Children In Foster Care Research Articles

Ecological disruptions and well-being among children in foster care.

Bronfenbrenner's framework highlights the importance of considering ecological systems to understand child well-being. Children entering foster care often experience disruption across systems. Yet, prior research has focused on specific disruptions linked to outcomes. This longitudinal study examined the impact of multiple ecological disruptions (i.e., changes in or separation from siblings, friends, school, church, community) on children's internalizing symptoms and externalizing behaviors over time. This study included 211 children between the ages of 6 and 13 years (M = 10.23, SD = 2.37; 55.0% female; 57.3% African American). Children entered foster care for up to four reasons: Neglect (73.9%), physical abuse (29.4%), dependency (10%), and/or sexual abuse (9.5%). Most of the children experienced a change in school (64.0%), 46.9% were separated from siblings, 25.1% lost friends, 12.8% experienced community disruptions, and 10.0% were separated from church. Hierarchical Linear Modeling was employed to examine the association between ecological disruptions and longitudinal internalizing symptoms and externalizing behaviors, while controlling for baseline internalizing and externalizing, demographic variables (i.e., child age, gender, and race), and maltreatment severity. Maltreatment severity, along with school and community disruptions related to the presence of internalizing symptoms. Loss of friends was associated with the absence of externalizing behaviors, while community disruption was associated with the presence of externalizing behaviors. This study suggests that maintaining children's connections to their school and community is important for well-being. Under certain circumstances, separation from friends may relate to improved behavioral functioning. Future research should explore additional and interacting facets of children's ecological systems and related outcomes. (PsycInfo Database Record (c) 2022 APA, all rights reserved).

The Primacy of Parents in Child-Rearing for a Child in Foster Care

This study investigates the legal status of parents of children placed in foster care, in view of the constitutional principle of the primacy of parents in child-rearing. It analyzes the legal status of parents in all possible cases when a child has been placed in foster care or in a childcare facility, especially the case based on a ruling that restricts parental authority, which is the most common circumstance and the most ambiguous in terms of the research problem explored here. Moreover, this study examines the thesis that both parents and foster carers jointly affect the child, making it difficult to defend the position that parents should enjoy the primacy. Nevertheless, the purpose of the provisions of the Family and Guardianship Code and the Act on Family Support and Foster Care System is clearly to restore the primacy of parents.

Rates of Emotional Disturbance Among Children in Foster Care: Comparing Federal Child Welfare Data and Medicaid Records in Two States

Rates of Emotional Disturbance Among Children in Foster Care: Comparing Federal Child Welfare Data and Medicaid Records in Two States

L’affidamento familiare: le strategie educative elaborate dagli affidatari

Foster care is a condition of welcoming children with families in serious difficulty, legally regulated, aimed at guaranteeing to minors a suitable space for growth, and to families of origin the possibility of overcoming the problems so as to consent the return of the children. It is a challenging educational condition, to be deepened with research. The complexity of the backgrounds of origin and the co-presence of multiple risk factors in fact generate in children and young people in foster care, important difficulties in development, which foster families have to cope with, also with the support of specialists, services and associations. However, the skills that caregivers come to build over the years are valuable, deserving of pedagogical insights, so that good practices of positive parenting can be valued and shared. In this paper we will report the results of a survey, carried out with a national sample of 323 foster families. The study makes it possible to investigate the reasons for the custody prevision, the relationships with families of origin, the difficult life trajectories of the children in foster care (transitions, placements, discontinuities, years of foster care, continuation of relationships after foster care). In this way it is possible to identify the needs highlighted by the minors, the relevant problems that emerge and the promising strategies adopted by the foster families.

PARENTING IN YOUNG MOTHERS: A SCOPING REVIEW

Being a young mother has long-term consequences even during the life of the mother and child in foster care, this hurts both mother and child. The purpose of this review is to look at how childcare in young mothers uses the methodology recommended by Arksey and O'Malley. 11 relevant articles discussed and found key concepts grouped into three main themes namely parenting behavior, parenting stress, and parenting need. Adolescent mothers with higher social support have more knowledge in parenting, parenting attitudes, and self-efficacy in positive parenting, can overcome the temperament of the child, as well as reduce the stress of parenting.

