Foster youth transitions to adulthood: a longitudinal view of youth leaving care

The well-being of youths who age out of the out-of-home care system in the U.S. has long been of great interest to child welfare practitioners and policymakers. In spite of this interest, however, very little is known about how these youths fare when they must make the transition to independence. The Foster Youth Transitions to Adulthood Study is tracking the experiences of 141 young adults who left care in Wisconsin in 1995 and 1996. This article describes these youths and their experiences in the first 12 to 18 months after leaving care. The findings suggest that the transition to independence is a difficult time for youth leaving the out-of-home care system.     

Reunification in a complete entry cohort: A longitudinal study of children entering out-of-home care in Tasmania,Australia

The aim of this study was to examine the nature and predictors of family reunification patterns in Australia. Using a large representative sample, this study extends previous studies based on older, often smaller samples and encompasses a period in which kinship care comprised a substantial proportion of out-of-home care placements. Analyses were based on a sample of 468 children who entered care for the first time in the State of Tasmania between January the 1st 2006 and December 31st 2007. Administrative data and case-worker interviews were used to obtain information concerning children's demographics, family backgrounds and placement movements over 2–4 years. The results showed that around 50% of children had gone home after 2 years, but that 79% of returns occurred in the first 6 months. Reunification was slower for younger children, those in kinship care, and amongst children from families affected by poverty, substance abuse and for a cluster children with the highest prevalence family risk factors. The study contributes to international knowledge concerning the importance of assessing the multiplicity of risk factors in family reunification research and the implications of kinship care for the increased stability, but higher retention, of children in out-of-home care.     

Housing problems experienced by recipients of child welfare services

This study uses data on the experiences of families involved with child welfare services to examine the nature of housing problems and needs among these families and whether housing status affects case outcomes. First, the article describes the housing difficulties faced by two distinct child welfare service populations: families receiving voluntary in-home services and families with children in court-ordered out-of-home care. Second, the study demonstrates the relationship between housing problems and the likelihood of family reunification for children in out-of-home care. The findings have implications for the delivery of child welfare services and the provision of housing assistance to low-income families with children.     

Measuring contract agency performance with administrative data

This article uses administrative data to analyze the relative performance of contract agencies-those organizations under contract with a city child welfare agency to provide out-of-home care services to children placed in the custody of the public agency-by examining how long it took children placed in out-of-home care to return home to their families. The objective was to determine whether credible empirical evidence could show a relationship between length of stay and the agency providing care. Agency level reunification rates are widely distributed around the mean, indicating that contract agency performance differs and that "agency effects" leave an independent imprint on a child's out-of-home care experience.     

Power through choices: the development of a sexuality education curriculum for youths in out-of-home care

Youths in out-of-home care demonstrate high rates of sexual risk-taking behavior and elevated rates of unintended pregnancy and sexually transmitted infections (STIs). This article profiles the development and characteristics of an innovative pregnancy/HIV/STI prevention curriculum tailored to the needs of youths in out-of-home care. Promising results from an implementation study suggest the need for further dissemination and rigorous testing.     

Foster parent and teacher assessments of youth in kinship and non-kinship foster care placements: are behaviors perceived differently across settings?

With a growing number of children living in kinship foster care, it is important to understand how youths are faring in kinship care compared to youths in non-kinship care. In the present study, we first evaluate teacher ratings of problem behaviors exhibited in school by youths in kinship and non-kinship foster care. We then examine whether correspondences between parent and teacher ratings of problem behaviors across home and school settings differ by kinship status. The youths in the study represent an ethnically diverse sample (N = 185), with significantly more children of color in kinship placements. Across the majority of problem behavior scales on the Teacher's Report Form (TRF: Achenbach, 1991), teacher perceptions of youth behavior did not differ significantly according to kinship or non-kinship care placement. Furthermore, the youths in this study had elevated scores relative to general population norms on only a few TRF problem behavior scales. A sub-sample (N = 122) with foster parent assessments on the Child Behavior Checklist (CBCL: Achenbach, 1991) permitted comparison of perceptions of youth behavior across the home and school settings for youths in kinship and non-kinship placements. Correlations between the TRF and CBCL composite scale scores (internalizing, externalizing, and total problem behaviors) indicated slightly higher agreement between teacher and foster parent ratings for kinship placements. The non-kinship foster parents reported higher levels of problem behavior at home relative to school. The paper interprets these results and suggests implications for practice and future research directions.     

