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Adults with a history of living in residential youth care (RYC) face elevated risks across various life domains. In this cohort profile paper, we outline the design of a comprehensive follow-up study-the VINGO study-targeting young adults (22-30 years) with a history of living in RYC (T2). We describe the recruitment strategy and present sample characteristics. Data were collected in the baseline study (T1) from 2011 to 2014. At T1, the 400 adolescent participants showed a high prevalence of mental disorders, maltreatment experiences, substance use, and self-reported suicide attempts. Data collection at T2 10 years later (2021-2023) included self-reported sociodemographic information, physical health, childhood maltreatment, dissociation, quality of life, social support, and self-esteem using standardized and validated instruments. A diagnostic psychiatric assessment and subjective evaluation of service utilization were conducted by telephone interviews. Additionally, a qualitative sub-study involved in-depth interviews of fourteen participants. We reached a 52% response rate at T2. Comparing participants (n = 157, 107 females) to non-participants (n = 243, 123 females) based on T1 data revealed that T2 participants had a higher prevalence of depression, anxiety, and conduct disorder and a lower prevalence of ADHD at T1. Furthermore, T2 participants reported more suicide attempts, experiences of maltreatment, and problematic substance use at T1. Our results show that we reached a burdened population, positioning the VINGO study as a unique opportunity to examine a vulnerable population of emerging adults.

PurposeMaterials and methodsResultsDiscussionA good fit between program theory and the needs of the target population is essential to the success of an intervention. Still, empirical investigation of fit is a rare activity in theoretical frameworks for intervention development. The study objective was to inform the development of relevant support for youth transitioning from out-of-home care (OHC) in Sweden in light of intervention fit. Self-efficacy, mental health, resilience, and self-determination have been identified as potentially important malleable mediators that can be targeted by independent living services (ILS). This study aimed to establish the extent to which measurement instruments used to capture these mediators measure similarly across youth that belong to a potential target population for ILS and those who do not.A cross-sectional survey design was used to compare youth with and without experience of OHC on the four study outcomes using a multi-group measurement invariance analysis and latent mean comparison.All scales demonstrated scalar invariance or partial scalar invariance. Contrary to initial hypothesis, no differences in latent means were found.Four potential interpretations of the results were discussed. Conclusion: The study identified a potential discrepancy between theoretical assumptions and empirical characteristics relevant to development of ILS for youth with experience of OHC in Sweden. Moreover, it highlighted the importance of exploring theoretical core mediators empirically in the target population in the process of intervention development and evaluation. [ABSTRACT FROM AUTHOR]

Children in out-of-home care have a developmental need for safe and secure relationships to meet their long-term social, emotional and physical needs. Permanency has been a guiding principle in child protection since the mid-1970s, with the focus on creating legal and residential certainty. Permanency is a complex felt and lived experience for children and young people that cannot be reduced to a single dimension, such as legal permanency. A critical gap exists in understanding the perspective of young people and using research methods such as Photovoice that facilitate expression of intangible concepts. Eleven care-experienced young people aged 16 to 25 years took part in participatory research in New South Wales. Participants used photography to explore literal and metaphorical experiences of permanency and thematic analysis was used to interpret visual and textual data. The results present a more nuanced picture of permanency as an internal state and reveal that young people actively cultivate the felt sense of security and belonging in their lives through connection with nature, people and culture. Photovoice empowers participants as co-creators of knowledge and presents new insights to inform public discourse and policy and practice developments. [ABSTRACT FROM AUTHOR]

This qualitative study explores the emotional and social experiences of 10 children, aged 6–11, residing in foster care before adoption for almost three years. Through semi-structured interviews, the study underlined the needs and expectations of these children, highlighting the necessity for a deeper reflection on the role of foster homes as nurturing and educational communities. The study emphasizes the significance of foster homes in meeting children's autonomy and affection needs, both crucial for overall development. The study reveals that fostering independence and self-determination is essential for children's growth, while emotional support and expressions of love create a warm and caring environment where children feel secure and cherished. [ABSTRACT FROM AUTHOR]

Background: Childhood adversity places individuals in a vulnerable position, resulting in potentially enduring disadvantage across life domains like health and work. Studying the manifestation of this disadvantage is crucial for understanding which resources society can provide to mitigate or prevent it, which makes this subject a fundamental public health concern. This study investigated whether disadvantage patterns after childhood adversity differ by gender and educational level, using out-of-home care as proxy for early adversity. Methods: We used register data from a 1953 Swedish birth cohort. Distinct profiles of socioeconomic and health disadvantage in individuals with out-of-home care experience were identified using group-based multi-trajectory modelling. Multinomial logistic regression was then used to determine whether gender and education, individually or in interaction with each other, predict group membership. Results: In the population without history of out-of-home care, adulthood disadvantage was highly gendered, with women being more likely to experience disadvantage related to unemployment and poor health, while criminality and substance misuse was more common among men. History of out-of-home care was associated with a general increase in adulthood disadvantage, but the gender differences were largely absent. Women in this group were however less likely than men to experience disadvantage across multiple life domains (complex disadvantage OR = 0.56, p = 0.046; unemployment-related disadvantage OR = 0.51, p = 0.005). Higher level of education was associated with reduced likelihood of membership in the group marked by disabling health disadvantage (OR = 0.55, p = 0.002) and complex disadvantage (OR = 0.37, p = 0.001). An interaction term between gender and education was not significant. Conclusions: Adulthood disadvantage was more common in the group with history of out-of-home care. The gender differences in disadvantage present in the full cohort were largely attenuated among individuals with out-of-home care history. We showed that using administrative data on outcomes across multiple life domains can provide rich descriptions of adult experiences after childhood adversity. Future research could examine gender differences in mechanisms translating into resilient or vulnerable trajectories, including the protective potential of education in relation to specific disadvantage patterns. [ABSTRACT FROM AUTHOR]

