The impact of transition interventions for young people leaving care: a review of the Australian evidence

O’Donnell, Renée; Hatzikiriakidis, Kostas; Mendes, Philip; Savaglio, Melissa; Green, Rachael; Kerridge, Gary; Currie, Graeme; Skouteris, Helen

doi:10.1080/02673843.2020.1842216

Cited by 10 publications

(12 citation statements)

References 10 publications

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“…The age at which young people transition from OOHC varies between and within some countries—for most, formal support ceases between the ages of 18 and 21 [ 19 ]. The type and mode of support to care leavers varies between jurisdictions, but can involve formal life skills training programs, personal adviser or key worker support, mentoring or peer support programs, cash assistance and housing support [ 17 , 20 ]. Young people transitioning from care are often ill-equipped for independent living, and the type and amount of support they receive is insufficient to prevent adverse outcomes [ 21 , 22 ].…”

Section: Introductionmentioning

confidence: 99%

“…Transition support programs are generally available to young people toward the end of their care placement, although some extend beyond. They often encourage the development of skills required for continued engagement in education, obtaining employment, maintaining housing and general life skills [ 17 , 20 ].…”

Section: Introductionmentioning

confidence: 99%

“…Some reviews have limited their scope, either to particular geographies [ 20 ], or to interventions delivered whilst youth were in care [ 17 , 25 ], or to independent living programs [ 17 , 26 , 27 ]. Some focused on a narrow range of outcomes [ 27 , 28 ].…”

Section: Introductionmentioning

confidence: 99%

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Protocol for a systematic review of policies, programs or interventions designed to improve health and wellbeing of young people leaving the out-of-home care system

et al. 2021

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Background Relative to their counterparts in the general population, young people who leave, or transition out of, out-of-home (OOHC) arrangements commonly experience poorer outcomes across a range of indicators, including higher rates of homelessness, unemployment, reliance on public assistance, physical and mental health problems and contact with the criminal justice system. The age at which young people transition from OOHC varies between and within some countries, but for most, formal support ceases between the ages of 18 and 21. Programs designed to support transitions are generally available to young people toward the end of their OOHC placement, although some can extend beyond. They often encourage the development of skills required for continued engagement in education, obtaining employment, maintaining housing and general life skills. Little is known about the effectiveness of these programs or of extended care policies that raise the age at which support remains available to young people after leaving OOHC. This systematic review will seek to identify programs and/or interventions that improve outcomes for youth transitioning from the OOHC system into adult living arrangements. Methods This review will identify programs, interventions and policies that seek to improve health and wellbeing of this population that have been tested using robust controlled methods. Primary outcomes of interest are homelessness, health, education, employment, exposure to violence and risky behaviour. Secondary outcomes are relationships and life skills. We will search, from January 1990 onwards, MEDLINE, EMBASE, PsycINFO, ERIC, CINAHL, Cochrane CENTRAL, SocINDEX, Sociological Abstracts, Social Services Abstracts, NHS Economic Evaluation Database and Health Technology Assessment. Grey literature will be identified through searching websites and databases, e.g. clearing houses, government agencies and organisations known to be undertaking or consolidating research on this topic area. Two reviewers will independently screen all title and abstracts and full text articles with conflicts to be resolved by a third reviewer. Data extraction will be undertaken by pairs of review authors, with one reviewer checking the results of the other. If more than one study with suitable data can be identified, we plan to undertake both fixed-effects and random-effects meta-analyses and intend to present the random-effects result if there is no indication of funnel plot asymmetry. Risk of bias will be assessed using tools appropriate to the study methodology. Quality of evidence across studies will be assessed using the Grading of Recommendations, Assessment, Development and Evaluation (GRADE) methodology. Discussion Previous reviews were unable to identify any programs or interventions, backed by methodologically rigorous research, that improve outcomes for this population. This review seeks to update this previous work, taking into account changes in the provision of extended care, which is now available in some jurisdictions. Systematic review registration PROSPERO CRD42020146999

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Protocol for a systematic review of policies, programs or interventions designed to improve health and wellbeing of young people leaving the out-of-home care system

et al. 2021

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“…Transition support programmes are generally available to young people toward the end of their care placement, although some extend beyond. They often encourage the development of skills required for continued engagement in education, obtaining employment, maintaining housing and general life skills (14,16).…”

