A mental health intervention for rural, foster children from methamphetamine-involved families: Experimental assessment with qualitative elaboration

Wendy Haight, James Black, Kathryn Sheridan

Research output: Contribution to journalArticlepeer-review

25 Scopus citations

Abstract

This mixed method study describes the cultural adaptation, implementation and impact of a mental health intervention for individual rural children aged 7-17 from methamphetamine-involved families who are in foster care. Features of the culturally-shaped intervention include: 1) close collaboration with local professionals who provide the intervention over a seven month period; 2) provision of the intervention in and around children's homes; and 3) the use of local storytelling traditions in a narrative- and relationship-based intervention. As a group, children (N. =15) showed problematic levels of Childhood Behavior Checklist (CBCL) externalizing and total problem behaviors and symptoms of PTSD/dissociation during the pretest. Children were randomly assigned to an experimental group who received the intervention immediately (n. =8), or a wait-list control group (n. =7) who received the intervention at the end of the study. There was a significant interaction effect of time (pre and post test) and group on externalizing behavior with the trajectory of the experimental group improving while that of the control group worsened. Gains made by the experimental group were maintained over a seven month follow-up period. Comparative case studies, individual qualitative interviews and open-ended questionnaires provided rich elaboration of participants' experiences and illuminated complexities and challenges of the intervention.

Original languageEnglish (US)
Pages (from-to)1446-1457
Number of pages12
JournalChildren and Youth Services Review
Volume32
Issue number10
DOIs
StatePublished - Oct 2010

Bibliographical note

Funding Information:
This research was supported by a grant to the University of Illinois from the Illinois Department of Children and Family Services and NIDA grant R21DA020551-01A2 . Thanks to Linda Kingery, Rebecca Jones and others who served capably and with wisdom as “community clinicians” in the implementation of the intervention. We acknowledge Teresa Ostler who was central to the development of the intervention and supervision of its implementation. Thanks also to Wynne Korr, Susan Cole and Tamara Fuller for feedback on earlier drafts of this manuscript. We also wish to acknowledge our partnership with the Charleston Field Office of the Illinois Department of Children and Family Services.

Copyright:
Copyright 2010 Elsevier B.V., All rights reserved.

Keywords

  • Mental health intervention
  • Methamphetamine
  • Rural families

Fingerprint

Dive into the research topics of 'A mental health intervention for rural, foster children from methamphetamine-involved families: Experimental assessment with qualitative elaboration'. Together they form a unique fingerprint.

Cite this