Mental Health and School Functioning for Girls in the Child Welfare System : the Mediating Role of Future Orientation and School Engagement

This study investigated the association between mental health problems and academic and behavioral school functioning for adolescent girls in the child welfare system and determined whether school engagement and future orientation meditated the relationship. Participants were 231 girls aged between 12 and 19 who had been involved with the child welfare system. Results indicated that 39% of girls reported depressive symptoms in the clinical range and 54% reported posttraumatic symptoms in the clinical range. The most common school functioning problems reported were failing a class (41%) and physical fights with other students (35%). Participants reported a mean number of 1.7 school functioning problems. Higher levels of depression and PTSD were significantly associated with more school functioning problems. School engagement fully mediated the relationship between depression and school functioning and between PTSD and school functioning, both models controlling for age, race, and placement stability. Future orientation was not significantly associated with school functioning problems at the bivariate level. Findings suggest that school engagement is a potentially modifiable target for interventions aiming to ameliorate the negative influence of mental health problems on school functioning for adolescent girls with histories of abuse or neglect

Unified Protocol for Transdiagnostic Treatment of Emotional Disorders in Children and Adolescents

Treatment for emotional disorders in children and adolescents is increasingly being applied in a transdiagnostic manner to address the need for more broadly applicable, yet mechanism-focused psychotherapy. The Unified Protocols for Transdiagnostic Treatment of Emotional Disorders in Children and Adolescents (UP-C/A) are modular, flexible, evidence-based treatment manuals that utilize empirically supported, largely cognitive and behavioral strategies to treat anxiety, mood, and other emotional disorders. In this chapter, we describe the rationale and empirical support for the use of the UP-C/A, provide a pragmatic overview of its contents, and briefly discuss application of core intervention components