Abstract
Research on young mothers in foster care focuses on the risks associated with pregnancy and parenting among these youth, with less attention paid to the contexts in which they parent. This narrative study examines how young mothers’ identities, parenting experiences, and parenting decisions are developed in several relational contexts. The analysis explores how relationships to self, to baby, to families of origin and friends, to their baby’s father, and to the child welfare system shape the transition to motherhood for young mothers in foster care in Illinois. Findings are the result of narrative analysis of data from a total of 40 in-depth interviews with 29 young mothers (N = 29 first interviews; N = 11 s interviews). Young mothers’ interpersonal relationships and child welfare system involvement both support and constrain their thriving as new mothers. This study makes a significant contribution to the research on pregnant and parenting youth in foster care, with major implications for trauma-informed child welfare practice, identifying appropriate resources and services for these young parents and their children, supporting both parent-child relationships and co-parenting relationships, and for future directions of scholarship on this population.
Similar content being viewed by others
Data Availability
N/A.
Code Availability
N/A.
References
Adriansen, H. K. (2012). Timeline interviews: A tool for conducting life history research. Qualitative Studies, 3(1), 40–55. https://doi.org/10.7146/qs.v3i1.6272
Aparicio, E. (2017). ‘I want to be better than you:’ Lived experiences of intergenerational child maltreatment prevention among teenage mothers in and beyond foster care. Child & Family Social Work, 22(2), 607–616. https://doi.org/10.1111/cfs.12274
Aparicio, E., Pecukonis, E. V., & O’Neale, S. (2015). “The love that I was missing”: Exploring the lived experience of motherhood among teen mothers in foster care. Children and Youth Services Review, 51, 44–54. https://doi.org/10.1016/j.childyouth.2015.02.002
Apfel, N. H., & Seitz, V. (1991). Four models of adolescent mother-grandmother relationships in Black inner-city families. Family Relations, 40, 421–429. https://doi.org/10.2307/584899
Azzi-Lessing, L. (2011). Home visitation programs: Critical issues and future directions. Early Childhood Research Quarterly, 26(4), 387–398. https://doi.org/10.1016/j.ecresq.2011.03.005
Bailey, L. (1999). Refracted selves? A study of changes in self-identity in the transition to motherhood. Sociology, 33(2), 335–352. https://doi.org/10.1177/S0038038599000206
Battle, L. S. (1995). Teenage mother’s narratives of self: An examination of risking the future. Advances in Nursing Science, 17(4), 22–36. https://doi.org/10.1097/00012272-199506000-00004
Bernstein, V. J., & Edwards, R. C. (2012). Supporting early childhood practitioners through relationship-based, reflective supervision. NHSA Dialog, 15(3), 286–301. https://doi.org/10.1080/15240754.2012.694495
Borkowski, J. G., Farris, J. R., & Whitman, T. L. (2007). Risk and resilience: Adolescent mothers and their children grow up. Lawrence Erlbaum Associates.
Bridges, K. M. (2011). Reproducing race: An ethnography of pregnancy as a site of racialization. University of California Press.
Brown, J. D., Harris, S. K., Woods, E. R., Buman, M. P., & Cox, J. E. (2012). Longitudinal study of depressive symptoms and social support in adolescent mothers. Maternal and Child Health Journal, 16(4), 894–901. https://doi.org/10.1007/s10995-011-0814-9
Bunting, L., & McAuley, C. (2004). Research review: Teenage pregnancy and motherhood: The contribution of support. Child & Family Social Work, 9(2), 207–215. https://doi.org/10.1111/j.1365-2206.2004.00328.x
Chase, E., Maxwell, C., Knight, A., & Aggleton, P. (2006). Pregnancy and parenthood among young people in and leaving care: What are the influencing factors, and what makes a difference in providing support? Journal of Adolescence, 29(3), 437–451.
Child Welfare Information Gateway. (2017). Extension of foster care beyond age 18. U.S. Department of Health and Human Services, Children’s Bureau.
Coley, R. L., & Chase-Lansdale, P. L. (1998). Adolescent pregnancy and parenthood: Recent evidence and future directions. American Psychologist, 53(2), 152–166. https://doi.org/10.1037/0003-066X.53.2.152
Collins, M. E., Paris, R., & Ward, R. L. (2008). The permanence of family ties: Implications for youth transitioning from foster care. American Journal of Orthopsychiatry, 78(1), 54–62. https://doi.org/10.1037/0002-9432.78.1.54
Combs, K. M., Begun, S., Rinehart, D. J., & Taussig, H. (2018). Pregnancy and childbearing among young adults who experienced foster care. Child Maltreatment, 23(2), 166–174.
