Educational Services for Children in Foster Care

ABSTRACT

Most literature on the education of foster youth focuses on their individual outcomes and characteristics. A small body of literature documents a lack of collaboration between the child welfare and education systems. This study explores commonalities and differences in perspectives between child welfare and education system stakeholders. It draws on findings from a multi-county exploratory study on educational services for foster youth. The findings in this study identify several systemic barriers including placement instability within the child welfare system, limited financial resources of schools, and poor inter-agency communication. In addition, differences in the perceptions of school and child welfare agency personnel regarding the needs of foster children in school, problems encountered in enrolling children in school, and the role and motives of each agency in addressing these needs and problems are identified. These differences point to both the challenges involved in improving communications and collaboration between the two systems, as well as the opportunities to improve educational services to children in foster care.     

Mental Health Treatment Experiences and Expectations in Foster Care: A Qualitative Investigation

This study explores perspectives on mental health treatment experiences and expectations for youth in foster care and their foster parents. In-depth interviews were conducted and identified for major themes: (1) the dual stigma of foster care and mental health care; (2) the lack of engagement in mental health therapy; (3) trust issues with the therapist and other individuals; and (4) the desire to integrate mental health services with primary care services. These results have implications for mental health service delivery and suggest opportunities to improve mental health treatment through an integrated care approach.     

Barriers to Cross-Systems Collaboration in Child Welfare,Education, and the Courts: Supporting Educational Well-being of Youth in Care Through Systems Change

Cross-systems collaboration between child welfare, education, and the courts benefits when challenges and priorities are identified early. We measured perceptions of educational stability in foster youth with a statewide survey of 1,603 professionals in education, child welfare, and the courts. Results reveal commonalities among perceived challenges to collaboration across systems (e.g., multiple foster care placements; school changes) and differences in perceived importance or significance of a given issue by professional group. Results guided collaborative work in Kansas and may assist other states seeking strategies that inform cross-systems collaboration to improve educational well-being for youth in foster care.     

Foster Parent Strategies to Support the Functional Adaptation of Foster Youth

Individual interviews and focus groups with 35 experienced foster parents explored strategies that facilitate the functional adaptation of children transitioning into their care. Findings from this qualitative study suggest functional adaptation is enhanced by unconditional commitment by foster parents, “claiming” behaviors of foster children and parents, establishment of routines, support of birth family relationships, and advocacy for the youth across systems. Implications of this study support the vital role that foster parents have in helping children adapt to placement, and indicate that agencies can provide increased support for foster parents to better meet the needs of foster youth.     

Kinship Guardianship,Adoption, and Foster Care: Outcomes from a U.S. National Sample

Using data from a national longitudinal survey of children referred to child protective services (NSCAW II), this article compares behavioral, child/caregiver relationship, and school performance outcomes for children residing in kinship and nonkinship settings. Up to three waves of data were gathered for each child. The analysis sample comprises 4,202 children and 10,881 observations. Two sets of regressions were completed. One represents family living settings using child-mean centered predictors while the other does so with dummy-coded variables. An advantage of the child-mean centered predictors is that omitted variables that vary between children but that are constant within each child do not introduce bias. The regressions using dummy-coded variables evidenced, on balance, somewhat better outcomes for kinship settings than for nonkinship ones. Good outcomes in these regressions were found for kinship adoption. Results with the child-mean centered regressions were more equivocal, though perhaps still favored kinship settings. Limitations and policy recommendations conclude the article.     

Antipsychotic Use and Foster Care Placement Stability Among Youth With Attention-Deficit Hyperactivity/ Disruptive Behavior Disorders

The objective of this study was to investigate the association between antipsychotic initiation and placement transitions among youth in foster care with attention-deficit/hyperactivity disorder and other disruptive behavior disorders (ADHD/DBD). Data were obtained from child welfare administrative records and Medicaid claims in one Mid-Atlantic state from January 1, 2010, through March 31, 2014. Cox proportional hazard model was conducted to estimate the risk of time to first placement transition during the 180-day follow-up among new antipsychotic users and propensity score matched nonusers. Results showed youth initiating antipsychotics had no significant reduction in foster placement transitions within the 180-day follow up (Hazard Ratio = 1.1; 95% CI = 0.7–1.6). Although antipsychotics are widely used for aggressive behaviors, a better understanding of clinical management of youth in foster care is needed to promote stable foster placement.     

