Pub Date : 2024-03-01DOI: 10.1177/03085759231212497
Christopher Edwards, Mark Kennedy, Nicky Knights, Hanna Kovshoff, J. Kreppner, Barbara Maughan, Edmund J S Sonuga-Barke
Severe, prolonged early deprivation is associated with later neurodevelopmental difficulties. Despite elevated levels of contact with service providers, these problems often persist into adult life and are associated with impairment in adulthood (e.g., unemployment, higher rates of depression and anxiety symptoms and poorer subjective wellbeing). Here, we aimed to explore the ongoing service needs and experiences of adoptees and their parents from the English and Romanian Adoptees (ERA) study, in those with a history of early deprivation and neurodevelopmental problems. Our descriptive thematic analysis highlighted difficulties with independent living, particularly financial management and problems with decision-making. Where specific forms of support had been accessed (e.g., medication for attention-deficit/hyperactivity disorder) they were often helpful, although there was some ambivalence towards taking medication due to side effects. However, the neurodevelopmental problems were not well understood and were often overlooked by service providers. There is a need for greater awareness among frontline service providers of the neurodevelopmental impact of early adversity. Participants also identified that their support needs were largely unmet and that their parents were having to fill this gap. Similarities and differences between the experiences highlighted here and those identified with idiopathic neurodevelopmental disorders are discussed, as are several recommendations for educational improvements for service providers.
{"title":"Neurodevelopmental problems in adulthood following severe early deprivation: A qualitative analysis of clinical needs and service user experiences","authors":"Christopher Edwards, Mark Kennedy, Nicky Knights, Hanna Kovshoff, J. Kreppner, Barbara Maughan, Edmund J S Sonuga-Barke","doi":"10.1177/03085759231212497","DOIUrl":"https://doi.org/10.1177/03085759231212497","url":null,"abstract":"Severe, prolonged early deprivation is associated with later neurodevelopmental difficulties. Despite elevated levels of contact with service providers, these problems often persist into adult life and are associated with impairment in adulthood (e.g., unemployment, higher rates of depression and anxiety symptoms and poorer subjective wellbeing). Here, we aimed to explore the ongoing service needs and experiences of adoptees and their parents from the English and Romanian Adoptees (ERA) study, in those with a history of early deprivation and neurodevelopmental problems. Our descriptive thematic analysis highlighted difficulties with independent living, particularly financial management and problems with decision-making. Where specific forms of support had been accessed (e.g., medication for attention-deficit/hyperactivity disorder) they were often helpful, although there was some ambivalence towards taking medication due to side effects. However, the neurodevelopmental problems were not well understood and were often overlooked by service providers. There is a need for greater awareness among frontline service providers of the neurodevelopmental impact of early adversity. Participants also identified that their support needs were largely unmet and that their parents were having to fill this gap. Similarities and differences between the experiences highlighted here and those identified with idiopathic neurodevelopmental disorders are discussed, as are several recommendations for educational improvements for service providers.","PeriodicalId":516606,"journal":{"name":"Adoption & Fostering","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140278960","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 : 2024-03-01DOI: 10.1177/03085759231220408
Janine C. Muldoon, Joanne Williams
This article highlights the significance of pets for five young women with care experience, examining the impact of disruptions to those relationships when moving into or between care settings. Findings show that pets support the transition to independent living and mental health. Participants’ reflections also reveal how pets are a source of comfort and stability for children growing up in families experiencing difficult circumstances. Loss is therefore traumatic because of the support pets provided and the context surrounding loss. Despite their significance, pets were largely absent from discussions and processes associated with managing care transitions. Adults and perceived constraints in residential care dictated what happened with respect to pets. Neither consulted nor supported, children were left to cope on their own. Attention to pets should be an integral part of the process of managing care transitions and it is imperative that the impact of pet loss (at any stage in children’s lives) is understood and supported. Otherwise, the system may inadvertently foster a perpetual loop of mistrust and relational losses. We consider how some local authorities are starting to manage this process (considering pets in the family or foster carers’ homes), and existing guidance on introducing animals in residential care.
