Evidence map›Paper›PMID 41356078›Full record

ArticleMental health science2025

Addressing System Challenges in Mental Health Services Research for Youth in the Child Welfare System: Insights From the Foster Care Family Navigator Trial.

Marina Tolou-Shams, Megan Ramaiya, Jannet L Salas, Adrian Aguilera, Martha Shumway, Brian Borsari, Emily Dauria, Jill D Berrick

Abstract read
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In one paragraph

Article in Mental health science, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Marina Tolou-ShamsDepartment of Psychiatry and Behavioral Sciences, University of California, San Francisco, San Francisco, California, USA.ORCID 0000-0003-2551-609X
Megan RamaiyaDepartment of Psychiatry and Behavioral Sciences, University of California, San Francisco, San Francisco, California, USA.
Jannet L SalasDepartment of Psychiatry and Behavioral Sciences, University of California, San Francisco, San Francisco, California, USA.
Adrian AguileraDepartment of Psychiatry and Behavioral Sciences, University of California, San Francisco, San Francisco, California, USA.
Martha ShumwayDepartment of Psychiatry and Behavioral Sciences, University of California, San Francisco, San Francisco, California, USA.
Brian BorsariDepartment of Psychiatry and Behavioral Sciences, University of California, San Francisco, San Francisco, California, USA.
Emily DauriaDepartment of Behavioral and Community Health Sciences, Graduate School of Public Health, University of Pittsburgh, Pittsburgh, Pennsylvania, USA.
Jill D BerrickSchool of Social Welfare, University of California Berkeley, Berkeley, California, USA.

Funding

Mentoring to reduce substance use for youth in the juvenile justice system.K24DA046569 · NIDA · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI MARINA TOLOU-SHAMS · 2019 to 2026
$1.5M
Foster Care Mental Health Family NavigatorR34MH119433 · NIMH · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI TOLOU-SHAMS, MARINA · 2020 to 2022
$724k
NIDA NIH HHS K24 DA046569NIMH NIH HHS R34 MH119433
6 · The paper itself

Abstract

Child welfare-involved (CWI) youth have high rates of unaddressed mental health needs, and system-level barriers (e.g., inadequate coordination between child welfare agencies and other systems designed to serve CWI youth) are one major reason why disparities in mental health services' access continue to persist for CWI youth. This Research Note aims to inform the mental health services field about system-level challenges to conducting real-world, health services research with CWI youth and their families. We present challenges experienced in conducting our NIMH-funded Foster Care Family Navigator (FCFN) trial focused on development and preliminary testing of a clinic-embedded navigation intervention designed to improve detection of foster care youth services need, linkage to and engagement in community-based mental health services. Systems-level challenges that impacted proposed research trial design and data collection included: (1) Limited system staff time and compensation processes; (2) Staff training and knowledge; and (3) System disruptions. Health services research geared toward increasing access to mental health services to CWI youth must incorporate multiple complex design considerations prior to intervention development and delivery including longer (than 12 months) intervention development phases, detailed contingency plans for intervention delivery and integrated tailored, ongoing support and training for staff with existing clinic workflows. In this way, structural challenges to access to care that researchers are trying to ameliorate for CWI and other underserved, minoritized populations are not being inadvertently perpetuated through research study designs.

Indexed as

child-welfare-involved youthdisparitiesfoster carehealth servicesinterventionpatient navigationsystemic barriers

Identifiers

PMID41356078
PMCPMC12680094

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.