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The Influence of Caregiver Depression on Children in Non-relative Foster Care Versus Kinship Care Placements

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Abstract

Little is known about how the challenges faced by caregivers influence the variation in social, emotional, and behavioral (SEB) outcomes of youth placed in kinship versus non-relative foster care. This study examined SEB symptoms among youth in kinship and non-relative foster care settings, hypothesizing that changes in caregiver depression would modify children’s change in behavior over time. Child Behavior Checklist (CBCL) assessments of 199 children placed with kinship and non-relative foster care providers in a Mid-Atlantic city were conducted at time of placement and 6–12 months post-placement. Linear regression estimated CBCL change scores for youth across placement type and caregiver depression trajectories. Kinship caregivers were more likely to become depressed or remained depressed than non-relative foster caregivers. Youth in kinship care always exhibited better change in SEB outcomes than youth in non-relative foster care, but these positive outcomes were principally observed among families where caregivers demonstrated a reduction in depression over time or were never depressed. Adjusted change scores for non-relative foster care youth were always negative, with the most negative scores among youth whose caregivers became depressed over time. Caregiver well-being may modify the influence of placement setting on SEB outcomes for youth placed into out-of-home care. Findings lend to policy relevance for child welfare systems that seek kinship settings as a panacea to the challenges faced by youth, without allocating resources to address caregiver needs.

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References

  1. U.S. Department of Health and Human Services, Administration for Children and Families, Administration on Children, Youth and Families, Children’s Bureau. The AFCARS report: preliminary estimates for FY 2011 as of July 2012. [Cited 2013 May 23]. http://www.acf.hhs.gov/sites/default/files/cb/afcarsreport19.pdf.

  2. Annie E. Casey Foundation. (2012). Kids Count Data Book. [Cited 2013 Oct 24]. http://www.aecf.org/~/media/Pubs/Initiatives/KIDS%20COUNT/123/2012KIDSCOUNTDataBook/KIDSCOUNT2012DataBookFullReport.pdf.

  3. Chipungu, S. S., Everett, J. E., Verduik, M. J., & Jones, H. (1998). Children placed in foster care with relatives: A Multi-site Study. Washington, DC: U.S. Department of Health and Human Services.

    Google Scholar 

  4. Frank, D., Augustyn, M., Knight, W., Pell, T., & Zuckerman, B. (2001). Growth, development and behavior in early childhood following prenatal cocaine exposure: A systematic review. JAMA, 285(12), 1613–1625.

    Article  PubMed Central  CAS  PubMed  Google Scholar 

  5. Jones, J. K. (1998). Functioning and adjustment of children in kinship care versus nonrelative foster family care placements. Buffalo: University of New York at Buffalo. (dissertation).

    Google Scholar 

  6. Rubin, D. M., Downes, K. J., O’Reilly, A. R., Mekonnen, R., Luan, X., & Localio, R. (2008). Impact of kinship care on behavioral well-being for children in out-of-home care. Archives of Pediatrics & Adolescent Medicine, 162(6), 550–556.

    Article  Google Scholar 

  7. Barth, R. P., Shenyang, G., & McCrae, J. S. (2007). Propensity score matching strategies for evaluating the success of child and family service programs. Research on Social Work Practice, 18(3), 212–222.

    Article  Google Scholar 

  8. Kemp, C. Children living with relatives struggle with physical, mental health issues. American Academy of Pediatrics News, 2010 May 2. [Cited 2013 March 21]. http://aapnews.aappublications.org/cgi/content/full/aapnews.20100502-3v1?rss=1.

  9. Berrick, J. D. (1998). When children cannot remain home: Foster family care and kinship care. Future of Children, 8(1), 72–87.

    Article  CAS  PubMed  Google Scholar 

  10. Stahmer, A. C., Leslie, L. K., Hurlburt, M., et al. (2005). Developmental and behavioral needs and service use for young children in child welfare. Pediatrics, 116(4), 891–900.

    Article  PubMed Central  PubMed  Google Scholar 

  11. Horwitz, S. M., Hurlburt, M. S., Heneghan, A., et al. (2012). Mental health problems in young children investigated by U.S. child welfare agencies. Journal of the American Academy of Child & Adolescent Psychiatry, 51(6), 572–581.