{"title":"‘She has saved my life on many occasions’: Care-experienced young women’s reflections on the significance of pets and the impact of loss","authors":"Janine C. Muldoon, Joanne Williams","doi":"10.1177/03085759231220408","DOIUrl":"https://doi.org/10.1177/03085759231220408","url":null,"abstract":"This article highlights the significance of pets for five young women with care experience, examining the impact of disruptions to those relationships when moving into or between care settings. Findings show that pets support the transition to independent living and mental health. Participants’ reflections also reveal how pets are a source of comfort and stability for children growing up in families experiencing difficult circumstances. Loss is therefore traumatic because of the support pets provided and the context surrounding loss. Despite their significance, pets were largely absent from discussions and processes associated with managing care transitions. Adults and perceived constraints in residential care dictated what happened with respect to pets. Neither consulted nor supported, children were left to cope on their own. Attention to pets should be an integral part of the process of managing care transitions and it is imperative that the impact of pet loss (at any stage in children’s lives) is understood and supported. Otherwise, the system may inadvertently foster a perpetual loop of mistrust and relational losses. We consider how some local authorities are starting to manage this process (considering pets in the family or foster carers’ homes), and existing guidance on introducing animals in residential care.","PeriodicalId":516606,"journal":{"name":"Adoption & Fostering","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140274579","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 : 2024-03-01DOI: 10.1177/03085759241235840
Dennis Golm
{"title":"The needs of unaccompanied minors and their foster carers","authors":"Dennis Golm","doi":"10.1177/03085759241235840","DOIUrl":"https://doi.org/10.1177/03085759241235840","url":null,"abstract":"","PeriodicalId":516606,"journal":{"name":"Adoption & Fostering","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140274692","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 : 2024-03-01DOI: 10.1177/03085759231212501
Louisa M. Roberts, Alyson Rees, Daisy Elliott, Sophie Wood
Appropriate allegation investigations within social care are paramount to protect children. However, many allegations are unsubstantiated ( Biehal et al., 2014 ) and result in stress and anxiety for fostering families ( Adams, Hassett and Lumsden, 2018 ), financial uncertainty ( Boffey, Stanton and Thomas, 2019 ), unplanned endings and foster carers leaving their role ( Adams, Hassett and Lumsden, 2018 ). There is little research into the prevalence, nature and outcomes of allegations against foster carers. This UK-based study uses The Fostering Network’s State of the Nation’s Foster Care (SOTN) 2021 survey and analyses responses from 3,352 UK foster carers and 99 fostering service staff. Qualitative findings reflect six themes: (1) emotional impacts, (2) financial implications, (3) independent support, (4) social services involvement, (5) understanding allegations, and (6) children being removed or foster carers leaving their role. Quantitative findings show only 25% of those experiencing an allegation believed they were sufficiently communicated with, only 20% believed specified timescales were adhered to, 57% did not receive independent support, and 36% said no support was offered to children in their home. Poor information-sharing and lack of support were found to have exacerbated the stress experienced.
{"title":"‘The worst day of my life’: Foster carers’ experiences of allegations","authors":"Louisa M. Roberts, Alyson Rees, Daisy Elliott, Sophie Wood","doi":"10.1177/03085759231212501","DOIUrl":"https://doi.org/10.1177/03085759231212501","url":null,"abstract":"Appropriate allegation investigations within social care are paramount to protect children. However, many allegations are unsubstantiated ( Biehal et al., 2014 ) and result in stress and anxiety for fostering families ( Adams, Hassett and Lumsden, 2018 ), financial uncertainty ( Boffey, Stanton and Thomas, 2019 ), unplanned endings and foster carers leaving their role ( Adams, Hassett and Lumsden, 2018 ). There is little research into the prevalence, nature and outcomes of allegations against foster carers. This UK-based study uses The Fostering Network’s State of the Nation’s Foster Care (SOTN) 2021 survey and analyses responses from 3,352 UK foster carers and 99 fostering service staff. Qualitative findings reflect six themes: (1) emotional impacts, (2) financial implications, (3) independent support, (4) social services involvement, (5) understanding allegations, and (6) children being removed or foster carers leaving their role. Quantitative findings show only 25% of those experiencing an allegation believed they were sufficiently communicated with, only 20% believed specified timescales were adhered to, 57% did not receive independent support, and 36% said no support was offered to children in their home. Poor information-sharing and lack of support were found to have exacerbated the stress experienced.","PeriodicalId":516606,"journal":{"name":"Adoption & Fostering","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140282272","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 : 2024-03-01DOI: 10.1177/03085759241235842