Connelly, F. M., & Clandinin, D. J. (1990). Stories of experience and narrative inquiry. Educational Researcher, 19(5), 2–14. https://doi.org/10.3102/0013189X019005002
Courtney, M. E., Hook, J. L., & Lee, J. S. (2012). Distinct subgroups of former foster youth during young adulthood: Implications for policy and practice. Child Care in Practice, 18(4), 409–418. https://doi.org/10.1080/13575279.2012.718196
Courtney, M. E., Okpych, N. J., Charles, P., Mikell, D., Stevenson, B., Park, K., Kindle, B., Harty, J., Feng, H., & Courtney, M. E. (2016). Findings from the California youth transitions toadulthood study (CalYOUTH): Conditions of youth at age 19. Chicago, IL: Chapin Hall at the University of Chicago.
Cowan, C. P., & Cowan, P. A. (1992). When partners become parents: The big life change for couples. Basic Books.
Creswell, J. W., & Miller, D. L. (2000). Determining validity in qualitative inquiry. Theory into Practice, 39(3), 124–130. https://doi.org/10.1207/s15430421tip3903_2
Creswell, J. W., & Poth, C. N. (2017). Qualitative inquiry and research design: Choosing among five approaches. Sage Publications.
Crouch, E., Probst, J. C., Radcliff, E., Bennett, K. J., & McKinney, S. H. (2019). Prevalence of adversechildhood experiences (ACEs) among US children. Child Abuse & Neglect, 92, 209–218.
Cutrona, C. E. (1984). Social support and stress in the transition to parenthood. Journal of Abnormal Psychology, 93(4), 378–390. https://doi.org/10.1037/0021-843X.93.4.378
Cutrona, C. E., Hessling, R. M., Bacon, P. L., & Russell, D. W. (1998). Predictors and correlates of continuing involvement with the baby’s father among adolescent mothers. Journal of Family Psychology, 12(3), 369–387. https://doi.org/10.1037/0893-3200.12.3.369
Davis, D.-A. (2019). Reproductive injustice: Racism, pregnancy, and premature birth. New York University Press.
Dworsky, A. (2015). Child welfare services involvement among the children of young parents in foster care. Child Abuse & Neglect, 45, 68–79. https://doi.org/10.1016/j.chiabu.2015.04.005
Dworsky, A. (2018). The sexual and reproductive health of youth in foster care. In Handbook of foster youth (p. 133).
Dworsky, A., & Courtney, M. E. (2010). The risk of teenage pregnancy among transitioning foster youth: Implications for extending state care beyond age 18. Children and Youth Services Review, 32(10), 1351–1356.
Dworsky, A. L., & DeCoursey, J. (2009). Pregnant and parenting foster youth: Their needs, their experiences. Chicago: Chapin Hall at the University of Chicago.
Dworsky, A., & Gitlow, E. (2017). Employment outcomes of young parents who age out of foster care. Children and Youth Services Review, 72, 133–140. https://doi.org/10.1016/j.childyouth.2016.09.032
Dworsky, A., Gitlow, E. R., & Ethier, K. (2021). Bridging the divide between child welfare and home visiting systems to address the needs of pregnant and parenting youth in care. Social Service Review, 95(1), 110–164. https://doi.org/10.1086/713875
Eastman, A. L., & Putnam-Hornstein, E. (2019). An examination of child protective service involvement among children born to mothers in foster care. Child Abuse & Neglect, 88, 317–325. https://doi.org/10.1016/j.chiabu.2018.11.002
Edwards, R. C., Thullen, M. J., Isarowong, N., Shiu, C.-S., Henson, L., & Hans, S. L. (2012). Supportive relationships and the trajectory of depressive symptoms among young, African American mothers. Journal of Family Psychology, 26(4), 585–594. https://doi.org/10.1037/a0029053
Erfina, E., Widyawati, W., McKenna, L., Reisenhofer, S., & Ismail, D. (2019). Adolescent mothers’ experiences of the transition to motherhood: An integrative review. International Journal of Nursing Sciences, 6(2), 221–228. https://doi.org/10.1016/j.ijnss.2019.03.013
Fluke, J. D., Yuan, Y.-Y.T., Hedderson, J., & Curtis, P. A. (2003). Disproportionate representation of race and ethnicity in child maltreatment: Investigation and victimization. Children and Youth Services Review, 25(5–6), 359–373. https://doi.org/10.1016/S0190-7409(03)00026-4
Fulton, A. M., Murphy, K. R., & Anderson, S. L. (1991). Increasing adolescent mothers’ knowledge of child development: An intervention program. Adolescence, 26(101), 73–81.
