Mental Health Services for Toddlers in Foster Care
This trial has been completed.
|Treatments||attachment and biobehavioral catch-up, developmental education for families|
|Sponsor||University of Delaware|
|Start date||April 2010|
|End date||December 2016|
|Trial size||220 participants|
|Trial identifier||NCT01261806, NIH R01 MH052135|
Toddlers (2- to 3-year-old children) in foster care often have difficulty regulating behavior and biology, and are at risk for a host of mental health problems. Critical issues for toddlers straddle the challenges of infancy and preschool years. In particular, toddlers in foster care face significant challenges in forming new attachment relationships and developing behavioral and biological regulatory capabilities. This project will assess the effectiveness of an intervention that targets these issues. Attachment and Biobehavioral Catch-up for Toddlers in Foster Care (ABC-T) was developed to help parents: provide nurturing care so that children develop secure, trusting relationships; and supporting children when they become overwhelmed that enhance children's ability to regulate behavior and biology. This intervention's effectiveness will be assessed in a randomized clinical trial.
|Endpoint classification||efficacy study|
|Intervention model||parallel assignment|
|Masking||double blind (subject, caregiver, outcomes assessor)|
time frame: Annual
time frame: Once at post-intervention
Male or female participants from 2 years up to 3 years old.
Inclusion Criteria: - 2 -3 years of age, in foster care Exclusion Criteria: - Not in foster care
|Official title||Mental Health Services for Toddlers in Foster Care|
|Principal investigator||Mary Dozier, Ph.D.|
|Description||This study assesses the efficacy of a 10-session intervention for young children in the foster care system. Children are randomly assigned to the experimental condition (ABC-T) or to a treatment control (DEF). In the Attachment and Biobehavioral Catch-up for Toddlers (ABC-T) condition, children's foster parents receive an intervention that focuses on nurturance, following children's lead, and helping children settle when they become overwhelmed. In the Developmental Education for Families (DEF) intervention, children's foster parents receive an intervention that focuses on enhancing children's cognitive and motor skills. Both of the interventions are provided in families' homes for 10 sessions of about 60 minutes duration. Outcomes include attachment (assessed in the Preschool Strange Situation), cortisol production (assessed diurnally), child behavior problems (assessed through laboratory procedures that stress children), and through psychiatric interviews.|
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