Cohort profile: The ‘Children’s Health in Care in Scotland’ (CHiCS) study—a longitudinal dataset to compare health outcomes for care experienced children and general population children

Allik, Mirjam; Brown, Denise; Lūka, Courtney Taylor Browne; MacIntyre, Cecilia; Leyland, Alastair H.; Henderson, Marion

doi:10.1136/bmjopen-2021-054664

Cited by 4 publications

(1 citation statement)

References 20 publications

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“…Record linkage work in Scotland [7] examining health outcomes in 4 to 18-yearolds reports greater hospitalisation, mortality, and treatment for specific conditions including epilepsy, attention deficit hyperactivity disorder, depression, and neurodevelopmental multi-morbidities amongst children looked after compared with their peers. Other large-scale data linkage studies have reported similar disparities between children in care and their peers [8,9]. However, whether these poorer outcomes are related to characteristics of the care system, or are due to precare factors, such as prior ill-health, adverse childhood events, and/or parental vulnerabilities, is unclear.…”

Section: Introductionmentioning

confidence: 97%

Health service use of infants involved in family justice care and supervision proceedings in Wales: a data linkage study

Farr,

Cowley,

Broadhurst

et al. 2024

IJPDS

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IntroductionWhen a child has suffered, or is at risk of suffering, significant harm from parents or caregivers, the local authority may issue Section 31 (s.31) Care and Supervision proceedings under the Children Act (1989). ObjectivesWe compared the healthcare use of infants less than one year old subject to s.31 proceedings in Wales (n = 1,332),to that of a comparison group of infants not subject to s.31 proceedings (n = 204,417), between January 2011 and February 2020. MethodsPopulation-based e-cohort study utilising data held in the Secure Anonymised Information Linkage (SAIL) Databank. Infants in s.31 proceedings were identified using the Children and Family Court Advisory and Support Service dataset. This was linked to demographic and healthcare datasets, to identify General Practice (GP) visits, emergency department (ED) attendances, and hospital admissions (emergency and elective); before the study end date or the child's first birthday for the comparison group, orbefore the s.31 application date.Regression analysis calculated event rate ratios [RR] and incidence rate ratios [IRR] for healthcare events, adjusting for widerdeterminants of health (e.g. perinatal factors, maternal mental health, deprivation), and investigated reasons for healthcare use. ResultsInfants in s.31 proceedings had ahigher number and incidence of healthcare events compared with the comparison group, across all healthcare settings. Differences were greatest for emergency hospital admissions (IRR = 4.03, 95% confidence interval [CI] = 3.53 - 4.59; RR = 4.60, CI = 3.90 - 5.41). "Injury and poisoning" was the main reason for emergency admissions amongst infants in s.31 proceedings. For ED presentations, emergency hospital admissions, and GP visits, there were proportionally more events for these infants across all top ten reasons for healthcare. ConclusionsFindings highlight greater healthcare utilisation for infants involved in s.31 proceedings in Wales, helping to build a better understanding of their needs and vulnerabilities.

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Section: Introductionmentioning

confidence: 97%

Health service use of infants involved in family justice care and supervision proceedings in Wales: a data linkage study

Farr,

Cowley,

Broadhurst

et al. 2024

IJPDS

View full text Add to dashboard Cite

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Assessing the risk of endogeneity bias in health and mortality inequalities research using composite measures of multiple deprivation which include health-related indicators: A case study using the Scottish Index of Multiple Deprivation and population health and mortality data

et al. 2023

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Effectiveness of Mental Health and Wellbeing Interventions for Children and Young People in Foster, Kinship, and Residential Care: Systematic Review and Meta-Analysis

Trubey,

Evans,

McDonald

et al. 2024

Trauma, Violence, & Abuse

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The mental health and wellbeing of children and young people who have been in care, primarily foster care, kinship care or residential care, remains a public health priority. The Care-experienced cHildren and young people’s Interventions to improve Mental health and wEll-being outcomes Systematic review (CHIMES) synthesized evidence for the effectiveness of interventions targeting: subjective wellbeing; mental, behavioral and neurodevelopmental disorders; and suicide-related outcomes. Searches were conducted in 16 bibliographic databases and 22 websites between 1990 and 2022. This was supplemented by citation tracking, screening of relevant systematic reviews, and expert recommendation. We identified 35 interventions, with 44 evaluations via randomized controlled trials. Through meta-analyses, we found that interventions have a small beneficial impact on a variety of mental health outcomes in the short term (0–6 months). Interventions improved total social, emotional, and behavioral problems ( d = −0.15, 95% CI [−0.28, −0.02]), social-emotional functioning difficulties ( d = −0.18, 95% CI [−0.31, −0.05]), externalizing problem behaviors ( d = −0.30, 95% CI [−0.53, −0.08]), internalizing problem behaviors ( d = −0.35, 95% CI [−0.61, −0.08]); and depression and anxiety ( d = −0.26, 95% CI [−0.40, −0.13]). Interventions did not demonstrate any effectiveness for outcomes assessed in the longer term (>6 months). Certainty of effectiveness was limited by risk of bias and imprecision. There was limited available evidence for interventions targeting subjective wellbeing and suicide-related outcomes. Future intervention design and delivery must ensure that programs are sufficient to activate causal mechanisms and facilitate change. Evaluation research should use a robust methodology. PROSPERO Registration: CRD42020177478

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Cohort profile: The ‘Children’s Health in Care in Scotland’ (CHiCS) study—a longitudinal dataset to compare health outcomes for care experienced children and general population children

Cited by 4 publications

References 20 publications

Health service use of infants involved in family justice care and supervision proceedings in Wales: a data linkage study

Health service use of infants involved in family justice care and supervision proceedings in Wales: a data linkage study

Assessing the risk of endogeneity bias in health and mortality inequalities research using composite measures of multiple deprivation which include health-related indicators: A case study using the Scottish Index of Multiple Deprivation and population health and mortality data

Effectiveness of Mental Health and Wellbeing Interventions for Children and Young People in Foster, Kinship, and Residential Care: Systematic Review and Meta-Analysis

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