Predictors of behavioural problems in foster children: the key role of impulsivity

Although several variables have been reported to be associated with behavioural problems in foster children, few studies have sought to establish more precisely the extent to which these variables may explain problematic behaviour. The main aim of this study is to determine the extent to which certain variables may predict behavioural problems shown by foster children. Participants included 104 foster children and their respective foster families. Multiple linear regression analysis revealed that the following variables predict behavioural problems in foster children: impulsivity/attention deficit in the child, level of burden in the foster carers, rigid or authoritarian parental discipline, and criticism/rejection by the foster parents. The model explained 46% of the variance in behaviour problems, with the greatest predictive power (29%) corresponding to the variable ‘impulsivity/attention deficit’. The results show that impulsivity/attention deficit is the most powerful predictor of behavioural problems in foster children. This is consistent with the findings of various studies that have reported an association between a lack of inhibitory control and problematic behaviour.     

Externalising and internalising problem behaviour among Swedish adolescent boys and girls

We examined the occurrence and coexistence of externalising and internalising problem behaviour among Swedish boys and girls, and investigated whether there are differences in the accumulation of problems among adolescents with different behavioural, demographic and social characteristics. The results are discussed in the context of self‐salience schemas. The source material comprised all ninth grade pupils in a province in central Sweden in 2008 (N = 3,095). First, girls were found to be more prone to experience internalising problem behaviour, whereas no sex differences were found regarding externalising problem behaviour. Second, multidimensional scaling maps indicated that, compared with boys, self‐esteem and the PsychoSomatic Problem (PSP) scale among girls more closely indicated externalising problem behaviour components, whereas anxiety was situated far from the other externalising problem behaviour indicators. Finally, linear regression analyses indicated family type as the primary explanatory background factor for externalising problem behaviour and economic hardship as the primary explanatory background factor for internalising problem behaviour.     

Regulatory Self‐efficacy as a Moderator of Peer Socialization Relating to Italian Adolescents' Alcohol Intoxication

The present study investigated regulatory self‐efficacy (RSE) as a predictor of friendship and adolescent alcohol intoxication and as a moderator of peer socialization processes related to alcohol intoxication. The longitudinal sample included 457 Italian adolescents (262 females and 195 males) ranging in age of 14 to 20 years (M = 16.1 years of age). Sociometric and behavioral data were collected at the beginning and end of the academic school year. Actor‐based models were applied to simultaneously estimate selection and socialization processes accounting for interdependencies among friends' drinking behaviors. The results indicated that adolescents did not select friends with similar levels of alcohol intoxication or RSE, but adolescents did adopt their friends' drinking behaviors. RSE was negatively associated with adolescent drinking behaviors and moderated socialization processes related to alcohol use, with adolescents reporting higher levels of RSE being less likely to adopt their friends' drinking behaviors than adolescents with lower levels of RSE.     

Are Young People in Correctional Institutions Different from Community Students Who Have Never Been Convicted?: Differences in Internalizing and Externalizing Behaviours

Correspondence to Byoungduk Sohn, Department of Social Policy and Social Work, University of Oxford, Barnett House, 32 Wellington Square, Oxford OX1 2ER, UK. E-mail: byoungduk.sohn{at}linacre.ox.ac.uk Summary By comparing the prevalence of emotional and behaviour healthproblems among institutionalized juvenile offenders with thatamongst a non-offending sample of adolescents, this study indicatescommon characteristics of the perceived emotional and behaviouralproblems, and describes risk factors pertinent to persistentjuvenile offending. Familial backgrounds, behavioural and emotionalmeasures were collected through self-report surveys. Resultsshowed that young people in secure units claimed significanthigh levels of emotional and behavioural problems and that thoseproblems were associated with their disadvantaged familial socio-economicbackgrounds and perceived parenting factors. Various policyimplications are recommended to tackle problems amongst thesedisadvantaged young people in correctional institutions in Korea.In particular, for those working with young people in correctionalinstitutions in the UK, the findings highlight the importanceof culturally relevant programmes.     

The impact of foster children's behavioural problems on Flemish foster mothers' parenting behaviour

Foster children often have behavioural problems. Behavioural problems influence the level of parenting stress and can lead to a breakdown. In this study, parenting behaviour of foster mothers is mapped, and the influence of behavioural problems and parenting stress on the parenting behaviour 2 years later is examined. Data of behavioural problems, family stress and parenting were gathered from 49 foster mothers. Problem behaviour has a direct negative impact on parenting and leads to less support and more negative control. It also results in more parenting stress. Foster parents need to be trained aiming at preventing ineffective parenting. The well‐being of foster parents needs to be guarded. Higher levels of parenting stress lead to less effective parenting.     

