Webinar: Helping Mental Health Providers Achieve Outcomes that Matter Most

Webinar: Helping Mental Health Providers Achieve Outcomes that Matter Most

WEBINAR:

Helping Mental Health Providers Achieve Outcomes that Matter Most

Join us for a deep dive into what youth and families truly want from behavioral health services and how the National Center is helping providers meet those expectations.

Grounded in findings from national focus groups led by FREDLA and other family-run organizations, this session explores real-world outcomes that matter most to youth and caregivers: respect, cultural responsiveness, individualized care, accessible services, and meaningful collaboration.

Learn how adoption competent, family-informed approaches can drive better care experiences and outcomes across mental health and child welfare services.

Watch the Webinar:
Helping Mental Health Providers Achieve Outcomes that Matter Most


Presenters:

Millie Sweeney
Milley Sweeney

Director of Learning and Workforce Development, FREDLA

Millie Sweeney
Stacy Morgan
Executive Director, Mental Health Transformation Alliance

Looking for Additional Resources?

Visit the Knowledge Hub to access models of intervention, training resources, and practical tools to strengthen cross-system collaboration and improve outcomes for children, youth, and families. 

Healing in a Social Context: Why Connection Matters

Healing in a Social Context: Why Connection Matters

 

Healing in a Social Context: Why Connection Matters

 Healing is often perceived as a personal journey, something we undertake alone, within ourselves. While this perspective holds some truth, healing is profoundly influenced by those around us. As social beings, humans rely on others from birth for survival, comfort, and growth. Healthy, supportive relationships provide safety, love, and understanding — crucial elements for healing. In this blog post, I’ll share insights from my perspective as a therapist, emphasizing that this knowledge is relevant to everyone. We all contribute to the healing environment. 

Children involved in child welfare often experience developmental trauma, shaped by separation and loss. Adoption-competent mental health services prioritize attachment and facilitate healing within the family context. These services address emotional, relational, and psychological challenges unique to child welfare involvement, rooted in attachment, trauma, identity, and grief.  As a clinical social worker, I view the world through a ‘person-in-environment’ lens, recognizing social environments as integral. People influence our identities at various life stages, and adults — whether personally or professionally involved with children, like myself as a therapist — play a vital role in a child’s healing journey after adversity. In social work, we affirm that it takes a village to raise a child and to care for that village. We rely on each other not just to survive but to thrive. 

The idea for the blog title, “Healing in a Social Context,” was inspired by a talk I attended at the American Psychological Association Conference a few years ago, delivered by Bruce Wampold. His presentation, “Healing in a Social Context: The Importance of Clinician/Patient Relationship,” delved into what are often referred to as the “common factors” of therapy. These factors include elements like empathy and the quality of the therapist-client relationship. When you take a broader view, these elements are deeply embedded in the social fabric of our lives. I encourage you to watch his talk [here], where he shares vivid examples of social-contextual healing. I’ll share one of those examples below. 

Bruce described a phenomenon in honeybees called “social fever.” When an infection arises in the colony, the bees work together by fanning their wings to raise the hive’s temperature, effectively eliminating heat-sensitive pathogens. By acting collectively to help the sick members of the hive, they also protect the entire colony from the spread of infection.  A more familiar example of social healing in the human world is the placebo effect. This occurs when your brain is convinced that a “fake” treatment, like a sugar pill, is real. What’s fascinating is that healing is often triggered by the warmth and empathy conveyed by the person administering the sugar pill, not the pill itself. (That said, don’t go handing out sugar pills to promote healing!) 

So, what does this mean for mental health? One important takeaway is that while we have evidence-based mental health interventions that can significantly help children and their families, the success of these interventions depends on the people delivering them. Positive relationships amplify the effectiveness of these treatments. Relationships “bring the medicine,” help the medicine work better, and, in some cases, are the medicine.  As professional helpers, we become part of a person’s social context. We represent broader social systems and can offer a sense of belonging to those we support. Adoption-competent professionals, for example, understand that healing from early attachment disruptions happens through trust and consistency. Mental health and child welfare professionals have a unique role in fostering healing social environments that support long-term growth and recovery.   

