Top

Gepubliceerd in:

17-10-2017 | Original Paper

Chronic Illness, Placement Stability, and Hospitalizations within Child Welfare: The Role of Initial Living Arrangement

Auteurs: Lindsey E. G. Weil, Cassandra Kisiel, Neil Jordan

Gepubliceerd in: Journal of Child and Family Studies | Uitgave 3/2018

Abstract

Despite the high prevalence of chronic medical conditions among youth in child welfare, there is a paucity of research examining placement stability and frequency of medically-related hospitalizations for this vulnerable subpopulation. These questions are explored, with an emphasis on understanding the impact of initial living arrangement on each outcome. This study assessed 945 youth (ages 5–17) in out-of-home care within the Illinois child welfare system, using a matched sample of youth with (n = 318) and without (n = 627) a chronic medical illness. Placement stability and number of medically-related hospitalizations were compared between the two groups. Additionally, negative binomial regressions were used to assess the relationship between participant characteristics, type of living arrangement, and both placement stability and medically-related hospitalizations. Placement stability was not associated with having a chronic medical illness. However, stability was associated with initial living arrangement, with youth in kinship care having a lower likelihood of subsequent placement changes than youth in foster care or residential placements. Number of medically-related hospitalizations was significantly associated with having a chronic medical illness. Number of medically-related hospitalizations was also associated with type of initial living arrangement: kinship care showed a lower likelihood of hospitalizations than foster care or residential placements. Results provide preliminary evidence that kinship care should be prioritized for youth with a chronic medical illness over placement in foster care or residential settings, as kinship care showed higher placement stability and lower rates of medically-related hospitalizations for youth with chronic medical illness.

vorige artikel Foster children’s behavioral development and foster parent stress: testing a transactional model

volgende artikel Author Correction: A Dynamic Approach to Risk Factors for Maternal Corporal Punishment in Early to Middle Childhood

Administration on Children, Youth and Families. (2006). The AFCARS report: Preliminary FY 2005 estimates as of September 2006. http://www.acf.hhs.gov/programs/cb/stats_research/afcars/tar/report13.htm.

Akinbami, L. J., Moorman, J. E., Bailey, C., Zahran, H. S., King, M., Johnson, C. A., & Liu, X. (2012). Trends in asthma prevalence. Health care use, and mortality in the United States, 2011–2010 (NCHS data brief No. no 94). Hyattsville, MD: National Center for Health Statistics. http://www.cdc.gov/nchs/data/databriefs/db94.htm.

American Association of Retired Persons. (2005). Illinois: A state fact sheet for grandparents and other relatives raising children. http://assets.aarp.org/rgcenter/general/kinship_care_2005_il.pdf.

American Bar Association House of Delegates. (2008). Reducing racial disparities in the child welfare system. http://cap.law.harvard.edu/wp-content/uploads/2015/07/abaresolutionrd.pdf.

Bahadori, K., Doyle-Waters, M. M., Marra, C., Lynd, L., Alasaly, K., Swiston, J., & FitzGerald, J. M. (2009). Economic burden of asthma: A systematic review. BMC Pulmonary Medicine, 9, 24.CrossRefPubMedPubMedCentral

Baker, A. J. L., Kurland, D., Curtis, P., Alexander, G., & Papa-Lentini, C. (2007). Mental health and behavioral problems of youth in the child welfare system: Residential treatment centers compared to therapeutic foster care in the Odyssey Project population. Child Welfare: Journal of Policy, Practice, and Program, 86, 97–123.

Boyd, R. (2014). African American disproportionality and disparity in child welfare: Toward ac comprehensive conceptual framework. Children and Youth Services Review, 37, 15–27.CrossRef

Boyse, K., Boujaoude, L., & Laundy, J. (2012). Children with chronic health conditions. http://www.med.umich.edu/yourchild/topics/chronic.htm.

Cadman, D., Boyle, M., Szatmari, P., & Offord, D. R. (1987). Chronic illness, disability, and mental and social well-being: Findings of the Ontario Child Health Study. Pediatrics, 79, 805–813.PubMed

Chamberlain, P., Price, J. M., Reid, J. B., Landsverk, J., Fisher, P. A., & Stoolmiller, M. (2006). Who disrupts from placement in foster and kinship care? Child Abuse and Neglect, 20, 409–424.CrossRef

Children’s Bureau. (2016). Foster care statistics 2014. https://www.childwelfare.gov/pubPDFs/foster.pdf.

