Publications by authors named "Annie Francis"
The history of the child welfare system and related institutions with American Indian children and families has been marked by numerous atrocities, including unnecessary separations, assimilation, and trauma. The Indian Child Welfare Act (ICWA) was enacted in 1978 to promote the stability and security of American Indian tribes and families. For children involved in the child welfare system, ICWA prioritizes the placement of American Indian children with family or tribal members.
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- Child welfare systems are increasingly placing foster children with kinship foster parents to provide stability and emotional support, but these caregivers often lack the necessary financial and educational resources.
- A study examined the barriers kinship foster parents face when accessing training and licensure, highlighting issues like poor communication, practical challenges, and irrelevant content.
- Despite these barriers, kinship foster parents who participated in specific licensure training showed improved parenting skills and awareness of support options, with in-person training yielding more effective outcomes than virtual sessions.
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- Disruptions in Medicaid coverage negatively impact service usage and outcomes for individuals with serious mental illnesses (SMI), with only 36% maintaining continuous enrollment over the study period from 2007 to 2010.
- Those diagnosed with schizophrenia were found to be 19% more likely to experience multiple coverage disruptions compared to those with depression.
- These disruptions led to significantly lower outpatient service days and reduced likelihood of using acute care services, highlighting the need for further research on ensuring Medicaid stability and improving access to mental health services.
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- Adherence to treatment protocols is crucial for effective mental health interventions, and the article discusses creating a fidelity checklist for a CBT-based intervention in a prison setting.
- Researchers followed a five-step guide to develop a 26-item checklist that evaluates adherence to the intervention's process, content, and necessary adaptations.
- Pilot testing showed high fidelity, with 85% of sessions meeting at least 85% adherence, and considerations included the secure environment and flexibility needed for the intervention's implementation.
Objective: Individuals with serious mental illnesses are at high risk of incarceration. Jails are often unable to obtain information needed to provide appropriate care. Psychiatric advance directives may be useful tools to communicate treatment information to jails.
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