Formative Evaluation of an Evidence-Based Intervention to Reduce Long-Term Foster Care: Assessing Readiness for Summative Evaluation

As part of the federal Permanency Innovations Initiative, this local grantee implemented an evidence-based intervention to improve outcomes for children with serious emotional disturbance. The project approach integrates the tenets of implementation science and program evaluation. Formative evaluation used a small sample (n = 76) to assess implementation integrity and statistical association to recommend whether the intervention was ready for summative evaluation (SE). Results showed that most process expectations were met. Statistical findings suggested that the intervention was associated with higher rates of reunification for treatment families as compared to families receiving services-as-usual. Thus, the intervention was recommended for SE.     

Stopping the Cycle of Child Abuse and Neglect: A Call to Action to Focus on Pregnant and Parenting Youth in and Aging Out of the Foster Care System

Each year, a significant number of adolescents become pregnant in the United States, with more than half of these pregnancies resulting in live births. Adolescent parenting is associated with poor outcomes, including increased risk of child maltreatment. Youth “aging out” of the foster care system may be at greater risk of maltreating their children due to their experiences of child maltreatment, a lack of social support, and little preparation for parenthood. This article examines current programs and policies targeting pregnant and parenting youth aging out and presents a research agenda that focuses on pregnancy prevention and positive parenting.     

Kinship Family Relatedness,Nuclear Family Contact,and Social Support Among Foster Youth

Using a sample of 16-year-old youth placed with kinship foster families in California, the current study examines the relationship between kinship foster family structure and foster youth's biological family contact and support. Latent class analysis was used to examine differences in family structure based on the relatedness between foster youth and other members of the kinship family household. Subsequently, the respective relationships among household structure and foster youths' characteristics, experiences, and biological family contact and support were examined. We find that the kinship families serving foster youth are represented by four distinct household types, including sibling and grandparent households. Kinship family household type is found to be statistically significantly associated with youths' contact with siblings, closeness to caregivers, and perceived social support. Implications for kinship foster family scholarship are discussed.     

Mixed Methods Study of the Effectiveness of Intensive Family Finding Services with Youth in Congregate Care

Helping youth in congregate care form healthy relationships and achieve stability is an ongoing concern among child welfare stakeholders. The purpose of this mixed methods study was to examine the effectiveness of a family finding intervention with youth with a history of congregate care placement and to explore factors related to the achievement of relational and physical permanency. Results from a logistic regression indicated that for youth previously in congregate care, intensive family finding increased the odds of achieving relational permanency, but not physical permanency. Qualitative analyses identified several themes surrounding successes and challenges to achieving relational and physical permanency.     

From Foster Care to Adulthood: The Role of Income

This study explores the role of income for young people with experience in foster care transitioning to adulthood. It draws on in-depth structured interviews with eight staff members and 38 current and former foster youths age 18 years and older, who were participants in an innovative program to build their assets and financial capability. Interviews took place in four sites in three states. This study illuminates how those with experience in foster care seek to obtain and manage money to transition successfully to adult financial roles. Findings suggest that early and practical experiences with money are important for gaining financial capability. The study also highlights the need for child welfare professionals to develop expertise in financial literacy and understand the pitfalls that lie in both traditional and nontraditional financial services. By deepening understanding among staff of the economic realities facing the young people today, child welfare agencies will be more likely to prepare former foster youths for life on their own.     

Aging Out of Foster Care: Homelessness,Post-Secondary Education,and Employment

Research has shown that youth aging out of the foster care system experience an increased risk for several adverse adult outcomes (e.g., homelessness, unemployment, low educational attainment). Yet, fewer studies have examined the impact of homelessness on adult outcomes. The current study uses National Youth in Transition Database (NYTD) to examine the associations between homelessness and two outcomes, post-secondary education and employment status, for transition-aged foster youth (N = 4,235). This study found that youth who experienced homelessness between 19 and 21 years were less likely to have post-secondary education or full-time employment, controlling for individual and foster care characteristics.     

A case study in public child welfare: county-level practices that address racial disparity in foster care placement

Racial disproportionality has been a longstanding issue within child welfare. The continued overrepresentation of black children in the foster care system is troubling. The authors of this article conducted a case study of two counties in New York State that have steadily decreased the number of black children in foster care in an effort to identify what aspects of their child welfare practice impacted the decline. The case study employed document analysis, in-depth interviews, and focus groups with child removal decision makers. Utilizing a grounded theory approach to content organization and analysis, several themes emerged as noticeable factors. Some of the most salient themes included preventive services and resources, community collaborations, case practice development, family meetings, workforce diversity, the court system, and, the most unique, blind removal meetings. The themes found in this study present promising practices to assist in decreasing the racial disparity in child welfare removal decisions.     

