Mentoring Youth in Foster Care Rachel Kohl, BEST Kids Amber Troupe, Mentor Michigan Heather Taussig, Fostering Healthy Futures Statistics on Foster Care • • • • Higher school dropout rate Higher teen pregnancy rate Higher crime rates Milieu of developmental, emotional, and behavioral problems • 424,000 youth in foster care at the end of 2009 BEST Kids Mentoring Program Shape a future, mentor a child. District of Columbia • Approximately 5,000 children involved in the child welfare system • 2,004 new substantiated cases of abuse or neglect in 2009 • Fifth highest entry rate into care in the U.S. • Volunteer Mentoring Partnership Data from DC Action for Children BEST Kids Mission BEST Kids works to promote better futures for youth in DC’s child welfare system by developing and supporting mentoring relationships with caring, consistent adults. Building Experiences, Skills, and Teamwork: Mentoring America’s Foster Care Youth BEST Kids Program Design • Initiated Volunteer Mentoring Partnership with District government • One-to-one volunteer mentoring • Experiential Learning Peer Groups • Initial and Ongoing Mentor Trainings • Intensive Staff Support • Early and ongoing long-term intervention Building Experiences, Skills, and Teamwork: Mentoring America’s Foster Care Youth One-to-One Mentoring • At least 10 hours per month • Weekly contact • Intentional Mentoring • Extensive Training • Mentor reporting Building Experiences, Skills, and Teamwork: Mentoring America’s Foster Care Youth Peer Group http://www.youtube.com/watch?v=SF1VGUUlYc4 Building Experiences, Skills, and Teamwork: Mentoring America’s Foster Care Youth Peer Group • Second Saturday of the month • Required for Mentors and Mentees • Led by Peer Group Leaders, backgrounds in education • Community-based experiential learning activities • Provides additional mentoring opportunities for matches • Fully funded by BEST Kids – no cost to mentors Building Experiences, Skills, and Teamwork: Mentoring America’s Foster Care Youth Staff Support • 1:20 Staff-to-Match ratio • Bi-weekly contact with mentors • Monthly in-person meetings with youth • Advisory Board support when necessary Building Experiences, Skills, and Teamwork: Mentoring America’s Foster Care Youth VMP Grant • Initiated partnership in the midst of paidmentoring-friendly environment • One year grant with renewal eligibility for four years, started FY2010 • Three grantees currently • Decreasing funds from District government Building Experiences, Skills, and Teamwork: Mentoring America’s Foster Care Youth Foster Care Mentoring Act • “To support the establishment or expansion and operation of programs using a network of public and private community entities to provide mentoring for children in foster care.” • Sen. Mary Landrieu (LA), Rep. Karen Bass (CA) • 2002, 2003, 2005, 2007, 2009, 2011 … ? • Establishment of a National Hotline Service • Federal student loan forgiveness for mentors Building Experiences, Skills, and Teamwork: Mentoring America’s Foster Care Youth Contact Rachel Kohl rachel.kohl@bc.edu BEST Kids Jacklyn O’Hara jackie@bestkids.org (202) 397-3272 Mentoring Youth in Foster Care National Mentoring Summit January 2013 Mentor Michigan • Statewide Mentoring Partnership • Increasing the Quality and Quantity of Mentoring Relationships • Partnered with the Michigan Department of Human Services Foster Care Initiative • Identified Michigan programs serving youth in foster care • Identified the capacity of these programs • Identified barriers to serve more youth Foster Care Initiative • Developing relationships between mentoring programs and local DHS offices – Policy change within DHS to increase referrals – Increased communication Foster Care Initiative • Training – Mentoring programs on DHS practices and policies – DHS on mentoring programs practices – Foster care specific training to mentoring programs Foster Care Initiative • Statewide mentor recruitment • Utilized faith based partnerships Foster Care Initiative • Tools for Mentoring Programs • Tools for Mentors • May is Foster Care Month