To evaluate the efficacy of the Fostering Healthy Futures program in reducing mental health problems and associated problems.
Randomized controlled trial.
Denver metropolitan area.
Children aged 9 to 11 years who were maltreated and placed in foster care.
Children in the control group (n = 77) received an assessment of their cognitive, educational, and mental health functioning. Children in the intervention group (n = 79) received the assessment and participated in a 9-month mentoring and skills group program.
Main Outcome Measures
Children and caregivers were interviewed at baseline prior to randomization, immediately following the intervention, and 6 months after the intervention. Teachers were interviewed 2 times after baseline. Measures included a multi-informant index of mental health problems, youth-reported symptoms of posttraumatic stress, dissociation, and quality of life, and caregiver- and youth-reported use of mental health services and psychotropic medications.
After adjusting for covariates, intent-to-treat analyses demonstrated that the treatment group had fewer mental health problems on a multi-informant factor 6 months after the intervention (mean difference, −0.51; 95% confidence interval, −0.84 to −0.19), reported fewer symptoms of dissociation 6 months after the intervention (mean difference, −3.66; 95% confidence interval, −6.58 to −0.74), and reported better quality of life immediately following the intervention (mean difference, 0.11; 95% confidence interval, 0.03 to 0.19). Fewer youths in the intervention group than in the control group had received recent mental health therapy 6 months after the intervention according to youth report (53% vs 71%, respectively; relative risk = 0.75; 95% confidence interval, 0.57 to 0.98).
A 9-month mentoring and skills group intervention for children in foster care can be implemented with fidelity and high uptake rates, resulting in improved mental health outcomes.
clinicaltrials.gov Identifier: NCT00809315