Services for troubled adolescents: exploring user variation

This paper outlines some of the main findings from an exploratory study of a sample of 257 adolescents living in children's homes, foster homes and residential special schools ‘for pupils with emotional and behavioural difficulties’ (‘EBD’). It focuses on the characteristics of service users, particularly contrasting the looked after and EBD groups. Though there are some similarities, there are also important differences between the populations in terms of age, gender, ethnicity, reasons for separation, legal status, family background and education. An attempt was made systematically to compare groups by creating a subsample of ‘difficult’ adolescents, based on involvement in anti‐social behaviour. Unexpectedly, this revealed that half of the teenagers were not ‘difficult’. Factors associated with being identified as ‘difficult’ were explored.     

The Association of Behavioural Adjustment to Temperament, Parenting and Family Characteristics among 5-Year-Old Children

The objective of this study was to identify specific temperament, parenting, and family variables, and their interactions, which predict problem behaviours and social skills in children. The subjects were 74 5–6 year old children (34 boys, 40 girls). Results showed different combinations of variables predicted each behavioural outcome, and the child's 'goodness of fit' in the home was a strong predictor of externalising behaviour and social skills. An interaction between temperamental inflexibility and punitive parenting in the development of parent-rated externalising behaviour problems was found. This study highlights the value of using specific indices of temperament, parenting and family functioning and of pursuing interaction effects in the prediction of children's behavioural development.     

Policy Development for the Reduction of Alcohol and Other Drug Problems at an Australian University

Universities, as with other workplaces, experience problems related to alcohol and other drug use by staff and students. There is little published information about the prevalence of these problems among students in the university setting in Australia as compared with the availability of information from the USA. Curtin University of Technology's experience with alcohol-related problems seems to be documented better than most other Australian institutions, and the available evidence indicates that the level of student alcohol consumption and reported alcohol-related problems is cause for concern. However, this is not to say that Curtin's problems may be any greater than those of any other Australian university with alcohol available on the premises. Many years of involvement in health promotion teaching and research, combined with identification of alcohol and drug related problems on campus, were thought to be the primary factors preceding the university's decision to begin the process of formulating comprehensive alcohol and other drug policy for staff and students. The absence of clear and consistent alcohol and other drug policy can lead to 1) undermining of the educational environment, 2) confusion about appropriate behaviour, 3) dealing with drug-related problems by inaction or arbitrary and inappropriate action. Alcohol and other drug policy has two main goals: problem reduction and better management of problems.     

Adopted foster youths' psychosocial functioning: a longitudinal perspective

Researchers have long debated whether adopted youth manifest disproportionate levels of psychological dysfunction compared with non‐adopted youth. Yet, missing from the debate has been a clear understanding of the specific subgroups of adopted youth who may develop behaviour problems and of the risk factors associated with various vulnerable populations. This longitudinal study examined one subpopulation of adopted youth – former foster children – in order to determine their immediate and long‐term functioning, particularly in comparison with their adopted non‐foster care peers. The central goal of this study was to ascertain the prevalence of behavioural problems in adopted foster youth compared with adopted non‐foster youth and to chart the longitudinal course of their behavioural problems. Participants included adopted foster youth (n = 293) and adopted non‐foster youth (n = 312) from a statewide sample of adopted youth, aged 2–18 years. Data were collected from the adoptive parents at approximately 2, 4 and 8 years after adoption. Adoptive parents rated youths’ functioning with the Behaviour Problems Inventory. According to parental report, a striking number of the foster youth displayed behaviour problems, although the non‐foster care group of children also displayed noteworthy levels of problem behaviours. The rates of behaviour problems in both groups far exceed what is observed in the general population of children.     

A secure base? The adolescent–staff relationship in secure residential youth care

The client–therapist relationship is recognized as an important factor contributing to outcomes of child and youth care. Particularly in secure residential youth care, in which adolescents with mainly externalizing behaviour problems are often placed coercively, the client–staff relationship seems to be important for the achievement of positive outcomes. The present study aims to assess the client–staff relationship for a group of 135 adolescents in secure residential care and factors associated with a positive relationship. The results show that adolescents, group care workers and teachers experience a limited affective bond in their relationship 2 months after the adolescents were admitted to the secure care centre. Adolescents do tend to use care workers and teachers as a secure attachment figure, which suggests that an affective bond is no precondition for the adolescents to experience staff as a secure base. Main predictors of a good relationship are the positive treatment skills of both group care workers and teachers. These findings point to the need for training of care workers and teachers so that they are better prepared for working with these adolescents.     

