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Putting Youth Relationship Education on the Child Welfare Agenda: Findings from a Research and Evaluation Review Mindy E. Scott Kristin A. Moore Alan J. Hawkins Karin Malm Martha Beltz www.childtrends.org Twitter/childtrends www.facebook.com/childtrends : July 17, 2012 Washington, DC

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Page 1: Putting Youth Relationship Education on the Child Welfare ......•Best Friends •Choosing the Best (grades 9-10 and grades 11-12) •Loving Well •Healthy Choices, Healthy Relationships

Putting Youth Relationship Education on the Child Welfare Agenda:

Findings from a Research and Evaluation Review

Mindy E. Scott Kristin A. Moore Alan J. Hawkins

Karin Malm Martha Beltz

www.childtrends.org Twitter/childtrends www.facebook.com/childtrends:

July 17, 2012

Washington, DC

Page 2: Putting Youth Relationship Education on the Child Welfare ......•Best Friends •Choosing the Best (grades 9-10 and grades 11-12) •Loving Well •Healthy Choices, Healthy Relationships

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Putting Youth Relationship Education on the Child Welfare Agenda: Findings from a Research and Evaluation Review Mindy Scott, Kristen A. Moore, Alan J. Hawkins, Karin Malm, Martha Beltz

Why Relationships Matter

Page 3: Putting Youth Relationship Education on the Child Welfare ......•Best Friends •Choosing the Best (grades 9-10 and grades 11-12) •Loving Well •Healthy Choices, Healthy Relationships

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Putting Youth Relationship Education on the Child Welfare Agenda: Findings from a Research and Evaluation Review Mindy Scott, Kristen A. Moore, Alan J. Hawkins, Karin Malm, Martha Beltz

Why Relationships Matter for Children

• Relationships are important for the healthy development of children and youth

Infancy/

Early Childhood

Middle Childhood Adolescence

Young Adulthood

Page 4: Putting Youth Relationship Education on the Child Welfare ......•Best Friends •Choosing the Best (grades 9-10 and grades 11-12) •Loving Well •Healthy Choices, Healthy Relationships

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Putting Youth Relationship Education on the Child Welfare Agenda: Findings from a Research and Evaluation Review Mindy Scott, Kristen A. Moore, Alan J. Hawkins, Karin Malm, Martha Beltz

Why Romantic Relationships Matter

• Early relationships help youth develop the skills to manage healthy intimate partner relationships

• These relationships can influence youth decisions about:

• School

• Employment

• Pregnancy prevention

• Peer relationships

Page 5: Putting Youth Relationship Education on the Child Welfare ......•Best Friends •Choosing the Best (grades 9-10 and grades 11-12) •Loving Well •Healthy Choices, Healthy Relationships

A Focus on Youth in Foster Care

• Youth in foster care have experienced abuse, neglect, and face both instability and turbulence

• As a result, they face multiple challenges, including:

– Greater risk-taking behavior, such as using drugs or risky sex

– Challenges in making decisions about sex due to the absence of caring adults or mentors

– Challenges establishing and maintaining positive relationships

Page 6: Putting Youth Relationship Education on the Child Welfare ......•Best Friends •Choosing the Best (grades 9-10 and grades 11-12) •Loving Well •Healthy Choices, Healthy Relationships

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Putting Youth Relationship Education on the Child Welfare Agenda: Findings from a Research and Evaluation Review Mindy Scott, Kristen A. Moore, Alan J. Hawkins, Karin Malm, Martha Beltz

Relationships Matter

Healthy development

Broad implications for: -School -Employment -Pregnancy prevention -Peer relationships

Healthy romantic

relationships

Youth in Foster Care

Abuse/Neglect

Instability

Multiple challenges

Page 7: Putting Youth Relationship Education on the Child Welfare ......•Best Friends •Choosing the Best (grades 9-10 and grades 11-12) •Loving Well •Healthy Choices, Healthy Relationships

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Putting Youth Relationship Education on the Child Welfare Agenda: Findings from a Research and Evaluation Review Mindy Scott, Kristen A. Moore, Alan J. Hawkins, Karin Malm, Martha Beltz

for Youth in Foster Care

Abuse/Neglect

Instability

Multiple challenges

Relationships Matter

Healthy development

Broad implications for: -School -Employment -Pregnancy prevention -Peer relationships

Healthy partner

relationships

Page 8: Putting Youth Relationship Education on the Child Welfare ......•Best Friends •Choosing the Best (grades 9-10 and grades 11-12) •Loving Well •Healthy Choices, Healthy Relationships

