Psychotropic medication oversight for youth in foster care

A national perspective on state child welfare policy and practice guidelines

Thomas Mackie, Justeen Hyde, Angie Mae Rodday, Emily Dawson, Ravi Lakshmikanthan, Christopher Bellonci, Diana R. Schoonover, Laurel K. Leslie

Research output: Contribution to journalArticle

8 Citations (Scopus)

Abstract

This study uses data collected from multi-state interviews, document review, and the U.S. Census to provide a national perspective on the policies and practice guidelines for mental health evaluation and psychotropic medication oversight among youth in foster care within 47 states and the District of Columbia. This study specifically employs descriptive statistics and logistic regression models to examine various components of these policies/guidelines and the state characteristics and organizational structure associated with the presence of a policy/guideline for mental health evaluation and psychotropic medication oversight. Almost half of states (47.9%) endorsed a mental health evaluation in policies/guidelines; policies/guidelines varied with respect to specific sub-populations targeted and the components of the evaluation. Over half of states (52.7%) held policies/guidelines for psychotropic medication oversight with substantial variation in populations and medications covered, and in the mechanism for psychotropic medication oversight (e.g., informed consent, child- and population-level monitoring). Organizational structure, specifically staffing both a medical and mental health director, and percentage of urban land area (i.e., Metropolitan Statistical Area) were associated with presence of policies/guidelines. Implications for federal and state implementation of the Fostering Connections to Success and Increasing Adoptions Act (Public Law 110-351) and future research on child welfare policy are discussed.

Original languageEnglish (US)
Pages (from-to)2213-2220
Number of pages8
JournalChildren and Youth Services Review
Volume33
Issue number11
DOIs
StatePublished - Nov 1 2011

Fingerprint

Child Welfare
Practice Guidelines
child welfare
social policy
medication
mental health
Guidelines
Mental Health
organizational structure
evaluation
public law
demographic situation
staffing
descriptive statistics
Logistic Models
director
Population
agglomeration area
census
logistics

All Science Journal Classification (ASJC) codes

  • Education
  • Developmental and Educational Psychology
  • Sociology and Political Science

Keywords

  • Child-welfare
  • Emotional-behavioral health
  • Foster-care
  • Medications
  • National trends
  • Policy

Cite this

Mackie, Thomas ; Hyde, Justeen ; Rodday, Angie Mae ; Dawson, Emily ; Lakshmikanthan, Ravi ; Bellonci, Christopher ; Schoonover, Diana R. ; Leslie, Laurel K. / Psychotropic medication oversight for youth in foster care : A national perspective on state child welfare policy and practice guidelines. In: Children and Youth Services Review. 2011 ; Vol. 33, No. 11. pp. 2213-2220.
@article{9f651a60a6d548d793fa6ab2af81aee9,
title = "Psychotropic medication oversight for youth in foster care: A national perspective on state child welfare policy and practice guidelines",
abstract = "This study uses data collected from multi-state interviews, document review, and the U.S. Census to provide a national perspective on the policies and practice guidelines for mental health evaluation and psychotropic medication oversight among youth in foster care within 47 states and the District of Columbia. This study specifically employs descriptive statistics and logistic regression models to examine various components of these policies/guidelines and the state characteristics and organizational structure associated with the presence of a policy/guideline for mental health evaluation and psychotropic medication oversight. Almost half of states (47.9{\%}) endorsed a mental health evaluation in policies/guidelines; policies/guidelines varied with respect to specific sub-populations targeted and the components of the evaluation. Over half of states (52.7{\%}) held policies/guidelines for psychotropic medication oversight with substantial variation in populations and medications covered, and in the mechanism for psychotropic medication oversight (e.g., informed consent, child- and population-level monitoring). Organizational structure, specifically staffing both a medical and mental health director, and percentage of urban land area (i.e., Metropolitan Statistical Area) were associated with presence of policies/guidelines. Implications for federal and state implementation of the Fostering Connections to Success and Increasing Adoptions Act (Public Law 110-351) and future research on child welfare policy are discussed.",
keywords = "Child-welfare, Emotional-behavioral health, Foster-care, Medications, National trends, Policy",
author = "Thomas Mackie and Justeen Hyde and Rodday, {Angie Mae} and Emily Dawson and Ravi Lakshmikanthan and Christopher Bellonci and Schoonover, {Diana R.} and Leslie, {Laurel K.}",
year = "2011",
month = "11",
day = "1",
doi = "10.1016/j.childyouth.2011.07.003",
language = "English (US)",
volume = "33",
pages = "2213--2220",
journal = "Children and Youth Services Review",
issn = "0190-7409",
publisher = "Elsevier Limited",
number = "11",

