Children In Family Foster Care Research Articles

Factors Associated With Stability for Children in Family Foster Care: A Study of Case Files in Six Municipalities in Sweden

ABSTRACTStability is vital for the development, health and relationships of children in family foster care. Instability can lead to social and school issues, low self‐esteem and diminished trust in caregivers. This article examines the risk and protective factors for stability for these children. Data, drawn from case files in six municipalities (n = 116), combine qualitative and quantitative analyses for a comprehensive understanding. Twenty children from each municipality were selected, with 10 in stable placements (lived in one family foster home for over a year) and 10 in unstable placements (lived in at least two different family foster homes). Quantitative results highlight the importance of factors like familiar placements, a child's age at the time of placement, behavioural challenges and the number of children in the foster home. Stable placements were more common in homes with fewer children (including foster and biological children). Qualitative findings show that in some instances, breakdowns in foster care placements could not be foreseen, often arising from stressful events within the foster family's life after the child's placement. Additionally, we observed that breakdowns sometimes resulted from foster parents lacking the necessary resources to address the child's requirements, particularly in cases involving children with behavioural challenges or extensive needs.

Effects of the TutorBright tutoring programme on the reading and mathematics skills of children in foster care: a randomised controlled trial

ABSTRACTWe evaluated the effects of TutorBright tutoring on the reading and mathematics skills of children in family foster care, examined several potential moderators of the impact of tutoring, and explored possible ‘spill-over’ effects on the children’s executive functioning and behavioural difficulties and on their caregivers’ level of involvement in schoolwork in the home. The sample consisted of 70 children in care in Ontario, Canada. At the pre-test, the children were aged 5–16 years (M = 10.41, SD = 2.94) and enrolled in school grades 1–11 (M = 5.53, SD = 2.90). Thirty-four children were randomly assigned to tutoring and 36 to a waiting list control condition. Seven subtests from the Woodcock-Johnson III (WJ-III) achievement test served as outcome measures. The tutored children made statistically greater gains than those in the control group on the WJ-III subtests of Reading Fluency, Reading Comprehension, and Mathematics Calculation, but not on Word Reading, Spelling, Math Fluency, or Applied Math Problems. Age, executive functioning, caregiver controlling involvement in schoolwork, and self-reported post-traumatic stress disorder symptoms were found to moderate the effectiveness of tutoring. There were no spill-over effects of tutoring. The implications of the results for improving foster children’s reading and mathematics skills were discussed.

How do youth in foster care view the impact of traumatic experiences?

Children in family foster care have been disproportionately exposed to traumatic experiences, which contribute to the problems and specific needs they experience. Despite the growing interest in the stories of children in foster care, only a few studies have focused on their lived experiences regarding traumatic events and the resulting impact. The aim of this study was therefore to ask youth themselves how they experience the impact of traumas prior to living in a foster family. Episodic narrative interviews were conducted with 13 youth aged 15–23 (formerly) residing in family foster care in the Netherlands. The interviews were subjected to open coding and organized in themes and sub-themes using thematic analysis. The impact youth experienced from traumas in the past could be grouped in three themes: the experience of emotional and social problems (such as internalizing problems, anger, and loss of bonds), specific strategies to cope with trauma (avoidance, looking for answers, preserving sameness), and not always experiencing impact. The results highlight the clinical problems youth experience, related to posttraumatic stress symptoms and complex trauma. However, youth also indicate strategies they employ to cope with this impact. Interventions for children in foster care with complex trauma should be tailored to the interconnectedness of complex trauma and attachment, and stimulate children's helpful coping strategies.

Psychosocial Needs of Children in Foster Care and the Impact of Sexual Abuse

Children in family foster care, especially those who have experienced sexual abuse, require a safe and nurturing environment in which their psychosocial needs are met. However, there is limited knowledge on how youth prioritize various needs and what impact previous experiences have on these needs. In this study, we asked youth (formerly) in family foster care to indicate their psychosocial needs, and analyzed if youth with a history of sexual abuse have different needs. A Q methodological study was conducted with 44 youth (age 16–28). Fifteen of them reported sexual abuse during their childhood. Using by-person factor analyses, respondents who share similar subjective views were grouped together. Qualitative interpretations of the factors show differences and similarities between and within the two groups, related to help from others, being independent, processing the past, and working toward the future. Although the needs of youth with and without experiences of sexual abuse seem mostly similar, one group of sexually abused youth specifically indicated not wanting an emotional connection to foster parents, but instead a strictly instrumental, professional relationship. This study captured the diverse perspectives of youth themselves, revealing that children in foster care differ with regard to what they consider as (most) important safety, belonging, self-esteem and self-actualization needs.

Children in family foster care have greater health risks and less involvement in Child Health Services.