Dominating narratives about young women in out-of-home care typically depict them as 'troublemakers', 'victims' or 'damaged'. Such narratives undermine the importance of understanding how these young women manage difficult life circumstances and intersecting identities. This paper explores how young women with a history in out-of-home care manage their personal stories and identities. By applying an intersectional perspective, we explore the complexity of these young women's identities. This study draws data from eight narrative interviews with five young women with challenging personal stories. A feminist listening guide was adopted for the analysis. Our analysis identified the management of intersecting identities, (in)visibility and agency in participants' stories. Based on the analysis, we recommend an intersectional perspective in social work practice. [ABSTRACT FROM AUTHOR]

The foster care system in Victoria, Australia, faces a critical challenge with a declining number of foster carers amidst an increasing demand for placements. This research aimed to identify the perceived benefits of using tailored recruitment strategies for foster carer recruitment and the key characteristics of those inclined toward foster care. Eight representatives from Victorian foster care agencies participated in semi-structured interviews, followed by an online survey completed by 1033 Victorian adults. Tailored recruitment efforts for both messaging and targeting of audiences were deemed crucial and effective by interviewees. Cluster analysis of the survey results revealed two distinct groups, with the fostering-inclined group comprising 31% of the sample and more likely to be female, aged 21–55, working in a care- or social-oriented profession, and have a spare room. Implications of sociodemographic, attitudinal, and behavioral characteristics associated with considering fostering are discussed in relation to designing targeted recruitment campaigns. This study highlights the importance of tailored recruitment for foster carers and provides practical directions for foster care agencies to identify and engage relevant audiences more inclined to consider fostering. [ABSTRACT FROM AUTHOR]

Globally, there are significant concerns regarding the educational disadvantages faced by young people with care experience. Despite these challenges, some individuals, referred to as ‘survivors’, successfully progress to higher education. However, existing research predominantly focuses on the barriers and difficulties they encounter, with insufficient attention given to the factors contributing to their success, particularly within the context of China. This study aims to address this gap by investigating the factors that facilitate educational success among care-experienced young people in China, specifically those who have pursued or achieved higher education. Drawing on biographical interview data (n = 18) from a completed PhD project and subsequent thematic analysis, the research identifies key elements that have supported their sustained educational engagement. These factors include a strong belief in the transformative power of education, resilience in overcoming challenges, the critical role of supportive relationships, positive school experiences, and active participation in extracurricular activities. The study acknowledges limitations related to sample size, regional focus, data handling – such as transcription and translation – and potential recall bias. Nonetheless, this research contributes to the broader discourse on human agency in education and the literature on out-of-home care, with practical implications extending beyond the Chinese context. [ABSTRACT FROM AUTHOR]

When young people exit out‐of‐home care, they face high rates of social and economic marginalisation, as well as poor health and educational outcomes. Although there is limited longitudinal research available on the specific types of post‐care support that are most effective, a number of smaller studies show that young people can avoid these negative life trajectories if provided with assistance and advice as they transition from care to independence. Uniting NSW.ACT delivers multiple programs designed to support young people as they transition from care to adulthood, including Foyer Central, the Extended Care Pilot Program, the Premier's Youth Initiative and Futures Support and Planning (led by the Burrun Dalai Aboriginal Corporation in partnership with Uniting). This article draws on evidence from the independent evaluations of each of these programs to explore the nature of the coaching relationship and to argue that it should indeed be adopted in NSW, due to its beneficial impact on young people and ability to help them achieve positive outcomes in housing, employment and education. [ABSTRACT FROM AUTHOR]

ABSTRACT Young people living in out‐of‐home care often have a history of adverse childhood experiences which are traumatic in nature and have long‐term influence on individuals. This article analyses the experiences of Finnish young adults with a history of out‐of‐home care and mental health challenges, in regard to their experienced trauma and interpretations of the traumatizing factors during their early lifespan. The ecological systems theory by Bronfenbrenner is used as a tool in the analysis. The article sheds light on how the experiences of trauma are connected to the levels of the ecological systems theory and how different social factors can contribute to the experience of trauma. Understanding the traumatic experiences of adolescents with an OOHC background requires a thorough consideration of all the levels of the ecological systems theory. Traumatization is often a fusion of acute, chronic and complex traumas that should be better acknowledged in child welfare work. [ABSTRACT FROM AUTHOR]

ABSTRACT This empirical study in the jurisdiction of New South Wales, Australia, explores the complex and unenviable processes legal actors undertake when making decisions about removing infants from their birth parents. Professionals from legal, statutory child protection and health contexts were interviewed regarding their experiences and perspectives about legal decision‐making practices when placing infants in out‐of‐home care (OOHC). Informed by vulnerability theory, analysis of the interview data found that government apparatuses designed to protect vulnerable infants can sometimes have the paradoxical effect of increasing overall infant vulnerability. Findings suggest a need for wider‐ranging research regarding how international and domestic law might be improved to better recognize the unique developmental status and vulnerabilities of infants in the child protection system. [ABSTRACT FROM AUTHOR]

