The Epidemiology of Out-of-Home Care for Children and Youth: A National Cohort Study

Franzén, Eva; Vinnerljung, Bo; Hjern, Anders

doi:10.1093/bjsw/bcl380

Cited by 102 publications

(107 citation statements)

References 10 publications

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“…22 This study, however, did not distinguish between diagnoses and which parent was ill. Parental psychiatric disorder, as a single category, has been reported to be among the most common reasons for children to enter care, and similar to our findings, mothers' rather than fathers' psychiatric disorder was a more prominent risk factor. 23 Epidemiologic studies examining risk factors for children entering care have identified similar factors to those in our study, including single parent status, unemployment, low educational level, and parents receiving disability pension.…”

Section: Key Findingsmentioning

confidence: 68%

Serious Mental Illness and Disrupted Caregiving for Children

Ranning

Laursen²,

Thorup³

et al. 2015

J. Clin. Psychiatry

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Objective: To study how often severe psychiatric disorders adversely affect a person's ability to be a parent, indicated by the child being placed in out-ofhome care.Method: This study was conducted in 2013 as a prospective, register-based cohort study covering all first-born singletons in the entire Danish population born after 1982 (N = 782,092) and their parents. Rates of out-of-home placement of children with parents diagnosed with schizophrenia, bipolar disorder, or unipolar depression, according to the criteria of the International Statistical Classification of Diseases and Related Health Problems, and ICD, 10th revision (ICD-10), were analyzed. The rates were compared with those of children with parents from the general population.Results: A parental diagnosis of schizophrenia was the most prominent risk factor for children placed outside the home, with an accumulated risk for being placed in care at some point during childhood-40% for children with mothers with schizophrenia and 20% for children with fathers with schizophrenia. Children of mothers (incidence rate ratio [IRR] = 23.75; 95% CI,) and fathers (IRR = 7.85; 95% CI, 6.67-9.25) with a diagnosis of schizophrenia had the overall highest IRRs of placement in care. Having a mother with bipolar disorder was the second most prominent risk factor (IRR = 5.76; 95% CI, 4.50-7.36), followed by a maternal diagnosis of unipolar depression (IRR = 4.28; 95% CI,. Risks were especially high during the child's first year of life, indicating a critical period, especially for children with mothers with schizophrenia (IRR = 80.19; 95% CI, 68.09-94.43). Risks varied greatly with parents' socioeconomic factors in all diagnostic groups. Conclusions:Parental schizophrenia is a strong risk factor for placement of children in out-of-home care.

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Section: Key Findingsmentioning

confidence: 68%

Serious Mental Illness and Disrupted Caregiving for Children

Ranning

Laursen²,

Thorup³

et al. 2015

J. Clin. Psychiatry

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show abstract

“…A few American studies look at social work contact in the context of wider regional or national populations (e.g. Neighbors and Taylor, 1985;Farmer et al, 2001) but in Europe the field is sparse with the whole population register in Sweden probably the most robust source of data (see Franzén et al, 2008). In the UK, a small number of papers have used general population cohort studies to explore specific groups of children using social services, such as those in care or adopted (Cheung and Buchanan, 1997;Wijedsa and Selwyn, 2011) or those on the child protection register (e.g.…”

Section: Introductionmentioning

confidence: 99%

Predictors of Social Service Contact among Teenagers in England

Henderson¹,

Scourfield

Cheung

et al. 2015

Br J Soc Work

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Very few UK studies make use of longitudinal general population data to explore social service contact for children and young people. Those that do only look at specific interventions such as care placements. This paper seeks to address this gap by asking to what extent do structural, neighbourhood, familial and individual characteristics predict social service contact? We provide an empirical answer by analysing the Longitudinal Survey of Young People in England, which includes data on social service contact in connection with young people's behaviour. Our findings indicate that social class, gender, ethnicity, stepfamily status and special education needs are all significant predictors of social service contact. Difficult parent-child relationships, frequent arguments and parents' lack of engagement with school meetings also matter, as does young people's own risktaking behaviour. We conclude with a discussion of the limitation of the data for social work research and the implications of the findings.

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“…This suggests that studies that do not include the primary reason for placement as an independent variable should analyse children and adolescents separately. This has been done by six recent studies (Elmund, Lindblad, Vinnerljung and Hjern, 2007;Knoke, Goodman, Leslie and Trocmé, 2007;Franzen, Vinnerljung and Hjern, 2008: Vinnerljung, Franzen, Gustafsson and Johansson, 2008, Andersen and Fallesen, 2010and Ejrnaes, Ejrnaes and Frederiksen, 2011. Constraints Omitted.…”

Section: Many Explanatory Variablesmentioning

confidence: 99%

Evaluation of serious case reviews and anti-racist practice

Bhatti‐Sinclair¹,

Price²

Social Work in a Diverse Society

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Placing a child in out-of-home care is one of the most important decisions made by professionals in the child care system, with substantial social, psychological, educational, medical and economic consequences. This paper considers the challenges and difficulties of building statistical models of this decision by reviewing the available international evidence. Despite the large number of empirical investigations over a fifty year period, a consensus on the variables associated with this decision is hard to identify. In addition, the individual models have low explanatory and predictive power and should not be relied on to make placement decisions. A number of reasons for this poor performance are offered, and some ways forwards suggested. This paper also aims to facilitate the emergence of a coherent and integrated international literature from the disconnected and fragmented empirical studies. Rather than one placement problem, there are many slightly different problems, and therefore it is expected that a number of related sub-literatures will emerge, each concentrating on a particular definition of the placement problem.

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The Epidemiology of Out-of-Home Care for Children and Youth: A National Cohort Study

Cited by 102 publications

References 10 publications

Serious Mental Illness and Disrupted Caregiving for Children

Serious Mental Illness and Disrupted Caregiving for Children

Predictors of Social Service Contact among Teenagers in England

Evaluation of serious case reviews and anti-racist practice

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