FOSTER YOUTH HEALTH CARE TRANSITION Research/Working Session Prof. Ann Black Blake Lane Ryan Fennessey Corinne Hirotsu
Project Brief The CHECK clinic acts as a node to help educate and bring 40% 55% 40% 55% Of youth have Of young women awareness to the importance no source of are pregnant income of healthcare throughout foster youths’ lives, both while in foster care and when emancipated. 30% 30% 62% Of youth Of youth report 62% experience they cannot access homelessness healthcare However, due to living life in “crisis mode,” many foster youths and emancipated foster 50% 50% youths do not actively seek out Of youth use substances preventative health care. 1
Problem Areas Preventative and chronic healthcare needs are not a priority for youth who have aged out of the foster care system until it becomes a “crisis situation.” 2
Problem Areas Various professional stakeholders in Preventative and chronic healthcare the lives of the youth are not needs are not a priority for youth collaborating to stress the who have aged out of the foster importance of adult healthcare care system until it becomes a “crisis situation.” practices. 3
Problem Areas Opportunity Gap Preventative and chronic Various professional healthcare needs are not stakeholders in the lives of a priority for youth who the youth are not have aged out of the collaborating to stress the foster care system until it importance of adult becomes a healthcare practices. “crisis situation.” 4
Design Thinking Combining empathy for Creativity in creating Rationality in analyzing the context surrounding insights. and applying solutions. a problem. 5
Research Goals - Identify Youth in foster care medical needs How youth in foster care interact with various stakeholders in their lives. The role healthcare plays in the lives of youth in foster care and their stakeholders. 6
Research Goals - Understand How the role of stakeholders in youths in foster care’s lives fit into healthcare education. How this role can be used as a trigger for engagement between youths in foster care and the health system to create an outgoing relationship between healthcare and foster youths throughout their lives. 7
Research Methods Interviews Secondary Research Debrief Findings Synthesize Information 8
Research Methods - Interviews Medical and Youths in Foster Care Mentorship Observations Government Foster Care/ Agencies Programs Agencies Emancipated Hamilton County Jobs and BAIR Foundation Big Brothers Big Sisters LeXavier Lighthouse Community Family Services School Lighthouse Youth Services ProKids Tyrone Holly CCHMC Choices Inc. ILS group Trauma Therapists Lighthouse Community HEMI Program Tatiana McCormick School Changing Lives Walkthrough CHECK Clinic Total Interview time - Darnicia Bayes Choices, Inc. Total Interview time - 4 hrs Total Interview time - Tevin Brunner 4 hrs Changing Lives 6 hrs, 30 min Total Interview time - Total Interview time - 3 hrs Total Interview 7 hrs, 30 min Time - 25 hrs 9
Research Methods - Secondary Research Literature Reviews Benchmarking of other models Review of relationship between CHECK clinic and organizations Total Secondary Research Time - 35 hrs 10
Research Methods - Debrief Findings 3 Step Process 1. Review Audio Interview 2. Take notes in outline form 3. Extract critical points on post-it notes Total Debrief Time - 10 hrs 11
Research Methods - Synthesize Findings Created mapping systems of organizations 12
Research Methods - Synthesize Findings Created mapping systems of organizations Organized critical points 13
Research Methods - Synthesize Findings Created mapping systems of organizations Organized critical points Mapped out stakeholder and youths in foster care’s journeys throughout the process 14
Research Methods - Synthesize Findings Created mapping systems of organizations Organized critical points Mapped out stakeholder and youths in foster care’s journeys throughout the process Created mapping systems of youths in foster care and their relationship with organizations 16
Research Methods - Synthesize Findings Created mapping systems of organizations Organized critical points Mapped out stakeholder and youths in foster care’s journeys throughout the process Created mapping systems of youths in foster care and their relationship with organizations Identified possible communication breakdowns/boundaries 17
Research Methods - Synthesize Findings Created mapping systems of organizations Organized critical points Lost medical records Stops seeing the doctor Mapped out stakeholder and youths in foster care’s journeys throughout the process Created mapping systems of youths in foster care and their relationship with organizations Identified possible communication breakdowns/boundaries Located possible external factors along journey Taken off Medicaid 18
Research Methods - Synthesize Findings Created mapping systems of organizations Organized critical points Lost medical records Stops seeing the doctor Mapped out stakeholder and youths in foster care’s journeys throughout the process Created mapping systems of youths in foster care and their relationship with organizations Identified possible communication breakdowns/boundaries Located possible external factors along journey Taken off Medicaid Developed takeaways and next steps Total Synthesize Time - 20 hrs 19
Research Methods Synthesis Interviews 20 hrs 25 hrs Debrief 10 hrs 10 hrs 35 hrs Other Secondary Research Total Time - 100 hrs 20
JOURNEY THROUGH CARE 21
Meet Chris. Chris has been in the foster care system since the age of 6. It’s been hard for him to keep making new friends every time he changes placements. 22
Chris’s story: with parents foster care independent emancipated 23
Chris’s home life is unhealthy unhealthy situation with parents 24
JFS is notified of their situation intervention with parents 25
JFS and GAL remove him from his home This is an unsafe environment for you. Where are we going? with parents 26
Chris meets his foster parents Chris, meet your Hi, I’m Chris. foster family and agency caseworker. Hi Chris! we’re here if you need anything! foster care 27
Chris doesn’t like his foster home I hate it. I just How are you want to go home. feeling in your new home? foster care 28
Chris’s new placement doctor visit Hi, Chris. I’m Let’s go to your new doctor! the doctor. Bye. I don’t want to. foster care 29
Chris goes to the doctor We’re going to have to start from scratch, since you don’t have any medical records. Okay. foster care 30
Chris acts out against his foster parents We’re trying to help you. You aren’t even my real parents. foster care 31
Chris is removed from his placement Looks like this placement isn’t going to work out. We can’t deal with this behavior. foster care 32
Chris is taken to a new foster home We’re going to have to place you in a new home. Is it with my parents? It isn’t safe for you there yet. foster care 33
Chris meets his second foster parents Hi Chris, we’re going Chris, meet your new to take care of you. foster parents. I just want my I don’t want to. real parents. foster care 34
Chris warms up to his foster parents How are you adjusting to your new home? It’s okay I guess. foster care 35
Chris sees a different doctor Hi Chris, I’m your new doctor. Let’s go to the doctor for your placement check up. Where’s the doctor I usually see? Okay. This is a different doctor’s offjce. foster care 36
Chris’s new placement doctor visit We’re going to have to start from scratch, since you don’t have any medical records. Again? foster care 37
Chris is removed from his foster family Good news! we’re able to reunify you We hope it works out! with your parents. Bye. Finally! foster care 38
Chris is reunified with his parents I’ll still be checking on your family situation to make sure it’s healthy. reunifjcation attempt 39
Chris is taken off of medicaid Here’s his fjle. It has You don’t need that his SS card, medicaid medicaid anymore, card, and doctor info. now that you’re out of the system. reunifjcation attempt 40
Chris tolerates an unhealthy relationship I’m so happy to be back with my family, even though it might not You’re useless. be the safest environment. reunifjcation attempt 41
Chris is subjected to family drama unhealthy situation reunifjcation attempt 42
JFS intervenes again re-intervention reunifjcation attempt 43
JFS removes Chris from his family again This is still an unsafe environment for you. Where are we going? reunifjcation attempt 44
Chris wants to be with his parents We were able to put you back in your Hi Chris! how are you? previous placement. Leave me alone. I just want my parents. foster care 45
Chris acts out more and more How was school today? I didn’t go, school is for chumps. foster care 46
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