Understanding reentry to out-of-home care for reunified infants

Although many children placed in out-of-home care are reunified with their families of origin, a significant portion reenter care, reflecting continued family problems and weaknesses within the child welfare system. For infants, the stability of reunification is particularly crucial, given their developmental stage. This study reviewed the case records of 88 randomly selected infants who had been reunified with their families. Thirty-two percent of those infants reentered care within four to six years of their reunification. The identification of factors predictive of reentry into care has both policy and practice implications.     

“Try to make it seem like we're regular kids”: Youth perceptions of restrictiveness in out-of-home care

While there are several measures of living environment restrictiveness, none has used the youth perspective in conceptualizing and operationalizing restrictiveness. The purpose of this qualitative study was to obtain the perspectives of child welfare involved youth who have lived in out-of-home care. Using focus group methodology, 40 youth were asked to define restriction and give examples of how it is operationalized in practice. Youth defined restriction as “rules”. The rules were about what youth can do, where they can go, who they can be with and how and with whom they can communicate. These rules were primarily characterized as inconsistent, arbitrary, non-individualized and developmentally inappropriate, although some characterized them as beneficial in the long term. Rules were mostly attributed to adult need for power and avoidance of legal responsibility for the youths. Typical feelings about the rules were anger, resentment, feeling labeled, isolated and stigmatized. Relationships influenced perceptions: within a positive relationship, youth understood and tolerated the rules that limited independence. The perception of what were normal restrictions for other youth not in out-of-home care was another influencing factor. These findings are examined in light of cognitive and affective development in adolescence. Recommendations for improving the measurement of living environment restrictiveness as well as enhancing child welfare services are proposed.     

Lives in Motion: A Review of Former Foster Youth in the Context of their Experiences in the Child Welfare System

In light of the poor prospects facing many former foster youths during the transition to adulthood, it is surprising that so little attention has been given to substitute care contexts during child welfare system involvement. A review of child welfare research finds that many former foster youths go through an alarming number of placement changes and report a high rate of placement into congregate care settings and other unplanned events. Future research should take explicit account of substitute care contexts in designing and carrying out studies examining the adult outcomes of aging out foster care populations. Interventions intended to circumvent high rates of movement in foster care should also be broadened to target multiple aspects of substitute care contexts.     

Readiness for independent living of adolescents in youth villages in Israel

Most Israeli children who spend their youth away from their birth parents live in youth villages. The majority of these children come from either the geographical or social periphery of Israel. Since the 1990s the youth villages have specialized in absorbing immigrants mainly from the former Soviet Union (FSU) and Ethiopia. The paper reports on a survey conducted among the professional staff in the youth villages. This study explores their perceptions of the readiness for independent living of adolescents on the verge of leaving youth villages and examines how readiness is associated with individual and familial characteristics. A structured questionnaire was mailed to youth villages asking professionals to anonymously complete the survey. The total sample include reports on 1256 adolescents who spent in the current setting on average 3.3 (SD = 1.8) years. For many of them this was the first out-of-home placement. Generally, workers have a favorable assessment of the youths' readiness for independent living. Still, they report that many of the youths do not have any of the necessary skills for independent living. Additionally, there are sub-groups that are more disadvantaged and at greater risk because they lack skills for a successful transition from care. The findings indicate that youth of Ethiopian origin are more disadvantaged with regard to skills related to school, the job market, finances, interpersonal relationships and normative behaviors, whereas youths from FSU present fewer skills pertaining to military service. The findings emphasize the important role Israeli youth villages have in supporting underprivileged adolescents in acquiring basic skills for adult life and suggest guidelines as to which sub-groups and in which area programs should be developed.     

Ready or not: assessing youths' preparedness for independent living

This article discusses the utility of the Ansell-Casey Life Skills Assessment (ACLSA) in assessing life skills necessary for living successfully in the community upon emancipation from out-of-home care. ACLSA, completed by youths and their caregivers, identifies skills that have been mastered and those yet to be learned. Assessment information can be used for goal setting, strength identification, and relationship building, as well as to direct program planning and training in self-sufficiency services.     

