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Caregivers of youth in foster care in Texas and their role in contraception decision-making for adolescents in care
Shelby Edmondson, Ana Belen Conrado, Hilda Loria, Jill McLeigh, Jasmin A. Tiro, Simon C. Lee, and Jenny K.R. Francis
This study describes the perspectives of caregivers of youth in foster care in Texas about the caregiver’s role in adolescent contraception decision-making for adolescents in their care, particularly for long-acting reversible contraception. The study also explores how providers and foster care agencies can better support pregnancy prevention for youth in care.
For more information, please contact reesjonestrainings@childrens.com
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Examining the Feasibility of Telehealth Trauma-Focused Cognitive Behavioural Therapy (TF-CBT) with Young People in Foster Care
Adrianna Martin, Jill McLeigh, and Laura Lamminen
Despite the high rate of trauma exposure among young people with child welfare involvement, various systematic and patient barriers exist that inhibit utilization of evidence-based trauma treatments. One strategy for alleviating barriers to such treatments is using telehealth. A few studies have found that the clinical outcomes of telehealth TF-CBT are comparable to those found from clinic-based, in-person treatment administration. Studies have yet to examine the feasibility of telehealth TF-CBT with young people in care. The current study sought to address this gap by examining outcomes for patients who received telehealth TF-CBT, along with factors that may have impacted successful completion, at an integrated primary care clinic exclusively serving young people in care.
For more information, please contact reesjonestrainings@childrens.com
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Mental Health Disorders and Psychotropic Medication: Prevalence and Related Characteristics Among Individuals in Foster Care
Jill McLeigh; Lauren Q, Malthaner; Madeline C. Tovar; and Mohsin Khan
This study sought to provide prevalence data for mental health (MH) diagnoses and psychotropic medication prescriptions among individuals in foster care and to examine their relationships with physical health status, maltreatment type, placement type, and demographic variables.
For more information, please contact reesjonestrainings@childrens.com
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Healthcare utilization among children with a history of neonatal opioid withdrawal syndrome: A matched cohort study
Lauren Malthaner, Katelyn Jetelina, Hilda Loria, and Jill McLeigh
Compare longitudinal healthcare utilization patterns in children with and without a history of neonatal opioid withdrawal syndrome (NOWS).
For more information, please contact reesjonestrainings@childrens.com
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Paediatric integrated care in the primary care setting: A scoping review of populations served, models used and outcomes measured
Jill Mcleigh, Lauren Malthaner, Caitlin Winebrenner, and Kimberly Stone
For more information, email reesjonestrainings@childrens.com
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Description of Audiologic, Developmental, Ophthalmologic, and Neurologic Diagnoses at a Primary Care Clinic for Children in Foster Care
Melissa Reynoso, Jill McLeigh, Lauren Q. Malthaner, and Kimberly Stone
This study aimed to describe the prevalence of medically diagnosed audiologic, developmental, ophthalmologic, and neurologic conditions in a foster care primary care clinic and to identify any associations among these diagnoses and patient characteristics, placement type, and maltreatment type.
For more information, please contact reesjonestrainings@childrens.com
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Research Participation of Minor Adolescents in Foster Care
Jenny K.R. Francis, Jane A. Andresen, Alexis Guzman, Jill McLeigh, Heidi M. Kloster, and Susan L. Rosenthal
In this study we evaluated published studies about foster care to: (1) determine the types of data used; (2) describe the degree to which a sexual/reproductive health topic was addressed; and (3) describe the consent process.
For more information, email reesjonestrainings@childrens.com
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Infectious disease screening in a dedicated primary care clinic for children in foster care
Sarah Lairmore, Kimberly Stone, Rong Huang, and Jill McLeigh
Children in foster care are considered at high risk for infectious diseases, and guidelines recommend screening for tuberculosis, hepatitis B and C, syphilis, gonorrhea and chlamydia. Little is known about the prevalence of infectious disease in children in foster care.
