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

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Merritt, K. (2017). Monitoring of Social-Emotional Problems in Transitioning Foster Children Aged 0 to 5. Unc Charlotte Electronic Theses And Dissertations.
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Abstract

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.

Details
Author

Merritt, Kaynieka

Title

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

Physical Description

1 online resource (48 pages) : PDF

Date

2017

Degree Granting Institution

University of North Carolina at Charlotte

Abstract

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.

Genre

doctoral dissertations

Subjects--Topics

Nursing
Social sciences
Developmental psychology

Degree

D.N.P.

Keywords

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

Subject Area

Health Services Research

Advisor(s)

Woods, Stephanie
Jordan, Kathleen

Committee Members

Mittal, Madhur
Laditka, James

Degree Note

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

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Rights Holder Information

Copyright is held by the author unless otherwise indicated.

Identifier

Merritt_uncc_0694D_11351

Permalink

http://hdl.handle.net/20.500.13093/etd:680