Developing a tailored substance use intervention for youth exiting foster care

Braciszewski, Jordan M.; Tzilos Wernette, Golfo K.; Moore, Roland S.; Tran, Tanya B.; Bock, Beth C.; Stout, Robert L.; Chamberlain, Patricia; Vose-O’Neal, Adam

doi:10.1016/j.chiabu.2018.01.013

Cited by 36Substance Abuse Treatment and OutcomesChild Welfare and AdoptionMobile Health and mHealth Applications

Developing a tailored substance use intervention for youth exiting foster care

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Braciszewski, Jordan M., Tzilos Wernette, Golfo K., Moore, Roland S., Tran, Tanya B., Bock, Beth C., Stout, Robert L., Chamberlain, Patricia, Vose-O’Neal, Adam·2018·Child Abuse & Neglect

DOI 10.1016/j.chiabu.2018.01.013PMC PMC5857233

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Abstract

Youth who are aging out of the foster care system face significant barriers to accessing substance use treatment. Mobile interventions have shown efficacy for several mental and physical health issues and may be helpful in overcoming barriers facing foster youth with substance use problems. A program (iHeLP) for substance use reduction was developed that used a computerized screening and brief intervention (SBI) followed by six months of dynamically-tailored text messages. The program was shown to focus groups of youth (N = 24) ages 18-19 who recently left foster care and had moderate to severe substance use risk. Focus group feedback was used to modify iHeLP prior to delivery in an open trial (N = 16). Both study phases included assessments of feasibility and acceptability; the open trial also included assessments of substance use outcomes at 3 and 6 months. Focus groups indicated a high level of acceptability for the proposed intervention components. Of those screened for the open trial, 43% were eligible and 74% of those eligible enrolled, indicating good feasibility. Retention through the final follow-up was 59%, and drop out was associated with involvement in the criminal justice system. Participant ratings for liking, ease of working with, interest in and respectfulness of the SBI were high. Satisfaction ratings for the texting component were also high. A computerized brief screening intervention for substance use risk reduction together with tailored text messaging is both feasible and highly acceptable among youth who have recently aged-out of foster care.

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Lack of trust may occur when youth have feelings of distrust towards the foster care system and child protective services.
“Lack of trust may also occur when youth have feelings of distrust towards the foster care system and child protective services and therefore want to avoid further contact or turn to this system for further aid.”
From Former Foster System Youth: Perspectives on Transitional Supports and Programs (2021) · cites this paper as [10]
The Introduction (page unavailable) describes difficulty with trust and general mistrust of institutions as barriers for youth in foster care. The Discussion (page unavailable) also notes potential distrust of authority figures. Neither passage specifically identifies child protective services as an object of that distrust, so the claim is more specific than the source. (LLM, conf=0.82)
Experimental — accuracy not yet measured
Access to transition services for foster youth has challenges post-discharge, including displacement pre- and post-discharge, learned helplessness, and lack of trust.
“Barriers reported to accessing these services include displacement pre- and post-discharge, learned helplessness, and a lack of trust.”
From Former Foster System Youth: Perspectives on Transitional Supports and Programs (2021) · cites this paper as [10]
The Introduction (page unavailable) identifies mistrust and difficulty forming bonds as barriers to accessing substance-use services; it also mentions housing instability. The Discussion (page unavailable) describes frequent moves during foster care, but the paper does not identify learned helplessness as a barrier or establish displacement both before and after discharge. (LLM, conf=0.87)
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A pilot randomized controlled trial of a technology-based substance use intervention for youth exiting foster care
Braciszewski, J. M., Wernette, G. K. T., Moore, R. S., Bock, B. C., Stout, R. L., & Chamberlain, P. (2018) · Children and Youth Services Review · doi:10.1016/j.childyouth.2018.08.011 · Cited by 38 · see citing works
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Adaptation of a Mental Health Treatment Engagement Intervention for Older Foster Youth
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Authors: Braciszewski, J. M., Tzilos Wernette, G. K., Moore, R. S., Tran, T. B., Bock, B. C., Stout, R. L., Chamberlain, P., & Vose-O’Neal, A.
Affiliations: Henry Ford Health (US)
Pacific Institute For Research and Evaluation (US)
Rhode Island Hospital (US)
Miriam Hospital (US)
Oregon Social Learning Center (US)
Corresponding author: Braciszewski, Jordan M.
ORCID: Braciszewski, Jordan M.
Moore, Roland S.
Tran, Tanya B.
Bock, Beth C.
Stout, Robert L.
Chamberlain, Patricia
Venue: Child Abuse & Neglect
Publisher: Elsevier BV
Published: 2018-03
Volume: 77
Pages: 211-221
ISSN: 0145-2134 (ISSN-L)
DOI: 10.1016/j.chiabu.2018.01.013
PMC: PMC5857233
OpenAlex: W2792223078
Cited by: 36
References: 63
Citations by year: 2026: 4 · 2025: 8 · 2024: 3 · 2023: 2 · 2022: 5 · 2021: 5 · 2020: 5 · 2019: 2 · 2018: 2
FWCI: 2.73
Type: journal article
Language: en
Open access: bronze
doi.org
Licence: www.elsevier.com/tdm/userlicense/1.0/ (tdm)
www.elsevier.com/legal/tdmrep-license (tdm)
www.elsevier.com/open-access/userlicense/1.0/ (am, 377 d)
Locations: Child Abuse & Neglect (acceptedVersion)
PubMed (publishedVersion)
Europe PMC (PubMed Central) (acceptedVersion)
PubMed Central (acceptedVersion)
Funders: National Institute on Drug Abuse (R34DA034822)
Topics: Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
Social Sciences › Safety Research › Child Welfare and Adoption
Health Sciences › Health Professions › General Health Professions › Mobile Health and mHealth Applications
Keywords: foster youth, aging out of foster care, substance use, mobile health, text messaging, personalized interventions, feasibility, acceptability, criminal justice involvement, youth
MeSH terms: Child, Foster, Adolescent, Adult, Delivery of Health Care, Female, Foster Home Care, Humans, Male, Psychotherapy, Brief, Focus Groups, Substance-Related Disorders, Risk Reduction Behavior, Early Diagnosis, Young Adult, Text Messaging

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