Elizabeth M Z Farmer
Biographic Data
| ID | 168695 |
|---|---|
| NAME | Elizabeth M Z Farmer |
| GIVEN NAMES | Elizabeth M Z |
| FAMILY NAME | Farmer |
| SIGNATURE | FARMER E M Z |
| AFFILIATIONS | Duke University |
| ORCID | 0000-0001-9480-5819 |
| VERIFIED | Yes |
| TOTAL WORKS | 21 |
| TOTAL CITATIONS | 260 |
| AUTHOR COUNT | 21 |
| EDITOR COUNT | 0 |
| FIRST PUBLICATION YEAR | 1992 |
| LATEST PUBLICATION YEAR | 2025 |
| H-INDEX | 7 |
Keeping the Legacy Alive
Factor Structure and Predictors of Resilience Among Custodial Grandparents
Resilience plays a significant role in buffering the negative effects of parenting stress among custodial grandparents. Using a sample of 76 custodial grandparents, this study aimed to investigate the psychometric properties and factor structure of the 10-item Connor-Davidson Resilience Scale and to examine the predictors at individual level (demographic characteristics and stress management), interpersonal level (positive social support and nega…
Rethinking mental healthcare for refugees
After several years of downturn in new resettlement, the United States is projected to admit 125,000 refugees in the current fiscal year. Refugee communities have known risks of developing mental health problems due to high rates of exposure to war and conflict-related trauma and chronic stressors associated with displacement and resettlement. In this commentary, we examine limitations in the current system of mental health care available to newl…
The importance of youth perspectives in understanding perceptions of safety and outcomes in group homes
Kinship navigation
Estimating the effects of independent living services on educational attainment and employment of foster care youth
Is more better? Examining whether enhanced consultation/coaching improves implementation
It is extremely challenging to implement evidence-based interventions in community-based agencies with sufficient quality, fidelity, and intensity to produce desired changes in practice and outcomes. This is particularly difficult to do within the confines of existing service providers' time, personnel, and resource constraints. Over the past 15 years, Together Facing the Challenge (TFTC) has been developed, tested, and disseminated in an effort …
Measuring fidelity of empirically‐supported treatment foster care
This manuscript describes the development and psychometric testing of an instrument to assess implementation fidelity of Together Facing the Challenge (TFTC), an evidence‐based approach to treatment foster care (TFC). The development of TFTC utilized a hybrid approach by bringing together components from evidence‐based interventions with data on “what works” in usual care treatment foster care to create an intervention designed to provide enhance…
The need to do it all
Service use and multi-sector use for mental health problems by youth in contact with child welfare
Current status and evidence base of training for foster and treatment foster parents
Parent-Training Programs in Child Welfare Services
Child welfare service agencies provide parent training as part of their legally mandated responsibility to provide services to assist families to keep their children at home or to achieve reunification. The use of parent-training programs for families in the child welfare system has undergone relatively little examination. Mental health, special education, and juvenile justice have been identifying evidence-based approaches that have demonstrated…
Pathways Into and Through Mental Health Services for Children and Adolescents
OBJECTIVE: This study examined points of entry into the mental health service system for children and adolescents as well as patterns of movement through five service sectors: specialty mental health services, education, general medicine, juvenile justice, and child welfare. METHODS: The data were from the Great Smoky Mountains Study, a longitudinal epidemiologic study of mental health problems and service use among youths. The sample consisted o…
Use of Mental Health Services by Youth in Contact with Social Services
This article compares mental health service need and use among three groups of children: those with a history of foster care placement, those in contact with departments of social services but never in placement, and those from impoverished families who have not been in contact with social services. Data come from a longitudinal epidemiologic study of mental health problems and service use. All three groups show very high rates of mental health p…
Developmental science, systems of care, and prevention of emotional and behavioral problems in youth
Developmental science, a metatheoretical framework for investigating individual development across the lifecourse, is discussed in terms of its application to prevention and treatment of emotional and behavioral problems. The multifaceted, dynamic, and bidirectional contribution of factors, both internal and external to the individual, is thus emphasized. Key aspects of developmental science, systems of care, and prevention are described, and the…
Issues confronting effective services in systems of care
Use, Persistence, and Intensity
Perceived parental burden and service use for child and adolescent psychiatric disorders
OBJECTIVES: Pediatric chronic physical illness and adult psychiatric disorders are substantial sources of burden for family care-takers, but little attention has been paid to parental burden resulting from children's or adolescents' psychiatric disorders. This paper describes the predictors of perceived parental burden and its impact on the use of specialty mental health and school services. METHODS: A representative general population sample of …
Psychiatric disorders among American Indian and white youth in Appalachia
OBJECTIVES: This study examined prevalence of psychiatric disorders, social and family risk factors for disorders, and met and unmet needs for mental health care among Appalachian youth. METHODS: All 9-, 11-, and 13-year-old American Indian children in an 11-county area of the southern Appalachians were recruited, together with a representative sample of the surrounding population of White children. RESULTS: Three-month prevalences of psychiatric…