'Help, I Can't Cope with my Child'--A Behavioural Approach to the Treatment of a Conduct Disordered Child within the Natural Homesetting

Correspondence to Andrew Bunyan, 20 Cranmer Drive, Meadow Gardens, Syston, Leicester LE7 8HY. Summary This study describes the implementation of a behavioural approachto treatment in a family with a four year old child at seriousrisk of a buse, presenting problems of defiance, demanding,aggression, destructiveness and sleep irregularity. Followinga comprehensive assessment, positive reinforcement, extinctionprocedures and time out were systematically applied throughthe use of a home-based triadic model of intervention. Initialresults (and a follow-up study) have indicated a significantimprovement in the child's behaviour.     

Treatment progress of foster care adolescents with severe behavioural problems: Factors conditioning their performance in the residential treatment centres

Behavioural problems are a recurring issue in the child welfare system population. Normative residential centres do not have the characteristics to address the specific needs of these adolescents, so they are usually treated at therapeutic residential centres. In Catalonia (Spain), these cases are treated in intensive educational residential centres (CREIs), a variant of therapeutic residential care (TRC) facilities. This exploratory study seeks to understand the treatment progress of adolescents with severe behavioural problems who were placed in the CREIs, a variant of TRC facilities. Data from 206 cases, the totality of population under treatment in the CREIs, were collected using a questionnaire administered to the treating team. A cross‐sectional design was used, applying quantitative methods to analyse the incidence and interrelation of a series of variables related to the progress of adolescents in the CREIs. Significant differences among profiles by sex, place of origin, criminal offences, substance abuse and mental health disorders were found. Furthermore, adolescents who performed a positive treatment progress according to the professional staff arrived at the CREI at an earlier age and had longer stays than the group with an unremarkable progress. Logistic regression indicated that duration of stay in the centre and runaways predict the adolescents' treatment progress. This treatment is working well with the milder cases; however, it does not tend to be successful for adolescents with greater difficulties. It is recommended that interventions focus on factors that engage the adolescents in their own rehabilitation process, include substance abuse programmes and consider the gender perspective.     

Behavioural Approaches to Child Care

Summary One approach to child care found to be of value elsewhere inthe world has been the use of techniques of behaviour modification.Although application of the behavioral model has generated anever expanding variety of techniques of intervention with children,the use of the model in this country has perhaps been limitedby the failure of residential care workers to draw a clear distinctionbetween the technology and the practice of behaviour modification,a failure which may have been compounded by the highly technicalnature of much of the literatue. An analysis of the context in which behavioural techniques arepractised in the United States and Canada shows that the highlevel of technical competence developed in various programmeswith adolescents and children has been the product of highlyfunded and carefully researched treatment projects. If the behaviouralmodel is to be developed as a basis for intensive and effectiveintervention in the lives of disadvantaged, disturbed childrenand adolescents in this country, it will be essential to gofurther than simply attempting to replicate the techniques describedand evaluated from American projects. Substantial resourceswill have to be devoted to evaluation of the context and practiceof specific treatment techniques and the development of appropriatetraining as well as the development of techniques themselves.     

Behavioural problems of adolescents in secure residential youth care: Gender differences and risk factors

Adolescents in secure residential care mostly suffer from serious behavioural problems, often accompanied by trauma and adverse family circumstances. This paper presents findings of a comparison of behavioural problems and risk factors of 255 boys and girls (aged 12 to 18 years) in secure residential care in the Netherlands and their association with behavioural problems. A cross-sectional design and standardized questionnaires were used to measure behavioural problems and individual and familial risk factors. By using independent-sample t tests, the severity of these factors in boys and girls was compared, and by using structural equation modelling (SEM), associations between these factors and behavioural problems were investigated. The findings of the study show that post-traumatic stress disorder (PTSD) symptoms, maladaptive emotion regulation, impaired perceived competence and internalizing behavioural problems were more severe in girls than in boys. Boys experienced more severe externalizing behavioural problems and more family problems than girls. Maladaptive emotion regulation, PTSD symptoms, perceived competence and parenting problems were related to behavioural problems. The results indicate that treatment for girls should address PTSD symptoms, perceived competence and maladaptive emotion regulation and that extra attention for family problems in the treatment of boys is warranted.     

Resistance as a means of creating accountability in child welfare institutions

This paper investigates the identity constructions of youths who are objects of special interventions in the area of child welfare. The aim of the paper was to explore the various dimensions of resistance to institutional identities among youths in special schools and foster‐care institutions. Interviews were conducted with adolescents aged between 12 and 15, identified as having social, emotional and behavioural difficulties. The analysis generates knowledge about society's interventions as well as how adolescents respond to offered institutional identities by adopting different kinds of discursive resistance. The paper highlights the different types of discursive resistance that adolescents use to present themselves as accountable individuals and discusses the importance of considering resistance as a positive force rather than as something that must be defeated.     

