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Mental health and substance use disorders among foster youth transitioning to adulthood: Past research and future directions
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At a time when there is increasing attention being given to systematically integrating the well-being of children with the goals of safety and permanence in child welfare, little is known about the psychosocial functioning of foster youth transitioning to adulthood from substitute care. This article systematically reviews 17 peer-reviewed articles and/or research reports to identify lifetime and past year prevalence rates of mental health disorders and service utilization. At ages 17 or 18, foster youth are 2 to 4 times more likely to suffer from lifetime and/or past year mental health disorders compared to transition aged youth in the general population. Findings show that mental health service use declines at ages when the prevalence rate of mental health disorders is peaking. The findings of this review suggest the need to focus future efforts in three main areas: 1) Setting a common research agenda for the study of mental health and service use; 2) Routine screening and empirically supported treatments; and 3) Integration and planning between child and adult mental health service systems.
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“Further, although youth in foster care have elevated mental health challenges—including 60 % lifetime disorder at ages 17–18, and twice the normative rate of depression and PTSD (Havlicek et al., 2013; Keller et al., 2010; Mcmillen et al., 2005; Salazar et al., 2013)—they are also more likely to have unmet service needs.”
From Intervention development to improve foster youth mental health by targeting coping self-efficacy and help-seeking (2023) · cites this paper as Havlicek et al., 2013
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Metadata
- Authors
- Havlicek, J. R., Garcia, A. R., & Smith, D. C.
- Affiliations
- University of Illinois Urbana-Champaign (US)
- University of Pennsylvania (US)
- Corresponding author
- Havlicek, Judy R.
- Venue
- Children and Youth Services Review
- Publisher
- Elsevier BV
- Published
- 2013-01
- Volume
- 35
- Issue
- 1
- Pages
- 194-203
- ISSN
- 0190-7409 (ISSN-L)
- PMC
- PMC3677527
- OpenAlex
- W2082368615
- Cited by
- 204
- References
- 104
- Citations by year
- 2026: 8 · 2025: 18 · 2024: 14 · 2023: 43 · 2022: 15 · 2021: 24 · 2020: 16 · 2019: 12 · 2018: 13 · 2017: 10 · 2016: 10 · 2015: 10 · 2014: 10 · 2013: 1
- FWCI
- 17.49
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Children and Youth Services Review (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- RePEc: Research Papers in Economics (acceptedVersion)
- Funders
- National Institutes of Health
- National Institute on Alcohol Abuse and Alcoholism (K23AA017702)
- National Institute of Mental Health (T32MH019960)
- Topics
- Social Sciences › Sociology and Political Science › Child Welfare and Adoption
- Social Sciences › Sociology and Political Science › Homelessness and Social Issues
- Social Sciences › Psychology › Clinical Psychology › Child and Adolescent Psychosocial and Emotional Development
- Keywords
- foster youth, coming of age, mental illness, substance use disorders, child welfare, mental health service utilization, prevalence rates, psychosocial functioning, screening, empirically supported treatments
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