Pub Date : 2021-05-25DOI: 10.1177/25161032211019411
Margot A. Hedenstrom
Foster youth face high risks and poor outcomes after aging out of care resulting in great economic and human costs to society. The purpose of the study was to describe life experiences of children aging out of the foster care system from the perspectives of adults who have successfully navigated this transition. Their life experiences during this period provided meaningful information for this study which helped to identify themes. Their perceptions of the periods during and after their transitions were explored to investigate supportive relationships, education, and workplace stability. Phenomenology was used to describe the experiences of nine young adults who had aged out of foster care. Participant ages ranged from 20 to 25 years old. Audiotaped semi-structured interviews were conducted for the study. Data analysis was ongoing throughout data collection. Four themes were identified: (1) “Facing a transition”; (2) “Depending on adults for help”; (3) “Making a difference for others”; and (4) “Moving forward with my life.” These four themes highlighted the participants’ experiences as they aged out of foster care. This study contributes to our understanding of the life experiences of former foster youth who are successful after the transition out of foster care. Recommendations for practice and research are identified.
{"title":"Aging out of foster care: The experiences of former foster youth who successfully navigated this transition","authors":"Margot A. Hedenstrom","doi":"10.1177/25161032211019411","DOIUrl":"https://doi.org/10.1177/25161032211019411","url":null,"abstract":"Foster youth face high risks and poor outcomes after aging out of care resulting in great economic and human costs to society. The purpose of the study was to describe life experiences of children aging out of the foster care system from the perspectives of adults who have successfully navigated this transition. Their life experiences during this period provided meaningful information for this study which helped to identify themes. Their perceptions of the periods during and after their transitions were explored to investigate supportive relationships, education, and workplace stability. Phenomenology was used to describe the experiences of nine young adults who had aged out of foster care. Participant ages ranged from 20 to 25 years old. Audiotaped semi-structured interviews were conducted for the study. Data analysis was ongoing throughout data collection. Four themes were identified: (1) “Facing a transition”; (2) “Depending on adults for help”; (3) “Making a difference for others”; and (4) “Moving forward with my life.” These four themes highlighted the participants’ experiences as they aged out of foster care. This study contributes to our understanding of the life experiences of former foster youth who are successful after the transition out of foster care. Recommendations for practice and research are identified.","PeriodicalId":36239,"journal":{"name":"Developmental Child Welfare","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-05-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/25161032211019411","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42529554","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-05-24DOI: 10.1177/25161032211019045
Conor O’Brien, J. Rapp
This study evaluated the extent to which psychotropic medication experts agreed on psychiatric/behavior diagnoses derived from 30 individuals’ psychotropic medication regimens. Three medication experts reviewed the medication regimens and inferred one or more diagnoses based on the medication listed. Thereafter, we used kappa statistical analyses and category-by-category analyses to evaluate agreement of diagnoses (a) across all three reviewers for two time points (separated by 8 to 14 months) covered by each data set, (b) across each pairing of reviewers at the two time points, and (c) within each reviewer across both time points. Between-reviewer kappa statistical analyses of first- and last-regimen data yielded only five instances with excellent agreement and 13 instances of poor agreement. All remaining instances indicated various levels of disagreement. Similarly, within-expert kappa statistical analyses showed two instances with excellent agreement, four instances with poor agreement, and the remaining instances with various levels of disagreement. Overall, the highest kappa values were attached to low-count regimens, while most scores, regardless of medication count, were low and indicated potential disagreement. The category-by-category analyses yielded similar results. A secondary, conditional analysis revealed higher agreements between and within reviewers when medication regimens contained psychotropic medications typically prescribed to individuals diagnosed with Attention Deficit Hyperactivity Disorder.
