Understanding Health Risks for Adolescents in Protective Custody

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Autor/inn/en	Beal, Sarah J.; Nause, Katie; Crosby, Imani; Greiner, Mary V.
Titel	Understanding Health Risks for Adolescents in Protective Custody
Quelle	In: Journal of Applied Research on Children, 9 (2018) 1, Artikel 2 (25 Seiten)Infoseite zur Zeitschrift PDF als Volltext kostenfreie Datei Verfügbarkeit
Sprache	englisch
Dokumenttyp	gedruckt; online; Zeitschriftenaufsatz
ISSN	2155-5834
Schlagwörter	Child Welfare; Foster Care; Child Health; At Risk Persons; Quality of Life; Health Behavior; Young Adults; Mental Disorders; Substance Abuse; Sexually Transmitted Diseases; Pregnancy; Chronic Illness; Prevention; Intervention; Youth; Depression (Psychology); Behavior Disorders; Allergy; Obesity; Visual Impairments; Hearing Impairments; Gender Differences; Independent Living; Adolescents; Child Abuse; Ohio + Suchen Sie Ihr Suchwort? Kindeswohl; Pflegehilfe; Risikogruppe; Lebensqualität; Health behaviour; Gesundheitsverhalten; Young adult; Junger Erwachsener; Mental illness; Geisteskrankheit; Drug use; Drug consomption; Drogenkonsum; Sexual transmitted disease; Geschlechtskrankheit; Schwangerschaft; Chronic disease; Chronische Krankheit; Prävention; Vorbeugung; Jugend; Jugendlicher; Jugendalter; Allergie; Adipositas; Visual handicap; Sehbehinderung; Hearing impairment; Hörbehinderung; Geschlechterkonflikt; Selbstverantwortung; Adolescent; Adolescence; Adoleszenz; Abuse of children; Abuse; Child; Children; Kindesmissbrauch; Missbrauch; Kind; Kinder
Abstract	Children in child welfare protective custody (e.g., foster care) are known to have increased health concerns compared to children not in protective custody. The poor health documented for children in protective custody persists well into adulthood; young adults who emancipate from protective custody report poorer health, lower quality of life, and increased health risk behaviors compared to young adults in the general population. This includes increased mental health concerns, substance use, sexually transmitted infections, unintended pregnancy, and HIV diagnosis. Identifying youth in protective custody with mental health concerns, chronic medical conditions, and increased health risk behaviors while they remain in custody would provide the opportunity to target prevention and intervention efforts to curtail poor health outcomes while youth are still connected to health and social services. This study leveraged linked electronic health records and child welfare administrative records for 351 youth ages 15 and older to identify young people in custody who were experiencing mental health conditions, chronic medical conditions, and health risk behaviors (e.g., substance use, sexual risk). Results indicate that 41.6% of youth have a mental health diagnosis, with depression and behavior disorders most common. Additionally, 41.3% of youth experience chronic medical conditions, primarily allergies, obesity, and vision and hearing concerns. Finally, 39.6% of youth use substances and 37.0% engage in risky sexual behaviors. Predictors of health risks were examined. Those findings indicate that women, those with longer lengths of stay and more times in custody, and those in independent living and conjugate care settings are at greatest risk for mental health conditions, chronic medical conditions, and health risk behaviors. Results suggest a need to ensure that youth remain connected to health and mental health safety nets, with particular attention needed for adolescents in care for longer and/or those placed in non-family style settings. Understanding who is at risk is critical for developing interventions and policies to target youth who are most vulnerable for increased health concerns that can be implemented while they are in custody and are available to receive services. (As Provided).
Anmerkungen	Children At Risk. 2900 Weslayan Street Suite 400, Houston, TX 77027. Tel: 713-869-7740; Fax: 713-869-3409; e-mail: jarc@childrenatrisk.org; Web site: http://digitalcommons.library.tmc.edu/childrenatrisk/
Erfasst von	ERIC (Education Resources Information Center), Washington, DC
Update	2020/1/01