Cost analysis of the strengthening families program in reducing time to family reunification among substance-affected families

Decision makers typically face uncertainty in determining whether the outcomes of promising child welfare interventions justify the investment. Despite repeated calls for cost analysis in child welfare, original studies that evaluate the costs and effects of child welfare programs have been limited. Moreover, no cost analyses have focused on family reunification programs that address the needs of substance-affected families. The purpose of this study was to evaluate the costs and effects of a federally funded implementation of the Strengthening Families Program (SFP), a 14-week family training curriculum, on time to reunification with a substance-involved child welfare population. Based on event history analysis, we find the typical child participating in SFP spends 190 fewer days in out of home care when compared to a propensity score matched comparison group of children in out-of home care receiving treatment as usual. Re-entry rates between the two groups were not significantly different at follow-up. At an average out-of-home care rate of $86 per child per day in this state, SFP saves approximately $16,340 per participating child in out-of-home care costs. From a cost–benefit perspective, every $1 invested in SFP yields an average savings of $9.83 in this Midwestern demonstration.     

Reexamining the Association of Maternal Age and Marital Status at First Birth With Youth Educational Attainment

We reexamined the association of maternal age and marital status at birth with youth high school completion using data from the Children and Young Adult sample of the 1979 National Longitudinal Survey of Youth and giving attention to multiple age categories and race and ethnic variations. Youth born to older teen mothers were no more likely to graduate from high school than those born to the youngest teen mothers. Although delaying childbirth to young adulthood was associated with greater odds of children's high school completion when compared with the earliest teen births, those born to young adult mothers were disadvantaged when compared with those born to mothers aged 25 years or older. Being born to an unmarried mother was associated with lower odds of high school completion. We found no evidence that maternal age at birth more strongly predicted high school graduation for White compared with Latino and Black youth.     

Out-of-Home Placement of Children and Economic Factors: An Empirical Analysis

In this paper, we use data from the National Longitudinal Survey of Youth (NLSY) to estimate the effects of income, maternal employment, family structure, and public policies on several measures of childrens living arrangements. We use both linear probability models and discrete-time event history models to explore the effects of these factors on: (1) the probability that a child is living out-of-home in a given year; (2) the probability that a child is removed from home in a given year, conditional on the child living at home in the previous year; (3) the probability that a child is removed from home for the first time; (4) the probability that a child is reunified with his/her biological parent(s) given that the child was living out-of-home in the previous year. We also analyze whether these estimates differ by types of out-of-home placements. Our results suggest that children from lower-income, single-mother, and mother–partner families are considerably more likely both to be living out-of-home and to be removed from home. A change in family structure also tends to place a child at higher risk of an out-of-home living arrangement, unless this transition functions to bring a childs father back into the household. Maternal work appears to increase the probability that a child lives at home. Additionally, once a removal has taken place, we do not find a relationship between income and the probability of a family reunification, but we do find that single-mother and mother–partner families are less likely to reunify. Finally, our analyses provide some evidence that welfare benefit levels are negatively related to out-of-home placements.Funding for this project was provided the National Institute of Child Health and Human Development through grant number 5 F32 HD044 302-02. We are grateful to Shoshana Grossbard-Shechtman, Jennifer Hill, Sanders Korenman, Leonard Lopoo, Katherine Magnuson, and Christina Paxson for their excellent comments and advice.JEL Classification: D10, I30, J13     

The impact of income on reunification among families with children in out-of-home care

Income appears to be associated with faster time to family reunification. The observed connection between income and reunification, however, may be causal in nature or the relationship may be an issue of selection, in that other underlying factors explain both income and family safety and stability. We examine the causal role that the source of income plays in reunification. We use administrative data on primary caregivers of children placed in out-of-home care in Washington State from 2000 through 2007 (N = 15,159) matched with public economic support and employment data linked by the Washington State Department of Social and Health Services (DSHS) Integrated Client Database (ICDB). Using instrumental variable analysis, we estimated the effect of the amount of earnings and the amount of cash benefits on reunification. We used county unemployment rates and county food stamp participation rates as instruments. We find modest and inconsistent results that suggest higher earnings are associated with lower likelihood of reunification. We find no consistent evidence linking cash assistance to reunification.     

