The Mental Health Needs of Kids in Foster Care

shutterstock_100485745Churches planning ministry initiatives to serve kids in foster care need first to develop competency at serving kids with serious mental health issues and their families.

That’s the conclusion I’d draw in checking out this press release from the American Academy of Child and Adolescent Psychiatry. Here’s an excerpt:

Studies indicate that 60-85% of the children being served by the child welfare system meet criteria for a psychiatric diagnosis. Many of these children have had difficult early life experiences, including exposure to violence, abuse, trauma or neglect. Early detection and assessment of the mental health needs of these children is critical in order for them to receive necessary mental health interventions. However, despite their disproportionate mental health needs, most do not receive psychiatric care until their situation reaches a crisis point.

The context for the press release was to express the Academy’s support for efforts by the GAO (Government Accountability Office) to issue guidelines for monitoring the frequency with which kids in foster care (nearly all of whom are covered by Medicaid) are receiving psychiatric medication, especially antipsychotic medications that are frequently used “off-label” to treat severely aggressive behavior. In a nutshell, concerns have been raised about very expensive medication with potentially very serious short and long-term  side effects serving as a substitute for nonexistent mental health services in many parts of the country.

If your church is planning an initiative to serve kids in foster care, have you considered the following questions:

If 60-85% of kids in foster care have significant mental health conditions, are you prepared to welcome those kids and teens into your existing children’s and youth ministry programming?

Are you prepared to provide for the child care needs of the families serving in foster care ministry so that those families can continue to maintain their current level of participation and involvement in your church?

Can you help the parents serving in foster care to identify and obtain competent and effective mental health treatment for the kids they’re serving, as well as the care and support the parents will need in managing the stressors to their marriages and family relationships resulting from their involvement in foster care ministry? Note: For more on this topic, see 20/20, Foster Kids and Medication.

Is this an area in which Key Ministry can be of support to your church? If so, what types of training or supports would be most helpful?

Updated August 15th, 2015


KM Logo UpdatedKey Ministry has assembled resources to help churches more effectively minister to children and adults with ADHD, anxiety disorders, Asperger’s Disorder, Bipolar Disorder, depression and trauma. Please share our resources with any pastors, church staff, volunteers or families looking to learn more about the influence these conditions can exert upon spiritual development in kids, and what churches can do to help!

About Dr. G

Dr. Stephen Grcevich serves as President and Founder of Key Ministry, a non-profit organization providing free training, consultation, resources and support to help churches serve families of children with disabilities. Dr. Grcevich is a graduate of Northeastern Ohio Medical University (NEOMED), trained in General Psychiatry at the Cleveland Clinic Foundation and in Child and Adolescent Psychiatry at University Hospitals of Cleveland/Case Western Reserve University. He is a faculty member in Child and Adolescent Psychiatry at two medical schools, leads a group practice in suburban Cleveland (Family Center by the Falls), and continues to be involved in research evaluating the safety and effectiveness of medications prescribed to children for ADHD, anxiety and depression. He is a past recipient of the Exemplary Psychiatrist Award from the National Alliance on Mental Illness (NAMI). Dr. Grcevich was recently recognized by Sharecare as one of the top ten online influencers in children’s mental health. His blog for Key Ministry, was ranked fourth among the top 100 children's ministry blogs in 2015 by Ministry to Children.
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1 Response to The Mental Health Needs of Kids in Foster Care

  1. great to find this site / blog. I’m a social worker looking to possibly help coordinate a foster care / adoption ministry in the church I attend. They’ve just started a special needs ministry and hope these could dovetail well. blessings.


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