전문가정위탁 부모교육 프로그램 개발과 적용

Unlike general parent education programs, this study aims to develop a parent education program for specialized foster care parents who raise children with special needs. To this end, the ADDIE model, an educational program development procedure, was used to analyze FGI, expert advisory meetings, and existing home-consigned parent education programs for working-level officials at the Foster Care Center. As a result of the study, the expert foster parent education program aimed at motivation, professionalism, and strengthening relationship competency, and the understanding of the expert foster system, special needs, foster parent coaching, and family and community partnerships. The entire education program consisted of 20 hours. As a result of applying the developed education program to professional entrusted parents, satisfaction with the composition and content of the education program averaged 4.9 out of 5(99% response rate), and specifically, "foster care child psychology" and "role of foster families" were positively evaluated. This study is meaningful in that it provided a standard parental education program for the nationwide spread of the specialized foster care system.

Reasons why Prescribers Decrease Psychotropic Medication for Foster Youth

Although prescribers frequently use psychotropic medication to treat emotional and behavioral problems for children in foster care, and states are required to monitor psychotropic medication usage with foster youth, few studies have evaluated the extent to which prescribers decrease psychotropic medication. We developed a system to track medication decreases for foster youth to ascertain why deprescriptions occurred. Researchers reviewed case files for 223 children and adolescents in a child welfare system who had received services via a state-funded project from October 2016 through January 2021. We found 99 individuals who had (a) prescriptions for one or more psychotropic medications at intake and (b) received both behavioral and medication review services. Results show only 32 (32%) of individuals in this sample experienced a deprescription of psychotropic medication while receiving services from the project. Analyses for these 32 individuals revealed four key findings. First, the most frequently deprescribed medications were stimulants and antipsychotics. Second, the most common reasons for decreasing any psychotropic medication were (a) medication advocacy and (b) adverse side effects. Notably, only foster youth aged 12 years or younger experienced medication reductions due to adverse side effects. Third, stimulants and antipsychotics accounted for the highest percentage of undesirable side effects. Fourth, practitioners deprescribed stimulants and antipsychotics for adverse side effects two times more often than for behavior or symptom improvement. These findings may contribute to the development of deprescribing guidelines for children in state welfare systems.

Foster family assessment: The assessor's perspective - A qualitative study

Children in foster care are more likely to exhibit emotional, behavioral, social, and developmental problems. Accordingly, foster families should provide them with a safe family environment that promotes their development. Therefore, to ensure that foster families adequately meet children's needs, it is crucial for youth protection services to properly assess prospective foster family applicants. However, the specific assessment methods are understudied. This study aims to capture the experiences of caseworkers and the challenges they face in assessing and selecting potential foster caregivers, as well as their needs for support to perform the assessments. Focus groups were held in child protection services agencies in the province of Québec (Canada). Three group interviews with a total of 15 caseworkers were transcribed and subjected to content analysis using NVivo 11. The caseworkers identified nine most important dimensions for assessing prospective foster families, notably motivation and engagement. Differences in the assessment process between caseworkers were observed, particularly for the type of foster family assessed. The caseworkers reported certain common needs for assessment training, primarily in interview techniques and the handling of multicultural issues. They also complained of lack of time allocated for clinical support during assessments. The results call for collaborative efforts between researchers and practitioners to provide appropriate training and tools to support the assessment process.

Community Adversity and Utilization of Psychotropic Medications Among Children in Foster Care.