Background: Female child welfare-involved youths who are removed from the home are at risk of commercial sexual exploitation of children (CSEC). The aim of this study was to develop a prediction model to identify those at greatest risk of trafficking. Methods: Data were from the Florida Department of Children and Families' Florida Safe Families Network Database. A Cox proportional hazard regression of 60 cases and 3857 controls generated the proposed risk model. Results: Factors found to be associated with a higher risk of trafficking were quantified into point scores, generating the Welfare-Involved Female Sexual Exploitation Risk Assessment (WISER) tool with a cutoff of 20 points: first out-of-home placement at ≥15 years of age (11 points); run away from home in past year and age <15 years (40 points) or ≥15 years (16 points); English spoken as other language (14 points); on a psychotropic drug (17 points); congregate first placement (14 points); runaway/abducted status first "placement" (16 points); psychiatric facility experience (9 points); residential facility experience (7 points); and no time in temporary shelter (9 points). Of those who experienced CSEC, 92% had a WISER score above 20. Discussion: The WISER tool achieved good discrimination and calibration ability with a receiver operating characteristic for the validation data set of 0.923. The WISER tool can (1) inform risk assessment for CSEC among child welfare-involved females and (2) identify youths at greatest risk before they are harmed by trafficking. [ABSTRACT FROM AUTHOR]

A commitment by policymakers and practitioners to the best interests of the child is uncontroversial. The child's right to be with their birth family is enshrined in the UN Convention on the Rights of the Child, unless 'separation is necessary for the best interests of the child' (Article 9). But how do we understand 'best interests of the child'? Does this encompass only childhood or extend across life? Can 'best interest' be determined by ideology or principles alone? How does the permanency principle interact with best interest? For children exposed to serious abuse or neglect and removed, will 'locking‐in' long‐term care arrangements yield best outcomes in childhood, adolescence, adulthood, parenthood? Should reunification be prioritised? In this opinion piece, I argue that evidence must inform understandings of whether specific child and family support strategies are likely to do more good than harm and that this must consider the child's full life trajectory, including parenting capacity—the driver of intergenerational outcomes—and pay attention to the entire family. In the context of child removal, support and healing for the parent—with the possibility for reunification—will enhance the wellbeing of the entire family, including the removed child and any siblings (including those yet to be born). To achieve the desired response, budget allocations must be aligned with aims. In Australia, budget allocations massively favour child removal over intensive support for birth family, and also favour spending to address the harmful consequences of child abuse and neglect rather than disrupt the harm cascade. A refocus on birth family is critical. Treating birth parents with compassion is a good idea for the child, for the family, for society and the budget bottom line. [ABSTRACT FROM AUTHOR]

Samenvatting: Vandaag kampen we niet alleen met een (inter)nationaal tekort aan pleeggezinnen, we stellen ook vast dat het in Nederland en Vlaanderen geen uitzondering is dat pleegzorgplaatsingen omwille van negatieve redenen ongepland en vroegtijdig worden beëindigd, of anders gezegd eindigen in een 'breuk'. Hoewel we al inzicht hebben in de voorspellers, beschermende factoren en de gevolgen van die breuken, hebben we nog beperkte kennis over hoe pleegzorgers het volledige proces van zo'n breuk ervaren. Om die vraag te beantwoorden, werden semigestructureerde diepte-interviews met (voormalig) pleeggezinnen (N = 8) thematisch geanalyseerd. De resultaten laten zien dat de kiem van een breuk al wordt gelegd vlak voor (of bij) het begin van de plaatsing en dat die breuk doorsijpelt tot (lang) na de definitieve beëindiging en verhuis van het kind. De vijf hoofdthema's: 1) mijn gezin, een gezin of geen gezin?, 2) gezinnen onder druk, 3) niet over één nacht ijs, 4) verlost, maar verloren, en 5) de koek is op, geven een overzicht van welke noden, spanningen, twijfels en draag – en wilskracht pleegzorgers ervaren op de verschillende momenten in dat proces. In de discussie gaan we dieper in op de rol en de positie van breuken binnen pleegzorgtrajecten en de (na)zorg voor (voormalig) pleegzorgers. [ABSTRACT FROM AUTHOR]

In the UK, there has been increased awareness of the harm adolescents face beyond their families. There is no national strategy for safeguarding adolescents. One intervention that comes with particularly high costs is relocation placements by children's social care that move adolescents some distance from their communities. This research aims to contribute to the evidence about the relocation of adolescents exposed to, or at risk of extra-familial risk/harm. The research reported here sought to explore the costs associated with relocation placements. Data were gathered about the time taken to carry out the social work processes associated with relocation placements and about the costs associated with the placements. Two interviews and six focus groups were conducted with twenty-four participants. The findings highlight that each adolescent had a unique context, which was influenced by the type of extra-familial risk/harm. The service response therefore needed to be tailored, and unit costs are presented as a range from £22,000 to £170,000 for six months. There is substantial variability in the use and costs of relocation placements. The findings offer evidence for earlier intervention to avoid extra-familial risk/harm. The financial costs of relocation placements need to be considered within the context of the well-being of adolescents. [ABSTRACT FROM AUTHOR]

