Monitoring of Social-Emotional Problems in Transitioning Foster Children Aged 0 to 5

1 online resource (48 pages) : PDF

2017

University of North Carolina at Charlotte

BACKGROUND: Foster children who have experienced adverse childhood events are at-risk for developing social-emotional problems that may ultimately lead to toxic stress. There is a lack of research on whether administration of a standardized questionnaire aids in the clinical documentation of social-emotional problems of foster children. The Ages and Stages Questionnaire: Social Emotional (ASQ:SE) is recommended by the American Academy of Pediatrics to identify social-emotional problems. The purpose of this DNP scholarly project is two-fold (a) to assess the social-emotional problems of foster children aged 0-5 using the ASQ:SE, and (b) to determine if administration of the ASQ:SE will identify social-emotional problems and improve clinical documentation versus use of provider surveillance only. METHODS: A retrospective chart review of a convenience sample of ten foster children, from birth to 4 years of age, was completed in a multispecialty clinical setting to examine documentation for social-emotional problems. The ASQ:SE was administered with the legal guardians of the same foster children.RESULTS: Both provider surveillance and administration of the ASQ:SE detected social-emotional problems in foster children aged 3 months-4 years. However, use of the standardized ASQ:SE detected more consistent behaviors across adaptive, affect, autonomy, communication, compliance, interaction and self-regulation themes than provider surveillance only. CONCLUSION: The systematic use of the ASQ:SE specifically improved identification of social-emotional problems in foster children up to 4 years of age compared to provider surveillance only and significantly improved clinical documentation, thus decreasing risk of toxic stress.

doctoral dissertations

Nursing
Social sciences
Developmental psychology

D.N.P.

Adverse Childhood Experiences
ASQ:SE
Provider Surveillance
Retrospective Chart Review
Social-Emotional
Toxic Stress

Health Services Research

Woods, Stephanie
Jordan, Kathleen

Mittal, Madhur
Laditka, James

Thesis (D.N.P.)--University of North Carolina at Charlotte, 2017.

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