The objective of this study was to examine the association between community adversity and psychotropic use among children in foster care in one US state. This study uses a cross-sectional design integrated foster care and Medicaid administrative data with data from Kids Count, the US Census, and the Area Health Resource File. There were 4,334 children ages 5-18 in foster care in 2014. We used K-means cluster analysis grouped state counties using indicators of school performance, juvenile justice involvement, and food insecurity. Chi-square tests assessed significance between psychotropic medication and community adversity cluster. A generalized linear mixed model assessed the relationship between psychotropic use and community adversity cluster, accounting for individual-level and cluster-level factors. Children in foster care living in high adversity communities were significantly less likely to use psychotropic medication (p < .0001). Future research can investigate the specific community factor influencing judicious use of psychotropic medication and the impact on children outcomes.

Mental Health and Developmental Disorder Diagnoses of Foster and Nonfoster Children Enrolled in Medicaid.

This study used Medicaid claims to compare the prevalence of mental health disorders (MHDs) and developmental disorders (DDs) between foster and nonfoster youth. Medicaid claims data were used to identify MHDs and DDs. Diagnosis codes were categorized into 16 MHD and 8 DD groups. Children were enrolled in their respective Medicaid plan for at least 30 days and had at least 1 health care encounter generating a claim. Prevalence was compared between children in foster care and children not in foster care overall and by age group. Logistic regression was used to compare the odds of having an MHD or DD diagnosis. Of the 8706 children in foster care, 20.1% had an MHD compared with 9.7% of the 392,815 nonfoster children. Overall, the 5 most prevalent MHD and DD conditions among foster youth were attention-deficit/hyperactivity disorder (ADHD) (11.0%), miscellaneous (9.3%), bipolar disorders (5.6%), communication disorders (5.4%), and depressive disorders (5.1%). The 5 most prevalent conditions among children not in foster care were ADHD (6.1%); communication disorders (3.0%); disruptive, impulse control, and conduct disorders (2.7%); specific learning disorders (2.5%); and trauma and stressor-related disorders (2.4%). Anxiety was significantly higher among nonfoster children. The prevalence of the most common conditions by age group is reported. Overall, children in foster care had 2.5 and 2.3 times higher odds of having an MHD or DD diagnosis, respectively. Children in foster care had significantly higher rates of mental health and DD diagnoses compared with children not in foster care.

Breaking the silence on special needs children in foster care: The diversity of children in foster care, carers and processes

AbstractThis study aims to advance the understanding of children with special needs in foster care by identifying the characteristics, processes, and outcomes of their placement. The study uses a quantitative approach to identify 190 children with special needs (registered) from among 2,157 foster children in Catalonia and the Balearic Islands, Spain and examines key data covering 2008 to 2018. The results show that children with special needs are overrepresented in placements with single‐parent foster carers (mainly women), raising questions about the extent to which the care system takes the complexity of special needs into account.

Lenses and Mirrors: Reflecting on Dyadic Psychotherapy, Supervision, and Research with Families Involved in the Child Welfare System

ABSTRACT Historically, services for families in the child welfare system have been behaviorally and externally focused, rather than attuning to what is happening on the inside for parents and children. Rarely do families have access to psychodynamic treatment provided by highly trained and well supported therapists. The Building Blocks program was developed at New Alternatives to Children, a child welfare agency, to provide mentalization-based psychodynamic treatment to families with children in foster care or at risk of being removed from the home. This paper presents data from a case of a mother and her infant daughter, observed through three lenses – clinical observation, research and supervision – sharpening our understanding of factors that facilitate trust, healing and attachment within both parent-child and therapeutic relationships. To empirically evaluate the Building Blocks program, families participate in assessments at baseline and after 12 sessions. We observed meaningful changes in this dyad’s verbal and nonverbal behaviors, based on Coding Interactive Behavior System, confirming the clinical observations. Finally, reflective supervision supported positive movement, and the use of video aided therapist mentalization. Integration of clinical training and research can provide a more comprehensive view of clinical work and allow families to be more fully seen and known.

Long-Term Trends and Ethnoracial Inequality in U.S. Foster Care: A Research Note.