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Just as archival scholarship has increasingly engaged in conversations around care and holistic considerations of the agency of records subjects, the child welfare systems of the modern Western world have been moving towards conversations that aim to centre and celebrate the voice of the child in new and important ways. However, too often are these conversations held back by the enormity of the issue and the overhaul that would have to take place for philosophy to match with practice. In this paper, I suggest that part of the problem is that we have been trying to make these changes philosophy first, placing a new way of thinking on top of an old way of doing—an approach that will never generate change. Leaning in to using speculation to imagine what the new recordkeeping of a caring system might look like, I propose that the act of recordkeeping is the fulcrum that could make caring child welfare a reality and illustrate some of the avenues through which we might pursue instigating the systemic changes needed if we are to see the agency and perspectives of children prioritised in child welfare and protection practices. [ABSTRACT FROM AUTHOR]

Aboriginal children and young people are over‐represented in the out‐of‐home care system, yet their voices are largely absent in practice and policy decision‐making. This paper presents a review of research that captures the voices of Aboriginal children and young people in out‐of‐home care. Three key themes are discussed: connection to culture, connection to family and participation. This paper argues for culturally meaningful research that honours child and youth citizenship, voice and roles in decision‐making as critical to quality care and positive outcomes. This paper aims to highlight the importance of listening and responding to the voices of Aboriginal children and young people as critical to the provision of appropriate care and supporting positive outcomes. [ABSTRACT FROM AUTHOR]

High child protection caseworker turnover diminishes care quality. While burnout is acknowledged, the impact of protective factors is unclear. This study examines caseworkers' burnout, individual resilience's protective role, and strategies for curbing turnover and preserving work-life balance. Results indicate that personal, work, and client-related subscales correlate highly. The moderating effect of resilience on burnout was significant yet marginal. Maintaining boundaries was the primary core theme reported in relation to strategies to maintain work-life balance. The results of this study highlight potentially modifiable factors likely to reduce caseworker turnover. Findings support the need for a collective re-evaluation of resilience as an individual responsibility to something that can be supported and fostered within the workplace for increasing employee retention. [ABSTRACT FROM AUTHOR]

Hundreds of thousands of Australians live with the dire aftermath of having been institutionalised as children in the national 'Care' network of orphanages and children's homes. In 2023 the Australian Orphanage Museum (AOM) was opened, both to memorialise the experiences of children whose early lives were blighted by out-of-home Care (OOHC), and to facilitate activism aimed at gaining justice for those now-adult Care-leavers. The article in part utilises the author's lived experience as a Care-leaver activist to summarise the rise of Care-leaver activism, placing it in a heritage context as it applies to the institutions themselves. It examines the role of the AOM in collecting and displaying apparently mundane objects that have profound meaning for individual stakeholders, and in preserving archival material documenting the early activist groups. Various forms of past and contemporary Care-leaver activism are discussed, and examples of successful and less successful campaigns are examined. The AOM is shown to perform a vital role in providing affirmation for Care-leavers, advocating on their behalf to the wider community, and working in conjunction with other activist groups and projects to aid researchers in the field. [ABSTRACT FROM AUTHOR]

Conflicts are common in adolescent friendships and romantic relationships. The ways girls in care navigate conflicts in close relationships have implications for their resilience, since their family relationships are compromised. We employed qualitative and quantitative approaches to explore the conflicts in the friend and romantic relationships of 37 girls in care. They completed an interview about the conflicts with their best friend and boyfriend and a measure on the positive and negative quality of the friendship and romantic relationship within which the conflicts took place. Thematic analysis indicated the girls experienced more intense and volatile conflicts with their boyfriend than best friend. However, the intensity of these conflicts was mitigated by their positive perceptions in their quantitative reports. Despite conflicts, the girls reported significantly higher levels of positive than negative relationship quality within their romantic relationships and similar levels of negative quality between the two relationships. Findings highlight the girls' struggles with their romantic relationship compared to their friendship and especially their attempts to interpret conflict within a more global assessment of relationship quality. The findings provide a nuanced understanding of the girls' relational patterns, which can be used to inform interventions to support their development of healthy relationships. [ABSTRACT FROM AUTHOR]

\nSUMMARYThis research was conducted as part of an action research project supporting intersectoral care experiments in Flanders for minors in residential care. This article details some of the questions the stakeholders in this project had at the start of such a project, as well as the results from a scoping literature review conducted to answer these questions. This scoping literature review was conducted on four databases, returning 23 articles providing information on the effects of, good practices of, or barriers for intersectoral care for looked-after minors. Results show that research on this specific topic for this population is scarce, mostly qualitative, and mostly from the perspective of staff rather than clients. Reports on the effects of intersectoral initiatives seem cautiously encouraging. Many possible obstacles for coordinated or shared care have been identified, with difficulties in communication, information sharing and lack of shared vision as prominent ones. Many potentially good practices have however also been identified in this review that can help collaborative partners overcome several of the barriers. Intersectoral collaboration in the care for minors in residential settings seems to have positive effects like better permanency and staff wellbeingGood practices include getting to know people working in other sectors and having formal proceduresJoint case planning, intersectoral training and consultation options can lead to familiarity with people in other sectorsLack of communication and disagreements about decision making are frequently mentioned as hindering intersectoral care in this populationIntersectoral collaboration in the care for minors in residential settings seems to have positive effects like better permanency and staff wellbeingGood practices include getting to know people working in other sectors and having formal proceduresJoint case planning, intersectoral training and consultation options can lead to familiarity with people in other sectorsLack of communication and disagreements about decision making are frequently mentioned as hindering intersectoral care in this population [ABSTRACT FROM AUTHOR]

