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Patient-centered psychiatric care for youth in foster care

A systematic and critical review

Bibliographic Data

ID12803450
AuthorsErin R Barnett (0000-0002-2417-7949, Dartmouth–Hitchcock Medical Center, corresponding author), Milangel T Concepción-Zayas (Dartmouth–Hitchcock Medical Center), Yaara Zisman‐Ilani (0000-0001-6852-2583, Temple University), Christopher Bellonci (0000-0003-3416-2799, Harvard University)
Year2018
Volume13
Issue4
Pages462-489
Publication date2018-09-11
Peer ReviewedYes
Open AccessNo
TypeARTICLE
VenueJournal of Public Child Welfare (JOURNAL)
Journal identifiersISSN: 1554-8732 • E-ISSN: 1554-8740
PublisherTaylor & Francis (PUBLISHER • GB)
DOI10.1080/15548732.2018.1512933
OpenAlexW2891178485
LanguageEN
Citations received7
References cited48

Youth in the U.S. foster care system are prescribed risky psychotropic medications at high rates. In response, state child welfare agencies have developed policies, yet there is little research to inform patient-centered care (PCC) approaches. To fill this gap, we aimed to identify (1) the perspectives of youth in or formerly in foster care and their caregivers and providers regarding how psychiatric care aligns or does not align with PCC, and (2) effectiveness of interventions aiming to improve PCC within this context. We conducted a systematic review of the literature based on PRISMA-P guidelines, searching four databases and gray literature. Eleven studies met inclusion criteria and quality appraisal benchmarks, none of which were interventions. We applied narrative synthesis techniques to six studies that described youth/former youth perspectives. They described a pervasive lack of knowledge, perceived little voice in decision-making, and described imbalanced power between patients and providers and weak therapeutic relationships, whereas feeling understood by providers and being provided autonomy in decisions were helpful. Systemic barriers also contributed to many concerns. We make a limited number of recommendations to leaders and policy-makers based on our synthesis, however, many critical research steps are needed

Alternative medicine · Autonomy · Context (archaeology · Critical appraisal · Feeling · Foster care · Grey literature · Inclusion (mineral · MEDLINE · Political science · Psychological intervention · Systematic review · Child Abuse and Trauma · Child and Adolescent Psychosocial and Emotional Development · Child Welfare and Adoption · Medicine · Nursing · Psychology · Social Psychology

  • Deprescribing Psychiatric Medications in Youth

    Open Access•Erin R Barnett, Jennifer McLaren et al.•Community Mental Health Journal•2026

  • How might we improve the mental health and well-being of care-experienced children and young people? Review and map of intervention theories

    Open Access•Rhiannon E Evans, Sarah Macdonald et al.•Journal of Social Work•2026

  • What Mental Health and Wellbeing Interventions Work for Which Children and Young People in Care? Systematic Review of Potential Outcome Inequities

    Open Access•Rhiannon E Evans, Rob Trubey et al.•Child and Adolescent Social Work…•2025

  • The L.Y.G.H.T. Program

    Open Access•Monique B Mitchell, Donna L Schuurman et al.•Child and Adolescent Social Work…•2024

  • Interventions Targeting the Mental Health and Well-being of Care-Experienced Children and Young People

    Open Access•Rhiannon E Evans, Rhiannon Evans et al.•The British Journal of Social Work•2024

  • Experiences of child welfare workers regarding psychotropic medications

    Open Access•Hughe, Shannon Hughes et al.•Children and Youth Services Review•2020

  • Psychotropic medication prescribing in male juvenile justice facilities

    Open Access•Ashley N Anderson, John T Rapp et al.•Children and Youth Services Review•2024

  • Mental Health Need and Access to Mental Health Services by Youths Involved With Child Welfare

    Open Access•Barbara J Burns, Susan D Phillips et al.•Journal of the American Academy…•2004

  • Preferred reporting items for systematic review and meta-analysis protocols (PRISMA-P) 2015

    Open Access•Larissa Shamseer, David Moher et al.•BMJ•2015

  • Worked examples of alternative methods for the synthesis of qualitative and quantitative research in systematic reviews

    Open Access•Patricia J Lucas, Jennifer Baird et al.•BMC Medical Research Methodology•2007

  • Developmental and Behavioral Needs and Service Use for Young Children in Child Welfare

    Aubyn C Stahmer, Laurel K Leslie et al.•PEDIATRICS•2005

  • Prevalence of Psychiatric Disorders Among Older Youths in the Foster Care System

    Open Access•J Curtis McMillen, Bonnie T Zima et al.•Journal of the American Academy…•2005

  • Patient-Centered Care and Outcomes

    Open Access•Cheryl Rathert, Mary D Wyrwich et al.•Medical Care Research and Review•2013

  • How should patients behave to facilitate shared decision making – the doctors’ view

    Open Access•Johannes Hamann, Rosmarie Mendel et al.•Health Expectations•2012

  • Mental health professionals’ attitudes towards people with mental illness

    Open Access•Lars Hansson, Henrika Jormfeldt et al.•International Journal of Social…•2013

  • To Forgive and Discredit

    Open Access•Leah G Pope•Culture Medicine and Psychiatry•2015

  • Patient-centredness

    Open Access•Nicola Mead, Peter Bower•Social Science & Medicine•2000

  • Adolescents’ Commitment to Continuing Psychotropic Medication

    Open Access•Tally Moses•Child Psychiatry & Human…•2010

  • Perspectives on Psychotropic Medication Treatment Among Young Adults Formerly Served in Public Systems of Care

    Open Access•Sarah C Narendorf, Michelle R Munson et al.•Journal of the Society for Social…•2015

  • Psychotropic medications in child welfare

    Open Access•Erin R Barnett, Rebecca L Butcher et al.•Children and Youth Services Review•2016

  • Decision-making around psychotropic medications for children in foster care

    Open Access•Erin R Barnett, Elizabeth A Boucher et al.•Children and Youth Services Review•2016

  • Informed consent, gatekeepers and go‐betweens

    Open Access•Sue Heath, Vikki Charles et al.•British Educational Research…•2007

  • Uncanny Scripts

    Open Access•M Oldani, Michael J Oldani•Transcultural Psychiatry•2009

Unique citing works7
Citations per year1.17
Citation span2020 - 2026 (7)
Citation velocitycurrent
Highly citedNo
Citation typesNeutral: 7

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