Adverse Childhood Experiences and Poor Mental Health Outcomes Among Racially Diverse Foster Care Alumni: Impact of Perceived Agency Helpfulness

Abstract

The etiology of poor mental health outcomes among foster care alumni of color remains largely unknown. We examined the influence of a subset of adverse childhood experiences (ACEs), placement instability, and childhood disability in uniquely predicting mental health outcomes among racially diverse foster care alumni from a private foster care agency. Multiple group path modeling was used to examine direct and indirect relationships between the individual level risk factors, mediators (perceived agency helpfulness), and past-year psychiatric disorder. Results showed that while the overall model was moderated by race/ethnicity, no significant group differences occurred in which ACEs increased the likelihood of psychiatric diagnoses. However, there were racial/ethnic differences in whether perceived agency helpfulness mediated the relationship between a subset of ACEs and diagnosis with a psychiatric disorder. Implications for future research to inform the development and implementation of effective services and supports that can promote positive developmental outcomes among racially diverse alumni are discussed.