Previous studies have indicated that youth in care may represent a high-risk group for bullying victimization. So far, research has focused primarily on problem behavior rather than on potential personal or social resources of youth in care, particularly in the context of bullying victimization. Therefore, the purpose of this study was to examine whether youth in care are more likely to experience bullying victimization. Furthermore, it was analyzed if personal and social resources were protective of bullying victimization and whether these associations were moderated by family placement while controlling for lifetime poly-victimization. An online survey was completed by n = 119 youth in care and n = 110 youth in biological families in Germany - with or without a social/biological caregiver. Overall, the results showed that youth in care were 7.41 times more likely to experience bullying victimization than youth in biological families. Personal and social resources did add to the explained variance of current bullying victimization beyond lifetime poly-victimization in the child's report. In particular, low levels of child-reported parental support and school integration were associated with more bullying victimization. These associations were not moderated by family placement, indicating similar effects for both, youth in care and youth in biological families. [ABSTRACT FROM AUTHOR]

Young people in residential care in Australia have generally experienced significant childhood trauma and neglect. Consequently, they present with a range of complex and challenging behaviours that pose a risk to themselves and others. Numerous reports have emphasised the need for trauma therapy for children; however, young people in residential care frequently do not access effective therapeutic services. In this article, the authors detail and reflect on the implementation of a treatment package of the Sleeping Dogs method plus Eye Movement Desensitisation and Reprocessing (EMDR) to engage young people living in residential care in EMDR therapy to process their complex trauma. IMPLICATIONS An integrated treatment package of Sleeping Dogs method with intensive EMDR can overcome the barriers to the successful implementation of evidence-based trauma treatment with young people living in residential care. Implementation requires collaboration between all systems surrounding the young person and compassionate engagement with families and carers. [ABSTRACT FROM AUTHOR]

Aboriginal children are overrepresented in Australia's child protection system, and limited tools are available to assist with connecting these children to their culture. The Stitching Our Future Together (SOFT) Program, developed in consultation with Aboriginal and non-Aboriginal peoples, services, and other specialists, is used within the Department of Communities' Child Protection and Family Support (CPFS) Division in Western Australia to address big emotions and safe behaviours with Aboriginal children in care. This study used phenomenology and social constructivism to explore CPFS staff's perspectives and experiences of the SOFT Program. Seven semistructured in-depth interviews took place with CPFS staff. Five themes were identified: the SOFT Program and its use, culturally responsive practice, facilitating relationships, communication, and recommendations and implementation challenges. Participants expressed that the SOFT Program fostered an understanding of, and communication about, pertinent issues such as family and domestic violence, drug and alcohol addiction, mental health, and child neglect and abuse. The findings show how staff described the program's capacity to help them navigate complex situations, highlighting the need to incorporate more culturally centred and creative-based work into child protection practice. IMPLICATIONS The SOFT Program positively supports culturally responsive practice and facilitates relationships and communication for child protection workers and children in care. The integration of creative and legislated practices assists with personalising and enhancing the effectiveness of child protection work with children in care. [ABSTRACT FROM AUTHOR]

This article critically examines safety and innovation in out-of-home care, with a particular focus on addressing the entrenched overrepresentation of Aboriginal and Torres Strait Islander children and young people in the child welfare system. Grounded in the practical insights of safe house workers and managers, the purpose of this article is to share an innovative practice case study—the Tangentyere Safe House in Alice Springs, Northern Territory, Australia. As a case study within an Aboriginal Community-Controlled Organisation, Tangentyere Safe House emerges as a site for understanding the confluence of cultural safety, familial connections, and strategies to mitigate overrepresentation. Key themes explored include promoting cultural safety and supporting connections with the family of origin. Through a methodological lens that privileges practice-based knowledge, this article captured the on-the-ground experiences of those actively engaged in child safety. The findings underscore the innovative practices employed by Tangentyere Safe House in navigating out-of-home care within an Indigenous context to argue for a holistic and culturally informed approach to child protection interventions, drawing attention to the practical strategies employed by safe house workers. The article showcases the central role of Aboriginal Community-Controlled Organisations in providing care alongside families in out-of-home care. IMPLICATIONS The innovative approach of the Tangentyere Safe House highlights the importance and unique role of Aboriginal Community-Controlled Organisations in out-of-home care. The role of Aboriginal Community-Controlled Organisations should be formally recognised in the Aboriginal and Torres Strait Islander Child Placement Principle hierarchy. Frontline safe house workers' knowledge and expertise regarding Aboriginal and Torres Strait Islander children in out-of-home care can inform all stakeholder involvement including police interventions. [ABSTRACT FROM AUTHOR]

For children entering out-of-home care due to child protection concerns, meaningful connections to family and culture are important and necessary. In this article the complexities of promoting cultural connections for culturally and linguistically diverse children in out-of-home care are explored. Through the use of the settlement, ethnicity, language and faith (S.E.L.F) cultural framework, practitioners and leaders working in the child and family sector can consider the cultural elements of the children in their care. The framework provides questions to explore what culture may mean for families and encourages practitioners to self-reflect on their own cultural assumptions. The framework development has been informed through community of practice reflections and learnings by the authors who have held multiple practice, leadership, and research roles in the child and family sector. IMPLICATIONS The S.E.L.F. framework encompasses curiosity questions that guide the collection of information from children and families to aid in better understanding and enhancing cultural connection practices and to build organisational cultural competency. The framework promotes practitioner critical thinking and reflection on their own cultural bias and assumptions. [ABSTRACT FROM AUTHOR]