{"title":"To what extent do medication experts agree on diagnoses derived from psychotropic medication prescribed for children and adolescents in a state Medicare database?","authors":"Conor O’Brien, J. Rapp","doi":"10.1177/25161032211019045","DOIUrl":"https://doi.org/10.1177/25161032211019045","url":null,"abstract":"This study evaluated the extent to which psychotropic medication experts agreed on psychiatric/behavior diagnoses derived from 30 individuals’ psychotropic medication regimens. Three medication experts reviewed the medication regimens and inferred one or more diagnoses based on the medication listed. Thereafter, we used kappa statistical analyses and category-by-category analyses to evaluate agreement of diagnoses (a) across all three reviewers for two time points (separated by 8 to 14 months) covered by each data set, (b) across each pairing of reviewers at the two time points, and (c) within each reviewer across both time points. Between-reviewer kappa statistical analyses of first- and last-regimen data yielded only five instances with excellent agreement and 13 instances of poor agreement. All remaining instances indicated various levels of disagreement. Similarly, within-expert kappa statistical analyses showed two instances with excellent agreement, four instances with poor agreement, and the remaining instances with various levels of disagreement. Overall, the highest kappa values were attached to low-count regimens, while most scores, regardless of medication count, were low and indicated potential disagreement. The category-by-category analyses yielded similar results. A secondary, conditional analysis revealed higher agreements between and within reviewers when medication regimens contained psychotropic medications typically prescribed to individuals diagnosed with Attention Deficit Hyperactivity Disorder.","PeriodicalId":36239,"journal":{"name":"Developmental Child Welfare","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-05-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/25161032211019045","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48778681","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-05-21DOI: 10.1177/25161032211013820
Justin D. Caouette, M. Hébert, C. Cyr, L. Amédée
Child sexual abuse is associated with a range of negative consequences, including behavior problems and dissociative and posttraumatic stress symptoms. Trauma-Focused Cognitive Behavioral Therapy (TF-CBT) has shown to be successful in the treatment of child victims of sexual abuse, but yet presents some challenges with preschoolers. Child sexual abuse has often been associated with insecure attachment among preschool children. Therefore, combining an attachment-based intervention with the TF-CBT may offer a means to optimize therapeutic outcomes. This pilot study examined in a pre/post-test design whether the combination of the Attachment Video-feedback Intervention (AVI) with the TF-CBT led to changes in the well-being of sexually abused preschoolers and their parents. Participants included 33 sexually abused children aged 4 to 6 years old and their non-offending caregivers. Parents completed questionnaires on their child’s behavior problems and dissociative symptoms, and reported on their own psychological distress and posttraumatic symptoms following their child’s disclosure of trauma. Results showed decreases in child internalizing and dissociative symptoms and maternal psychological distress and posttraumatic symptoms after the intervention. This pilot study suggests this combined protocol is a promising tool to foster the recovery of young victims of sexual abuse and their non-offending caregivers.
{"title":"The attachment video-feedback intervention (AVI) combined to the trauma-focused cognitive behavioral therapy (TF-CBT) for sexually abused preschoolers and their parents: A pilot study examining pre- to post-test changes","authors":"Justin D. Caouette, M. Hébert, C. Cyr, L. Amédée","doi":"10.1177/25161032211013820","DOIUrl":"https://doi.org/10.1177/25161032211013820","url":null,"abstract":"Child sexual abuse is associated with a range of negative consequences, including behavior problems and dissociative and posttraumatic stress symptoms. Trauma-Focused Cognitive Behavioral Therapy (TF-CBT) has shown to be successful in the treatment of child victims of sexual abuse, but yet presents some challenges with preschoolers. Child sexual abuse has often been associated with insecure attachment among preschool children. Therefore, combining an attachment-based intervention with the TF-CBT may offer a means to optimize therapeutic outcomes. This pilot study examined in a pre/post-test design whether the combination of the Attachment Video-feedback Intervention (AVI) with the TF-CBT led to changes in the well-being of sexually abused preschoolers and their parents. Participants included 33 sexually abused children aged 4 to 6 years old and their non-offending caregivers. Parents completed questionnaires on their child’s behavior problems and dissociative symptoms, and reported on their own psychological distress and posttraumatic symptoms following their child’s disclosure of trauma. Results showed decreases in child internalizing and dissociative symptoms and maternal psychological distress and posttraumatic symptoms after the intervention. This pilot study suggests this combined protocol is a promising tool to foster the recovery of young victims of sexual abuse and their non-offending caregivers.","PeriodicalId":36239,"journal":{"name":"Developmental Child Welfare","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-05-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/25161032211013820","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45013331","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-05-05DOI: 10.1177/25161032211013819
F. Van Holen, L. Van Hove, Ann Clé, Camille Verheyden, J. Vanderfaeillie
Background: Foster children often experience school problems and perform less well than average. This may result in failed school careers and compromised future career paths. Nonetheless, few studies have focused on the perspective of foster children regarding education. Method: Semi-structured interviews were conducted with 27 foster children (M = 14 years, range = 12–18 years) placed in long-term family foster care about their experiences regarding “school.” Results: A thematic analysis distinguished four main themes: (1) the importance of school for foster children; (2) the impact of the foster care placement on the school performance (3) support foster children receive with regard to their functioning and performance at school; and (4) the fear of stigmatization. Discussion: Foster children attach a great importance to school and receive support from different persons. Yet, many foster children are confronted with school difficulties, such as bullying, hindered concentration, and negative reactions to being placed in foster care. Interventions should be developed to support this group and improve their performances. Furthermore, actors who get in touch with foster children should be better acquainted with foster care.
