Community child health, public health and epidemiology
Mental health and foster carer training
H Minnis, A J Pelosi, M Knapp, J Dunn
Department of Child
and Adolescent Psychiatry, Caledonia House, Yorkhill NHS Trust, Glasgow
G3 8SJ, UK
Correspondence to: Dr Minnis gcl087{at}clinmed.gla.ac.uk
Accepted 15 November
2000
AIMS
To evaluate the impact of
training foster carers on children's emotional and behavioural functioning.
METHODSIn a randomised controlled
trial in 17 Scottish local council areas, with immediate and nine month
follow up, 182 children and their foster families were randomly
allocated to either standard services alone or standard services plus
extra training for foster carers on communication and attachment. Main
outcome measures were child psychopathology, attachment disorder, self
esteem, and cost of foster care.
RESULTSOver 60% of children had
measurable psychopathology at baseline. The training was perceived as
beneficial by participants. Scores for parent reported psychopathology
and attachment disorders decreased by around 5%, self esteem increased
by 2%, and costs by 22% in the intervention group. Results were
non-significant.
CONCLUSIONSDespite being well
received by foster carers, the training was not sufficient to make a
useful impact on the high level of psychopathology. This group may
warrant more intensive interventions.
Keywords: foster care; training; mental health
© 2001 by Archives of Disease in Childhood
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