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Putting Youth Relationship Education on the Child Welfare Agenda: Findings from a Research and Evaluation Review Mindy Scott, Kristen A. Moore, Alan J. Hawkins, Karin Malm, Martha Beltz

The Importance of Romantic Relationships is Overlooked

• Research is still young • Prior research focused more on negative rather

than positive relationship aspects • Lack of attention given to this important issue

by: – Policy makers – Practitioners – Funders – Researchers

Page 9: Putting Youth Relationship Education on the Child Welfare ......•Best Friends •Choosing the Best (grades 9-10 and grades 11-12) •Loving Well •Healthy Choices, Healthy Relationships

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Putting Youth Relationship Education on the Child Welfare Agenda: Findings from a Research and Evaluation Review Mindy Scott, Kristen A. Moore, Alan J. Hawkins, Karin Malm, Martha Beltz

Social Skills Matter

• Children with positive social skills are more likely to:

– Have high self-esteem

– Have positive relationships with peers

– Achieve in school

• Positive social skills are associated with positive later life outcomes, such as successful marriages and careers.

• Deficits in social skills are related to aggressive behaviors, such as bullying, fighting and delinquency

• There is evidence that social skills are malleable for adolescents

Page 10: Putting Youth Relationship Education on the Child Welfare ......•Best Friends •Choosing the Best (grades 9-10 and grades 11-12) •Loving Well •Healthy Choices, Healthy Relationships

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Putting Youth Relationship Education on the Child Welfare Agenda: Findings from a Research and Evaluation Review Mindy Scott, Kristen A. Moore, Alan J. Hawkins, Karin Malm, Martha Beltz

Relationship Education for Youth in Foster Care

• Given the existing research on the importance of relationships, we are interested in:

– better understanding how relationship education interventions can help to improve youth’s relationship skills and the quality of their relationships

– what current interventions and types of services are most effective in improving relationships among youth in foster care

Page 11: Putting Youth Relationship Education on the Child Welfare ......•Best Friends •Choosing the Best (grades 9-10 and grades 11-12) •Loving Well •Healthy Choices, Healthy Relationships

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Putting Youth Relationship Education on the Child Welfare Agenda: Findings from a Research and Evaluation Review Mindy Scott, Kristen A. Moore, Alan J. Hawkins, Karin Malm, Martha Beltz

Relationship Education for Youth in Foster Care

Page 12: Putting Youth Relationship Education on the Child Welfare ......•Best Friends •Choosing the Best (grades 9-10 and grades 11-12) •Loving Well •Healthy Choices, Healthy Relationships

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Putting Youth Relationship Education on the Child Welfare Agenda: Findings from a Research and Evaluation Review Mindy Scott, Kristen A. Moore, Alan J. Hawkins, Karin Malm, Martha Beltz

What does the research have to say?

Approach

• Broad literature search for published and unpublished articles

– Internet searches

– Review of published evaluation literature

– Review of programs

• Reached out to researchers, program evaluators and program practitioners for recommendations

• Several dozen intervention programs were identified

Page 13: Putting Youth Relationship Education on the Child Welfare ......•Best Friends •Choosing the Best (grades 9-10 and grades 11-12) •Loving Well •Healthy Choices, Healthy Relationships

Level 1 Relationship education programs for youth in foster care that have been

evaluated using a randomized control treatment design

Level 2 Relationships education programs that

have been evaluated using a randomized control treatment or high-quality quasi-

experimental design; or a rigorously evaluated program for youth in foster care with a relationship component as part of a

broader range of program components

Level 3 Evaluated programs (non-RCT) with a

relationship education component that address romantic relationships, but

relationship outcomes do not appear to have been examined in the evaluation

Level 4 Relationship education programs, or programs with a relationship

education component, without a formal evaluation, but are

evidence informed by basic research studies and theory

Level 5 Varied programs– not specifically

focused on relationship education; some have formal evaluation; some

have relevant components; some have relationship education components

but no relationship outcomes appear to have been examined

Page 14: Putting Youth Relationship Education on the Child Welfare ......•Best Friends •Choosing the Best (grades 9-10 and grades 11-12) •Loving Well •Healthy Choices, Healthy Relationships

Levels of Evidence

Level I

Level V

Level IV

Level III

Level II •Connections: Dating and Emotions •The Kempe Fostering Healthy Futures Program

•Love U2 •(Within My Reach)

•Best Friends •Choosing the Best (grades 9-10 and grades 11-12) •Loving Well

•Healthy Choices, Healthy Relationships •Independent Living Program •Love Notes

•Aban Aya Youth Project •CAS-Carrera •It’s Your Game: Keep it Real •L.E.A.S.E.

