The use of intensive family preservation services with adoptive families

With the increase in special needs adoption, there is growing concern about the adjustment of these children and families beyond legalization. The purpose of this study was to explore in greater depth the use of intensive family preservation services with adoptive families and the factors related to the family’s ability to stay intact beyond services. Multiple regression analyses were used to determine factors that were predictive of the family’s ability to remain intact at 6 and 12 months post services. Potential predictors of family intactness included child characteristics, family characteristics, previous placement history and service characteristics. Results at 6 months found no significance in the full model; however, the individual factors of ethnic origin of the child, full‐time employment of the primary parent and initial placement reason were significant predictors of family intactness. At 12 months post services, the full model was highly significant, with service characteristics being the greatest predictor of the family’s ability to remain intact.     

The Role of Family Care and Living Arrangements in Acute Care Discharge Recommendations

This study examined placement recommendations of elderly acute care patients who are identified by hospital discharge planners as vulnerable to institutionalization. The purpose of the research was to determine the role of available family care and living arrangements prior to hospitalization in the placement recommendations made by discharge planners. Results indicated that elderly who lived with family compared to those who lived alone were in poorer mental, physical and functional health but had considerably more available family care and fewer service needs that could not be met in the community. Additionally, available family care was found to be significantly related to nursing home recommendations, even with living arrangements controlled. Analysis of placement recommendations by prior living arrangements indicated that family care may be especially important in mitigating the consequences of deficient activity of daily living skills and mental complications. Implications of this research to the role of family care in placement decisions are discussed.     

Traditional kinship foster care in northern Ghana: the experiences and views of children, carers and adults in Tamale

Surveys were employed to explore the experiences of children in care and their carers about traditional fostering. They also examined the perspectives of randomly selected adults in the community about the practice of traditional foster care in the Tamale area of northern Ghana. The 74 participants responded to closed- and open-ended interview questions about traditional foster care. Frequencies and thematic grouping of qualitative responses showed that the need to keep family ties alive was the key reason for placement of children with family and kin. Majority of the children expressed satisfaction with living in foster care, even though they had experienced physical and emotional abuse and intimidation. Although most carers were not formally employed and had little personal income, they were positive about having the care role, but faced challenges in providing for many children in a difficult economic situation. The report highlights the role of reciprocity, altruistic and socio-cultural factors in quality of care, and the potential for the traditional kinship foster care to provide suitable avenues of placement for children as recommended by the Ghana child rights law. It also identifies the need for education for carers around children's needs and Ghana's child rights law.     

Age at placement and adult adopted people's experience of being adopted

Older age at placement has long been recognized as a risk factor in successful adoption outcomes. The findings of the present study emerged as part of a larger study that looked at the adoption experiences and reunion outcomes of 472 adults who had either searched for or been sought by one or more of their birth relatives. As part of the investigation, adopted adults were asked to evaluate their adoption experience. Age at placement was used as a key variable in examining whether or not adopted people felt different to their adoptive family, felt they belonged in their adoptive family, and felt loved by their adoptive parents while growing up. Respondents were also asked to evaluate their overall experience of being adopted. Older age at placement significantly increased the risk of adopted people viewing major aspects of their adoption experience with either mixed or negative feelings.     

Who returns home? Study on placement outcomes of Flemish foster children

Until recently, Flemish family foster care was a temporary measure with as its most important goal, the reunification of the foster child with the birth parents. To date, nothing is known on the number of reunifications, nor has any study been undertaken into the factors (child, parent, foster parent and foster care process) associated with reunification. Case files of 127 foster children who exited foster care in 2007 were analysed. Dependent variables were type of foster care placement outcome (reunification, successful placement without reunification or breakdown) and place of residence after placement ending (with birth parents, extended family, foster family, residential care or living independently). After placement ending, only 40% of foster children went living with their parents, including foster children who were reunified (26%) and foster children who moved to their parents after a placement breakdown (14%). Characteristics of the foster children, and in particular absence of problem behaviour, were associated mainly with a return home. This may indicate that too much attention is paid to the functioning of the foster child and too little to improving the competencies of the parents and the (future) home environment.     

Foster children: a longitudinal study of placements and family relationships

Foster children's family relationships have been one of the themes in a longitudinal study, starting with a disadvantaged group of children, 0–4 years of age when taken into care and placed in a children's home in Sweden. Seven rounds of data collection were carried out; the last two when the children were young adults. This article is about those 20 children in the study group who, in addition to temporary residential care at an early age, have experiences from foster care, either for the remainder of their childhood or before or after a period of reunion. Placement history is put in relation to family relationships, i.e. relationships to birth family and foster family. The categorisation in secure and insecure relationships or attachment patterns is based on interviews with the young adults, with a retrospect of previous relationships. The connection between placement history and family relationship is not obvious in this high-risk group. However, inclusive attitudes from the foster family towards the child's family promote continuity and a sense of security, also in periods of reunion or re-placement, and facilitate foster children's hard work in coming to terms with their family background and finding their own way.     

