Suchergebnisse

ObjectiveTo identify different kin and fictive kin network support profiles available to children in foster care and examine whether these profiles predict behavioral outcomes.BackgroundFor kids in foster care, individual‐level strengths have been shown to buffer the impact of maltreatment on negative outcomes. However, little is known about the possible benefit of kin and fictive kin networks on outcomes (e.g., internalizing symptoms and externalizing behaviors).MethodThis longitudinal study measured the involvement of 221 foster care children's (6–14 years of age) kin and fictive kin networks (e.g., visits, childcare, homework help, transportation). Strengths (e.g., coping, talents), maltreatment, internalizing symptoms, and externalizing behaviors were measured using the Child and Adolescent Needs and Strengths dataset.ResultsUsing latent profile analysis, two kinship involvement profiles emerged: A low‐involvement profile (75.5%) and a high‐involvement profile (23.5%). The high‐involvement profile was negatively associated with internalizing symptoms trajectories but not externalizing behavior trajectories. However, this effect was moderated by child‐level strengths: Children with more strengths and in the high‐involvement profile had the best internalizing symptoms outcomes. Finally, membership in the high‐involvement profile buffered the negative impact of maltreatment on internalizing symptoms trajectories.ConclusionThe presence of both child strengths and kin and fictive kin involvement is associated with better outcomes.ImplicationsThese results support efforts to promote policies and practices designed to engage kin and fictive kin networks, which is not currently a priority in child welfare.

Child maltreatment and family dysfunction (e.g., conflict) can have a long-term deleterious impact on youth well-being. Using a child welfare sample, this study examined whether dysfunction in the nuclear family of origin was associated with adjustment problems, including internalizing and externalizing behavior problems, beyond the effect of child maltreatment, and whether extended family (kinship) involvement protected against youth's adjustment problems. Participants included 171 children and adolescents (mean age = 10.15; 50.3% female) who entered foster care due to child maltreatment. Results indicated that greater dysfunction in the nuclear family of origin and child maltreatment were independently associated with greater internalizing and externalizing behavior problems. Results also showed that kinship involvement was protective against externalizing behavior problems. Moreover, kinship involvement buffered the association between dysfunction in family of origin and internalizing behaviors only at low levels of family dysfunction. These results support policies that encourage the involvement of extended and noncustodial family members in the lives of maltreated youth following their entry into foster care.

Youth in child welfare often experience emergency shelter care, a type of congregate setting, while a permanent placement is arranged. The present longitudinal study explored the impact of initial emergency shelter placement on long-term externalizing behavior (i.e., aggression, delinquency) and internalizing symptom (i.e., anxiety, depression) trajectories, and whether kinship involvement moderated the effect of shelter placement on behavioral outcomes. The sample consisted of 282 youths (55.3% male) with an average age of 9.90 years ( SD = 2.37); 36.9% experienced an emergency shelter placement. Data were collected from the Illinois Department of Children and Family Services. Caseworkers completed the Child and Adolescent Needs and Strengths, which measured youths' behavioral outcomes. Results suggested that shelter care was not associated with externalizing behavior trajectories. However, shelter care was associated with internalizing symptoms among children with less kinship involvement. Results from this study suggest that best practices for shelter care should leverage kinship involvement.

Generalist health interventions that aim to reduce chronic health disparities between Indigenous and non-Indigenous populations can be culturally adapted to better meet the needs of Indigenous people in Canada; however, little is known regarding best practices in implementing these adaptations. The present study first provides a review of the research process used to adapt a previous evidence-based housing initiative for Indigenous youth in Northwestern Ontario. Second, it includes an overview of the adaptations that were made and the associated rationale for such adaptations. Third, it examines the experiences of participants and staff involved in the cultural adaptation of the Housing Outreach Program Collaborative (HOP-C), a health intervention re-designed to improve physical and mental health outcomes, wellbeing, and social support for formerly homeless Indigenous youth as they secure housing. Qualitative feedback from interviews with 15 participants and eight program staff, in addition to one focus group with an additional six frontline workers, described perceived outcomes of the program's cultural adaptations. Modifications to the overall program structure, specific roles within the program (including counseling services, peer mentorship, cultural services, and case management), and adaptations to general implementation within the health organization providing the intervention were described by participants and staff as effective and helpful adaptations. The focus of Indigenous values at an organizational level led to consistent adaptations in counseling and case management to best meet the unique needs of the youth involved. Based upon participant interviews, recommendations to future adaptations are provided.