Holding a Foster Child's Mind in Mind

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

ACTIVE_NOT_RECRUITING

Clinical Phase

NA

Total Enrollment

175 participants

Study Classification

INTERVENTIONAL

Study Start Date

2022-08-01

Study Completion Date

2025-05-31

Brief Summary

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The aim of this study is to examine the effects of Mentalization Based Therapy (MBT) for foster families in Denmark on child mental health and well-being, parental stress, mental health, and reflective function, parental mind-mindedness and the parent-child relationship.

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Detailed Description

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Children placed in foster care are psychologically and physically vulnerable and show more social, developmental, and behavioral problems than children living with their family of origin. Many foster parents struggle to care for these children, some of whom have experienced serious adversity at a young age. The study examines the effects of Mentalization Based Therapy (MBT) in a cluster-randomized controlled trial with 175 foster families with children aged 4-17 years in 10 Danish municipalities.

Conditions

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Attachment Disorder Behavior Problem

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

This is a prospective cluster-randomized controlled trial with two conditions: (1) an intervention group who will receive MBT and (2) and a control group who receive usual care (UC).

Primary Study Purpose

TREATMENT

Blinding Strategy

SINGLE

Outcome Assessors

Outcomes assessor will be blinded for allocation when coding story stem and video outcomes

Study Groups

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Mentalization Based Therapy (MBT)

MBT for foster carers is a 12 session therapeutic intervention that will be offered to foster families by municipal foster care consultants

Group Type EXPERIMENTAL

Mentalization Based Therapy MBT

Intervention Type BEHAVIORAL

The focus is on improving the core components of secure attachment, particularly by developing the reflective functioning for all professionals working with children in out-of-home care, which is subsequently proposed to increase the psychosocial adjustment of the child and decrease emotional and behavioral problems. MBT treatment consists of up to 12 weekly sessions with the foster parents and child covering three core components: 1) psycho-education about mentalizing, trauma, and attachment for foster parents; 2) support for reflective practice in the professional network, and 3) mentalization-based therapy for the foster family \[41\].

Usual care

the control group will receive the usual care offered to foster families such as supervision

Group Type ACTIVE_COMPARATOR

Usual care

Intervention Type BEHAVIORAL

The control group will receive the usual care offered to foster families such as supervision

Interventions

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Mentalization Based Therapy MBT

The focus is on improving the core components of secure attachment, particularly by developing the reflective functioning for all professionals working with children in out-of-home care, which is subsequently proposed to increase the psychosocial adjustment of the child and decrease emotional and behavioral problems. MBT treatment consists of up to 12 weekly sessions with the foster parents and child covering three core components: 1) psycho-education about mentalizing, trauma, and attachment for foster parents; 2) support for reflective practice in the professional network, and 3) mentalization-based therapy for the foster family \[41\].

Intervention Type BEHAVIORAL

Usual care

The control group will receive the usual care offered to foster families such as supervision

Intervention Type BEHAVIORAL

Eligibility Criteria

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Inclusion Criteria

* Any kind of foster family (including professional and kinship care) with at least one full-time foster child aged 4-17 years.
* Elevated child symptoms as measured by X scales and
* An expressed need for support from either the foster parents or the foster child.

Exclusion Criteria

* Foster families in which there are no reported difficulties and concerns regarding the child or the placement.
* Foster families in which the child was placed with the family within the last X months

Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No