www.mentormichigan.org Contact Amber Troupe Mentor Michigan Director troupea@michigan.gov www.mentormichigan.org Mentoring Youth In Foster Care: The Fostering Healthy Futures Program Heather Taussig, Ph.D. Kempe Center, University of Colorado School of Medicine 2013 National Mentoring Summit “Our children’s future and the world’s future are one.” ~ Dr. C. Henry Kempe Development of the Fostering Healthy Futures Program My early experiences Experiences as a therapist Dissertation; rationale for age selection Focus groups Meeting with community leaders Fostering Healthy Futures (FHF) Program Design 1) Evaluations of Children’s Functioning 2) Therapeutic Skills Groups 3) Mentoring It Takes a Village Denver Department of Human Services Adams County Social Services Department Jefferson County Human Services Arapahoe County Department of Human Services Broomfield County Health and Human Services Colorado Department of Human Services Graduate schools -DU, Newman, CSU, UCD, Metro School districts and schools Mental health centers and therapists Children and families Prior staff Volunteers David Olds Ann Petrila Daniel Hettleman Kempe Center Kempe Foundation Department of Pediatrics Youth Mentoring Collaborative Developmental Psychobiology Research Group Fostering Healthy Futures Team Sara Culhane, Ph.D., JD Melody Combs, Ph.D. Orah Fireman, LCSW Edward Garrido, Ph.D. Wendy Gehring, B.A. Rebecca Gennerman-Schroeder, MA, LPC John Holmberg, Psy.D. Jenny Koch, MSW Mike Knudtson, MA Christie Petrenko, Ph.D. Heather Taussig, Ph.D. Robyn Wertheimer, LCSW FHF Graduate Student Research Assistants and Group Leaders • • • • • • • • • • • • • • • • • • • • • • Brendan Close Erika Joye Nicole Lariviere Amy Franke Mia Kim Jessi Wheatley Melani Dawson-Lear Melanie Rodriguez Riley Spuhler Walter Heidenreich David Roberts Alexis Karris Marisa Duran Patrick Nickoletti Shawna Henry-Lange Dena Miller Thea Wessel Jennifer Sackett Amy Percosky Tisha Bean Emily Macdonald Jill Gjerde Rachel Lund Ann Chu Yael Chatav Tiffany Conway Tracy Rudhe Brian Wolff Jenn Winkelmann Pam Freeman Danielle Smith Amanda Brown Heather Frey Vyga Kaufmann Neta Bargai Julie Bemski Jenell Ribble Martine Lopez Alana Henken Kathryn Jargo Liz Hooks Tara Buckley • Jordan Pock • Andrea Reece • • • • • • • • • • • • • • • • • • • • Sara Rosenau • Thea Wessel • Emily Rotbart Natalie Tolejko • Alana Henken • Laurel Story Kristen Simpson • Julie Bemski • Mayla Yang Shari Watters • Claire Heppner • Tish Wer Kristen Mackiewicz • Amy Percosky • Melena Postolowski Michelle Brunner • Andrea Temple • Claire Stephenson Lindsay Heath • Allison Glover • Allison Glover Kristin Nelson • Sarah Morehouse • Melissa Toppel Kate Slivka • Jennifer DeVault • Jasmine Crane Lindsay Smart • Debra Boeldt • Christina Hack Susan Whittle • Christine Kelley • Olga Leonova Elizabeth Goetter • Denise Onofrey • Leah Chelist Julie Lyons • Jennell Ribble • Katie Lange Courtney Fiedler • Alanna Gangemi • Allison Bratsch Edyta Biegunajtys • Jenny Doft • Kristen Vescera Claire Heppner • Jenea Jones • Leah Scandurra Clara Paynter • Kristin Allen • Emily Laux Kelsey McNeill • Maddie Philley • Tara Rhodes • Shawna Henry-Lange • Rachel Shulman • Leah Horrigan • Jenell Ribble • Leigh Clasby • Cory Reid-Vanas • Dena Miller • Sarah Perzow • Erica Ragan • Martine Lopez • Caroline Oppenheimer • • • • • • • • • • • • • • • • • • FHF Graduate Student Interns 2002-2003 • Melani Dawson-Lear • Kristine Wilson • Brenna Ellington • Lanette Ambers • Carrie Oliver 2003-2004 • Amy Bruner • Liz Dinsdale • Vashawn Banks • Josh Goldman • Marisa Duran • Amber Cross Thomas • Melanie Rodriguez • Clover Bone 2004-2005 • Tiffany Conway • Katie Ferguson • Katie Melstrom • Lisa Meyers • Kendra Sasa • Carla Scarpone • Lewis Smirl • Kelsey Wennesland • Regina Richards 2005-2006 • Michelle Brunner • Jocelyn Gray • Jon Phillips • Jennifer Stucka • Christina Haskins • Tina Francis • Sarah Kane • Mark Spehn • Jennifer Nelsen 2006-2007 • Lorendia Schmidt • Phoung Phan • Beth Lipschutz • Jacquelyn Eisenberg • Angela Bierle • Lisa Harrison • Nicole Henkins • Erin Hoglund 2007-2008 • Kerrie Earley • Ashley Moore • Justine Stewart • Lauren Goldberg • Marissa Nasca • Amber Wolfe • Jennifer Reynolds • Krystal Caduff 2007-2008 (cont.) • Miranda Learmonth • Molly Jenkins • Rebekah Koenigbauer • Sarah Oakley • Lauren Timkovich • Sam Murillo • Elizabeth Berling • Kristin Krietemeyer 2008-2009 • Rachel Alpert • Katherine Belcher • Taylor Collins • Renata Heberton • Alyse Keilson • Blake Konner • Emily Lyons • Melissa Maurer • Regan Linton • Nina Modern • Jennifer Pitcavage • Meredith Schaffer • Holly Selepouchin • Heidi VanEpps • Katherine Ware 2009-2010 • Lissa Miller • Jenna Brown • Jane Simon • Allison Harris 2009-2010 (cont.) • Shane Spears • Jolie Rinebarger • Diane Bouhall • Kelly Fries • Erica Brown • Shavon Perkins • Jess Valsechi • Katie Kaser • Britta Johnson • Renea Nilsson • Laura Merten • Kyle Steinke 2010-2011 • Mele Cabral • Jon Florida • Sibyl Graham • Beth Hilligoss • Tighe Kaysar • Alexandria Lewis • Sarah Romero • Stacy Walsh • Jessica Devore • Jacquelyn Gabel • Jeffrey Hatcher • Ryan Holmes • Emily Laux • Megan Lovingier • Sapphire Rosier • Cami Wangaard *Over 80,000 hours of training provided to 116 interns NIH Funded Research Risk Behaviors in Maltreated Adolescents National Institute of Mental Health Dissertation Award, 1 R03 MH56781-01, $25,000. Preventive Interventions for Foster Care Youth National Institute of Mental Health, 1 K01 MH01972, $590,166. Intervention Development and Pilot for Foster Care Youth National Institute of Mental Health, 1 R21 MH067618, $472,500. Fostering Healthy Futures Efficacy Trial for Preadolescent Youth in Foster Care National Institute of Mental Health, 1 R01 MH076919, $2,655,734. Research Supplement to Promote Diversity in Health Related Research National Institute of Mental Health, 3 R01 MH0876919-02S1, $283,706. Recovery Act Administrative Supplement Providing Summer Research Experience for Student and Science Educators National Institute of Mental Health, 3 R01 MH0876919-03S1, $18,670. State, University, and Hospital Funding The Children’s Hospital Research Institute Tony Grampsas Youth Services, State of Colorado Colorado Clinical and Translational Sciences Institute ` Bridge Funding Program Support for Fostering Healthy Futures Academic Partnership for a collaboration between the University of Colorado Denver and the Denver Department of Human Services Colorado Clinical and Translational Sciences Institute Novel Methods Development Grant to assess stress reactivity Edward Byrne Memorial Justice Assistance Grant, Colorado Division of Criminal Justice, U.S. Department of Justice Clinical Support for Fostering Healthy Futures Funding Through Kempe Foundation 2002 2003 2003 2003 2003 2004 2004-present 2005 2005 2006 2006 2006 2006 2006 2006 2006 2007 2008 2008 2008 2008 2008 2008 2008 2008 2009 2009 2009 2009 2009 2010 2010 2010 Daniels Fund ($20,000) The Janus Foundation ($5,000) Bonfils Stanton Foundation ($10,000) PacifiCare ($10,000) U.S. Bank ($5,000) Daniels Fund ($50,000) Pioneer Fund ($1,500,000 endowment for Fostering Healthy Futures) Bonfils Stanton Foundation ($20,000) Daniels Fund ($50,000) Gannett Foundation ($3,000) First Data/Western Union ($5,000) Donor Advised Fund, Denver Foundation ($30,000) Anschutz Family Foundation ($3,333) Colorado Rockies Charity Fund ($10,000) Denver Foundation ($15,000) Daniels Fund ($60,000) Anschutz Family Foundation ($4,167) TJX Foundation ($3,000) Rockies/McCormick Foundation ($20,000) El Pomar Youth in Community Service - Arvada West High School ($500) El Pomar Youth in Community Service - Northglenn High School ($1,500) McGowan Foundation ($15,000) Daniels Fund ($60,000) MaggieGeorge Foundation ($16,000) Xcel Energy Foundation ($5,000) CO Rockies/McCormick Foundation ($20,000) Larrk Foundation ($30,000) Verdoorn Foundation ($15,000) Anonymous ($5,000) Daniels Fund ($60,000) C0 Rockies/McCormick Foundation ($10,000) Verdoorn Foundation ($11,000) El Pomar Award of Excellence Finalist Key Features of FHF • Randomized controlled trial for 10 years • Enrolled in yearly cohorts • Graduate students serve as mentors • Time-limited mentoring • Few exclusion criteria • Children continue to participate if they change placements or reunify FOSTERING HEALTHY FUTURES PREVENTIVE INTERVENTION MODERATING FACTORS •Demographic & Family Factors •Type of Maltreatment •Baseline Cognitive Functioning •Baseline Behavioral Functioning •Service Utilization MEDIATING FACTORS Cognitions Social Functioning Behavioral Functioning •Self-Esteem and Efficacy •Attitudes and Appraisals •Future Orientation •Social Support •Competence & Acceptance •Peer Associations •Behavioral Regulation •Coping Strategies •Extracurricular Activities DISTAL AND LIFE-COURSE OUTCOMES Fewer Adverse Life-Course Outcomes Better Distal Outcomes •Mental Health •Problem Behaviors •Competencies •Quality of Life •Arrests and Incarceration •Pregnancy and STDs •School Failure and Dropout •Emergency Mental Health Treatment •Multiple and Restrictive Placements •Associated Costs Screening Evaluations We assessed functioning in the following domains: Cognitive Academic achievement Mental health Social Behavioral Therapeutic Skills Groups 30 weeks; manualized program 8 children per group, equal females and males Mental health clinicians and graduate trainees facilitate 1 hour group and then dinner with mentors Improve skills, process feelings related to the foster care experience, and reduce stigma Session Content First Quarter: Feelings, perspective taking, problem solving, communication Second Quarter: Self-talk, anger, worry, healthy coping, change and loss, Panel Night, healthy relationships, peer pressure Third Quarter: Drugs/alcohol, anatomy and puberty, dating pressures, abuse prevention, healthy relationships, future orientation Graduation Mentoring Graduate students spend 3-4 hours per week of individual time with each child they mentor They work on child’s lifebook, engage in extracurricular activities, help find other adult role models, shadow adults in professions of interest, work on homework, take them to libraries, recreational activities, etc. Focus on engaging them in their communities and teaching them advocacy skills Mentors interface with other adults in child’s life Role of mentor - create a web of support for children, improve social skills, and provide staunch advocacy Mentor Supervision Intensive orientation 1 hour of individual supervision weekly 1.5 hours of group supervision weekly 1 hour seminar on relevant topics weekly Supervisor available by cell phone after hours Multiple training opportunities within and outside Kempe Special Program Activities Panel Night Cultural Presentations Cultural Presentations Encourage self-exploration Encourage self-respect and respect for others Supports problem-solving and perspective-taking skills Celebrate the difference and uniqueness each child brings to group Cultural Areas Explored Race/Ethnicity Country of origin Language Family role/Family composition Traditions Being in out-of-home care Gender Religion Neighborhood School and peers Career Shadows Field Day So What? Won’t Work Children are too old Children are “too disturbed” Children have sexual behavior problems Children are in diverse placements Children reunify Children didn’t sign up Won’t Work Graduate students can’t be mentors Interns can’t drive children Program is too short Can’t end a mentoring program Mismatch between mentor/mentee Need a parent training component Can’t get consent Can’t do rigorous research Qualitative and Quantitative Outcomes Qualitative Outcomes Qualitative Interviews We conducted qualitative interviews with 100% of children and families who participated in our intervention program in the first year Both caregivers and children were incredibly positive about the program when we interviewed them a year later Common themes included: feeling accepted, learning and retaining skills, the importance of both group and mentoring, the importance of the relationships established, sadness of program ending (despite most liking the length of the program), and too much