Altered Roles

Elderly individuals whose partners have been placed in long term care experience unique problems as they attempt to cope with the drastic changes in their lives. The "community spouses" in this study expressed loneliness, an inability to get on with their lives, and difficulties related to the placement itself as major problems areas in adjusting to a new role. The uniqueness of their situation makes it difficult for family and friends to fully understand issues related to being a community spouse. This paper discusses these issues as well as social work intervention strategies that may help community spouses cope with their difficult role.     

Towards a second‐order view of child protection placement‐related decision‐making

Child protection workers are tasked with prioritizing and facilitating safe, secure and preferably, long‐term care arrangements for children and adolescents living within the child protection system. Recognizing the complexities associated with this task, this paper will propose that the application of theory – namely attachment theory and family systems theory – may aid in the conceptualization of placement decision‐making within the context of child protection practice. In particular, this paper will describe a framework entitled: Towards a second‐order view of child protection placement‐related decision‐making. This framework assumes the position that the ideals of relationship security and permanency of placement are more accessible in instances in which practitioners are able to locate themselves within temporary, stabilized but ultimately evolving systems. Specifically, the practitioner is encouraged to conceptualize where their individual selves, the broader child protection system and family system are located at any one point in time, whilst also identifying the direction in which these systems should be moving.     

Paved with Good Intentions: The Pathway to Adoption and the Costs of Delay

The thrust of UK adoption policy is to promote adoption as thebest route to a stable family life for children in the caresystem unable to return to their birth families. However, whatwe know about outcomes for adopted children comes mainly fromstudies that report on children already in placement. This articlereports on the findings of a study that examined the outcomesof a complete sample of 130 older looked after children whohad all been the subject of an adoption best interest decision.Many were successfully placed but, of those who were not, thestudy was able to identify factors that influenced placementoutcome. The negative impact on placement outcomes and the increasedfinancial costs of poor assessment and delays in planning andaction are highlighted in this paper. The reasons why delaysoccurred, the costs of those delays and the impact on childoutcomes lend support to recent government attempts to reducedelay by the introduction of timescales into the adoption process.     

Assessment of problem behaviour by foster parents and their foster children

This study investigates the level of agreement between foster parents and foster children about problem behaviour and how this is associated with the breakdown of a foster care placement. The study took a sample of foster parents and their foster children (n= 60), who were aged 11–17 years, and analysed the severity of problem behaviour displayed by the foster children within 3 months of placement in the foster family and a year and a half later. The level of agreement was established with the intra‐class correlation coefficient, which represents both the differences in scores and the differences in ranking. This coefficient shows that there is a statistically significant difference in the level of agreement on the Internalizing Problems scale of the Child Behaviour Checklist between the placements that broke down and those that continued. The level of agreement is associated with the severity score, which in turn is associated with the outcome of the foster care placement. To avoid placement breakdown, problem behaviour should also be assessed from the perspective of the foster child.     

Emotional kinship care and neutral non‐kinship care — the struggle between discourses

In this paper, social workers' ideas of kinship care and non‐kinship care as foster placement alternatives for vulnerable children are analysed and discussed. The study is based on group interviews with Swedish social workers, using a discourse analytic approach. The interviews took two vignettes of children who needed an immediate and long‐term placement because one of the parents had killed the other parent, as their point of departure. Domestic violence is a common social problem across countries, and controversies about placement alternatives become even more apparent when discussing lethal violence. The analysis revealed three main discourses: ‘emotional kinship care’, ‘neutral non‐kinship care’ and ‘a real family’. The emotional kinship care discourse also revealed two competing sub‐discourses: ‘emotions as glue that binds’ and ‘emotions as obscuring a child perspective’, displaying a struggle concerning the advantages and risks that social workers connected to kinship care. In this paper, the results and their implications for vulnerable children are discussed.     

Predictors of outcome for unrelated adoptive placements made during middle childhood

This paper reports on a follow‐up to adolescence of two longitudinal prospective studies of children placed from public care with non‐related adoptive families in the UK. Factors associated with outcome are presented for 99 children (one index child per adoptive family) who were between 5 and 11 years of age at placement. Information concerning the children's backgrounds and care histories was obtained shortly after placement (T1), from social workers. Adopters were interviewed at T1 and again at the end of the first year (T2). A further follow‐up was conducted an average of six years after placement (T3). Outcomes at T3 were classified as either disrupted, which was true for 23%, continuing and ‘positive’ (49%) or continuing but ‘difficult’ (28%). Bivariate analyses revealed a number of attributes, related to both the child and the adoptive parents, which were associated with differential outcomes. Logistic regression produced five predictors of placement disruption: age at placement, behavioural problems, preferential rejection, time in care and the child's degree of attachment to the new mother. Differences were found between ‘positive’ and ‘difficult’ outcomes in continuing placements as well as between continuing and disrupted placements. The analysis suggests that adoption should certainly be considered as an option for children over 5 years of age while recognizing the need for both preparation and post‐placement support. Evidence of differential outcome in continuing placements provides support for efforts to reduce the number of placements and returns home that a child at risk experiences.     