This study combines and standardizes multiple sources of administrative data to calculate rates of children in foster care in the United States from 1961 to 2018, more than tripling the length of previously available time series. Results yield novel insights about historical, geographic, and ethnoracial variation in children's experience of living without parents under state supervision. National rates of children in foster care rose from 3 per 1,000 in 1963 to a peak of almost 8 per 1,000 in 1997 before declining to just under 6 per 1,000 in 2018. After stable or increasing racial inequality in the late twentieth century, disparities between Black/African American and White children began to decrease in the twenty-first century in nearly every state, closing entirely in several Southern states but remaining wide outside the South. In many Midwestern and Western states, the extreme overrepresentation of American Indian/Alaska Native children in foster care persisted or intensified.

An exploration of the motivations and barriers to being a foster parent in Florida

Many states in the U.S. face increasing numbers of children in foster care, with high turnover and low foster parent retention rates. There is a large body of research that discusses the methods for successful foster parenting and effective foster parent retention; however, there is not much literature on perceived motivations and barriers to being a foster parent. This research adds to the literature by providing an understanding of why most families do not foster, as well as the average public knowledge and exposure to foster care issues. This study specifically identifies adult Floridian’s interest in being a foster parent, general knowledge level about fostering, exposure to fostering, and perceived motivations and barriers to fostering. The data collection was conducted using MTurk to recruit survey participants which gauged participants’ general knowledge about fostering, average exposure to fostering, and perceived motivations and barriers to fostering. Statistically significant relationships were identified between individual’s interest in fostering and respondent demographics, general knowledge, average exposure, and perceived motivations and barriers to fostering. Specifically, demographics including gender, religion, religiousness, marital status, children, and education each revealed statistically significant relationships between two or more indicators of average exposure to fostering. In addition, respondents; religious affiliations was associated with a higher self-perceived knowledge of foster care issues. These results can inform future research and guide targeted foster parent recruitment efforts that adapt education and recruitment to specific demographic characteristics. The researchers also recommend that future research explore treatments that may influence interest in fostering based on the general exposure, knowledge, motivations, and barriers identified.

Impact of Medicaid expansion and methadone coverage as a medication for opioid use disorder on foster care entries during the opioid crisis

Between 2012 and 2018, incidents of opioid-involved injuries surged and the number of children in foster care due to parental drug use disorder increased. Treatments for opioid use disorder (OUD) might prevent or reduce the amount of time that children spend in the child welfare system. Using administrative data, we examined the impact of Medicaid expansion and state support for methadone as a medication for opioid use disorder (MOUD) on first-time foster care placements. Results show that first-time foster care entries due to parental drug use disorder experienced a reduction of 28 per 100,000 children in Medicaid expansion states with methadone MOUD covered by their state Medicaid programs. The largest reduction was found among non-Hispanic Black children and the youngest children (age 0–1 years). Policies that increase OUD treatment access may reduce foster care placements by reducing parents’ drug use, a risk factor for child abuse/neglect and subsequent home removal.

Health and education passport and the role of the foster care public health nurse

The aim of this study is to explore the practical use of Health and Education Passport (HEP) for children in foster care and the role of the Foster Care Public Health Nurse (FCPHN) in tracking health and education records. Children in foster care have complex health problems and experience frequent changes in home and school placements that result in gaps documentation. California mandates an HEP for every child in foster care. Utilizing an online survey, PHNs describe their agency's use of the HEP, reported how they obtain health and education records for the HEP. Social workers, PHNs and mental health providers were main HEP users, less so for foster parents and youth who age out of foster care. The HEP was used at medical and dental visits. PHNs reported little to no participation in updating educators. The HEP may be most useful when the child moves to a new placement or school. The HEP is a critical document that ties a fragmented health history together. This study describes the foster care PHN role in updating the HEP and accessing health services and establishing a medical home.

