The author presents findings from a study in which adults fostered as children identified current family members. Those who included biological parents among their family members reported conflicted relationships, but also spoke of love. In contrast, those who omitted their biological parents seemed angrier, were more likely to have been abused, and were visited less by their biological parents. Those who included their foster parents described feeling loved, said they were not discriminated against, and received ongoing support after leaving care.
This is the second paper on a project that was undertaken to explore the opportunities and difficulties that might be encountered in writing about an ongoing child analytic case. For many reasons having to do with confidentiality and with the risks of reaching premature conclusions amid the normal confusions of the analytic process psychoanalysts generally write only after a case has been completed.
Using a telephone survey, this study examined the experiences of 100 foster mothers who receive aid through Temporary Assistance for Needy Families (TANF). Foster mothers reported numerous difficulties with TANF, including frequent sanctions and case closings, limited work and training opportunities, and pervasive material hardships. Foster children exhibited high levels of emotional and behavior problems. The data suggest that lack of access to child care and pressure to become self-sufficient may contribute to a decreased pool of foster mothers.
A significant percentage of children in foster care in North America are younger than 1 year of age and are in foster care because of parental substance use and other social challenges. Infants might present with specific health and behavioral issues that are challenging to manage within the foster family home environment; foster families require specialized skills and knowledge to manage these issues.
In August, 1995 dental treatment was provided in an orphanage in Romania. This treatment took place over three weeks using three different dentists. Two dental nurses served for full the duration. For the last two weeks the team was joined by a dental health educator. All have given accounts of their time in Romania. The patients had various degrees of handicap but generally co-operation for treatment was poor. Most patients needed pre-operative sedation of oral valium. A papoose board was used for restraint.
This paper presents a practical framework for relational practice with birth families, organized around parental visitation. The approach was developed in the Birth Family-Foster Family Connections Project, a three-year collaborative research demonstration project between a large private agency and the Washington State Department of Child and Family Services. The overall goal of the Connections Project, which served young children from infancy to age 6, was to create supportive connections among birth families, foster families, children, and the child welfare system.
OBJECTIVE: This study, using an ecological approach, examines the relationships between problems in school functioning (including academic and behavior problems) of children in residential care with a number of variables describing the child and the care setting. METHODS: The study reports on 4,061 children and youth (ages 6-20) in 54 Israeli residential care facilities supervised by the Ministry of Welfare. It is based on data derived from an ongoing system of monitoring care based on annual reports by social workers on children in care settings.
Calls for expanded use of tested child mental health interventions in child welfare practice add new urgency to the longstanding question of how to enhance parent engagement in child welfare services, where low and uneven levels of engagement are pervasive, and services to parents and children tend to be separated, leaving important opportunities for parent-child interventions underutilized.
The influence of disabilities on placement outcomes was examined for 277 children who were removed from their biological parents due to substantiated maltreatment. Results indicated that children with a disability were less likely to reunify and more likely to reside in nonkin foster care two years later than typical children. Children with cognitive, emotional /behavioral, and physical disabilities were over four times more likely to be permanently living in nonkin foster care than to be reunified.
PURPOSE OF REVIEW: This study highlights recent publications on foster care, focusing on concerns for the general pediatrician, including risk factors for foster care placement, outcomes of foster care, healthcare and screening standards, and developmental and mental health problems. RECENT FINDINGS: Many children and youth in foster care have been exposed to complex trauma prior to foster care placement.