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It takes a team: Improving placement stability among children and youth with Fetal Alcohol Spectrum Disorder in care in Canada

  • Pelech, William
  • Badry, Dorothy
  • Daoust, Gabrielle
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    Concerted efforts have been devoted to improving placement stability for children in care. These efforts have been driven by evidence of negative outcomes for foster children who experience frequent placement changes. Of particular concern are significantly higher rates of placement disruptions among children in care who experience Fetal Alcohol Spectrum Disorder (FASD). This mixed methods study examines the impact of enhanced child welfare practice interventions on placement stability for 182 children in care who experience FASD. A quasi-experimental matched comparison group design was employed, where rates of placement change were compared between children in the Project Regions who received enhanced practice standards to those in the Comparison Regions who did not. The sample included 182 participants including 98 children and youth in care from the Project Region and 84 cases from the Comparison Region. The Project Regions reported considerably lower placement changes (M=.33) than the Comparison Region (M=.98). Logistic regression analysis revealed that worker contact was found to be predictive of placement stability. Specifically, as worker contact increased, the likelihood of placement change decreased [B=−.28, W (5.35, p=.02)]. In keeping with the adage that it takes a village to raise a child, one could add for children affected by FASD, that it takes a dedicated team to promote placement stability and better life trajectories.

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    Article provided by Elsevier in its journal Children and Youth Services Review.

    Volume (Year): 35 (2013)
    Issue (Month): 1 ()
    Pages: 120-127

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    Handle: RePEc:eee:cysrev:v:35:y:2013:i:1:p:120-127
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    1. Fernandez, Elizabeth, 1999. "Pathways in substitute care: Representation of placement careers of children using event history analysis," Children and Youth Services Review, Elsevier, vol. 21(3), pages 177-216, March.
    2. Rosenberg, Steven A. & Robinson, Cordelia C., 2004. "Out-of-home placement for young children with developmental and medical conditions," Children and Youth Services Review, Elsevier, vol. 26(8), pages 711-723, August.
    3. Smith, Carrie Jefferson & Rudolph, Claire & Swords, Peter, 2002. "Kinship care: Issues in permanency planning," Children and Youth Services Review, Elsevier, vol. 24(3), pages 175-188, March.
    4. Terling-Watt, Toni, 2001. "Permanency in kinship care: an exploration of disruption rates and factors associated with placement disruption," Children and Youth Services Review, Elsevier, vol. 23(2), pages 111-126, February.
    5. Stott, Tonia & Gustavsson, Nora, 2010. "Balancing permanency and stability for youth in foster care," Children and Youth Services Review, Elsevier, vol. 32(4), pages 619-625, April.
    6. Wells, Kathleen & Guo, Shenyang, 1999. "Reunification and reentry of foster children," Children and Youth Services Review, Elsevier, vol. 21(4), pages 273-294, April.
    7. Oosterman, Mirjam & Schuengel, Carlo & Wim Slot, N. & Bullens, Ruud A.R. & Doreleijers, Theo A.H., 2007. "Disruptions in foster care: A review and meta-analysis," Children and Youth Services Review, Elsevier, vol. 29(1), pages 53-76, January.
    8. Becker, Marion A. & Jordan, Neil & Larsen, Rebecca, 2007. "Predictors of successful permanency planning and length of stay in foster care: The role of race, diagnosis and place of residence," Children and Youth Services Review, Elsevier, vol. 29(8), pages 1102-1113, August.
    9. Smith, Brenda D., 2003. "After Parental Rights are Terminated: Factors Associated with Exiting Foster Care," Children and Youth Services Review, Elsevier, vol. 25(12), pages 965-985, December.
    10. Unrau, Yvonne A. & Seita, John R. & Putney, Kristin S., 2008. "Former foster youth remember multiple placement moves: A journey of loss and hope," Children and Youth Services Review, Elsevier, vol. 30(11), pages 1256-1266, November.
    11. James, Sigrid & Landsverk, John & Slymen, Donald J., 2004. "Placement movement in out-of-home care: patterns and predictors," Children and Youth Services Review, Elsevier, vol. 26(2), pages 185-206, February.
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