Child Welfare

Increased awareness of the conditions associated with prenatal substance exposure may enhance care delivery among professionals working in child welfare. The ways in which prenatal substance exposure intersects with child welfare are critically important, yet prenatal substance exposure knowledge is uneven among these professionals. Also, caregivers may lack information that prepares them to care for children with prenatal substance exposure, particularly children with prenatal alcohol exposure. This study explores what professionals working in child welfare and caregivers know about prenatal substance exposure and prenatal alcohol exposure and their training and support needs...

The mission of child welfare is to ensure children's safety, permanency, and well-being. It is also charged with preserving and strengthening families and with avoiding the removal of children who can be kept at home safely. This paper addresses some of the challenges in meeting these concurrent goals in work with children prenatally exposed to alcohol and their families. Current child welfare practices are unlikely to identify prenatal alcohol exposure or children with fetal alcohol spectrum disorders (FASD)...

This article presents findings from a mixed-methods study exploring child welfare agency practices addressing children with prenatal substance exposure and their families. Data sources include: (a) interviews with 159 professionals in child welfare; (b) surveys with 271 professionals in child welfare; and (c) a systematic review of state and local child welfare documents guiding processes in the five states in the study sample. Findings from descriptive statistics of survey data, grounded theory analysis of interviews, and content analysis of documents suggest practices center on infants identified by hospitals as affected by prenatal substance exposure...

Research indicates that there are more children with prenatal alcohol and other drug exposures in child welfare than in the general population. Using multiple forms of data from staff and caregivers from one urban agency, this exploratory study demonstrated opportunities to inform polices, practice, and data elements regarding this vulnerable group. Findings are discussed within the context of ensuring family preservation, equity and avoiding disproportional race/ethnicity within child welfare when identifying and caring for children with prenatal exposures...

Treatment Foster Care Oregon (TFCO) is an alternative to congregate care, for youth involved in the juvenile justice and/or child welfare systems. Though demonstrated as clinically-and cost-effective across multiple rigorous trials, the long-term cost benefit of TFCO has not been considered. This study follows n = 166 females from adolescence to young adulthood, who were involved in both systems and referred for out-of-home-care. Records of arrest, court, incarceration (juvenile, jail, and prison), monitoring (parole and probation) and child-welfare services were included in a long-term cost-benefit analysis...

We investigated the prediction of young adult service utilization and trauma symptoms from adverse childhood experiences (ACEs) and adolescent mental health symptoms in young women with dual child welfare and juvenile justice system involvement. A sample of 166 females (ages 13 to 17) was followed to examine the transition to young adulthood. Path models indicated that more ACEs were associated with poorer adolescent mental health. Adolescent mental health symptoms were associated with more young adult trauma symptoms and service utilization...

Youth who identify as lesbian, gay, bisexual, transgender, queer/questioning, and two-spirit (LGBTQ2S) are disproportionally represented in the foster care population and often face discrimination within the system. This article summarizes findings from focus groups with youth in care who are LGBTQ2S, foster caregivers, and child welfare workers to explore (a) the unique challenges and support-related needs of youth in care who are LGBTQ2S and their foster caregivers, and (b) strategies for building better relationships between these youth and caregivers...

This descriptive study examines the prevalence of comorbid physical and mental health issues among young clients at a large mental health agency. Health status data was collected from the intake process of youth seeking mental health services at a Northeast Ohio agency ( n = 1,076). The results show a higher prevalence of asthma and obesity among clients with known mental health diagnoses at this agency compared to national averages. The results could help the agency develop strategies for implementation of an integrated care model to better meet the complex needs of the clients served...

This study uses nationally representative survey data to describe differences in characteristics, adverse family experiences, and child well-being among children in kinship care with varying levels of involvement with the child welfare system. Well-being is examined in the domains of physical and mental health, education, and permanency. Comparisons provide insight on kinship care arrangements inside and outside the child welfare system, as well as the variability among nonfoster kinship care arrangements.

This article examines the effectiveness of supportive housing in fostering family preservation and reunification for homeless families with multiple housing barriers. Results indicate that more thanhalfofthe supportive housing program families who are separated from their families by Child Protective Services prior to entering the program are reunified during the 12-month period after entering housing. The rate of reunification for supportive housing families is significantly higher than the rate for matched families who enter shelters, but not significantly different than the rate experienced by matched families entering public housing...

