Career Decision-Making Self-efficacy Scale. Journal of Career Assessment. 1996; 4(1): 47-57.CrossRef
54.
go back to reference Liptak JL. Assessing barriers to education. Indianapolis, IN: JIST Publishing; 2008. Liptak JL. Assessing barriers to education. Indianapolis, IN: JIST Publishing; 2008.
55.
go back to reference Croskey A, Jivanjee P. A study of the near-peer mentor experience from young adult and coach perspectives. Portland, OR: Portland State University, Pathways to Positive Futures Research and Training Center; 2014. Croskey A, Jivanjee P. A study of the near-peer mentor experience from young adult and coach perspectives. Portland, OR: Portland State University, Pathways to Positive Futures Research and Training Center; 2014.
56.
go back to reference Pecora PJ. Maximizing educational achievement of youth in foster care and alumni: Factors associated with success. Children and Youth Services Review. 2012; 34(6): 1121-1129.CrossRef Pecora PJ. Maximizing educational achievement of youth in foster care and alumni: Factors associated with success. Children and Youth Services Review. 2012; 34(6): 1121-1129.CrossRef
57.
go back to reference Salazar AM, Keller TE, Gowen LK, et al. Trauma exposure and PTSD among older adolescents in foster care. Social Psychiatry and Psychiatric Epidemiology. 2012; 48(4): 545-551.CrossRefPubMedCentralPubMed Salazar AM, Keller TE, Gowen LK, et al. Trauma exposure and PTSD among older adolescents in foster care. Social Psychiatry and Psychiatric Epidemiology. 2012; 48(4): 545-551.CrossRefPubMedCentralPubMed
Metadata
Title
Better Futures: a Randomized Field Test of a Model for Supporting Young People in Foster Care with Mental Health Challenges to Participate in Higher Education
Authors
Sarah Geenen, PhD
Laurie E. Powers, PhD
Lee Ann Phillips, MSW
May Nelson, MSW
Jessica McKenna
Nichole Winges-Yanez, MSW
Linda Blanchette
Adrienne Croskey
Lawrence D. Dalton, MA
Amy Salazar, PhD
Paul Swank, PhD
Publication date
01-04-2015
Publisher
Springer US
Published in
The Journal of Behavioral Health Services & Research / Issue 2/2015
Print ISSN: 1094-3412
Electronic ISSN: 2168-6793
DOI
https://doi.org/10.1007/s11414-014-9451-6

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