}

Psychotropic medication oversight for youth in foster care : A national perspective on state child welfare policy and practice guidelines. / Mackie, Thomas; Hyde, Justeen; Rodday, Angie Mae; Dawson, Emily; Lakshmikanthan, Ravi; Bellonci, Christopher; Schoonover, Diana R.; Leslie, Laurel K.

In: Children and Youth Services Review, Vol. 33, No. 11, 01.11.2011, p. 2213-2220.

Research output: Contribution to journalArticle

TY - JOUR

T1 - Psychotropic medication oversight for youth in foster care

T2 - A national perspective on state child welfare policy and practice guidelines

AU - Mackie, Thomas

AU - Hyde, Justeen

AU - Rodday, Angie Mae

AU - Dawson, Emily

AU - Lakshmikanthan, Ravi

AU - Bellonci, Christopher

AU - Schoonover, Diana R.

AU - Leslie, Laurel K.

PY - 2011/11/1

Y1 - 2011/11/1

N2 - This study uses data collected from multi-state interviews, document review, and the U.S. Census to provide a national perspective on the policies and practice guidelines for mental health evaluation and psychotropic medication oversight among youth in foster care within 47 states and the District of Columbia. This study specifically employs descriptive statistics and logistic regression models to examine various components of these policies/guidelines and the state characteristics and organizational structure associated with the presence of a policy/guideline for mental health evaluation and psychotropic medication oversight. Almost half of states (47.9%) endorsed a mental health evaluation in policies/guidelines; policies/guidelines varied with respect to specific sub-populations targeted and the components of the evaluation. Over half of states (52.7%) held policies/guidelines for psychotropic medication oversight with substantial variation in populations and medications covered, and in the mechanism for psychotropic medication oversight (e.g., informed consent, child- and population-level monitoring). Organizational structure, specifically staffing both a medical and mental health director, and percentage of urban land area (i.e., Metropolitan Statistical Area) were associated with presence of policies/guidelines. Implications for federal and state implementation of the Fostering Connections to Success and Increasing Adoptions Act (Public Law 110-351) and future research on child welfare policy are discussed.

AB - This study uses data collected from multi-state interviews, document review, and the U.S. Census to provide a national perspective on the policies and practice guidelines for mental health evaluation and psychotropic medication oversight among youth in foster care within 47 states and the District of Columbia. This study specifically employs descriptive statistics and logistic regression models to examine various components of these policies/guidelines and the state characteristics and organizational structure associated with the presence of a policy/guideline for mental health evaluation and psychotropic medication oversight. Almost half of states (47.9%) endorsed a mental health evaluation in policies/guidelines; policies/guidelines varied with respect to specific sub-populations targeted and the components of the evaluation. Over half of states (52.7%) held policies/guidelines for psychotropic medication oversight with substantial variation in populations and medications covered, and in the mechanism for psychotropic medication oversight (e.g., informed consent, child- and population-level monitoring). Organizational structure, specifically staffing both a medical and mental health director, and percentage of urban land area (i.e., Metropolitan Statistical Area) were associated with presence of policies/guidelines. Implications for federal and state implementation of the Fostering Connections to Success and Increasing Adoptions Act (Public Law 110-351) and future research on child welfare policy are discussed.

KW - Child-welfare

KW - Emotional-behavioral health

KW - Foster-care

KW - Medications

KW - National trends

KW - Policy

UR - http://www.scopus.com/inward/record.url?scp=80053439046&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=80053439046&partnerID=8YFLogxK

U2 - 10.1016/j.childyouth.2011.07.003

DO - 10.1016/j.childyouth.2011.07.003

M3 - Article

VL - 33

SP - 2213

EP - 2220

JO - Children and Youth Services Review

JF - Children and Youth Services Review

SN - 0190-7409

IS - 11

ER -