Multidimensional Treatment Foster Care as a Preventive Intervention to Promote Resiliency Among Youth in the Child Welfare System
Open accessAbstract
ABSTRACT Demographic trends indicate that a growing segment of families is exposed to adversity such as poverty, drug use problems, caregiver transitions, and domestic violence. Although these risk processes and the accompanying poor outcomes for children have been well studied, little is known about why some children develop resilience in the face of such adversity, particularly when it is severe enough to invoke child welfare involvement. This paper describes a program of research involving families in the child welfare system. Using a resiliency framework, evidence from 4 randomized clinical trials that included components of the Multidimensional Treatment Foster Care program is presented. Future directions and next steps are proposed.
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Family-based interventions are the gold standard for addressing externalizing and internalizing mental health disorders in adolescents, including foster youth.
“Family-based interventions are the gold standard for addressing externalizing and internalizing mental health disorders in adolescents, including foster youth [6,7].”
From Implementation Considerations for Family-Based Telehealth Interventions for Youth in Foster Care: Focus Group Study With Child Welfare System Professionals (2023) · cites this paper as [7]
The MTFC Program section reports that a foster-family-based intervention improved behavioral and emotional problems in one youth sample and reduced delinquency in adolescent samples. The paper does not establish that family-based interventions generally are the gold standard for treating both externalizing and internalizing disorders in adolescents, including foster youth. Page numbers are not available in our copy. (LLM, conf=0.88)
Experimental — accuracy not yet measuredStrengthening interpersonal relationships between youth and caregivers bolsters youth social competence and behavioral adjustment, reduces caregiver stress, and supports family reunification.
“Strengthening interpersonal relationships between youth and caregivers bolsters a youth’s social competence and behavioral adjustment, reduces caregiver stress, and supports family reunification [7,8].”
From Implementation Considerations for Family-Based Telehealth Interventions for Youth in Foster Care: Focus Group Study With Child Welfare System Professionals (2023) · cites this paper as [7]
The paper’s ‘Applying Resiliency Concepts’ section hypothesizes that supportive relationships lead to social competence and behavioral adjustment. Its ‘Resilience Outcomes’ section reports reduced caregiver stress, and ‘Supportive Interpersonal Relationships’ reports increased reunification after foster-parent training. But the paper explicitly says it did not examine whether the intervention buffered social-competence outcomes, and it does not establish that strengthened youth–caregiver relationships caused all the listed outcomes. (LLM, conf=0.87)
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“Family-based interventions are the gold standard for addressing externalizing and internalizing mental health disorders in adolescents, including foster youth [6,7].”
Background
- Authors
- Leve, L. D., Fisher, P. A., & Chamberlain, P.
- Affiliations
- Oregon Social Learning Center (US)
- Corresponding author
- Leve, Leslie D.
- Venue
- Journal of Personality
- Publisher
- Wiley
- Published
- 2009-11-17
- Volume
- 77
- Issue
- 6
- Pages
- 1869-1902
- ISSN
- 0022-3506 (ISSN-L)
- 1467-6494
- PMC
- PMC2787781
- OpenAlex
- W1986343963
- Cited by
- 119
- References
- 97
- Citations by year
- 2026: 1 · 2025: 5 · 2024: 3 · 2023: 4 · 2022: 9 · 2021: 10 · 2020: 5 · 2019: 3 · 2018: 2 · 2017: 7 · 2016: 9 · 2015: 11 · 2014: 9 · 2013: 12 · 2012: 10
- FWCI
- 3.11
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Journal of Personality (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Institutes of Health (5r01mh047458-04)
- National Institute of Mental Health (MH059780, MH047458, R01MH054257, R01MH076158, MH076158, R01MH060195, MH054257, R01MH059780, MH060195)
- National Institute on Drug Abuse (R01DA015208, R01DA024672, R01DA021424, DA015208, DA021424)
- Eunice Kennedy Shriver National Institute of Child Health and Human Development (HD045894, R01HD045894)
- Topics
- Social Sciences › Safety Research › Child Welfare and Adoption
- Social Sciences › Psychology › Clinical Psychology › Resilience and Mental Health
- Social Sciences › Psychology › Clinical Psychology › Child Abuse and Trauma
- Keywords
- Multidimensional Treatment Foster Care, child welfare system, youth resilience, preventive interventions, family adversity, poverty, drug use, caregiver transition, domestic violence, randomized controlled trials, foster care
- MeSH terms
- Adaptation, Psychological, Adolescent, Adolescent Behavior, Child, Child Behavior, Child Welfare, Female, Foster Home Care, Humans, Interpersonal Relations, Male, Preventive Health Services, Social Environment, Social Support, Socioeconomic Factors, Program Evaluation, Caregivers, Community Networks, Resilience, Psychological
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
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