Pir poster nih idrs ucsf


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Pir poster nih idrs ucsf

  1. 1. Background Creating Partnerships to Identify the Health Needs of Foster Care Indian Youth 1R03HD059508 Bonnie Halpern-Felsher, Ph.D. 1 , Nanette Gledhill, MSW 2 , and Heather Zenone, J.D. 2 1 University of California, San Francisco and 2 Indian Dispute Resolution Services, Inc. Methods Phases METHODS: This project involves three phases. Phase I : Focus groups with Native American leaders and service providers who work with both non-Native American and Native American foster youth, to provide data on their experiences with foster youth and the foster care system, and obstacles faced as youth age out of the system. Phase II : Focus groups with Native American foster youth, to provide information on youth’s experiences with the foster care system, and obstacles faced by the Native American and non-Native American communities. Phase III : Bring together leaders of the Native American communities, providers, and youth to share the findings and identify solutions. Recruitment is from three geographical areas in which there are significant concentrations of Indian foster children: San Diego County, The San Francisco/Oakland Bay Area, and Humboldt County. Results <ul><li>Complete the analyses and dissemination of findings from Phase I. </li></ul><ul><li>Continue to conduct focus groups with Native American foster care youth </li></ul><ul><li>Disseminate findings to the Native American community, bringing together leaders of the Native American communities, providers, and youth to share the findings and identify solutions. </li></ul>Future Plans Implications Results <ul><ul><li>1) Collect information about the few </li></ul></ul><ul><ul><li>programs in California responding programmatically to Native American youth aging out of the foster care system, </li></ul></ul><ul><ul><li>and to identify barriers to care that </li></ul></ul><ul><ul><li>have not been addressed by current </li></ul></ul><ul><ul><li>or previous programmatic efforts; </li></ul></ul><ul><ul><li>2) Increase the visibility of and </li></ul></ul><ul><ul><li>urgency for the needs of foster youth </li></ul></ul><ul><ul><li>among the Indian community and </li></ul></ul><ul><ul><li>non-Indian social services agencies </li></ul></ul><ul><ul><li>community; </li></ul></ul>Project Objectives and Aims Project Objectives and Aims (cont.) <ul><li>Phase I: Focus Groups with Providers </li></ul><ul><li>Total of 6 focus groups conducted, 2 in each area: </li></ul><ul><li>Findings from Phase I: </li></ul><ul><li>Few culturally appropriate prevention, mental health, reunification or other services are available for foster care youth, even fewer services are available for youth transitioning out of foster care, and still fewer specific for Indian youth; </li></ul><ul><li>(2) There is little coordination or tracking of youth and youth-related services between tribes and local or county agencies; </li></ul><ul><li>(4) Transportation is limited for youth get to and from various services, and there is often only one ICWA (Indian Child Welfare Act) worker per area; </li></ul><ul><li>(5) Many foster youth, including Indian youth, are in the probation system, but few counties offer culturally appropriate services to Indian probation youth; </li></ul><ul><li>(7) Indian services are local, usually county-based or tribal, in part because funding is allocated geographically. As a consequence, what exists in one county is not likely to exist in another county, creating a decentralized child welfare system; </li></ul><ul><li>(8) ICWA’s requirement of culturally appropriate services are key to effectively addressing the mental health needs of Indian youth in state systems, supporting Indian family unity, and helping perpetuate traditional Indian cultures. </li></ul>Table 1: Demographic Characteristics of Providers Participating in Focus Groups Enhance relations between the Native American community and non-Indian social service and public health officials. Provide key evidence to support the importance of scientific explorations among the Native American community. <ul><ul><li>American Indian children are significantly more likely to be placed in out-of-home care than other children. </li></ul></ul><ul><ul><li>A major concern in Native American communities is the lack of access to appropriate mental and physical health and other transitional support services for youth who are “aging out” of the foster care setting. </li></ul></ul><ul><ul><li>This gap is due in part to: </li></ul></ul><ul><ul><li>a) Non-Indian social service agencies’ resistance to acknowledging and understanding the cultural differences and unique services needed for Indian youth and their families; </li></ul></ul><ul><ul><li>b) Leaders in the Indian communities having suspicion and fear of public health and scientific efforts, thereby often avoiding participating in research or accessing needed public health services </li></ul></ul>3) Convene tribes with organizations that can make a difference to discuss the associated problems, “best practices”, and gaps identified through this project. <ul><li>Phase II: Focus Groups with Youth </li></ul><ul><li>We have completed one set of focus groups, with a total of 2 male and 5 female Native American youth and young adults. </li></ul><ul><li>Findings from Phase II: </li></ul><ul><ul><li>Recruiting and interviewing youth was more difficult then expected: </li></ul></ul><ul><ul><ul><li>For youth under age 18, initial communication and follow through regarding research </li></ul></ul></ul><ul><ul><ul><li>participation is heavily reliant on community contacts, social workers, and guardians. </li></ul></ul></ul><ul><ul><ul><li>As a result, there are many cracks in communication through which a prospective </li></ul></ul></ul><ul><ul><ul><li>Research participant under the age of 18 may fall. </li></ul></ul></ul><ul><ul><ul><li>Humboldt County CPS (Child Protective Services) would not allow IDRS to interview </li></ul></ul></ul><ul><ul><ul><li>minors. </li></ul></ul></ul>Results (cont.) <ul><li>Findings from Phase II: </li></ul><ul><ul><li>Youth tend to focus on the lack of relationships with family, particularly siblings. </li></ul></ul><ul><ul><li>Youth engaged with Independent Living Services tend to be the most well-informed about the services and opportunities available to them. </li></ul></ul><ul><ul><li>Housing and income support for aged-out Indian foster youth tends to come from Tribal TANF (Temporary Assistance for Needy Families) programs, which requires they be parents. </li></ul></ul>Phase III: Dissemination Efforts Research and initial findings have been presented to a number of TANF offices, Native American Health Centers, Probation Offices, and Tribes.   Males Females White African American Native American Asian White African American Native American Asian 1 1 2 1 8 2 15 0