    Article  Google Scholar 

  12. Ehrle, J., & Geen, R. (2002). Kin and non-kin foster care-findings from a national survey. Children and Youth Services Review, 24(1–2), 15–35.

    Article  Google Scholar 

  13. Berrick, J., Barth, R., & Needell, B. (1994). A comparison of kinship foster homes and foster family homes: Implications for kinship foster care as family preservation. Children and Youth Services Review, 16(1–2), 33–63.

    Article  Google Scholar 

  14. Barth, R., Courtney, M., Berrick, J., & Albert, V. (1994). From child abuse to permanency planning. New York, NY: Aldine de Gruyter.

    Google Scholar 

  15. Harden, B. J., Clyman, R. B., Kriebel, D. K., & Lyons, M. E. (2004). Kith and kin care: Parental attitudes and resources of foster and relative caregivers. Children and Youth Services Review, 26(7), 657–671.

    Article  Google Scholar 

  16. Scannapieco, M., Hegar, R. L., & McAlpine, C. (1997). Kinship care and foster care: A comparison of characteristics and outcomes. Families in Society, 78(5), 480–488.

    Article  Google Scholar 

  17. Harris, M. S., & Skyles, A. (2008). Kinship care for African American children: Disproportionate and disadvantageous. Journal of Family Issues, 29(8), 1013–1030.

    Article  Google Scholar 

  18. Cheng, T. C., & Lo, C. C. (2011). A longitudinal analysis of some risk and protective factors in marijuana use by adolescents receiving child welfare services. Children and Youth Services Review, 33(9), 1667–1672.

    Article  Google Scholar 

  19. Grogan-Kaylor, A., Ruffolo, M. C., Ortega, R. M., & Clarke, J. (2008). Behaviors of youth involved in the child welfare system. Child Abuse & Neglect, 32(1), 35–49.

    Article  Google Scholar 

  20. Harden, B. J., & Whittaker, J. V. (2011). The early home environment and developmental outcomes for young children in the child welfare system. Children and Youth Services Review, 33(8), 1392–1403.

    Article  Google Scholar 

  21. Horwitz, S. M., Hurlburt, M. S., Cohen, S. D., Zhang, J., & Landsverk, J. (2011). Predictors of placement for children who initially remained in their homes after an investigation for abuse or neglect. Child Abuse & Neglect, 35(3), 188–198.

    Article  Google Scholar 

  22. Sprang, G., Clark, J. J., & Staton-Tindall, M. (2010). Caregiver substance use and trauma exposure in young children. Families in Society, 91(4), 401–407.

    Article  Google Scholar 

  23. Hines, A. M., Lemon, K., Wyatt, P., & Merdinger, J. (2004). Factors related to the disproportionate involvement of children of color in the child welfare system: A review and emerging themes. Children and Youth Services Review, 26(6), 507–527.

    Article  Google Scholar 

  24. Fuller-Thomson, E., & Minkler, M. (2000). African American grandparents raising grandchildren: A national profile of demographic and health characteristics. Health and Social Work, 25(2), 109–118.

    Article  CAS  PubMed  Google Scholar 

  25. Fuller-Thomson, E., Minkler, M., & Driver, D. (1997). A profile of grandparents raising grandchildren in the United States. Gerontologist, 37(3), 406–411.

    Article  CAS  PubMed  Google Scholar 

  26. Whitley, D. M., Kelley, S. J., & Sipe, T. A. (2001). Grandmothers raising grandchildren: Are they at increased risk for health problems? Health and Social Work, 26(2), 105–114.

    Article  CAS  PubMed  Google Scholar 

  27. Achenbach, T. M. (1991). Manual for child behavior checklist 4-18. Burlington, VT: University of Vermont, Department of Psychiatry.

    Google Scholar 

  28. Gandek, B., Ware, J. E., Aaronson, N. K., et al. (1998). Cross-validation of item selection and scoring for the SF-12 health survey in nine countries: results from the IQOLA Project. Journal of Clinical Epidemiology, 51(11), 1171–1178.

    Article  CAS  PubMed  Google Scholar 

  29. Ware, J. E, Jr, Kosinski, M., & Keller, S. D. (1996). A 12-Item short-form health survey: Construction of scales and preliminary tests of reliability and validity. Medical Care, 34(3), 220–233.