•M.E.I.D. •My First Place •PRIDE: Module 12

•Respecting and Protecting Our Relationship

•Shared Family Care Model •SiHLE

•STEP-UP with mentoring •Teen Parenting Services Network IL •TOP-Wyman •Young Dads

Page 15: Putting Youth Relationship Education on the Child Welfare ......•Best Friends •Choosing the Best (grades 9-10 and grades 11-12) •Loving Well •Healthy Choices, Healthy Relationships

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Putting Youth Relationship Education on the Child Welfare Agenda: Findings from a Research and Evaluation Review Mindy Scott, Kristen A. Moore, Alan J. Hawkins, Karin Malm, Martha Beltz

What does the research have to say?

Level I: none

Level II: Love U2

Level III: Loving Well

Level IV: Love Notes

Level V: TOP-Wyman

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Putting Youth Relationship Education on the Child Welfare Agenda: Findings from a Research and Evaluation Review Mindy Scott, Kristen A. Moore, Alan J. Hawkins, Karin Malm, Martha Beltz

• Classroom-based relationship education program for 8th-12th grade youth

• Series of units aimed to help youth acquire practical skills for emotionally healthy relationships

• Evaluated using a randomized control trial

• Statistically significant impacts were found in many areas, including cohabitation, conflict management, marriage preparation, and the understanding of what it means to be a supportive partner.

Level II Program Summary - Love U2

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Putting Youth Relationship Education on the Child Welfare Agenda: Findings from a Research and Evaluation Review Mindy Scott, Kristen A. Moore, Alan J. Hawkins, Karin Malm, Martha Beltz

Level III Program Summary - Loving Well

• Relationship skills curriculum structured through the use of literature.

• Designed to develop values and attitudes surrounding romantic relationships that encourage responsible sexual behavior in adolescents

• Evaluated using a quasi-experimental design

• Associations were found for sexual activity and attitudes about sex

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Putting Youth Relationship Education on the Child Welfare Agenda: Findings from a Research and Evaluation Review Mindy Scott, Kristen A. Moore, Alan J. Hawkins, Karin Malm, Martha Beltz

Level IV Program Summary - Love Notes

• 15-lesson activity-based program aimed to teach young people skills to form healthy and meaningful relationships

• Designed for youth aged 16-24 who are at risk for unplanned pregnancy, single parenting, and troubled relationships, as well as those already pregnant or parenting.

• Uses activities based upon realistic scenarios, drawing, role-playing, story-telling, poetry, music and film

• Program not evaluated

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Putting Youth Relationship Education on the Child Welfare Agenda: Findings from a Research and Evaluation Review Mindy Scott, Kristen A. Moore, Alan J. Hawkins, Karin Malm, Martha Beltz

Level V Program Summary - TOP-Wyman (Teen Outreach Program)

• Designed for youth, grades 6-12

• Applied to foster care populations

• Focuses on personal values, relationships, communication and assertiveness, goal-setting, decision-making, human development and sexuality, and community service learning

• Evaluated by a randomized control trial

– Associations found for school suspension, course failure and pregnancy

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Putting Youth Relationship Education on the Child Welfare Agenda: Findings from a Research and Evaluation Review Mindy Scott, Kristen A. Moore, Alan J. Hawkins, Karin Malm, Martha Beltz

Conclusions

• There is evidence on the serious problems and poor outcomes faced by adolescents in the foster care system

• There are also compelling research findings on the importance of positive relationships

• There is a lack of rigorously evaluated relationship programs for youth in foster care (no programs in Level 1)

• A number of relationship education programs exist that serve vulnerable populations of youth

• Lessons learned from these programs and their evaluations can be used to help develop effective interventions for youth in foster care

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Putting Youth Relationship Education on the Child Welfare Agenda: Findings from a Research and Evaluation Review Mindy Scott, Kristen A. Moore, Alan J. Hawkins, Karin Malm, Martha Beltz

Recommendations

• Appropriate relationship education programs need to be developed, manualized, assessed, refined and tested

• There is a need for more rigorous evaluations of programs for youth in foster care

• Relationship outcomes should be examined

• Policy makers need to recognize the importance of relationships for youth in foster care

• There is a need for more funding for relationship education programs or relationship program components for this group

Page 22: Putting Youth Relationship Education on the Child Welfare ......•Best Friends •Choosing the Best (grades 9-10 and grades 11-12) •Loving Well •Healthy Choices, Healthy Relationships

Contact information:

Mindy Scott [email protected]

www.childtrends.org

Twitter/childtrends

www.facebook.com/childtrends