For more information, email reesjonestrainings@childrens.com
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Trauma-informed, integrated primary care: A medical home model for children with prenatal drug exposure who enter foster care
Hilda Loria, Jill McLeigh, Kelsey Craker, and Susanna Bird
The rise in prenatal or childhood substance exposure diagnoses resulting from parental substance use has led to an increase in the number of children placed in foster care. Meeting the multifaceted health care needs of children with prenatal drug exposure (PDE) who enter foster care requires significant time, resources, and coordination. In addition to conditions resulting from their experiences of trauma, children in foster care often have unmet health care needs and experience disproportionate rates of adverse physical, mental and developmental health outcomes. This article outlines the barriers to providing comprehensive and high-quality care to this pediatric population and describes a trauma-informed, integrated primary care medical home model as a promising strategy to address these barriers. It concludes with a description of the limitations of the model and considerations in the implementation of trauma-informed, integrated primary care as a healthcare delivery model for children with PDE who enter foster care.
For more information, email reesjonestrainings@childrens.com
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Development Status of Young Children in Foster Care
Jill McLeigh, Karlyn Tunnell, and Cecilia Lazcano
Children in foster care (CFC) may be at higher risk for developmental problems. This study sought to determine (1) the percentage of CFC with developmental problems seen at an integrated primary care clinic and (2) whether the presence of various risk factors was associated with increased odds of developmental problems in general and across developmental domains.
For more information, email reesjonestrainings@childrens.com
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Development of an Integrated Medical and Behavioral Health Care Model for Children in Foster Care
Kimberly Stone, Sara Pollard, and Sara Moore
Children in foster care are classified as a population with special health care needs. They face multiple adverse childhood experiences and disrupted relationships, yet face barriers accessing consistent, high-quality health care. The American Academy of Pediatrics recommends integrated physical and behavioral health care for children in foster care, but little is known about the implementation of integrated care for this population. As a pediatrician, doctor of nursing practice, and psychologist in an academic medical setting, we describe the development and implementation of the Rees-Jones Center for Foster Care Excellence, emphasizing the role of medical and behavioral health providers in promoting the overall well being of children in foster care. We discuss the evolution of the integrated care model, as well as current initiatives for quality improvement, research, and advocacy; and future goals for evaluation, education, policy, and collaboration to improve the lives of children in foster care.
For more information, please contact reesjonestrainings@childrens.com
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Caring for children in child welfare systems: A trauma-informed model of integrated primary care
Laura Lamminen, Jill McLeigh, and Heidi Roman
Children involved with the child welfare system have high rates of behavioral health concerns, chronic health conditions, and developmental disabilities. Further, as a result of the complicated relationships among the court system, child protective services, and caregivers (i.e., biological, kinship, and/or foster caregivers) and the high volume of health-, behavior-, and development-related services children in care need, the services they receive tend to be fragmented and problem driven. On top of these challenges, children involved with the child welfare system have been exposed to trauma, and often more than one form of trauma. Taken together, these factors point to the need for care that is trauma-informed and integrated whereby health care is provided by a multidisciplinary team working collaboratively. This article describes such a model, including information about its development, structure and organization, and programs. It concludes with a discussion of lessons learned and remaining challenges.
For more information, please contact reesjonestrainings@childrens.com
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Caring for children in foster and kinship care during a pandemic: lessons learned and recommendations
Hilda Loria, Jill McLeigh, Kristin Wolfe, Erinne Conner, Valerie Smith, Christopher S. Greeley, and Rachel J. Keefe
Through qualitative feedback from professionals in healthcare, mental health, and child welfare, this study explored the impact of the COVID-19 pandemic on the health and well-being of children in the child welfare system. Positive outcomes and challenges related to the care of children in foster or kinship care in Texas during the COVID-19 pandemic are described. Themes identified included disparities in the child welfare system; utilization of telehealth; cross-sector communication and collaboration; safety considerations; and placement stability and support. The article concludes with recommendations in each of these areas for ensuring the health and well-being of children in foster and kinship care during a pandemic.
For more information, please contact reesjonestrainings@childrens.com
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Trauma Treatment for Children in the Child Welfare System
The Rees-Jones Center for Foster Care Excellence
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