Here Are a Few Ways to Help: 

  • Build Trust: Create safe spaces where clients feel heard and respected. Trust is the foundation of any healing relationship, and it grows when we consistently show up and follow through. 
  • Encourage Connection: Support clients in building or rebuilding healthy relationships. This might involve connecting children with mentors or helping adults strengthen family ties. Remember, clients live in the world—not just within the walls of our therapy offices. 
  • Model Healthy Interpersonal Relationships: Demonstrate what respectful, supportive communication looks like. This is especially impactful for individuals who have experienced unhealthy or harmful relationships. Strong relationships aren’t all rainbows; they’re about trusting each other, engaging in courageous conversations, and repairing when disagreements arise. 
  • Promote Secure Attachment Between Children and Their Parents: Address attachment disruptions through approaches such as Emotionally Focused Therapy, Theraplay, and Dyadic Developmental Psychotherapy. 
  • Help Parents Develop Co-Regulation Strategies: Equip parents with tools to enhance their child’s sense of safety. This could include validating the child’s feelings, providing opportunities for control, practicing calming strategies, and incorporating sensory breaks into daily routines.

 

If you’re reading this and don’t see yourself as a “professional helper,” know that you are a helper. You can play a meaningful role in someone’s healing journey. Be present. Listen without judgment. Show up. Fan your wings. And then show up again and again. Be part of the environment that fosters healing.   

 

Looking for Additional Resources?

Visit the Knowledge Hub to access models of intervention, training resources, and practical tools to strengthen cross-system collaboration and improve outcomes for children, youth, and families. 

Embracing Normalcy: Finding Balance in Mental Health and Growing Up 

Embracing Normalcy: Finding Balance in Mental Health and Growing Up 

 

Embracing Normalcy: Finding Balance in Mental Health and Growing Up 

We’re diving into a super important topic that affects many young people in care: normalcy and mental health. As young people navigate the ups and downs of life, it’s essential to reflect on what “normal” really means and how it impacts their mental well-being.   

What is Normalcy Anyway? 

First off, let’s break down what we mean by normalcy. It often refers to the everyday experiences and activities that most people take for granted. Think sleepovers, driving lessons, or even just hanging out with friends after school. For many, these activities are part of growing up, but for others—especially those in challenging situations like foster care or those facing mental health struggles—normalcy can feel like a distant dream.    As one of our Lived Experience Leaders wisely noted, “The system is often so overprotective that it stifles growth and development (no sleepovers, driving lessons, etc.).” This quote highlights how sometimes the very systems designed to protect young people in care can unintentionally hold them back. It’s crucial to find a balance between safety and growth, allowing young people to experience life fully while still having support.   

The Importance of Experiences 

Experiencing “normal” activities can significantly impact a young person’s mental health. These activities help build confidence, develop skills, and connect with others. For those in care or facing other challenges, these moments might be fewer and far between. But that doesn’t mean they’re impossible!    Reflecting on a personal experience, one Lived Experience Leader shared, “Normalcy does not apply for my longest placements. But for the placement when I was 17 preparing to age out of care, I was assigned an Independent Living Worker, and she taught me budgeting; we practiced shopping for groceries, and she helped me apply to colleges and scholarships.” This story emphasizes the importance of mentorship and support systems that can provide those essential experiences.   

Finding Your Own Normal 

So, how can young people create their own version of normalcy? Here are a few tips: 

  • Seek Opportunities: Look for programs or workshops in their community that teach life skills, whether it’s cooking, budgeting, or preparing for college. These experiences can be very empowering!
  • Build a Support Network: Surround themselves with people who understand their jou ey—friends, mentors, or counselors. Having a support system can make a world of difference.
  • Take Small Steps: Start with little challenges that push a young person out of their comfort zone. It could be planning a small outing with friends or trying a new hobby. Each step counts!
  • Practice Self-Care: Remembering, it’s okay to take a break. Prioritizing mental health by engaging in activities that help them relax and recharge.
  • Reflect on Your Growth: Regularly take a moment to acknowledge how far they’ve come. Celebrating small victories is crucial for maintaining a positive mindset.

