The reported health and functioning of children maltreated while in family foster care

Benedict, Mary I.; Zuravin, Susan J.; Somerfield, Mark R.; Brandt, D.

doi:10.1016/0145-2134(96)00044-0

Cited by 60 publications

(51 citation statements)

References 21 publications

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“…Early cohort studies indicated that older children in long-term foster care showed improvements in overall well-being (Benedict, Zuravin, Somerfield, & Brandt, 1996; Blatt, 1992; Fanshel & Shinn, 1978). In general, studies of children in out-of-home care without a comparison group have suggested that children’s academic, developmental and behavioral scores do not improve or decline, but rather remain stable while the children are in out-of-home care (Maluccio & Fein, 1986; Minty, 1999a).…”

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confidence: 99%

Associations between intensity of child welfare involvement and child development among young children in child welfare

Stahmer

Hurlburt

Horwitz

et al. 2009

Child Abuse & Neglect

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Objective-To examine developmental and behavioral status of children in child welfare (CW) over time, by intensity of CW involvement using a national probability sample.Methods-As part of the National Survey of Child and Adolescent Well-Being (NSCAW), data were collected on 1,049 children 12-47 months old investigated by CW agencies for possible abuse or neglect. Analyses used descriptive statistics to characterize developmental and behavioral status across four domains (developmental/cognitive, language, adaptive functioning, and behavior) by intensity of CW involvement (in-home with CW services, in-home with no CW services or out-ofhome care) over time. Multivariate analyses were used to examine the relationship between independent variables (age, gender, home environment, race/ethnicity, maltreatment history, intensity of CW involvement) and follow-up domain scores.Results-On average, children improved in developmental/cognitive, communication/language status over time, but these improvements did not differ by intensity of CW involvement. Analyses revealed a positive relationship between the home environment and change in language and adaptive behavior standard scores over time, and few predictors of change in behavioral status. An interaction between intensity of CW involvement and initial developmental/cognitive status was present.Conclusions-Across domains, intensity of CW involvement does not appear to have a significant effect on change in developmental and behavioral status, although out-of-home care does have differential relationships with children's developmental/cognitive status for those with very low initial cognitive/developmental status. Facilitating development in children in CW may require supportive, enriched care environments both for children remaining at home and those in foster care.Practice Implications-Toddler and preschool age children known to child welfare are likely to have difficulties with development whether they are removed from their homes or not. It would be helpful if child welfare workers were trained to screen for developmental, language, adaptive behavior and behavioral difficulties in children in foster care, and those remaining at home.Address all correspondence to: Aubyn C. Stahmer, Ph.D., Child and Adolescent Services Research Center, 3020 Children's Way, MC, 5033, San Diego, CA 92123, Phone: (858) Fax: (858) 966-7704, astahmer@casrc.org. Publisher's Disclaimer: This is a PDF file of an unedited manuscript that has been accepted for publication. As a service to our customers we are providing this early version of the manuscript. The manuscript will undergo copyediting, typesetting, and review of the resulting proof before it is published in its final citable form. Please note that during the production process errors may be discovered which could affect the content, and all legal disclaimers that apply to the journal pertain. NIH Public Access Author ManuscriptChild Abuse Negl. Author manuscript; available in PMC 2010 October 8. Published in final edited ...

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confidence: 99%

Associations between intensity of child welfare involvement and child development among young children in child welfare

Stahmer

Hurlburt

Horwitz

et al. 2009

Child Abuse & Neglect

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“…These figures are not surprising considering the traumatic experiences that lead youth to enter the child welfare system, such as severe abuse, neglect, and instability. Unfortunately, once in the foster care system, many children continue to be exposed to stressors, such as separation from familiar people and surroundings, disruption of mental health and educational services, and possibly ongoing abuse (Benedict et al 1996;Newton et al 2000;Roberts 1993;Skarbo et al 2004). However, arguably the most prevalent stressor youth experience in foster care is chronic placement disruption, and research has demonstrated that chronic placement instability has a deleterious long-term impact on youth in the child welfare system (Newton et al 2000;Rubin et al 2007;Simmel 2007;Unrau et al 2008).…”

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confidence: 99%

Demographic, Clinical, and Geographic Predictors of Placement Disruption among Foster Care Youth Receiving Wraparound Services

2011

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“…One group reported that children in foster care had 1.77 times the risk of substantiated physical abuse and 3.89 times the rate of confirmed sexual abuse compared with children in community homes.44 Further work by the same group found that specific types of foster care were associated with lower rates of maltreatment. 45 Specifically, relatives who subsequently applied and became foster parents (i.e., kinship care) were significantly less likely to maltreat the child.…”

Section: Discussionmentioning

confidence: 99%

Frequency and Predictors of Medically Attended Injuries in HlV-nfected Children

Turner¹,

Cocroft²,

Schwarz

et al. 1999

Clin Pediatr (Phila)

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The extent to which medically attended injuries complicate the clinical course of HIV-infected (HIV+) children is unknown. In a cohort of HIV+ children delivered from 1985 to 1990 and aged less than 60 months, we determined medically attended injuries per 100 child-years, Injury Severity Scores (ISS), and predictors of medically attended injuries by using New York State Medicaid claims from 1986 to 1992 linked to birth certificates. Injury rates and ISS were compared to those of a population of black, inner city children aged less than 60 months from emergency room records. HIV+ children had slightly more injuries (19.3 vs. 16.8/100 child-years) but similar ISS (2.4 vs. 2.3). Predictors of injuries in HIV+ children included younger maternal age (24/100 child-years, p = 0.008) and delivery outside of New York City (29/100 child-years, p = 0.02). Illicit drug use and alcohol use were associated with greater ISS while cocaine use was associated with a higher rate of possibly intentional injuries. Medically attended injuries affected one in five HIV+ children in our cohort annually, slightly more than the comparison population. Specific maternal and birth characteristics such as substance abuse and younger age at delivery may help target at-risk children.

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The reported health and functioning of children maltreated while in family foster care

Cited by 60 publications

References 21 publications

Associations between intensity of child welfare involvement and child development among young children in child welfare

Associations between intensity of child welfare involvement and child development among young children in child welfare

Demographic, Clinical, and Geographic Predictors of Placement Disruption among Foster Care Youth Receiving Wraparound Services

Frequency and Predictors of Medically Attended Injuries in HlV-nfected Children

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