Children and young people who live in out-of-home care (OoHC) can display aggressive behaviours when their emerging self-regulation and executive functioning systems are overwhelmed. Consequently, their carers can experience incidents that may cause some carers' ongoing stress symptoms. Early intervention with occupational health supports is important; however, including a specific trauma treatment such as Eye-Movement Desensitisation and Reprocessing (EMDR) is unusual. EMDR supports the resolution of stress symptoms and helps carers promote a stable home environment. Stability contributes to calm home environments and incident reduction. The purpose of this mixed methods study was to better understand the inclusion of EMDR into a workforce wellbeing model and explore changes in incident numbers in houses, staff retention, and time-loss injury. Interviews with senior managers and focus groups with therapeutic practitioners from two Australian states were conducted. Descriptive statistics for administrative data were calculated after a quantitative audit. Several programs including EMDR and occupational health policies were working towards enhanced workplace safety. A reduction in the monthly average incident rate from 11.9 (2019–2020) to 6.9 (2022–2023) was identified. Offering an effective treatment to staff that promotes wellbeing, retention, and stability in care homes may be a critically important policy recommendation for organisations with staff at risk of traumatic incidents. IMPLICATIONS Eye -Movement Desensitisation and Reprocessing (EMDR) is an effective trauma therapy that works for residential out-of-home care staff. EMDR enhances carers' emotional wellbeing and capacity when working with the young people in their care. More stable relationships between carers, children, and young people can lead to reductions in stressful workplace incidents and a more stable workforce. [ABSTRACT FROM AUTHOR]

Within the Australian context, we argue there is limited research to guide practice on supporting cultural connections for non-Indigenous children from culturally and linguistically diverse backgrounds in out-of-home care. Based on practice wisdom and international research evidence, a compiled case study demonstrates how a set of practices can work together. These key practices are respectfully engaging the children's family members in cultural care planning; coaching and supporting carers to promote cultural connection; integrating culture into life story work; and identifying cultural mentors. IMPLICATIONS Practices that can support the identity development for children from culturally and linguistically diverse backgrounds include cultural care planning, life story work, and cultural mentors, and these practices may work best when developed in concert with each other. Practice to support cultural connections for children from culturally and linguistically diverse backgrounds in Australia requires further research evidence and development. [ABSTRACT FROM AUTHOR]

The importance of acknowledging the grief and loss integral to the experiences of foster carers, has long been understood. However, in a complex area of practice and an increasingly pressured out-of-home care sector, there is a need to refocus foster care program and practitioner attention on supporting carers and their families with the difficult experience of placements ending. This article reports on findings from research that aimed to understand current carer experiences of grief and loss, their coping strategies, their support needs, and the implications for a foster care agency's duty of care towards its workforce. Through a mixed-methods exploratory methodology, data were collected through an online survey and semistructured interviews with carers affiliated with a foster carer provider operating across three Australian jurisdictions. Carers called for acknowledgement of the deep feelings they develop for the children they look after and help for the grieving process, through training, preparation, and tailored support based on authentic relationships with professionals. The need for well-trained and strongly supported agency workers was emphasised. IMPLICATIONS Providing updates to carers about foster children who have left their care can alleviate the pain of grief and loss. Training, preparation, and step-by-step support for carers can promote healthy grieving processes. Tailored support for grieving carers needs to be founded on authentic relationships with foster care professionals and open and honest communication. [ABSTRACT FROM AUTHOR]

Children and young people in Australian foster or kinship care are separated from their siblings for a range of reasons. These may include issues that are behavioural, sibling-related, the capacity of carers to host multiple children, or policies that enforce a one-child-per-bedroom rule. This study investigated strategies enhancing stability and meaningful connections among siblings within the Mockingbird Family, a social network model of foster and kinship caring. Case examples, network mapping, and visualisation of the Mockingbird Family networks are presented alongside results from thematic analysis of qualitative data. The findings suggest that the Mockingbird Family facilitates meaningful contact and sibling connections, even when coplacement was not possible. Sibling coplacement and contact provide crucial benefits such as emotional support, stability, shared experiences, and a sense of belonging, contributing to children's and young people's development, healing from trauma, and overall wellbeing. IMPLICATIONS Keeping sibling groups connected and in contact can reduce placement breakdown and contribute to their overall wellbeing. The Mockingbird Family model of foster care provides a range of options for keeping siblings meaningfully connected through coplacement within the same constellation and opportunities for other siblings to join in Mockingbird Family activities. [ABSTRACT FROM AUTHOR]

The overrepresentation of Aboriginal and Torres Strait Islander (respectfully referred to hereafter as "Aboriginal") children in the child protection system is a concern in Australia, with Aboriginal children placed in out-of-home care at a rate 11 times that of non-Aboriginal children. This study utilised linked administrative data to determine the longitudinal child protection pathways from birth to age 10 years for a cohort of 15,815 Aboriginal children born in Western Australia between 2000 and 2006. In total, 9,269 (59%) children did not have any contact with child protection between one year prior to birth and their 11th birthday. Conversely, 6,546 (41%) Aboriginal children were involved with child protection during the study period, with 1,405 (9%) children placed in out-of-home care. Infants who had a child protection notification were more likely than other age groups to have a substantiated notification of abuse and neglect and placed in out-of-home care. More than half (56%) of all children were predominantly placed in kinship care; however, only 22% had their first placement with kinship carers. Aboriginal-led strategies together with the support and commitment of all levels of government are required to reduce entry into care and improve outcomes for Aboriginal children in care. IMPLICATIONS Aboriginal-led strategies and wholistic responses can reduce the overrepresentation of Aboriginal children reported to child protection systems, and support families and communities. Infancy stands out as a key point of system involvement. This stage offers an opportunity where early intervention and family support strategies may prevent first time involvement with the child protection services and promote kinship placement, reunification with parents, and community-led supportive care. [ABSTRACT FROM AUTHOR]

