Psychosocial Adjustment and Community-Based Services Program Success: What's the Link?
Authors:Saadia Karwani, Diana Le, Ciara Limon, Nicole St. Pierre
- Kimmy Kee, Professor of Psychology , California State University Channel Islands
- Jody Kussin, Director of Community Programs - Ventura County, Casa Pacifica
Although poor psychosocial functioning has been documented in children with psychological problems, fewer efforts have been undertaken to understand the nature of this impairment in at risk children populations. The current ongoing study explores the longitudinal relationships between specific aspects of psychosocial adjustment (i.e., role performance; behavior towards self and others; emotion modulation/self-harmful behavior; substance use; thought processes) and the success of a community-based services program for 76 at risk youths for out-of-home placement. Participants’ psychosocial adjustment was measured using the Child and Adolescent Functional Assessment Scale. Successful outcome in the community-based services program was demonstrated by the attainment of in-home placement at discharge. Multiple significant associations were found for role performance, behavior towards self and others, emotion modulation/self-harmful behavior and substance use, with coefficients ranging from 0.34 to 0.52 (p values = .001 to .0001). Specifically, at risk youths with more severe impairments in these domains were less likely to succeed in the program. None of the other cross-sectional correlations between psychosocial adjustment domains and program success were statistically significant. A series of cross-temporal correlations was also conducted between aspects of psychosocial adjustment at intake and program success at discharge. Two domains of psychosocial adjustment including psychosocial adjustment at intake and program success at discharge, behavior towards self and others and program success, r = 0.26, p = .012, as well as substance use and program success, r = 0.19, p = .05. Also, associations between baseline impairments in role performance and emotion modulation/self-harmful behavior and poorer program outcome at discharge were at trend levels (r = 0.17, p = .067; r = 0.18, p = .055, respectively). At baseline, impairments were found to predict a poorer outcome in the attainment of in-home placement at service termination. Specifically, behavior towards self and others, emotion modulation/self-harmful behavior, and substance use.