{"title":"How do foster children placed in long-term family foster care experience school?","authors":"F. Van Holen, L. Van Hove, Ann Clé, Camille Verheyden, J. Vanderfaeillie","doi":"10.1177/25161032211013819","DOIUrl":"https://doi.org/10.1177/25161032211013819","url":null,"abstract":"Background: Foster children often experience school problems and perform less well than average. This may result in failed school careers and compromised future career paths. Nonetheless, few studies have focused on the perspective of foster children regarding education. Method: Semi-structured interviews were conducted with 27 foster children (M = 14 years, range = 12–18 years) placed in long-term family foster care about their experiences regarding “school.” Results: A thematic analysis distinguished four main themes: (1) the importance of school for foster children; (2) the impact of the foster care placement on the school performance (3) support foster children receive with regard to their functioning and performance at school; and (4) the fear of stigmatization. Discussion: Foster children attach a great importance to school and receive support from different persons. Yet, many foster children are confronted with school difficulties, such as bullying, hindered concentration, and negative reactions to being placed in foster care. Interventions should be developed to support this group and improve their performances. Furthermore, actors who get in touch with foster children should be better acquainted with foster care.","PeriodicalId":36239,"journal":{"name":"Developmental Child Welfare","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-05-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/25161032211013819","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45046682","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-05-05DOI: 10.1177/25161032211004605
Crystal Collins-Camargo, Jessica Strolin-Goltzman, A. N. Verbist, Alison Krompf, Becky F. Antle
Children entering custody within the child welfare system have been found to have high levels of trauma and significant behavioral health needs. In this paper, authors demonstrate how a structured functional well-being assessment can be used with the custody population to promote an understanding of behavioral health needs, inform case planning, and measure functional improvement over time. Specifically, this paper will: (a) briefly describe how two states implemented a common standardized assessment of functioning to inform case planning and measure well-being progress of children in the custody of a public child welfare system (b) examine what this common assessment tool reveals about the strengths and needs of children entering custody across two sites and (c) describe the magnitude of change in functional improvement measured across 6 months. This paper will contribute to the existing knowledge by sharing possible themes in functioning related to children entering custody while examining changes in functioning over time. Implications for practice, policy, and future research will be discussed.