Services to prevent child placing-out for cocaine-affected and non-affected families

This study sought to evaluate the effectiveness of the'In-Home Family Care' programme of Children's Home Society of California in Alameda County, particularly regarding the emphasis and impact of services for cocaine-affected families. The family characteristics, problems addressed and service provision in cases served over a 3-year period were assessed in terms of their relation to placement outcome for cocaine-affected and non-affected families. This evaluation found that, despite serious and often chronic problems among cocaine-affected families, their child removal rate was no higher than that for non-affected families. Implications for risk assessment and placement decisions are discussed.     

Does It Matter if Preschool Children and Mothers Discuss Positive vs. Negative Events During Reminiscing? Links with Mother‐reported Attachment,Family Emotional Climate,and Socioemotional Development

The purpose of the study was to examine the differential relations between mother–child reminiscing about a positive emotional event vs. a negative emotional event and attachment security, family climate, and young children's socioemotional development. Fifty preschool children (M age = 50.69 months, SD = 4.64) and their mothers completed two reminiscing conversations at the laboratory, which were coded for emotion‐laden discourse, affect, and elaboration, and children completed measures of emotional understanding and representations of relationships. At their homes, mothers completed the attachment Q‐sort and the self‐report family inventory. Both attachment security and family climate were related to the quality of mother–child affect and maternal elaboration during both positive and negative reminiscing conversations. Attachment security and family climate, however, were principally related to discussion of emotion during the negative event discussions. In addition, it was mother–child reminiscing about the negative emotional event that was associated with high levels of children's socioemotional development.     

Contact between birth parents and children in kinship care in a sample from Spain

Within the context of kinship care, the main objectives of this work are to study the characteristics of contact between foster children and their birth parents, and their relationship with key variables of fostering, the children and their kinship caregivers. The sample included 189 children from Spain and their kinship families. A semi‐structured placement interview and two scales relating to the child–caregiver relationship and child's psychological adjustment were used with the kinship families. The results revealed a significant percentage of foster children who had no family contact. Various visit types, frequencies and durations were described. Kinship care with contact, compared with placements without contact, was frequently characterized by the absence of professional supervision, and an affectionate child–caregiver relationship; moreover, children with contact were perceived to have fewer serious behaviour and socio‐emotional problems and a greater probability of family reunification. The regression analysis showed that the main predictors for how caregivers assessed contact were the children's emotional reaction during visits and the quality of the relationship between the kinship families and the birth parents. These results suggest the need for further research about contact, which will certainly have a major impact on professional intervention with these families.     

Placement breakdowns in long‐term foster care – a regional Swedish study

We used a regional sample of children in long‐term foster care to investigate the prevalence of placement breakdown in adolescence, and to assess risk factors/risk markers for placement disruption. The sample consisted of all 136 foster children in the region, born 1980–1992, who on their 12th birthday had been in the same foster family for at least 4 years. They were followed in case files until date of disruption or their 18th birthday. Data on conditions before and during placement were retrieved from case files, and analysed in bi‐ and multivariate models. Results showed that one in four placements broke down in adolescence. The median child who experienced a breakdown was 14 years old, and had been in the same foster home for more than 10 years. Prominent risk factors were (i) being placed after age 2 and (ii) having a birth sibling in the same foster home. We also uncovered strong risk markers that can be viewed as precursors of placement disruption. When the child or the foster parents repeatedly over time expressed dissatisfaction with the placement, this ended with a placement breakdown in 60% of cases. Implications for practice are discussed.     

Relative foster care: An emerging trend in foster care placement policy and practice

Abstract

Increases in the foster child population, at a time when terminations in foster care placement have decreased along with a decline in the number of non‐related foster parents, has resulted in an increasing use of relative foster care placement. Relative care as an emerging trend in foster care placement, is not without controversy. Its merits, however, should be assessed in terms of its benefits to the children in care, the fiscal and organizational costs, and the problems it creates for the child welfare system. This paper reviews what is known about the characteristics of relative caregivers and the children in their care. Federal and state policies that affect the use of relatives as an alternative placement resource for children are described. The available data regarding the length of time in placement, number of placements, physical, mental health and educational and permanency outcomes for children placed with relatives are discussed. Implications for practice are drawn and areas for further research are suggested.     

Risk factors for dating violence among teenage girls under child protective services

The aim of the present study was to explore potential risk factors for severe physical victimisation in dating relationships of adolescent girls in the child protective system (CPS). A total of 196 adolescent Canadian girls within the care of the CPS completed questionnaires containing measures relating to dating and family violence, sexual history and socio-demographic variables. Results showed that the majority of participants had experienced some types of victimisation in their dating relationships, with 53.1 per cent reporting at least one severe physical victimisation experience. Results from bivariate analyses revealed that a history of child sexual abuse and school failure or dropout were not associated with dating victimisation. History of parental physical abuse, living outside the family environment before placement, age of first sexual relationship, number of sexual partners and having been pregnant were related to sustained severe physical dating victimisation. Logistic regression analysis indicates that all factors, save for number of partners and living outside family environment, contributed to the prediction of dating victimisation in multivariate analysis. Having been pregnant increased the odds of sustaining severe physical abuse more than threefold (by 3.60). Implications for intervention and further research are discussed.