Section: Introductionmentioning

confidence: 99%

“…Some reviews have limited their scope, either to particular geographies (16), or to interventions delivered while youth were in care (14,21), or to independent living programmes (14,22,23). Some focused on a narrow range of outcomes (23,24).…”

Section: Introductionmentioning

confidence: 99%

Protocol for a Systematic Review of Policies, Programs or Interventions Designed to Improve Health and Psychosocial Outcomes for Young People Leaving the Out of Home Care System

Taylor

Shlonsky

Albers

et al. 2020

Preprint

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Background:Relative to their counterparts in the general population, young people who leave, or transition out of, out-of-home (OOHC) arrangements, commonly experience poorer outcomes across a range of indicators, including: higher rates of homelessness, unemployment, reliance on public assistance, physical and mental health problems, and contact with the criminal justice system. The age at which young people transition from OOHC varies between and within some countries, but for most, formal support ceases between the ages of 18 and 21.Programs designed to support transitions are generally available to young people toward the end of their OOHC placement, although some can extend beyond. They often encourage the development of skills required for continued engagement in education, obtaining employment, maintaining housing and general life skills. Little is known about the effectiveness of these programs, or of extended care policies that raise the age at which support remains available to young people after leaving OOHC. This systematic review will seek to identify programs and/or interventions that improve outcomes for youth transitioning from the OOHC system into adult living arrangements.Methods:Using the Preferred Reporting Items for Systematic Review and Meta-analysis Protocols (PRISMA-P) guidelines, this review will identify programs, interventions and policies that seek to improve health and psychosocial outcomes amongst this population that have been tested using robust controlled methods. Primary outcomes of interest are homelessness, health, education, employment, exposure to violence and risky behaviour. Secondary outcomes are relationships and life skills. A search strategy has been developed that covers eleven databases of published literature in multiple languages. Unpublished literature will also be searched. A meta-analysis will be undertaken if identified studies are suitably heterogenous. Risk of bias will be assessed using tools appropriate to the study methodology. Outcomes across studies will be assessed using the Grading of Recommendations, Assessment, Development and Evaluation (GRADE) methodology.Discussion:Previous reviews were unable to identify any programs or interventions, backed by methodologically rigorous research, that improve outcomes for this population. This review seeks to update this previous work, taking into account changes in the provision of extended care, which is now available in some jurisdictions. Trial Registration:PROSPERO: CRD42020146999

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Educational experiences and needs of students in out-of-home care: a Delphi study

et al. 2023

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Numerous studies show that children and young people in out-of-home care (OOHC) face significant disadvantage in completing high school and accessing post-secondary education. The current research involved a two-round Delphi survey which aimed to identify educational challenges and school reforms to improve the educational experiences of children and young people in OOHC. A total of 45 participants from three OOHC stakeholder groups (carers of children in OOHC, professionals/educators, and young people with lived experience of OOHC) completed the round one survey which consisted of open-ended questions analysed using thematic analysis. In the second survey round, 19 participants completed a Likert scale questionnaire which drew on themes from the round one thematic analysis. Using a consensus threshold of 70% for the round two survey, participants agreed that students in OOHC face a myriad of educational challenges, such as dealing with a history of trauma, frequent home and school transitions, mental health issues and stigma as a result of being in OOHC. It was agreed that teachers lack knowledge and experience, and schools lack support for students in OOHC. Stakeholders recommended provision of greater mental health support, coordination of services and more autonomy for OOHC students regarding their education.

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The impact of transition interventions for young people leaving care: a review of the Australian evidence

Cited by 10 publications

References 10 publications

Protocol for a systematic review of policies, programs or interventions designed to improve health and wellbeing of young people leaving the out-of-home care system

Protocol for a systematic review of policies, programs or interventions designed to improve health and wellbeing of young people leaving the out-of-home care system

Protocol for a Systematic Review of Policies, Programs or Interventions Designed to Improve Health and Psychosocial Outcomes for Young People Leaving the Out of Home Care System

Educational experiences and needs of students in out-of-home care: a Delphi study

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