This study investigated the impact of being in family foster care on selected health determinants and participation in Child Health Services (CHS). Two groups of 100 children, born between 1992 and 2008, were studied using data from Swedish Child Health Services for the preschool period up to the age of six. The first group had been in family foster care, and the controls, matched for age, sex and geographic location, had not. Descriptive statistics were used to describe differences in health determinants and participation in Child Health Services between the two groups. The foster care group had higher health risks, with lower rates of breastfeeding and higher levels of parental smoking. They were less likely to have received immunisations and attended key nurse or physician visits and speech and vision screening. Missing data for the phenylketonuria test were more common in children in family foster care. Children in family foster care were exposed to more health risks than the control children and had lower participation in the universal child health programme during the preschool period. These results call for secure access to high-quality preventive health care for this particularly vulnerable group of children.

Children's voices: the perceptions of children in foster care.

Scant research exists on how abused and neglected children view the foster care experience and how these perceptions vary by demographic characteristics and placement type. Data come from a national probability sample of children placed in child welfare supervised foster care for at least 1 year. These findings indicate that children generally feel positively toward their out-of-home care providers and maintain hope for reunification with their biological family. Differences are present between children in family foster care, group care, and kinship care placements.

Willingness to Foster Children with Emotional or Behavioral Problems

ABSTRACT There is a large and growing number of children in family foster care with emotional or behavioral problems, but fewer families are willing to foster such children. We know virtually nothing about families who are willing to foster such children. This longitudinal study of 142 foster family applicants found that most families were at least willing to discuss fostering children with most kinds of problems. Children who set fires, behave destructively, or act out sexually were the least acceptable. In general, families with more resources were more willing to foster children with emotional or behavioral problems. Also, families who were more willing to foster such children were more likely to have children placed fourteen months after pre-service training. These results have important implications for recruiting, training, and providing support and services to foster families.

Competencies and problem behaviors of children in family foster care: variations by kinship placement status and race

Formal kinship foster care is an increasingly common form of out-of-home placement, and several important distinctions between kinship care and non-relative foster care have been identified. The present study evaluated the behavior of kinship foster children in comparison to non-relative foster children and children in the general population. A geographically and ethnically diverse sample of foster children (N=240) was assessed for competence and problem behaviors using the Child Behavior Checklist (CBCL: Achenbach, 1991). Kinship foster children closely resembled children in the general population but differed significantly from their counterparts in non-relative foster care, who consistently scored lower on competence and higher on problem behaviors. Substantial proportions of non-relative foster children were in the clinical range on most CBCL measures, but kinship foster children were no more likely than children from the general population to score above clinical cut-offs. Differences between kinship and non-kinship foster children became less dramatic after accounting for child race and gender, which were both associated with kinship status. Child race had a strong main effect for almost all types of problem behaviors, with children of color showing significantly less problematic behavior. Discussion of these results centers on potential explanations for the observed variations in child behavior by kinship status and race.

Children in foster care: a nursing perspective on research, policy, and child health issues.

To examine the roles of public policy and poverty on the rising number of children in family foster care, and to examine the impact of different types of family foster care on children's well-being. Recent changes in welfare legislation increase the likelihood of family poverty, with a subsequent increase in the number of children in out-of-home care. Greater emphasis needs to be placed on preventing entry into out-of-home care, improving the quality of foster care, and giving children a voice in care decisions. Nurses have important roles to play in the prevention of family dissolution, the design of healthcare delivery systems for children in foster care, in evaluating and educating all types of foster families, and as advocates in legal and legislative proceedings.

Children Placed in Long-Term Foster Care: An Intake Profile Using the Child Behavior Checklist/4-18

Foster-care programs are beginning to use standardized assessment methods consistently as part of pro gram and case planning, as well as for documenting the clinical status of children in care. A number o studies have now been published that describe the psychosocial functioning of children in foster care using the Child Behavior Checklist (CBCL). This article reports findings on intake CBCL scores for a group of children 4 to 18 years old served in long-term family foster care by The Casey Family Program an agency serving children in 13 states.These CBCL scores are compared with scores reported for other samples of children in family foster care and residential treatment. Overall rates of serious behavior prob lems for children in care are estimated from the available data.The implications of the findings for clinical and program planning and future research using the CBCL are discussed.

Psychopathology among children placed in family foster care

The literature on psychopathology among children in family foster care published in the last 20 years was reviewed to estimate prevalence and types of psychopathology in this population. A comprehensive computerized database was searched for the period 1974 through 1994, with emphasis on recent literature. Available evidence suggests that the prevalence of psychopathology among children in family foster care is higher than would be expected from normative data, even when this population is compared with children who have backgrounds of similar deprivation. As for the types of psychopathology in this population, the only apparent trend is the predominance of externalizing disorders, such as disruptive behavior disorders. A combination of social, psychological, and biological factors may render children in family foster care highly vulnerable to psychopathology.