Children's Mental Health Service Use Across Service Sectors
This DataWatch explores the roles of human service sectors (mental health, education, health, child welfare, and juvenile justice) in providing mental health services for children. The data are from the first wave of the Great Smoky Mountains Study of Youth, a population-based study of psychopathology and mental health service use among children. The results show somewhat higher rates of mental health service use than has been reported previously…
Evaluation of a self-help dietary intervention in a primary care setting
BACKGROUND. Dietary intervention to reduce fat consumption and increase fiber consumption has been recommended by the National Cancer Institute, but there is little evidence concerning the effectiveness of self-help materials. The purpose of this study was to evaluate such self-help materials, introduced by a nurse in a primary care setting. METHODS. A randomized controlled trial involving 242 subjects was conducted in two primary care clinics in…
Parent-Training Programs in Child Welfare Services
Child welfare service agencies provide parent training as part of their legally mandated responsibility to provide services to assist families to keep their children at home or to achieve reunification. The use of parent-training programs for families in the child welfare system has undergone relatively little examination. Mental health, special education, and juvenile justice have been identifying evidence-based approaches that have demonstrated…
Use of Mental Health Services by Youth in Contact with Social Services
This article compares mental health service need and use among three groups of children: those with a history of foster care placement, those in contact with departments of social services but never in placement, and those from impoverished families who have not been in contact with social services. Data come from a longitudinal epidemiologic study of mental health problems and service use. All three groups show very high rates of mental health p…
Perceived parental burden and service use for child and adolescent psychiatric disorders
OBJECTIVES: Pediatric chronic physical illness and adult psychiatric disorders are substantial sources of burden for family care-takers, but little attention has been paid to parental burden resulting from children's or adolescents' psychiatric disorders. This paper describes the predictors of perceived parental burden and its impact on the use of specialty mental health and school services. METHODS: A representative general population sample of …
Current status and evidence base of training for foster and treatment foster parents
Use, Persistence, and Intensity
Psychiatric disorders among American Indian and white youth in Appalachia
OBJECTIVES: This study examined prevalence of psychiatric disorders, social and family risk factors for disorders, and met and unmet needs for mental health care among Appalachian youth. METHODS: All 9-, 11-, and 13-year-old American Indian children in an 11-county area of the southern Appalachians were recruited, together with a representative sample of the surrounding population of White children. RESULTS: Three-month prevalences of psychiatric…
Service use and multi-sector use for mental health problems by youth in contact with child welfare
Estimating the effects of independent living services on educational attainment and employment of foster care youth
Issues confronting effective services in systems of care
The need to do it all
Kinship navigation
Evaluation of a self-help dietary intervention in a primary care setting
BACKGROUND. Dietary intervention to reduce fat consumption and increase fiber consumption has been recommended by the National Cancer Institute, but there is little evidence concerning the effectiveness of self-help materials. The purpose of this study was to evaluate such self-help materials, introduced by a nurse in a primary care setting. METHODS. A randomized controlled trial involving 242 subjects was conducted in two primary care clinics in…
Keeping the Legacy Alive
Factor Structure and Predictors of Resilience Among Custodial Grandparents
Resilience plays a significant role in buffering the negative effects of parenting stress among custodial grandparents. Using a sample of 76 custodial grandparents, this study aimed to investigate the psychometric properties and factor structure of the 10-item Connor-Davidson Resilience Scale and to examine the predictors at individual level (demographic characteristics and stress management), interpersonal level (positive social support and nega…
Measuring fidelity of empirically‐supported treatment foster care
This manuscript describes the development and psychometric testing of an instrument to assess implementation fidelity of Together Facing the Challenge (TFTC), an evidence‐based approach to treatment foster care (TFC). The development of TFTC utilized a hybrid approach by bringing together components from evidence‐based interventions with data on “what works” in usual care treatment foster care to create an intervention designed to provide enhance…
Evaluation of a self-help dietary intervention in a primary care setting
BACKGROUND. Dietary intervention to reduce fat consumption and increase fiber consumption has been recommended by the National Cancer Institute, but there is little evidence concerning the effectiveness of self-help materials. The purpose of this study was to evaluate such self-help materials, introduced by a nurse in a primary care setting. METHODS. A randomized controlled trial involving 242 subjects was conducted in two primary care clinics in…
Children's Mental Health Service Use Across Service Sectors
This DataWatch explores the roles of human service sectors (mental health, education, health, child welfare, and juvenile justice) in providing mental health services for children. The data are from the first wave of the Great Smoky Mountains Study of Youth, a population-based study of psychopathology and mental health service use among children. The results show somewhat higher rates of mental health service use than has been reported previously…