Christakis, D. A., Mell, L., Koepsell, T. D., Zimmerman, F. J., & Connell, F. A. (2001). Association of lower continuity of care with greater risk of emergency department use and hospitalization in children. Pediatrics, 103, 524–529.CrossRef

Committee on Early Childhood, Adoption, and Dependent Care. (2002). Health care of young children in foster care. Pediatrics, 109, 536–541.CrossRef

Cosgrove, S., Frost, C., Chown, R., & Anam, T. (2013). Strengthening Health Outcomes for Foster Care Children. https://www.lafollette.wisc.edu/images/publications/workshops/2013-DCF-DHS.pdf.

Crum, W. (2010). Foster parent parenting characteristics that lead to increased placement stability or disruption. Children and Youth Services Review, 32, 185–190.CrossRef

DiMatteo, M. R. (2004). The role of effective communication with children and their families in fostering adherence to pediatric regimens. Patient Education and Counseling, 55, 339–344.CrossRefPubMed

Eggertsen, L. (2008). Primary factors related to multiple placements for children in out-of-home care. Child Welfare, 87, 71–90.PubMed

Epstein, R. A., Schlueter, D., Gracey, K. A., Chandrasekhar, R., & Cull, M. J. (2015). Examining placement disruption in child welfare. Child Welfare, Residential Treatment for Children & Youth, 32, 224–232.CrossRef

Foster, E. M., Hillemeier, M. M., & Bai, Y. (2011). Explaining the disparity in placement instability among African American and white children in children welfare: A Blinder-Oaxaca decomposition. Children and Youth Services Review, 33, 118–125.CrossRef

Hansen, R. L., Mawjee, F. L., Barton, K., Metcalf, M. B., & Joye, N. R. (2004). Comparing the health status of low-income children in and out of foster care. Child Welfare, 83, 367–381.PubMed

Hartnett, M. A., Falconnier, L., Leathers, S., & Testa, M. (1999). Placement stability study. Children and Family Research Center. Urbana, IL: University of Illinois at Urbana-Champaign.

Illinois Department of Children and Family Services. (2016). Child abuse and neglect statistics: Fiscal year 2015. https://www.illinois.gov/dcfs/aboutus/newsandreports/Documents/DCFS_Annual_Statistical_Report_FY2015.pdf.

James, S. (2004). Why do foster care placements disrupt? An investigation of reasons for placement change in foster care. The Social Service Review, 78, 601–627.CrossRef

James, S., Landsverk, J., Slymen, D., & Leslie, L. K. (2004). Placement movement in out of-home care: Patterns and predictors. Children and Youth Services Review, 26, 185–206.CrossRef

Jaudes, P. K., Bilaver, L. A., & Champagne, V. (2015). Do children in foster care receive appropriate treatment for asthma? Children and Youth Services Review, 52, 103–109.CrossRef

Jee, S. H., Antonucci, T. C., Aida, M., Szilagyi, M. A., & Szilagyi, P. G. (2005). Emergency department utilization by children in foster care. Ambulatory Pediatrics, 5, 102–106.CrossRefPubMed

Jee, S. H., Barth, R. P., Szilagyi, M. A., Szilagyi, P. G., Aida, M., & Davis, M. M. (2006). Factors associated with chronic conditions among children in foster care. Journal of Health Care for the Poor and Underserved, 17, 328–341.CrossRefPubMed

Johnson, C., Silver, P., & Wulczyn, F. (2013). Raising the bar for health and mental health services for children in foster care: developing a model of managed care. Council of Family and Child Caring Agencies. http://www.cofcca.org/pdfs/FosterCareManagedCare-FinalReport.pdf.

Jones, A. D., & Wells, S. J. (2008). PATH/Wisconsin–Bremer Project: Preventing placement disruptions in foster care. Final report, Center for Advanced Studies in Child Welfare. Saint Paul, MN: University of Minnesota.

Kids Count. (2011). Data snapshot on foster care placement. http://www.aecf.org/m/resourcedoc/AECF-DataSnapshotOnFosterCarePlacement-2011.pdf.