{"title":"Structured well-being assessments in public child welfare: Observations across two states","authors":"Crystal Collins-Camargo, Jessica Strolin-Goltzman, A. N. Verbist, Alison Krompf, Becky F. Antle","doi":"10.1177/25161032211004605","DOIUrl":"https://doi.org/10.1177/25161032211004605","url":null,"abstract":"Children entering custody within the child welfare system have been found to have high levels of trauma and significant behavioral health needs. In this paper, authors demonstrate how a structured functional well-being assessment can be used with the custody population to promote an understanding of behavioral health needs, inform case planning, and measure functional improvement over time. Specifically, this paper will: (a) briefly describe how two states implemented a common standardized assessment of functioning to inform case planning and measure well-being progress of children in the custody of a public child welfare system (b) examine what this common assessment tool reveals about the strengths and needs of children entering custody across two sites and (c) describe the magnitude of change in functional improvement measured across 6 months. This paper will contribute to the existing knowledge by sharing possible themes in functioning related to children entering custody while examining changes in functioning over time. Implications for practice, policy, and future research will be discussed.","PeriodicalId":36239,"journal":{"name":"Developmental Child Welfare","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-05-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/25161032211004605","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43453104","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-03-01DOI: 10.1177/25161032211002187
M. Baker, Melanie B. Fessinger, Kelly McWilliams, Shanna Williams
The disclosure process for children who have experienced maltreatment is often difficult. In an effort to support children in their disclosures, interviewers have increasingly turned to empirically-based interview protocols (i.e., questioning strategies) that both decrease the suggestibility of questions while also increasing the productivity of children’s statements. Despite efforts to improve the structure of forensic interviews, interviewing support tools, such as note-taking, have received less empirical attention. To date, research examining interviewers’ notes has primarily focused on the accuracy of such records for evidentiary reasons. Yet, note-taking may serve other purposes; for instance, the process of note-taking may increase the accuracy of interviewers’ questions (i.e., use of child’s words) and memory (i.e., follow-up questions and themes) throughout the interview. In the current review, we describe the limited forensic note-taking literature, as well as the potential strengths and weaknesses of note-taking during forensic interviews with children. We end by suggesting potential avenues of research to assist with the creation of practical guidelines for the use of notes during forensic interviews.
{"title":"The use of note-taking during forensic interviews: Perceptions and practical recommendations for interviewers","authors":"M. Baker, Melanie B. Fessinger, Kelly McWilliams, Shanna Williams","doi":"10.1177/25161032211002187","DOIUrl":"https://doi.org/10.1177/25161032211002187","url":null,"abstract":"The disclosure process for children who have experienced maltreatment is often difficult. In an effort to support children in their disclosures, interviewers have increasingly turned to empirically-based interview protocols (i.e., questioning strategies) that both decrease the suggestibility of questions while also increasing the productivity of children’s statements. Despite efforts to improve the structure of forensic interviews, interviewing support tools, such as note-taking, have received less empirical attention. To date, research examining interviewers’ notes has primarily focused on the accuracy of such records for evidentiary reasons. Yet, note-taking may serve other purposes; for instance, the process of note-taking may increase the accuracy of interviewers’ questions (i.e., use of child’s words) and memory (i.e., follow-up questions and themes) throughout the interview. In the current review, we describe the limited forensic note-taking literature, as well as the potential strengths and weaknesses of note-taking during forensic interviews with children. We end by suggesting potential avenues of research to assist with the creation of practical guidelines for the use of notes during forensic interviews.","PeriodicalId":36239,"journal":{"name":"Developmental Child Welfare","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/25161032211002187","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44963286","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-03-01DOI: 10.1177/25161032211001078
Laura Orlando, Ashley N. Rousson, S. Barkan, Kristen Greenley, Alyssa Everitt, Emiko A. Tajima
COVID-19 has put child wellbeing at risk, perhaps especially, for children and youth involved in the foster care system. For these children and youth, any stability they may have experienced since entering care has been disrupted and their contact with parents limited. A sudden shift to virtual only contact meant both parents and caregivers were in need of support to navigate these changes. This study reports on the rapid development and implementation of an eLearning and structured practice guide for visitation supervisors to help them facilitate virtual visits that promote parent-caregiver collaboration in support of the child. Over a four month period, April to August 2020, 140 people registered for the Supportive Virtual Family Time training. Of these participants, 101 (72%) completed a post-training survey which included an evaluation of the eLearning and assessment of the feasibility of implementing the model. Overall, participants were satisfied with the training content and delivery, agreed the training helped them develop new skills for interacting with parents and caregivers, and planned to start using the model right away. Given the ongoing and dynamic nature of the pandemic, there is likely continued need for virtual family time and training and support for supervisors who facilitate these interactions. It is critical these supports are timely, easily accessible, and include practice guidelines and resources that help practitioners facilitate and maintain youths’ critical attachments to their families. Given the potential benefits of supporting parent-caregiver collaboration, the model and accompanying materials address an overarching need in the field and remain relevant even after a return to in-person visitation.