Parental empowerment and child behavioural problems during youth care involvement

The aim of this study was to examine changes in parental empowerment and child behavioural problems during a period of youth care and how changes are related to the kind of services provided. We compared a preservation service that was family‐centred (FCS) with out‐of‐home services that were primarily child‐centred (CCS). The sample consisted of 621 families who were supported by FCS (n = 434) or CCS (n = 137). Information about parental empowerment and child behavioural problems was gathered at the start and end of youth care. Significant changes during treatment were identified with t tests and effect sizes. Significant improvements emerged on all empowerment scales for FCS but only on the behavioural control subscale for CCS. Moreover, significant improvements emerged on all child behavioural scales for both FCS as CCS. Cross‐lagged analysis showed that the kind of service, in favour of FCS, predicted parental empowerment but not child behavioural problems. Parental empowerment and child behavioural problems were negatively related. This paper discusses the potential for parental empowerment and FCS elements in CCS out‐of‐home care and the need for follow‐up research on this subject.     

Mothers and fathers in treatment for methamphetamine addiction—Parenting,parental stress,and children at risk

Parents addicted to methamphetamine (“crystal meth”) are likely to be impaired in meeting parental responsibilities, and the developmental settings can be highly disadvantageous for children. Therefore, parenting by methamphetamine‐addicted mothers and fathers needs further exploration, while considering the impact on children affected by parental substance use. In our study, we analysed parenting practices and parental stress as well as children's behavioural problems using standardized assessments. The sample consisted of 87 methamphetamine‐addicted parents in recovery. We obtained data on parents' current substance use and on their psychological distress. Multiple regression analysis was performed to identify predictors of children's overall problems. Parents reported high levels of parental and psychological distress, even after achieving abstinence. Especially depressive perceptions of parenthood appeared problematic. While recovering from methamphetamine addiction, parents exhibited a precarious psychosocial situation and problematic parenting behaviour. Dysfunctional parenting practices were evident in both indifferent and overreactive tendencies. Children were at risk of behavioural and emotional problems. Variables associated with parenting showed significant predictive value for children's overall problems, beyond current substance use, and psychological distress. These findings are discussed in terms of a family‐oriented perspective in order to promote parenting capabilities of methamphetamine‐addicted parents and to prevent problematic development of their children.     

Research into unaccompanied refugee minors in family foster care: Promoting adaptive functioning?

Unaccompanied Refugee Minors (URMs) are at high risk for trauma and maladaptive functioning. Although foster care is best suited to come forth to their needs, obtaining a better understanding of the strengths and flaws of foster care for URM can help to improve their development and psychological wellbeing. Twenty-seven URM cared for in family foster care filled in questionnaires measuring trauma, behavioural difficulties, resilience and contact with persons from the home and host country, whilst their foster care workers assessed the quality of the living environment. URMs had more trauma symptoms than other immigrants and Belgian adolescents. Furthermore, compared to Belgian counterparts, levels of resilience were low. However, URM did not have more behavioural problems. The quality of the living environment in kinship care was worse than the quality in non-kinship foster care, and social support and cultural sensitivity were protective factors. This study found evidence for developmental risks for URM in foster care. Integration, social support and a connection with the home culture were protective factors. Contrary to other studies, no evidence was found of kinship foster care being preferential.     

The effects of child maltreatment on childhood behaviour problems in South Korea: findings from the fifth Korea Child and Youth Panel Survey (the 2014 KCYPS)

The study examines the effects of child maltreatment on children behavioural problems in South Korea. We found that 11.5% of children experienced physical abuse, 28.7% experienced emotional abuse and about 35% experienced neglect. After controlling for all socio-demographic factors, children who experienced physical abuse, emotional abuse and neglect were more likely to develop internalised as well as externalised behavioural problems such as depression, aggression, underage smoking, underage drinking and engaging in cyber delinquency. The results point towards a need to develop social welfare interventions to mitigate physical/emotional abuse and neglect so as to prevent behavioural problems in South Korean children.     

An Experiment in Helping Foster-Carers Manage Challenging Behaviour

A randomized controlled trial was implemented with groups offoster-carers to test the effectiveness of cognitive–behaviouralmethods in the management of difficult behaviour. Contrary toexpectations, no statistically significant differences werefound between the groups with regard to behaviour managementskills, the frequency and/or severity of behavioural problems,and placement stability. In contrast, foster-carers expressedsatisfaction with the overall training programme and increasedconfidence in dealing with difficult behaviour. Discussion ofthe results focuses on a number of competing explanations forsuch findings and concludes with recommendations for futurework.