Final Thoughts 

In a world that often feels overwhelming, a young person in care embracing their own sense of normalcy can be a powerful tool for mental health. While some may face additional barriers, it’s essential to remember that growth and development are possible with the right support and opportunities.  Let’s advocate for a world where every young person has the chance to experience those everyday moments that shape who they are. Whether it’s through mentorship, community programs, or just having a friend to lean on, we can all contribute to a brighter future.  Stay strong, stay connected, and keep growing!     

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The Complex Relationship with Medication: Insights from Foster Care Youth 

The Complex Relationship with Medication: Insights from Foster Care Youth 

The Complex Relationship with Medication: Insights from Foster Care Youth 

Navigating mental health as a youth in foster care can be incredibly challenging, particularly when it comes to the use of medication. While many young people access mental health services and pharmacotherapies during their time in care, the reality shifts dramatically after they leave care.   

Understanding the Landscape 

Research shows that while youth in foster care have relatively high rates of accessing mental health services and medications, many stop taking these medications after exiting care. Alarmingly, a significant number of young adults report that they discontinue pharmacotherapy of their own accord and without medical supervision. This raises important questions about the adequacy of support systems in place for those transitioning out of foster care.   

The Barriers to Medication Adherence 

For many young adults leaving foster care, the jou ey to maintaining mental health is fraught with obstacles: 

  1. Limited Access to Services: After exiting care, many youth struggle to find accessible mental health services. This can lead to gaps in support that leave them feeling vulnerable and unsupported.
  2. Financial Constraints: The costs associated with medications and therapy can be overwhelming for young people trying to establish their independence. Many find themselves unable to afford the treatments that could help them manage their mental health.
  3. Lack of Guidance: The absence of ongoing support from mental health professionals can make it difficult for youth to make informed decisions about their treatment, leading to a higher likelihood of stopping medication without proper consultation. 

The Protective Factors at Play 

Research identifies three critical protective factors that can help young people manage their mental health effectively: 

  • Therapeutic Support: Access to individual and group therapy provides a space for emotional expression and healing, essential for managing conditions like PTSD, anxiety, and depression. 
  • Mental Health Medications: For many, these medications play a vital role in stabilizing their mental health, particularly during difficult transitions. 
  • Sense of Competence: Building self-efficacy and confidence in one’s ability to manage challenges can significantly impact overall well-being. 

Real Voices, Real Experiences 

To truly understand the complexities of medication use among youth in foster care, it’s important to listen to their voices. Richard, a Lived Experience Leader, shares what he went through during his time in care:   

Concerns About Unnecessary Prescriptions

“When I was in group homes, there were a lot of kids that had been prescribed medication that they didn’t need. They had talked to the psychiatrist and said they had many different ‘symptoms’ that were made up. The psychiatrist didn’t take the time to check on the problem before prescribing medications.” This reflects a critical concern: the lack of thorough assessment and individualized care can lead to mistrust in the mental health system, making young people hesitant to engage with medication.   

Fear of Dependency

“My first therapist was very focused on getting me to take medication. I remember two things from that time: yoga sessions with my cousin and the constant emphasis on medication. I always felt a resistance to this approach. I didn’t want to rely on medication for my happiness; the thought of it scared me. What if, once I was off the medication, I couldn’t feel happiness on my own? I worried it would create a false sense of positivity.”    This fear is widespread among youth, illustrating the anxiety around dependency on medication for emotional well-being.   

Feeling Overwhelmed and Isolated

“The insistence on medication started to feel overwhelming. It led to a sense of resentment—not just toward the therapy itself, but also toward the therapist. It felt like they weren’t really listening to me, as if my personal struggles were reduced to checkboxes on a form. In a world where we crave connection and understanding, this lack of genuine engagement can make us feel isolated.”    This highlights a critical gap in mental health care: the need for a therapeutic approach that prioritizes listening and understanding over simply prescribing solutions. 

