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Cited by 27Child Welfare and AdoptionChild and Adolescent Psychosocial and Emotional DevelopmentChild and Adolescent Health

Validating Office-Based Screening for Psychosocial Strengths and Difficulties Among Youths in Foster Care

Jee, Sandra H., Szilagyi, Moira, Conn, Anne-Marie, Nilsen, Wendy, Toth, Sheree, Baldwin, Constance D., Szilagyi, Peter G.·2011·Pediatrics
DOI 10.1542/peds.2010-1350
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Abstract

OBJECTIVES: To assess the effectiveness of social-emotional screening in the primary care setting for youths in foster care. METHODS: The setting was a primary care practice for all youth in home-based foster care in 1 county. Subjects were youths, aged 11 to 17 years, and their foster parents; both completed a Strengths and Difficulties Questionnaire at well-child visits. The Strengths and Difficulties Questionnaire is a previously validated 25-item tool that has 5 domains: emotional symptoms; conduct problems; hyperactivity/inattention; peer problems; and prosocial behaviors and an overall total difficulties score. We first compared youth versus parent Strengths and Difficulties Questionnaire scores and then assessed the accuracy of these Strengths and Difficulties Questionnaire scores by comparing them in a subsample of youths (n = 50) with results of home-based structured clinical interviews using the Children's Interview for Psychiatric Syndromes. RESULTS: Of 138 subjects with both youth and parent reports, 78% had prosocial behaviors (strengths), and 70% had 1 or more social-emotional problems. Parents reported significantly more conduct problems (38% vs 16%; P < .0001) and total difficulties (30% vs 16%; P = .002) than did youth. The Strengths and Difficulties Questionnaire had better agreement with the Children's Interview for Psychiatric Syndromes (n = 50) for any Strengths and Difficulties Questionnaire–identified problem for combined youth and foster-parent reports (93%), compared with youth report alone (54%) or parent report alone (71%). CONCLUSIONS: Although most youths in foster care have social-emotional problems, most have strengths as well. Youth and foster-parent perspectives on these problems differ. Systematic social-emotional screening in primary care that includes both youth and parent reports can identify youths who may benefit from services.

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  • The prevalence of mental health problems in foster children estimated by symptom checklists is in the range of 42.7% to 61.0%.

    “The prevalence of mental health problems in foster children has primarily been investigated using symptom checklists, providing an overall estimated prevalence of mental health problems in the range of 42.7% to 61.0% [6-11].”

    From Mental disorders in foster children: a study of prevalence, comorbidity and risk factors (2013) · cites this paper as [8]

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Authors
Jee, S. H., Szilagyi, M., Conn, A.-M., Nilsen, W., Toth, S., Baldwin, C. D., & Szilagyi, P. G.
Affiliations
  • University of Rochester Medicine (US)
  • Department of Psychiatry and
  • University of Rochester (US)
Corresponding author
Jee, Sandra H.
ORCID
Venue
Pediatrics
Publisher
American Academy of Pediatrics (AAP)
Published
2011-05-01
Volume
127
Issue
5
Pages
904-910
ISSN
  • 0031-4005 (ISSN-L)
  • 1098-4275
DOI
10.1542/peds.2010-1350
OpenAlex
W2018648273
Cited by
27
References
38
Citations by year
2025: 1 · 2024: 1 · 2023: 1 · 2021: 1 · 2020: 1 · 2019: 4 · 2018: 2 · 2017: 2 · 2016: 2 · 2015: 3 · 2014: 3 · 2013: 5
FWCI
7.40
Type
journal article
Language
en
Open access
closed
Locations
  • PEDIATRICS (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Social Sciences › Safety Research › Child Welfare and Adoption
  • Social Sciences › Psychology › Clinical Psychology › Child and Adolescent Psychosocial and Emotional Development
  • Health Sciences › Health Professions › General Health Professions › Child and Adolescent Health
Keywords
foster youth, psychosocial screening, Strengths and Difficulties Questionnaire, social-emotional problems, conduct problems, primary care, well-child visits, prosocial behavior
MeSH terms
Adolescent, Adolescent Behavior, Age Factors, Child, Female, Foster Home Care, Humans, Interviews as Topic, Male, Mass Screening, Office Visits, Parent-Child Relations, Patient Compliance, Primary Health Care, Psychology, Surveys and Questionnaires, Risk-Taking, Sensitivity and Specificity, Sex Factors, Social Behavior, Social Problems, Risk Assessment

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