{"title":"Responding to COVID-19’s impact on supervised family time: The supportive virtual family time model","authors":"Laura Orlando, Ashley N. Rousson, S. Barkan, Kristen Greenley, Alyssa Everitt, Emiko A. Tajima","doi":"10.1177/25161032211001078","DOIUrl":"https://doi.org/10.1177/25161032211001078","url":null,"abstract":"COVID-19 has put child wellbeing at risk, perhaps especially, for children and youth involved in the foster care system. For these children and youth, any stability they may have experienced since entering care has been disrupted and their contact with parents limited. A sudden shift to virtual only contact meant both parents and caregivers were in need of support to navigate these changes. This study reports on the rapid development and implementation of an eLearning and structured practice guide for visitation supervisors to help them facilitate virtual visits that promote parent-caregiver collaboration in support of the child. Over a four month period, April to August 2020, 140 people registered for the Supportive Virtual Family Time training. Of these participants, 101 (72%) completed a post-training survey which included an evaluation of the eLearning and assessment of the feasibility of implementing the model. Overall, participants were satisfied with the training content and delivery, agreed the training helped them develop new skills for interacting with parents and caregivers, and planned to start using the model right away. Given the ongoing and dynamic nature of the pandemic, there is likely continued need for virtual family time and training and support for supervisors who facilitate these interactions. It is critical these supports are timely, easily accessible, and include practice guidelines and resources that help practitioners facilitate and maintain youths’ critical attachments to their families. Given the potential benefits of supporting parent-caregiver collaboration, the model and accompanying materials address an overarching need in the field and remain relevant even after a return to in-person visitation.","PeriodicalId":36239,"journal":{"name":"Developmental Child Welfare","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/25161032211001078","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49272731","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-03-01DOI: 10.1177/2516103221999054
E. Cudjoe, Debora Daisy Kwabia, M. Chiu, Alhassan Abdullah
Children living with a parent with mental illness experience challenges as some may take on the roles of their parents. Physical distancing restrictions introduced because of the COVID-19 pandemic means that many children will spend more time at home which could heighten the impact of parental mental illness. For many of these children, engaging in activities with peers provides them a sort of normal life outside their family environment. However, face-to-face interactions with others outside the family may be limited under existing public health protocols. Moreover, services for children in families where there is parental mental illness may also be limited considering limitations placed on people’s movements to reduce the rate of COVID-19 infections. This opinion article draws on existing research and practitioner knowledge to suggest how social workers can continue supporting these children and their families during the COVID-19 pandemic. Support, in the form of online interventions, have been recommended to meet the needs of children during the pandemic period. Online support is timely because it is easily accessible and often does not require face-to-face interactions. Social workers and other human service professionals should be able to adapt existing online services to the needs of the children which they serve.
{"title":"“Adding salt to wounds”: Parentification among children living with parents with mental illness during the COVID-19 pandemic and the role of social workers","authors":"E. Cudjoe, Debora Daisy Kwabia, M. Chiu, Alhassan Abdullah","doi":"10.1177/2516103221999054","DOIUrl":"https://doi.org/10.1177/2516103221999054","url":null,"abstract":"Children living with a parent with mental illness experience challenges as some may take on the roles of their parents. Physical distancing restrictions introduced because of the COVID-19 pandemic means that many children will spend more time at home which could heighten the impact of parental mental illness. For many of these children, engaging in activities with peers provides them a sort of normal life outside their family environment. However, face-to-face interactions with others outside the family may be limited under existing public health protocols. Moreover, services for children in families where there is parental mental illness may also be limited considering limitations placed on people’s movements to reduce the rate of COVID-19 infections. This opinion article draws on existing research and practitioner knowledge to suggest how social workers can continue supporting these children and their families during the COVID-19 pandemic. Support, in the form of online interventions, have been recommended to meet the needs of children during the pandemic period. Online support is timely because it is easily accessible and often does not require face-to-face interactions. Social workers and other human service professionals should be able to adapt existing online services to the needs of the children which they serve.","PeriodicalId":36239,"journal":{"name":"Developmental Child Welfare","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/2516103221999054","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45698705","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-02-23DOI: 10.1177/2516103221992777
Camille Danner Touati, R. Miljkovitch, A. Sirparanta, A. Deborde
Background: Childhood abuse is associated with increased lifetime suicidal risk (SR). Among victims of abuse, children in out-of-home care are also at risk. Out-of-home placement is aimed at stopping further exposure to maltreatment and at providing the necessary security for proper development. Research suggests that placement arrangements may impact children’s mental health outcomes. Objective: The study was aimed at examining (1) the direct effects of different placement characteristics (i.e. age at first placement, number of placements, placement disruptions, total time in care, contact with biological parents, contact with siblings, placement with siblings) on SR and (2) whether these characteristics moderate the link between maltreatment and SR. Participants: The sample consisted of 77 adults (52 women; 25 men; mean age: 26.6 years) who received out-of-home care during childhood. Method: Participants completed the Childhood Trauma Questionnaire and the Mini International Neuropsychiatric Interview (for SR). Participants’ records were used to determine placement characteristics and maltreatment. Results: PLS-PM analyses suggest a significant role of risk (age at first placement, number of placements, placement disruptions, contact with biological parents) and protective factors (contact with siblings, foster home placement) on SR. Risk factors also moderate the link between maltreatment and SR. Conclusions: Interventions aimed at limiting risk factors during placement seem important to reduce SR.