John Simmonds
{"title":"New DfE programme addresses adoption support services in the UK","authors":"John Simmonds","doi":"10.1177/03085759241235842","DOIUrl":"https://doi.org/10.1177/03085759241235842","url":null,"abstract":"","PeriodicalId":516606,"journal":{"name":"Adoption & Fostering","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140277708","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 : 2024-03-01DOI: 10.1177/03085759241236468
S. Hillman, Nahed Lajmi, Miriam Steele, Jill Hodges, John Simmonds, J. Kaniuk
This study forms part of a major longitudinal research project collaboration between the Anna Freud Centre, Coram and Great Ormond Street Hospital, which set out to explore adopted children’s and adoptive parents’ outcomes and experiences from middle childhood through to adolescence. In this paper, 17 adoptive mothers of late adopted children, currently in early adolescence (aged 12 to 15 years), were interviewed. The focus of the study draws upon their worries and fears regarding their children during adolescence and as they approach adulthood. The Parent Development Interviews (PDI) were analysed using thematic analysis and generated five overarching themes: Vulnerability, Violence, Derailing opportunities, Autonomy and Anxieties about the birth family. This qualitative exploration provides strong evidence for how these parents reflected upon very concrete challenges and anxieties about their child’s journey, including both their current context and anticipated outcomes. The overwhelming majority of research to date on this population examines negative outcomes quantitatively; this study adds an important qualitative layer of the parents’ own perspectives.
{"title":"Adoptive parents’ worries and concerns about their adolescent adopted children","authors":"S. Hillman, Nahed Lajmi, Miriam Steele, Jill Hodges, John Simmonds, J. Kaniuk","doi":"10.1177/03085759241236468","DOIUrl":"https://doi.org/10.1177/03085759241236468","url":null,"abstract":"This study forms part of a major longitudinal research project collaboration between the Anna Freud Centre, Coram and Great Ormond Street Hospital, which set out to explore adopted children’s and adoptive parents’ outcomes and experiences from middle childhood through to adolescence. In this paper, 17 adoptive mothers of late adopted children, currently in early adolescence (aged 12 to 15 years), were interviewed. The focus of the study draws upon their worries and fears regarding their children during adolescence and as they approach adulthood. The Parent Development Interviews (PDI) were analysed using thematic analysis and generated five overarching themes: Vulnerability, Violence, Derailing opportunities, Autonomy and Anxieties about the birth family. This qualitative exploration provides strong evidence for how these parents reflected upon very concrete challenges and anxieties about their child’s journey, including both their current context and anticipated outcomes. The overwhelming majority of research to date on this population examines negative outcomes quantitatively; this study adds an important qualitative layer of the parents’ own perspectives.","PeriodicalId":516606,"journal":{"name":"Adoption & Fostering","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140283379","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 : 2024-03-01DOI: 10.1177/03085759231216068
Greggory Cullen
Adolescents living in care are vulnerable to a range of negative outcomes. Although the mental health and substance use problems of foster youth are widely documented, significantly less research examines the influence of caregivers on these two dimensions of health and wellbeing. Given the importance of caregivers to the development of adolescents in child welfare, the present study investigates the relationship between caregiver characteristics, caregiver attachment and placement type on mental health and substance use. The sample consists of 1,093 young people taken from the 2016 Ontario Looking After Children project who are between 16 and 17 years of age. Findings suggest that caregiver attachment, caregiver gender and the caregiver’s school expectations are all significantly associated with mental health and substance use among this population. Results will inform child welfare professionals about a number of risk-predictive factors of mental health and substance use problems among a sample of young people preparing to transition to adulthood. These findings will help service providers design policies and intervention strategies to improve the future outcomes of youth involved in child welfare.