Psychiatric disorders among American Indian and white youth in Appalachia
OBJECTIVES: This study examined prevalence of psychiatric disorders, social and family risk factors for disorders, and met and unmet needs for mental health care among Appalachian youth. METHODS: All 9-, 11-, and 13-year-old American Indian children in an 11-county area of the southern Appalachians were recruited, together with a representative sample of the surrounding population of White children. RESULTS: Three-month prevalences of psychiatric…
Perceived parental burden and service use for child and adolescent psychiatric disorders
OBJECTIVES: Pediatric chronic physical illness and adult psychiatric disorders are substantial sources of burden for family care-takers, but little attention has been paid to parental burden resulting from children's or adolescents' psychiatric disorders. This paper describes the predictors of perceived parental burden and its impact on the use of specialty mental health and school services. METHODS: A representative general population sample of …
Use, Persistence, and Intensity
Issues confronting effective services in systems of care
Use of Mental Health Services by Youth in Contact with Social Services
This article compares mental health service need and use among three groups of children: those with a history of foster care placement, those in contact with departments of social services but never in placement, and those from impoverished families who have not been in contact with social services. Data come from a longitudinal epidemiologic study of mental health problems and service use. All three groups show very high rates of mental health p…
Developmental science, systems of care, and prevention of emotional and behavioral problems in youth
Developmental science, a metatheoretical framework for investigating individual development across the lifecourse, is discussed in terms of its application to prevention and treatment of emotional and behavioral problems. The multifaceted, dynamic, and bidirectional contribution of factors, both internal and external to the individual, is thus emphasized. Key aspects of developmental science, systems of care, and prevention are described, and the…
Pathways Into and Through Mental Health Services for Children and Adolescents
OBJECTIVE: This study examined points of entry into the mental health service system for children and adolescents as well as patterns of movement through five service sectors: specialty mental health services, education, general medicine, juvenile justice, and child welfare. METHODS: The data were from the Great Smoky Mountains Study, a longitudinal epidemiologic study of mental health problems and service use among youths. The sample consisted o…
Parent-Training Programs in Child Welfare Services
Child welfare service agencies provide parent training as part of their legally mandated responsibility to provide services to assist families to keep their children at home or to achieve reunification. The use of parent-training programs for families in the child welfare system has undergone relatively little examination. Mental health, special education, and juvenile justice have been identifying evidence-based approaches that have demonstrated…
Current status and evidence base of training for foster and treatment foster parents
Service use and multi-sector use for mental health problems by youth in contact with child welfare
The need to do it all
Measuring fidelity of empirically‐supported treatment foster care
This manuscript describes the development and psychometric testing of an instrument to assess implementation fidelity of Together Facing the Challenge (TFTC), an evidence‐based approach to treatment foster care (TFC). The development of TFTC utilized a hybrid approach by bringing together components from evidence‐based interventions with data on “what works” in usual care treatment foster care to create an intervention designed to provide enhance…
Is more better? Examining whether enhanced consultation/coaching improves implementation
It is extremely challenging to implement evidence-based interventions in community-based agencies with sufficient quality, fidelity, and intensity to produce desired changes in practice and outcomes. This is particularly difficult to do within the confines of existing service providers' time, personnel, and resource constraints. Over the past 15 years, Together Facing the Challenge (TFTC) has been developed, tested, and disseminated in an effort …
Estimating the effects of independent living services on educational attainment and employment of foster care youth
Kinship navigation
Rethinking mental healthcare for refugees
After several years of downturn in new resettlement, the United States is projected to admit 125,000 refugees in the current fiscal year. Refugee communities have known risks of developing mental health problems due to high rates of exposure to war and conflict-related trauma and chronic stressors associated with displacement and resettlement. In this commentary, we examine limitations in the current system of mental health care available to newl…
The importance of youth perspectives in understanding perceptions of safety and outcomes in group homes
Factor Structure and Predictors of Resilience Among Custodial Grandparents
Resilience plays a significant role in buffering the negative effects of parenting stress among custodial grandparents. Using a sample of 76 custodial grandparents, this study aimed to investigate the psychometric properties and factor structure of the 10-item Connor-Davidson Resilience Scale and to examine the predictors at individual level (demographic characteristics and stress management), interpersonal level (positive social support and nega…
Keeping the Legacy Alive
Medicine (17 works) · Psychology (17 works) · Psychiatry (15 works) · Nursing (11 works) · Child and Adolescent Psychosocial and Emotional Development (10 works) · Mental health (10 works) · Child Welfare and Adoption (9 works) · Business (7 works) · Foster care (7 works) · Political science (7 works)