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<p>Youth in foster care experience trauma exposure and trauma-related disorders at much higher rates than their peers. Although there are multiple evidence-based treatments (EBTs) and approaches for traumatic stress in youth, little is known about how mental health clinicians use and perceive existing approaches and treatment needs specifically for foster care youth. We used a mixed-methods approach to examine the types of treatment approaches clinicians use, and barriers and facilitators to treating youth in foster care from the lens of the Exploration, Preparation, Implementation, Sustainment (EPIS) framework (Aarons et al., <CitationRef CitationID="CR1">2011</CitationRef>). Mental health clinicians (<i>N</i> = 147) completed a brief quantitative survey and a subset (<i>n</i> = 15) completed qualitative interviews. Participants quantitatively and qualitatively identified several barriers to treating youth in foster care, such as working with caseworkers (68% of quantitative sample; 66% of qualitative responses) and court systems (58% of quantitative sample, 70% of qualitative responses). Conversely, providers identified a few facilitators, including agency policies and support (51% of quantitative sample; 66% of qualitative responses). Implications for policymakers, stakeholders, and developers include addressing external variables in future implementation efforts, supporting advocacy and legislative changes, and adapting treatment approaches or service delivery to fit with the needs of youth in foster care.</p>

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A Mixed-Methods Study of Clinician Perspectives and Treatment Approach Use for Youth in Foster Care

  • 期刊论文

  • 发表日期：

    2026年6月22日

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  • Allison B. Smith,
  • Harlee Onovbiona,
  • Sufna G. John,
  • Karin L. Vanderzee,
  • Lindsey A. Thomas,
  • Jay A. Chinn,
  • Maegan Calvert,
  • Glenn R. Mesman,
  • Joy R. Pemberton,
  • Timothy Cavell

摘要

Youth in foster care experience trauma exposure and trauma-related disorders at much higher rates than their peers. Although there are multiple evidence-based treatments (EBTs) and approaches for traumatic stress in youth, little is known about how mental health clinicians use and perceive existing approaches and treatment needs specifically for foster care youth. We used a mixed-methods approach to examine the types of treatment approaches clinicians use, and barriers and facilitators to treating youth in foster care from the lens of the Exploration, Preparation, Implementation, Sustainment (EPIS) framework (Aarons et al., 2011). Mental health clinicians (N = 147) completed a brief quantitative survey and a subset (n = 15) completed qualitative interviews. Participants quantitatively and qualitatively identified several barriers to treating youth in foster care, such as working with caseworkers (68% of quantitative sample; 66% of qualitative responses) and court systems (58% of quantitative sample, 70% of qualitative responses). Conversely, providers identified a few facilitators, including agency policies and support (51% of quantitative sample; 66% of qualitative responses). Implications for policymakers, stakeholders, and developers include addressing external variables in future implementation efforts, supporting advocacy and legislative changes, and adapting treatment approaches or service delivery to fit with the needs of youth in foster care.