Moving Toward Better Support 

Addressing the complexities surrounding medication for youth in foster care requires a multifaceted approach. Mental health systems must focus on providing accessible, individualized care that genuinely listens to the experiences and concerns of young people.    Creating a supportive environment where youth feel empowered to make informed decisions about their mental health can make a significant difference in their well-being. By advocating for more comprehensive support systems and prioritizing authentic engagement, we can help ensure that young adults leaving foster care have the tools they need to navigate their mental health journey successfully.    The relationship with medication is a complex and often challenging aspect of mental health for youth in foster care. By understanding the barriers they face and amplifying their voices, we can work toward a system that truly supports their needs and fosters resilience. Together, we can help create a brighter future for all young people navigating the often turbulent waters of mental health.    

 

Looking for Additional Resources?

Visit the Knowledge Hub to access models of intervention, training resources, and practical tools to strengthen cross-system collaboration and improve outcomes for children, youth, and families. 

Promoting Mental Health for Families and Children 

Promoting Mental Health for Families and Children 

Promoting Mental Health for Families and Children 

Written by Erin Bader  

We are focused on mental wellness this month to recognize the critical importance of addressing mental health. Mental wellness is the ability to manage life’s stresses, adapt to change, and navigate difficult times successfully. The National Institutes of Health provides practical tips for promoting wellness, including building resilience, reducing stress, coping with loss, and strengthening social connections. The Center on the Developing Child’s paper addresses the impact of addressing mental wellness on a child’s development.

The science of early childhood development highlights that the foundation for mental health is established early in life through experiences that shape the developing brain. Relationships with parents, caregivers, teachers, and peers play a critical role in social, emotional, and cognitive development. While cognition and language receive significant attention, addressing emotional and behavioral difficulties early is crucial, as these issues can hinder learning and relationships. The emotional and behavioral needs of children are best met through coordinated services that focus on their full environment of relationships.  

Significant mental health problems can emerge in young children and often reflect early abuse, neglect, or prolonged adversity. These experiences, combined with genetic predispositions, can prime stress systems and lead to lasting physical and mental health issues. However, genetics interact with the environment, and supportive interventions can mitigate the effects of early stress, promoting better developmental outcomes and preventing lifelong challenges. So, for children, youth, and families involved in the child welfare system, promoting mental wellness is essential and may require additional strategies and support. Child welfare and mental health professionals play a key role in this process.

Adoption competent mental health services highlight the importance of professionals building partnerships with youth and their families—a process that requires vulnerability, authenticity, mutual trust, patience, and flexibility.    As families work to address and heal from the adversity associated with child welfare involvement, child welfare and mental health professionals can implement strategies to promote mental wellness for both children and their parents. Effective interventions should include parents, as they provide a foundation of security and love that helps children feel cherished and develop hope for the future. When children understand they are valued, they gain self-worth and confidence, empowering them to face challenges. Parents are instrumental in teaching children that life is about thriving, not just surviving, and reaching their full potential.   

Strategies to Promote Mental Wellness in Children and Youth 

  • Create routine and structure to provide stability and predictability. 
  • Encourage open communication about their experiences, allowing them to set the pace. 
  • Validate their emotions, including grief, loss, anger, and confusion. 
  • Teach self-regulation skills to help them manage emotions and stay calm. 
  • Foster a safe environment where they can freely express themselves. 
  • Promote healthy stress management through physical activity, creative outlets, mindfulness, or hobbies. 
  • Engage in activities that strengthen family connections and build positive memories. 
  • Encourage involvement in activities where they can excel and feel accomplished. 
  • Connect with support groups or other families to create a sense of community and shared understanding. 

 

Strategies to Promote Mental Wellness in Parents 

  • Help parents understand and foster their child’s sense of belonging and connection.
  • Use adoptive parent competencies to enhance parents’ ability to meet their child’s needs. 
  • Teach parents to avoid personalizing their child’s behaviors or emotions. 
  • Provide strategies to support self-esteem. 
  • Strengthen parents’ resilience so they can model healthy coping skills for their children. 
  • Encourage healthy relationship-building between parent partners through mutual respect, communication, and problem-solving.

 

By integrating these strategies, families can strengthen their mental wellness and build a foundation for thriving together. 

Looking for Additional Resources?

Visit the Knowledge Hub to access models of intervention, training resources, and practical tools to strengthen cross-system collaboration and improve outcomes for children, youth, and families.