Background: Studies have shown an association between parental problematic substance use (PSU) and children's out-of-home care (OHC). But there is little researech on the kind of urban neighbourhoods in which such associations typically show up. This study aims to shed light on the associations between neighbourhood characteristics, parental PSU and children's OHC. Using register data, we explore the spatial concentration of parental PSU and children's OHC in urban areas. Methods: Register data of all children born in Finland in 2002 and their biological parents living in 14 Finnish cities were used to follow the children from birth until their 18th birthday or first OHC episode. The study looks at parental PSU andother individual-level indicators as well-as the sociodemographic neighbourhood characteristics. Cox proportional hazards modelling was used as the analysis method. Results: Parental PSU increased the probability of children's OHC regardless of neighbourhood type. The probabilty was highest if both parents had PSU (hazard ratio [HR] = 8.05, 95% confidence interval [Cl] 6.38–10.16), but this outcome did not look the same for all neighbourhoods. The risk of children's OHC placements was higher in suburbs compared to city centres (HR = 1.76, 95% Cl 1.38–2.25). Conclusion: As parental substance use is a complex problem that is often intertwined with other life challenges, such as financial difficulties and mental health problems, it is insufficient to treat caregiver conditions, such as problematic substance use in isolation. Services that increase positive, pro-social connections may be lacking in the neighbourhoods with the most challenges. [ABSTRACT FROM AUTHOR]

This study explored how day-to-day social work practice with children and families in Wales responds to poverty, building on case studies already published in the other three UK nations. A case study design was used. The sites were locality teams in two local authorities, differing in their children looked after rates and trajectories of these over time. Qualitative research methods included practice observations; interviews with staff; focus groups; mapping of decision-making processes; and a sample of family case narratives. In one local authority, the range of data was similar to the other UK nation case studies. However, in the second, data collection was adapted to the coronavirus disease-19 (COVID-19) lockdown context. Some evidence was found of narratives that emphasised the cultural, rather than material, aspect of poverty, and blamed parents for making inappropriate spending choices. Poverty alleviation was generally seen as outside of social workers' control and requiring earlier help before social services involvement. In one of the local authorities, there was some awareness shown of the impact of poverty on parenting. In the other, that took part in the study during 2020, the exacerbating effects of families in lockdown were described, including the lack of family support due to pandemic restrictions. [ABSTRACT FROM AUTHOR]

Out‐of‐home care is associated with a range of negative social outcomes for the young people who experience it. The most promising path to improved life chances for care‐experienced young people is arguably through education, especially post‐secondary education. Currently, no national data are collected on the post‐secondary education participation of care‐experienced young people. However, the evidence that exists suggests their participation rate is likely very low. Historically, one reason for post‐secondary participation gaps has been the fact that care ended abruptly at 18 years, forcing care‐experienced young people into independence much faster and earlier than the vast majority of their same‐age peers. The recent extension to care to 21 years for most young people in care across all Australian jurisdictions has changed the out‐of‐home care landscape considerably. A central question is whether the extension of care will, in itself, result in increased post‐secondary education access and success for care‐experienced young people. We address this question through an examination of the current out‐of‐home care and education landscape, including state and territory legislation, Australian Government policy and current post‐secondary settings and outcomes. [ABSTRACT FROM AUTHOR]

The study was designed to understand the roles and challenges of child protection services (CPS) employees in arranging out-of-home care for children with minority and immigrant backgrounds in Rogaland, Norway. Findings from the six in-depth interviews with CPS employees showed that, guided by existing laws and policies, they follow three phases from investigation to the care order decision. The premium they place on “best-interests-of-children” can be contested in relation to the rights of the family. CPS employees day-to-day challenges include understanding minority families cultural backgrounds, finding foster families, and communication. Based on the findings, policy and practice recommendations are made. [ABSTRACT FROM AUTHOR]

Youth in out‐of‐home care are at high risk for suicide‐related thoughts and behaviors (STB), yet there are no known efficacious interventions that reduce STB for this population. Fostering Healthy Futures for Preteens (FHF‐P) is a 9‐month community‐based mentoring and skills training preventive intervention for children in out‐of‐home care. A randomized controlled trial enrolled 156 participants aged 9–11 years who were placed in out‐of‐home care over the prior year. Participants were 48.9% female, 54.1% Hispanic, 30.1% Black, and 27.1% American Indian. Follow‐up interviews, conducted 7–12 years postintervention (85.2% retention rate), asked young adult participants, aged 18–22, to self‐report lifetime STB as indexed by non‐suicidal self‐injury, suicidal thoughts, plans, and/or attempts. There was a nonsignificant reduction in the odds of STB for the intervention group at follow‐up (OR = 0.74; CI, 0.32, 1.69). However, FHF‐P significantly moderated the effect of baseline STB; control youth who reported baseline STB had 10 times the odds of young adult STB (OR = 10.44, CI, 2.28, 47.78), but there was no increase in the odds of adult‐reported STB for intervention youth. Findings suggest that FHF‐P buffers the impact of pre‐existing STB on young adult STB for care‐experienced youth. Further research is needed to identify mechanisms that may reduce STB in this population. Highlights: Fostering Healthy Futures for Preteens (FHF‐P) is an intervention for children in out‐of‐home care.This randomized trial examined whether FHF‐P reduced suicide‐related thoughts and behaviors (STB).FHF‐P demonstrated a nonsignificant 26% reduction in the odds of STB 7–12 years postintervention.An interaction effect suggested that FHF‐P buffered the impact of preteen STB on young adult STB. [ABSTRACT FROM AUTHOR]