Caring for children in foster and kinship care during a pandemic: lessons learned and recommendations

ABSTRACT Through qualitative feedback from professionals in healthcare, mental health, and child welfare, this study explored the impact of the COVID-19 pandemic on the health and well-being of children in the child welfare system. Positive outcomes and challenges related to the care of children in foster or kinship care in Texas during the COVID-19 pandemic are described. Themes identified included disparities in the child welfare system; utilization of telehealth; cross-sector communication and collaboration; safety considerations; and placement stability and support. The article concludes with recommendations in each of these areas for ensuring the health and well-being of children in foster and kinship care during a pandemic.

Caregiving quality modulates neuroendocrine and immunological markers in young children in foster care who have experienced early adversity.

Early adversity is believed to alter the body's stress-response systems, putting children at increased risk for somatic and mental health problems. However, it remains unclear whether such alterations normalize under improved caregiving experiences. Thus, the goal of the present study was to investigate (a) whether children in foster care show endocrine and immunological alterations relative to children living with their biological families, (b) whether these alterations change over time spent with the foster family, and (c) whether the alterations are modulated by current caregiving experiences. A total of 94 children in foster care and 157 biological children, aged two to seven years, took part in a longitudinal study with three assessments conducted over a 12-month study period. At the initial assessment, children lived for an average of 18 months with their current foster families. Children's cortisol, dehydroepiandrosterone (DHEA) and progesterone concentrations and cortisol/DHEA ratios were measured in scalp hair and children's secretory immunoglobulin A (sIgA) levels in saliva. Caregiving quality was assessed based on caregiver-reports and observational measures of caregiver-child interactions. Children in foster care had lower cortisol/DHEA ratios and higher progesterone concentrations than biological children, while no group differences were found for cortisol, DHEA or sIgA. Time spent with the current foster family did not significantly influence the child's endocrine or immunological markers. Importantly, caregiving quality modulated cortisol/DHEA ratios and sIgA concentrations: children in foster care of lower caregiving quality had lower cortisol/DHEA ratios than children in foster care of higher caregiving quality and showed decreasing, rather than increasing, sIgA concentrations across the study period. Our results indicate that caregiving quality in the foster family may have an important modulating effect on selected indicators of the child's stress response and could thereby mitigate the possible consequences of early childhood adversity.

Mentoring Children in Foster Care: Examining Relationship Histories as Moderators of Intervention Impact on Children's Mental Health and Trauma Symptoms.

Mentoring-based interventions show promise among children in foster care, but previous research suggests that some benefit more than others. Because children in foster care experience relationship disruptions that could affect mentoring effectiveness, we examined whether children's relational histories at baseline (i.e., relationship quality with birth parents, relationship quality with foster parents, caregiver instability, and previous mentoring experience) moderated the impact of a mentoring intervention on children's mental health, trauma symptoms, and quality of life. Participants included 426 racially and ethnically diverse children (age: 9-11; 52% male) who participated in a randomized controlled trial of the Fostering Healthy Futures program (FHF), a 9-month one-to-one mentoring and skills group intervention. Results showed that relationship quality with foster parents and prior mentoring experience did not moderate intervention impact. Relationship quality with birth parents and caregiver instability pre-program, however, moderated the effect on some outcomes. The impact on quality of life was stronger for children with weaker birth parent relationships and fewer caregiver changes. Likewise, the impact on trauma symptoms was stronger for those with fewer caregiver changes. Overall, FHF seems to positively impact children with varied relational histories, yet some may derive more benefits - particularly those with fewer caregiver changes pre-program.

The effects of COVID-19 pandemic on stress and difficulties in foster parents of children with intellectual disabilities: effects of the online specialized support

Foster care of children with intellectual disabilities raises important problems. Much evidence suggests that foster parents of children with special needs face elevated levels of stress and care difficulties. We examined the differences between foster parents who received and those who did not receive online support during the COVID-19 pandemic in the level of emotional mental health, objective and subjective care stress. Results showed that helpful online support during the COVID-19 pandemic is significantly related with fewer children’s problem behaviours. Actions related to stress in foster care of children with disabilities during COVID-19 pandemic are recommended.