title: . . . On foster care International Society of Psychiatric-Mental Health Nurses.
abstract: OBJECTIVE
  Mental health problems are particularly widespread for foster children. There are approximately 700,000 youth in foster care and nonfamily settings in the United States. The mean entry age is 3 years. The average stay is 2 years. Experts estimate that between 30% and 85% of youngsters in out-of-home care have significant emotional disturbances. Foster care children represent 5% of Medicaid enrollees but use approximately 40% of Medicaid funds. A substantial number of these children have psychological problems so serious that they require residential placement. Adolescents living with foster parents or in group homes have about four times the rate of serious psychiatric disorders than those living with their own families (2009a). Despite this level of need, less than one-third of children in the child protective system are receiving mental health services (2009a).
  
  
  METHODS
  Child psychiatric nurse advocates from the Association of Child and Adolescent Psychiatric Nurses Division of the International Society of Psychiatric-Mental Health Nurses compiled this position statement for adoption by the Board of Directors as the Association's formal statement on the plight of children and adolescents in foster care.
  
  
  CONCLUSIONS
  Areas that need to be addressed include (a) lack of consistent and comprehensive service planning; (b) communications across agencies and with the youth, their foster parents, and key stakeholders; (c) use of evidence-based interventions to prevent and reduce the incidence of disability; (d) education of child welfare case workers about mental and emotional therapeutic management; and (e) education of foster parents and youth about mental health issues and appropriate treatments.
authors.forename: Pam
authors.initials: P
authors.lastname: Galehouse
authors.forename: Charlotte
authors.initials: C
authors.lastname: Herrick
authors.forename: Sally
authors.initials: S
authors.lastname: Raphel
mesh_terms: D000293:Adolescent; D002648:Child; D002651:Child Advocacy; D002669:Child Welfare; D005581:Foster Home Care / Q000191:economics / Q000331:legislation & jurisprudence / Q000458:organization & administration; D006801:Humans; D015399:Nursing Research / Q000458:organization & administration; D016134:Organizational Policy; D011568:Psychiatric Nursing / Q000458:organization & administration; D012956:Societies, Nursing / Q000458:organization & administration; D014481:United States