Gay and no place to go: assessing the needs of gay and lesbian adolescents in out-of-home care settings.

Gay and lesbian adolescents, whether self-declared or in the throes of sexual identity struggles, are and have been in out-of-home care settings. Their placements are often negative experiences because their feelings of difference are frequently aggravated by the attitudes of those around them, including other children and some staff members. This article discusses factors that can help make placement a positive experience for these youths.     

The career aspirations and action behaviours of Australian adolescents in out-of-home-care

We surveyed 202 adolescents who were in out-of-home care, and compared them with 202 adolescents not in care (matched for age, gender and school achievement) on career-related aspirations (occupational aspirations, educational aspirations, life barriers) and career action behaviours (career exploration, career planning). The out-of-home care adolescents reported lower occupational aspirations, less career planning, more career barriers, lower educational aspirations for themselves, lower parental aspirations, and more school engagement. Further, career exploration was lower for out-of-home care children who had higher aspirations, lower self-efficacy, parents who communicated higher aspirations, and low aspiring friends. Results are discussed in the context of providing career development and supports for out-of-home care adolescents so that their career aspirations and behaviours can mirror more normative levels.     

An innovative child welfare pilot initiative: Results and outcomes

Successful family reunification is achieved only about 50% of the time when children are in foster care. Parents' ability to access and complete court ordered services are paramount in determining whether the family can achieve reunification. However, the research on how to best facilitate service access and utilization are sparse. A matched sample of 100 families with no prior child welfare involvement and at least one child in out of home care were selected from Department of Children and Family closed administrative case files. This study compared 48 families who received traditional child welfare services to 48 families who received a Family First model intervention (PFFP) from a large urban public child welfare agency. The independent variables were the elements that distinguished the Family First model from traditional child welfare services and included the number of caseworkers for the life of the case, caseload size, and service needs met through community partnerships. The dependent variables were the stability of the children's out of home placement, the time to reunification, the length of agency involvement, the stability of reunification at one year follow up, subsequent substantiated child maltreatment reports one year after the cases were closed, the distance a placement location was from the home of the family at intake, the match between identified needs and the timely access of services. Hierarchal regression and survival models were constructed to examine elements of the intervention for their impact on family outcomes. The results suggested that a community partnership model that incorporated family engagement, enhanced service provider accessibility, reduced caseloads, one caseworker for each family, are associated with successful reunification outcomes. Moreover, the intervention families were more likely to have their needs met with clinical or economic services, experienced fewer days in out-of-home placement, shorter involvement with the agency, reduced placement moves and were more likely to be reunified sooner compared to the group who received standard child welfare services. At one year follow up, the intervention families also had fewer substantiated child maltreatment reports and children were more likely to be living in the parental home. Implications for policy, research and practice are presented.     

Are children safer with kin? A comparison of maltreatment risk in out-of-home care

Safety, or the absence of maltreatment, is the primary mandate of the child protection services (CPS) system, both for children living at home and those living away from home. Yet, few research studies have examined maltreatment in out-of-home care due to the low incidence rate and data limitations. This study used statewide administrative data to estimate the association between placement type and experiencing a maltreatment investigation or substantiation in out-of-home care. Over 6% of informal TANF-funded kinship placements experienced an investigation alleging maltreatment by an out-of-home caregiver, compared with just over 3% for formal kinship care and non-relative foster care. However, the monthly risk of maltreatment was lowest in informal kinship care because these placements tended to endure longer before maltreatment occurred. Substantiated maltreatment during an out-of-home placement was rare across all placement types. For both investigated and substantiated maltreatment, risk was highest in the first 3 months.     

Assessing child welfare outcomes: the American perspective

This paper examines US research on child welfare outcomes, focusing on family preservation, out-of-home care, and family reunification services. The review highlights the range of mixed findings in each of these areas, along with methodological issues and constraints. In light of the complexity of child welfare services, future outcome research should complement the rigorous use of quantitative methods with the careful application of qualitative methods.