Koh, E., Rolock, N., Cross, T. P., & Eblen-Manning, J. (2014). What explains instability in foster care? Comparison of a matched sample of children with stable and unstable placements. Children and Youth Services Review, 37, 36–45.CrossRef

Leslie, L. K., Gordon, J. N., Meneken, L., Premji, K., Michelmore, K. L., & Ganger, W. (2005). The physical, developmental, and mental health needs of young children in child welfare by initial placement type. Journal of Developmental and Behavioral Pediatrics, 26, 177–185.CrossRefPubMedPubMedCentral

Lu, Y. E., Landsverk, J., Ellis-Macleod, E., Newton, R., Ganger, W., & Johnson, I. (2004). Race, ethnicity, and case outcomes in child protective services. Children and Youth Services Review, 26, 447–461.CrossRef

Lyons, J. S. (2009). Communimetrics: A communication theory of measurement in human service settings. New York, NY: Springer.CrossRef

Lyons, J. S., Small, L., Weiner, D. A., & Kisiel, C. (2008). Child and Adolescent Needs and Strengths: Illinois Department of Children and Family Services (Version 2.0). Chicago, IL: Praed Foundation.

McCullagh, P., & Nelder, J. A. (1983). Generalized linear models (1st ed.). London: Chapman and Hall.CrossRef

Miller, O., Farrow, F., Meltzer, J., & Notkin, S. (2014). Changing course: Improving outcomes for African American males involved with child welfare systems. Center for the Study of Social Policy and Alliance for Racial Equity in Child Welfare. http://www.cssp.org/publications/child-welfare/alliance/Changing-Course_Improving-Outcomes-for-African-American-Males-Involved-with-Child-Welfare-Systems.pdf.

Negriff, S., James, A., & Trickett, P. K. (2015). Characteristics of the social support networks of maltreated youth: Exploring the effects of maltreatment experience and foster placement. Social Development, 24, 483–500.CrossRefPubMed

Nelson, T. D., Smith, T. R., Thompson, R. W., Epstein, M. H., Griffith, A. K., Hurley, K. D., & Tonniges, T. F. (2011). Prevalence of physical health problems among youth entering residential treatment. Pediatrics, 128, e1226–e1232.CrossRefPubMed

O’Neill, M., Risley-Curtiss, C., Ayón, C., & Williams, L. R. (2012). Placement stability in the context of child development. Children and Youth Services Review, 34, 1251–1258.CrossRef

Pless, I. B., & Roghmann, K. J. (1971). Chronic illness and its consequences: Observations based on three epidemiologic surveys. Journal of Pediatrics, 79, 351–359.CrossRefPubMed

Ringeisen, H., Casanueva, C., Urato, M., & Cross, T. (2008). Special health care needs among children in the child welfare system. Pediatrics, 122, e232–e241.CrossRefPubMed

Rosenberg, S. A., & Robinson, C. C. (2004). Out-of-home placement for young children with developmental and medical conditions. Children and Youth Services Review, 26, 711–723.CrossRef

Rubin, D. M., Alessandrini, E. A., Feudtner, C., Localio, A. R., & Hadley, T. (2004). Placement changes and emergency department visits in the first year of foster care. Pediatrics, 114, e354–e360.CrossRefPubMed

Rubin, D. M., O’Reilly, A. L. R., Luan, X., & Localio, A. R. (2007). The impact of placement stability on behavioral well-being for children in foster care. Pediatrics, 119, 336–344.CrossRefPubMedPubMedCentral

Ryan, J. P., Marshall, J. M., Herz, D., & Hernandez, P. M. (2008). Juvenile delinquency in child welfare: Investigating group home effects. Children and Youth Services Review, 30, 1088–1099.CrossRef

Ryan, J. P., & Testa, M. F. (2005). Child maltreatment and juvenile delinquency: Investigating the role of placement instability. Children and Youth Services Review, 27, 227–249.CrossRef

Sakai, C., Lin, H., & Flores, G. (2011). Health outcomes and family services in kinship care. Archives of Pediatrics and Adolescent Medicine, 165, 159–165.CrossRefPubMed

