Abstract

Youth involved in the child welfare system are at high risk for mental illness, substance abuse, and other behavioral health issues, which child welfare workers are expected to address through referrals. Child welfare workers (N=27) who participated in Project IMPROVE (Intervention for Multisector Provider Enhancement) reported on services they provided to youth (N=307) in their caseloads. Using survey and administrative data, this paper examines workers' service actions on behalf of youth. Results were consistent with the Gateway Provider Model and showed that youth received help from a greater variety of service sectors when their workers were able to identify behavioral health problems, and were familiar with and connected to other providers in the community. Improving service delivery to youth in child welfare may be accomplished by training workers in the signs and symptoms of behavioral health problems and familiarizing them with providers in the community.

Highlights

  • Child welfare workers are responsible for advancing the safety, permanency, and well-being of youth involved in the child welfare system

  • We examined information about youth’s demographic characteristics, the relationships between worker reports and administrative data on youth’s behavioral health problems, environmental problems, and services received, and workers’ connectivity to community resources

  • This paper addressed the influence of child welfare workers’ ability to recognize mental health problems and the effect their knowledge of community referral resources had on behavioral health service provision to youth

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Summary

Introduction

Child welfare workers are responsible for advancing the safety, permanency, and well-being of youth involved in the child welfare system. Because the estimated prevalence of behavioral health conditions is greater for youth in the child welfare system than in the general public assistance sector, workers’ connections with behavioral health services are important (Burns, et al, 2004; Harman, Childs, & Kelleher, 2000; Leslie, Hurlburt, Landsverk, Barth & Slymen, 2004). Workers in public child welfare agencies are well-positioned to identify behavioral health service needs among youth and connect them to appropriate care in the community, serving as Gateway Providers to mental health, substance abuse, and other service sectors (Stiffman, Pescosolido & Cabassa, 2004). Foster is a doctoral student and NIDA Comorbidity and Addictions Center Administrator; and Peichang Shi is a statistical data specialist, all at the Brown School of Social Work. Special thanks to Jennifer Bellamy for comments on earlier drafts of this paper

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