    Article  PubMed  Google Scholar 

  30. Brazier, J. E., & Robert, J. (2004). The estimation of a preference-based measure of health from the SF-12. Medical Care, 42(9), 851–859.

    Article  PubMed  Google Scholar 

  31. Jenkinson, C., Layte, R., Jenkinson, D., et al. (1997). A shorter form health survey: Can the SF-12 replicate results from the SF-36 in longitudinal studies. Journal of Public Health, 19(2), 179–186.

    Article  CAS  Google Scholar 

  32. Vilagut, G., Forero, C. G., Pinto-Meza, A., et al. (2013). The mental component of the Short-Form 12 Health Survey (SF-12) as a measure of depressive disorders in the general population: Results with three alternative scoring methods. Value in Health, 16(4), 564–573.

    Article  PubMed  Google Scholar 

  33. StataCorp. (2007). Stata Statistical Software: Release 10. College Station, TX: StataCorp LP.

    Google Scholar 

  34. Heneghan, A., Stein, R. E. K., Hurlburt, M. S., et al. (2013). Mental health problems in teens investigated by U.S. child welfare agencies. Journal of Adolescent Health, 52(5), 634–640.

    Article  PubMed  Google Scholar 

  35. Kohl, P. L., Jonson-Reid, M., & Drake, B. (2011). Maternal mental illness and the safety and stability of maltreated children. Child Abuse & Neglect, 35(5), 309–318.

    Article  Google Scholar 

  36. Fostering Connections to Success and Increasing Adoption Act of 2008 P.L. 110-351. Child Welfare Information Gateway Web site. [Published 2008; cited 2013 March 21]. http://www.childwelfare.gov/systemwide/laws_policies/federal/index.cfm?event=federalLegislation.viewLegis&id=121.

  37. Hill, R. (2006). Synthesis of research on disproportionality in child welfare: An update. [Cited 2013 March 21]. http://www.cssp.org/reform/child-welfare/other-resources/synthesis-of-research-on-disproportionality-robert-hill.pdf.

  38. Knott, T., & Donovan, K. (2010). Disproportionate representation of African-American children in foster care: Secondary analysis of the National Child Abuse and Neglect Data System, 2005. Children and Youth Services Review, 32(5), 679–684.

    Article  Google Scholar 

  39. Roberts, D. (2002). Shattered bonds: The color of child welfare. New York, NY: Civitas Books.

    Google Scholar 

  40. Scannapieco, M., & Jackson, S. (1996). Kinship care: The African American response to family preservation. Social Work, 41(2), 190–196.

    CAS  PubMed  Google Scholar 

  41. Boyle, M., & Pickles, A. (1997). Influence of maternal depressive symptoms on ratings of childhood behavior. Journal of Abnormal Child Psychology, 25, 399–412.

    Article  CAS  PubMed  Google Scholar 

  42. Hops, H., Biglan, A., Sherman, L., Arthur, J., Friedman, L., & Osteen, V. (1987). Home observations of family interactions of depressed women. Journal of Consulting and Clinical Psychology, 55(3), 341–346.

    Article  CAS  PubMed  Google Scholar 

  43. Webster-Stratton, C., & Hammond, M. (1988). Maternal depression and its relationship to life stress, perceptions of child-behavior problems, parenting behaviors, and child conduct problems. Journal of Abnormal Child Psychology, 16(3), 299–315.

    Article  CAS  PubMed  Google Scholar 

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Acknowledgments

We thank the Philadelphia Department of Human Services and the foster care agencies and providers for their contributions to this study. Robin Hernandez-Mekonnen contributed to primary data collection, and Christina Kang-Yi assisted with data preparation and analysis. This project was supported by a grant from the William Penn Foundation and a fellowship to Dr. Rubin from the Stoneleigh Foundation.

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Correspondence to Antonio Garcia.

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Garcia, A., O’Reilly, A., Matone, M. et al. The Influence of Caregiver Depression on Children in Non-relative Foster Care Versus Kinship Care Placements. Matern Child Health J 19, 459–467 (2015). https://doi.org/10.1007/s10995-014-1525-9

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