{"title":"The impact of out-of-home placement characteristics with regard to suicidal risk among adult survivors of childhood abuse","authors":"Camille Danner Touati, R. Miljkovitch, A. Sirparanta, A. Deborde","doi":"10.1177/2516103221992777","DOIUrl":"https://doi.org/10.1177/2516103221992777","url":null,"abstract":"Background: Childhood abuse is associated with increased lifetime suicidal risk (SR). Among victims of abuse, children in out-of-home care are also at risk. Out-of-home placement is aimed at stopping further exposure to maltreatment and at providing the necessary security for proper development. Research suggests that placement arrangements may impact children’s mental health outcomes. Objective: The study was aimed at examining (1) the direct effects of different placement characteristics (i.e. age at first placement, number of placements, placement disruptions, total time in care, contact with biological parents, contact with siblings, placement with siblings) on SR and (2) whether these characteristics moderate the link between maltreatment and SR. Participants: The sample consisted of 77 adults (52 women; 25 men; mean age: 26.6 years) who received out-of-home care during childhood. Method: Participants completed the Childhood Trauma Questionnaire and the Mini International Neuropsychiatric Interview (for SR). Participants’ records were used to determine placement characteristics and maltreatment. Results: PLS-PM analyses suggest a significant role of risk (age at first placement, number of placements, placement disruptions, contact with biological parents) and protective factors (contact with siblings, foster home placement) on SR. Risk factors also moderate the link between maltreatment and SR. Conclusions: Interventions aimed at limiting risk factors during placement seem important to reduce SR.","PeriodicalId":36239,"journal":{"name":"Developmental Child Welfare","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-02-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/2516103221992777","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43087197","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2020-12-01DOI: 10.1177/2516103220987227
Camille Verheyden, F. Van Holen, Delphine West, J. Vanderfaeillie
This study examines secondary traumatic stress (STS), burnout and compassion satisfaction (CS) in Flemish foster care workers (FCW) during the COVID-19 lockdown. Even though child welfare workers are at increased risk for STS and burnout, these constructs have not been studied in FCW so far. Additionally, the COVID-19 measures severely impacted Flemish FCW’s work, personal and client environment, possibly stimulating the onset of STS and burnout and weakening CS. Moreover, this study aims to identify the work, client and personal factors determining high levels of STS and burnout and low levels of CS among FCW during the lockdown. STS, burnout and CS levels from 434 Flemish FCW were inquired with the Professional Quality of Life Scale. Low mean levels of STS and moderate mean levels of burnout and CS were reported during the lockdown. FCW who experienced a negative impact of COVID-19 measures on their work, had a high amount of worrisome placements due to birth parents in their caseload and low emotional stability are an at-risk group for both STS and burnout during the lockdown. CS was strongly determined by the impact of the COVID-19 measures on work and personality traits. Emotional stability determined the three outcome variables, making this a key characteristics for FCW during the lockdown. Consequently, during adverse circumstances, foster care agencies should pay extra attention and offer additional support to those FCW they estimate emotionally less stable and who struggle with the birth parents in their caseload.
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