This study aimed to identify latent classes of child welfare placement histories, with a focus on entry to residential treatment settings (RTS), and how youth behavior and development are associated with the probability of latent class membership. This study utilized secondary child welfare administrative data. The study found that a four-class model was the best fit for the data. The four latent classes were defined by instability while in family settings, stability in kinship care, movement through congregate care settings, and stability in non-kinship foster care. Youth behavior and developmental period were significantly associated with latent class membership. [ABSTRACT FROM AUTHOR]

The critique that child welfare services (CWS) are primarily focused on neglect cases resulting from poverty is longstanding and reemerging from discussions about how to address America's racial history and structural oppression which begets poverty. Understanding how poverty and CWS involvement operate requires testing relationships between poverty and other factors influencing placement. Drawing on NSCAW II, we identify families (n = 445) investigated for neglect, with children younger than 15, and remaining home upon investigation at the study's baseline. This study uniquely allows for distinguishing the contribution of poverty and family adversities on foster care placements among neglecting families. Families were followed for 36 months, to observe placements into out-of-home care. Poverty levels were not strongly related to subsequent placement. Children in families with high levels of adversity – especially arrests and domestic violence – were most likely to be placed into foster care. Employment at initial contact was associated with less later foster care placement even when income levels were generally low. The findings add to the evidence that placement into foster care may most significantly result from an accumulation of adversities. Intervention that might help reduce foster care placements for neglected children who begin receiving services at home are considered. [ABSTRACT FROM AUTHOR]

Infants have the highest rate of admission into out‐of‐home care in Australia, with rising rates of entry to care occurring around the world. Our previous research identified children who entered care as infants as having high levels of developmental vulnerability. The objective of this study was to determine the child protection and developmental trajectories of children who entered care as infants and whether meeting developmental needs through service provision improves trajectories and outcomes for these children. This is a prospective cohort study using three waves (2011–2016) of survey data from the New South Wales Pathways of Care Longitudinal Study which includes standardised assessments (Age and Stages Questionnaire, Brief Infant Toddler Social Emotional Assessment and the Child Behaviour Checklist), as well as linked administrative child protection and health data. Our findings suggest that children who entered care as infants predominantly remained in the care system and had a high level of developmental vulnerability as infants. A large group had positive physical and cognitive developmental trajectories with service provision increasing over time; however, early service provision is needed. Another group was identified as having early social–emotional concerns and displaying worsening social–emotional trajectories. Intervention for this group is an important priority to reduce risk of ongoing poor mental health outcomes. [ABSTRACT FROM AUTHOR]

Abstract Background Children in care and care leavers have worse health outcomes than their peers without care experience. This study addresses an evidence gap in exploring care-experienced young people’s views and experiences of accessing general practice and dental services and attending health reviews in England. Methods We conducted a qualitative study using podcasting as a creative medium. We recruited young people from two sites: one in South England (A) and one in greater London (B). We held two paired discussions in site A and two focus groups in site B, with 14 participants in total. Participants were aged between 13 and 22 years and were diverse in gender, ethnicity, and care experiences. Data were analysed thematically using candidacy theory as a theoretical framework. Results Mental health was a prevailing concern for participants, but general practice was not considered a place to discuss it. Most participants reported distant relationships with primary healthcare professionals and considered opening-up to a professional to be risky, for example, it could result in an unknown/unwanted outcome. A lack of time and personal connection in appointments, and experiences of feeling judged, dismissed, or misunderstood, hindered young people’s ability to disclose mental health or relationship concerns. Participants reported variation in the timeliness and location of services, with salient examples of extensive waiting periods for braces. Participants perceived annual health reviews to be largely inconsequential. Conclusions Any primary care presentation by a care-experienced young person should trigger additional professional curiosity. To build rapport and trust, professionals should not underestimate the power of active listening, being reliable and honest, and small acts of thoughtfulness, for example, ensuring medical letters are provided promptly. Carers and other trusted professionals should help care-experienced young people to understand the role of primary care and support them with access. Health reviews may not be of value to all young people in care. Further research is needed to examine primary healthcare access for care-experienced young people with significant safeguarding and healthcare needs.

Abstract Research has demonstrated children in out-of-home care have experienced trauma and a significant proportion are in need of behavioral health services (e.g. Casaneuva et al., NSCAW II baseline report: Child well-being, US Department of Health and Human Services, Washington, DC, 2011). Accessing services requires interagency coordination between child welfare and behavioral health professionals; however, challenges to coordination and collaboration may result in lack of service utilization for many youth (Hanson et al. 2016). Utilizing a mixed methodological approach, this paper describes the results of a study conducted five years after full state-wide implementation of processes designed to promote the use of evidence-based practices to inform decision-making for youth dually served by the child welfare and behavioral health systems. Outcomes from the study were used to develop strategies to address programmatic concerns and reinforce implementation supports. Study findings may aid organizations seeking to reinforce data-informed practices and employ strategies for addressing barriers at the worker and agency level.