Schneiderman, J. U., Hurlburt, M. S., Leslie, L. K., Zhang, J., & Horwitz, S. M. (2012). Child, caregiver, and family characteristics associated with emergency department use by children who remain at home after a child protective services investigation. Child Abuse & Neglect, 36, 4–11.CrossRef

Schneiderman, J. U., & Villagrana, M. (2010). Meeting children’s mental and physical health needs in child welfare: The importance of caregivers. Social Work in Health Care, 49, 91–108.CrossRefPubMed

Simms, M. D., Dubowitz, H., & Szilagyi, M. A. (2000). Health care needs of children in the foster care system. Pediatrics, 106, 909–918.PubMed

Smithgall, C., Jarpe-Ratner, E., Yang, D., DeCoursey, J., Brooks, L., & Goerge, R. (2009). Family assessments in child welfare: The Illinois DCFS Integrated Assessment program in policy and practice. http://www.chapinhall.org/sites/default/files/Family%20Assessment%20Report_11_17_09.pdf.

Stein, R. E. K., Hurlburt, M. S., Heneghan, A. M., Zhang, J., Rolls-Reutz, J., Silver, E. J., Fisher, E., Landsverk, J., & Horwitz, S. M. (2013). Chronic conditions among children investigated by child welfare: A national sample. Pediatrics, 131, 455–462.CrossRefPubMedPubMedCentral

Stoltzfus, E., Baumrucker, E. P., Fernandes-Alcantara, A. L., & Fernandez, B. (2012). Child welfare: Health care needs of children in foster care and related federal issues (Congressional Research Service No. R42378). Washington, DC: U.S. Government Printing Office.

Szilagyi, M. A., Rosen, D. S., Rubin, D., & Zlotnik, S. (2015). Health care issues for children and adolescents in foster care and kinship care. Pediatrics, 136, e1142–e1166.CrossRefPubMed

Terling-Watt, T. (2001). Permanency in kinship care: An exploration of disruption rates and factors associated with placement disruption. Children and Youth Services Review, 23, 111–126.CrossRef

Thackeray, J., Leonhart, K., Yackey, K., Cooper, J., & Kelleher, K. (2016). Emergency department use for injuries by adolescents in foster care. Children and Youth Services Review, 62, 18-21.

U.S. Department of Health and Human Services. (2015). The AFCARS Report, No. 22. http://www.acf.hhs.gov/sites/default/files/cb/afcarsreport22.pdf.

Villodas, M. T., Litrownik, A. J., Newton, R. R., & Davis, I. P. (2015). Long-term placement trajectories of children who were maltreated and entered the child welfare system at an early age: Consequences of physical and behavioral well-being. Journal of Pediatric Psychology, 41, 46–54.CrossRefPubMedPubMedCentral

Webster, D., Barth, R., & Needell, B. (2000). Placement stability for children in out-of-home care: A longitudinal analysis. Child Welfare, 79, 614–632.PubMed

Wulczyn, F., Kogan, J., & Harden, B. J. (2003). Placement stability and movement trajectories. Social Service Review, 77, 212–236.CrossRef

Titel: Chronic Illness, Placement Stability, and Hospitalizations within Child Welfare: The Role of Initial Living Arrangement
Auteurs: Lindsey E. G. Weil
Cassandra Kisiel
Neil Jordan
Publicatiedatum: 17-10-2017
Uitgeverij: Springer US
Gepubliceerd in: Journal of Child and Family Studies / Uitgave 3/2018
Print ISSN: 1062-1024
Elektronisch ISSN: 1573-2843
DOI: https://doi.org/10.1007/s10826-017-0918-y

Bohn Stafleu van Loghum

Deel dit onderdeel of sectie (kopieer de link)

Abstract

Log in om toegang te krijgen

Andere artikelen Uitgave 3/2018

Author Correction: A Dynamic Approach to Risk Factors for Maternal Corporal Punishment in Early to Middle Childhood

Foster children’s behavioral development and foster parent stress: testing a transactional model

An Online Investigation of Imagery to Attenuate Paranoia in College Students

Ecological Factors Influencing Breastfeeding Decisions among Korean Immigrant Mothers in America

Cross-Cultural Patterns of Student Victimization in Israel and Chile

Mental Health Symptoms and Parenting Stress of Parents of Court-Involved Youth