Psychotropic Medications for Youth in Child Welfare: Developing and Pilot-Testing A Field Guide for Team Decision-Making

High rates of children involved with the child welfare system are prescribed psychotropics. In response, federal legislation has mandated state child welfare agencies to develop policies to improve the coordination and oversight around the use of psychotropics. This project aimed to support such policies by developing and pilot-testing a field guide for team discussions and decision-making related to the use of psychotropics among youth in child welfare. We used a community-based participatory research (CBPR) framework to engage a team of local stakeholders, including former youth in foster care and parents, in the research. We developed a field guide to facilitate team discussions and decisions around the individual needs and preferences of youth and families, and we pilot-tested the field guide with child welfare staff, parents, and care team members in seven team meetings. Parents and care team members, in particular, highly valued the guide and found it useful to increase knowledge and improve practices such as side effect monitoring and information sharing. Child welfare responses were more mixed, and some reported feeling burdened by the additional tasks. More work is needed to integrate the guide into routine child welfare practice and reduce burden on staff.     

Issues Surrounding Post-Adoption Contact in Foster Adoption: The Perspective of Foster-to-Adopt Families and Child Welfare Workers

Current research on open adoption gives less consideration to issues surrounding post-adoption contact with birth parents for children adopted from care. Yet, it is widely recognized that the profile of the children and their birth parents, as well as the quality of post-adoption contacts, vary considerably depending on the context in which the adoption takes place. This article is based on interviews with 32 child welfare workers and 16 foster-to-adopt families. It focuses specifically on aspects and conditions that should be taken into consideration when determining whether or how contact between the adopted child and the birth family should be maintained. Our results show that there are distinctive challenges and dilemmas for open adoption in situations where the adopted child comes from a maltreating family, under the responsibility of child welfare services.     

Developmental Disabilities in Children Involved with Child Welfare: Correlates of Referrals for Service Provision

Using data from the National Survey of Child and Adolescent Well-being (NSCAW), this study explores the characteristics of child welfare involvement for children (N = 639; aged 3–17.5 years) with at least one developmental disability. In addition, a central focus of this exploration was to examine respective differences in how caregivers and caseworkers initiated referrals for services for children with disabilities. The sample was divided into three exclusive groups based on type of developmental disability: learning disability (weighted percentage 70.3%); Mental Retardation (now referred to as Intellectual Disability), Downs Syndrome, or; developmental delay (weighted percentage 1.8%); and presence of multiple types of disabilities, including autism (weighted percentage 27.9%). Results from the logistic regression analyses indicate children in this population who are placed in out-of-home care receive more referrals than those residing in-home with biological caregivers; older children and children with multiple disabilities are also more apt to obtain referrals to formal assessments. On the other hand, children who were considered in the “other” race category (includes children who identify as: multi-racial; Asian; Pacific Islander; Native American) were significantly less likely to be referred for a formal assessment. Regarding the association between specific maltreatment type and assessment referrals, children with reports of emotional maltreatment had significantly higher odds of being referred for formal assessments.     

The Relationship Between Use of Specific Services,Parental Problems,and Reunification With Children Placed in Foster Care

Research studies have found that for parents with children in foster care, use of problem-targeted services increases the likelihood of reunification. However, available research focuses almost entirely on substance abusing mothers, and rarely considers parents' use of parenting classes and counseling, services that are commonly ordered for most reunifying parents. This study examined the effects of parents' use of specific services on reunification. Findings suggest that in addition to parents' use of problem-targeted services, use or compliance with parenting classes and counseling services is also heavily weighted in reunification decision-making. Further research is needed to identify factors associated with service use and advance our understanding of the effectiveness of reunification services.     

孤残儿童家庭寄养模式的典型及"杭州模式"的建构

家庭寄养是孤残儿童社会化的重要途径。自20世纪九十年代初开展孤残儿童家庭寄养以来,国内逐步形成了比较典型的“北京模式”和“上海模式”,且这两种模式的成功经验在国内逐步得到了推广。杭州市儿童福利院自2000年开展孤残儿童家庭寄养以来,在实践中形成了一些制度化的操作,但尚未形成一种模式。因此,通过对国内外家庭寄养典型模式的研究,进而提出一种新的模式——“杭州模式”,无疑会对杭州市开展孤残儿童家庭寄养有所裨益。