pizza! Qualitative Quotes Youth quotes about the program “It was good ‘cause I got to be with people that were also in foster care and you don’t get that a lot…so, it’s easier to cope with people when they have the same feelings as you.” “Not being alone…sometimes I don’t have a lot of people to talk to.” “Talked about what we could do instead of making negative choices, like growing up to get a college degree… We would talk about what our goals were in life.” “We had a real close relationship… She was somebody I could share my feelings with because not most people I can share my feelings with…” “It taught me that I wasn’t alone.” “Helped me get along with life.” Qualitative Quotes Caregiver Quotes about the Program “You could not ask for a better program to participate in…for [child], having that bond experience and having someone he really got to develop a relationship with and also have peers that were in the same position, that was a huge positive.” “They had a trust going and she reached him on a level that no one yet has really been able to reach him.” “I think it’s one of the things that got him through it. He had somewhere to go to be able to talk about it and #1, didn’t have to be embarrassed or ashamed, and #2, felt understood and accepted by his peers.” “When dealing with this kind of thing, you’re always like ‘people are gonna look at you as the bad parent because he was removed from my home because of my anger, because of my mistake’…they made you feel more comfortable with it…it’s a great, great program.” Qualitative Quotes Mentor Quotes about their Training Experience on FHF “My time at FHF taught me what a powerful relationship is able to accomplish. As I work with students daily, I remind myself that I can be a positive part of their day. Every interaction that I have either strengthens or weakens the relationship we have with one another. FHF prepared me to not only work with, but enlist the powerful help of the families who stand behind my students. ” “The program assisted in the development of providing meaningful and purposeful therapeutic interventions that were individualized and directed towards the individual’s specific and immediate needs.” “FHF reinforced the importance of engaging with systems when working with children and families.” I learned about the importance of taking the perspective of other people and realizing that people are doing their very best at that moment in time even if we (the professionals) do not think the client is ‘up to par’.” “I learned how to meet families and youth right where they are.” Quantitative Outcomes Time 2 Mental Health Outcomes Trends and Significant Effects Less Anxiety Greater Perceived Social Support Higher Quality of Life Time 3 Mental Health Outcomes Trends and Significant Effects Lower Mental Health Composite Score Fewer Trauma Symptoms Fewer Symptoms of Dissociation Less Current Mental Health Treatment Placement and Permanency Outcomes 44% fewer placement changes 82% less likely to be placed in residential treatment 5 times more likely to have achieved permanency Twice as likely to have reunified with their biological parents Summary First known rigorous randomized controlled trial of a skills group and mentoring preventive intervention for preadolescent youth in out-of-home care Strong recruitment, retention and program uptake Pattern of finding suggests that the FHF preventive intervention reduces mental health problems and treatment, 6-months post-program Placement and permanency analyses suggest that the program has a beneficial impact in these areas as well, particularly for the highest risk youth Impact on mentoring field; lack of selection bias Future Plans Analyze academic outcomes and longer term effects 3.5 years post baseline Participants were 12-15 Conduct young adult follow-up interviews 9 years post baseline Participants will be 18-21 Examine mentoring data in depth Implement a booster program for teens Conduct a multi-site effectiveness trial Disseminate program Questions? Heather Taussig heather.taussig@childrenscolorado.org