The study tests the short-term impact on housing stability of the Family Unification Program (FUP), a permanent housing program for child welfare- involved families at risk of separation from children due to inadequate housing. Families eligible for FUP (n = 150) received housing case management services as usual, and half were referred for permanent housing vouchers made available through FUP. Families referred for FUP secured more enriched home learning environments, while more precariously housed families exhibited greater housing, stability when referred for FUP...

This paper describes Connecticut's Supportive Housing for Families (SHF) program, which is one of five national sites comprising a federally- funded demonstration of housing and child welfare. Evaluations of supportive housing (SH) interventions are complicated by contextual factors that make it difficult to isolate their effects. 'Ihese and other challenges complicate efforts to conduct rigorous research and establish external validity, and to date, few studies examine the impact of SH interventions for child- welfare involved families...

There is growing acknowledgement that housing can provide more than shelter, a basic need. Housing can also act as a foundation, helping families stay together.The provision of housing as a prevention or protective strategy against child maltreatment has not been widely used by child welfare agencies. A small subset of child welfare agencies across the country, however, is incorporating housing into their response to cases of child abuse and neglect. Using qualitative data from ongoing studies of HUD's Family Unification Program (FUP) and the Children's Bureau supportive housing demonstration for high-need child welfare involved families, we describe some of the promising practices agencies are implementing and testing...

The quality and safety of the home environment is a common focus of Child Protective Services (CPS) investigations.Yet little is known about whether such conditions influence CPS outcomes. The present study uses a sample of low-income families to assess the relative importance of housing conditions and other common risk and protective factors associated with child maltreatment. Results show that hazardous conditions predict investigated child neglect, but not physical abuse or indicated reports.

This article presents preliminary findings from an impact study that drew upon administrative data collected by city agencies and data collected by a supportive housing program for young adults who are aging out of foster care, homeless, or at risk of homelessness. Participation in the program was associated with a reduction in shelter use and jail stays during the two years after program entry. The study demonstrates the benefits of collaboration and the possibilities of using administrative data from multiple public agencies to evaluate program impacts on young adult outcomes...

Using a mixed-methods methodological approach, the proposed study examines the associations between economic well-being and independent living experiences in foster youth. Quantitative data were collected from N = 294 in-care foster youth using the Casey Life Skills assessment (α = .79 to α = .95). Qualitative data were collected via focus groups with aged-out foster youth (N =15). Results provide important insights on youth's economic well-being, financial literacy, individual experiences regarding aging out of foster care and independent living...

This study focuses on longitudinal housing trends for males and females among transitional youth who were participants of a transitional living program (2010 to 2014). Results indicate that young women were more likely to transition to secure independent housing than young men. Demographic characteristics, education, and employment predicted time to secure independent housing. Additionally, results indicate that more highly educated young women transitioned to independence at a faster rate than young men with lower education status...

Research suggests that youth aging out of foster care may be at higher risk of experiencing homelessness than other youth. Among this already at-risk population there may be certain characteristics that further exacerbate the risk. This paper uses data collected from various local and state agencies to further examine significant predictors of homelessness among youth who have aged out of foster care.

This study examines the extent and correlates of family separations in families experiencing homelessness. Of 2,307 parents recruited in family shelters across 12 sites, a tenth were separated from partners and a quarter from one or more children. Additional separations before and after shelter entry and reasons, from parents' perspectives, were documented in qualitative interviews with a subsample of 80 parents. Separations were associated with economic hardship, shelter conditions, and family characteristics...

This is a descriptive study of the Children Affected by Methamphetamine (CAM) grant program, a federally funded effort to improve outcomes through the addition of targeted interventions for 1,940 families, including 2,596 adults and 4,245 children involved in 12 diverse Family Treatment Drug Courts (FTDCs) located across six U.S. states. The majority were children of parents with a primary methamphetamine use disorder. Findings reflect grantees' reporting on 18 performance indicators of child safety and permanency, adult recovery, and family well-being...