{"title":"Supporting older youth in care: The role of caregivers","authors":"Greggory Cullen","doi":"10.1177/03085759231216068","DOIUrl":"https://doi.org/10.1177/03085759231216068","url":null,"abstract":"Adolescents living in care are vulnerable to a range of negative outcomes. Although the mental health and substance use problems of foster youth are widely documented, significantly less research examines the influence of caregivers on these two dimensions of health and wellbeing. Given the importance of caregivers to the development of adolescents in child welfare, the present study investigates the relationship between caregiver characteristics, caregiver attachment and placement type on mental health and substance use. The sample consists of 1,093 young people taken from the 2016 Ontario Looking After Children project who are between 16 and 17 years of age. Findings suggest that caregiver attachment, caregiver gender and the caregiver’s school expectations are all significantly associated with mental health and substance use among this population. Results will inform child welfare professionals about a number of risk-predictive factors of mental health and substance use problems among a sample of young people preparing to transition to adulthood. These findings will help service providers design policies and intervention strategies to improve the future outcomes of youth involved in child welfare.","PeriodicalId":516606,"journal":{"name":"Adoption & Fostering","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140276357","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}
Compared to other teenagers, young care leavers tend to have poorer sexual/reproductive and mental health; mental health difficulties may increase risk for poor sexual/reproductive health. This systematic review addresses a gap in knowledge regarding the effectiveness of existing interventions that support care leavers’ sexual/reproductive health (e.g., contraception, pregnancy choices, early parenting). Eight published articles spanning six interventions were eligible. Interventions were associated with improvements in a range of sexual/reproductive health measures (e.g., sexual health knowledge; knowledge of where to get support; attitudes to sexual health practices), with some indicative improvements in self-esteem. However, some studies suggested these improvements may not be sustained. Interventions tended to include a broad age range, with limited programmes specifically aimed at care leavers. While some programmes focused on attitudes toward reproductive health and pregnancy (i.e., contraception), we identified no programme focusing on parenthood choice. We also identified no sexual/reproductive health programme that targeted or assessed associated mental health problems, despite evidence of associations between sexual health and mental health difficulties. Findings suggest that care leavers may benefit from specific sexual/reproductive health supports, but further evidence is needed. Findings also indicate a need for more holistic supports that integrate mental health supports with reproductive/sexual health and consider care leaver decision-making.
{"title":"Interventions to support reproductive and mental health among care leavers: A systematic review","authors":"Leanne Bogen-Johnston, Natalie Edelman, Ruth Sellers","doi":"10.1177/03085759231212496","DOIUrl":"https://doi.org/10.1177/03085759231212496","url":null,"abstract":"Compared to other teenagers, young care leavers tend to have poorer sexual/reproductive and mental health; mental health difficulties may increase risk for poor sexual/reproductive health. This systematic review addresses a gap in knowledge regarding the effectiveness of existing interventions that support care leavers’ sexual/reproductive health (e.g., contraception, pregnancy choices, early parenting). Eight published articles spanning six interventions were eligible. Interventions were associated with improvements in a range of sexual/reproductive health measures (e.g., sexual health knowledge; knowledge of where to get support; attitudes to sexual health practices), with some indicative improvements in self-esteem. However, some studies suggested these improvements may not be sustained. Interventions tended to include a broad age range, with limited programmes specifically aimed at care leavers. While some programmes focused on attitudes toward reproductive health and pregnancy (i.e., contraception), we identified no programme focusing on parenthood choice. We also identified no sexual/reproductive health programme that targeted or assessed associated mental health problems, despite evidence of associations between sexual health and mental health difficulties. Findings suggest that care leavers may benefit from specific sexual/reproductive health supports, but further evidence is needed. Findings also indicate a need for more holistic supports that integrate mental health supports with reproductive/sexual health and consider care leaver decision-making.","PeriodicalId":516606,"journal":{"name":"Adoption & Fostering","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140268606","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 : 2024-02-08DOI: 10.1177/03085759241228249
{"title":"Corrigendum to “A heavy weight, yet empowering: Grandparent Special Guardians’ lived experiences of the role and family dynamics – An Interpretative Phenomenological Analysis (IPA)”","authors":"","doi":"10.1177/03085759241228249","DOIUrl":"https://doi.org/10.1177/03085759241228249","url":null,"abstract":"","PeriodicalId":516606,"journal":{"name":"Adoption & Fostering","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-02-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139853263","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 : 2024-02-08DOI: 10.1177/03085759241228249
{"title":"Corrigendum to “A heavy weight, yet empowering: Grandparent Special Guardians’ lived experiences of the role and family dynamics – An Interpretative Phenomenological Analysis (IPA)”","authors":"","doi":"10.1177/03085759241228249","DOIUrl":"https://doi.org/10.1177/03085759241228249","url":null,"abstract":"","PeriodicalId":516606,"journal":{"name":"Adoption & Fostering","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-02-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139793460","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}
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