Gee, C. B., & Rhodes, J. E. (2003). Adolescent mothers’ relationship with their children’s biological fathers: Social support, social strain and relationship continuity. Journal of Family Psychology, 17(3), 370–383. https://doi.org/10.1037/0893-3200.17.3.370
Geiger, J. M., & Schelbe, L. A. (2014). Stopping the cycle of child abuse and neglect: A call to action to focus on pregnant and parenting youth in and aging out of the foster care system. Journal of Public Child Welfare, 8(1), 25–50. https://doi.org/10.1080/15548732.2013.824398
Geronimus, A. T., & Korenman, S. (1993). Maternal youth or family background? On the health disadvantages of infants with teenage mothers. American Journal of Epidemiology, 137(2), 213–225.
Goldberg, S. (1977). Social competence in infancy: A model of parent-infant iinteraction. Merrill-Palmer Quarterly of Behavior and Development, 23(3), 163–177.
Goldstein, L. H., Diener, M. L., & Mangelsdorf, S. C. (1996). Maternal characteristics and social support across the transition to motherhood: Associations with maternal behavior. Journal of Family Psychology, 10(1), 60.
Gregson, J. (2010). Culture of teenage mothers. SUNY Press.
Haight, W., Finet, D., Bamba, S., & Helton, J. (2009). The beliefs of resilient African-American adolescent mothers transitioning from foster care to independent living: A case-based analysis. Children and Youth Services Review, 31(1), 53–62.
Hans, S. L., & Thullen, M. J. (2009). The relational context of adolescent motherhood. Handbook of Infant Mental Health, 3, 214–229.
Hans, S. L., Thullen, M., Henson, L. G., Lee, H., Edwards, R. C., & Bernstein, V. J. (2013). Promoting positive mother–infant relationships: A randomized trial of community doula support for young mothers. Infant Mental Health Journal, 34(5), 446–457.
Harris, M. S., & Courtney, M. E. (2003). The interaction of race, ethnicity, and family structure with respect to the timing of family reunification. Children and Youth Services Review, 25(5–6), 409–429. https://doi.org/10.1016/S0190-7409(03)00029-X
Harris, M. S., & Hackett, W. (2008). Decision points in child welfare: An action research model to address disproportionality. Children and Youth Services Review, 30(2), 199–215. https://doi.org/10.1016/j.childyouth.2007.09.006
Hesse-Bibber, S. N., & Piatelli, D. (2012). The feminist practice of holistic reflexivity. In S. Hesse-Biber (Ed.), Handbook of feminist research: Theory and praxis (pp. 557–582). SAGE Publications, Inc. https://doi.org/10.4135/9781483384740.n27
Howard, K. S., & Brooks-Gunn, J. (2009). The role of home-visiting programs in preventing child abuse and neglect. The Future of Children, 19(2), 119–146. https://doi.org/10.1353/foc.0.0032
Howard, K. S., Lefever, J. E. B., Borkowski, J. G., & Whitman, T. L. (2006). Fathers’ influence in the lives of children with adolescent mothers. Journal of Family Psychology, 20(3), 468–476. https://doi.org/10.1037/0893-3200.20.3.468
Huang, C. Y., Costeines, J., Kaufman, J. S., & Ayala, C. (2014). Parenting stress, social support, and depression for ethnic minority adolescent mothers: Impact on child development. Journal of Child and Family Studies, 23(2), 255–262. https://doi.org/10.1007/s10826-013-9807-1
King, B., & Van Wert, M. (2017). Predictors of early childbirth among female adolescents in foster care. Journal of Adolescent Health, 61(2), 226–232. https://doi.org/10.1016/j.jadohealth.2017.02.014
Kumar, N. R., Danilack, V. A., Ware, C. F., & Phipps, M. G. (2018). Adolescent mothers’ relationships with their mothers and their babies’ fathers during pregnancy and postpartum. Journal of Child and Family Studies, 27(9), 2862–2870. https://doi.org/10.1007/s10826-018-1127-z
Levine, J. A., Emery, C. R., & Pollack, H. (2007). The well-being of children born to teen mothers. Journal of Marriage and Family, 69(1), 105–122. https://doi.org/10.1111/j.1741-3737.2006.00348.x
Love, L. T., McIntosh, J., Rosst, M., & Tertzakian, K. (2005). Fostering hope: Preventing teen pregnancy among youth in foster care. Washington D.C. National Campaign to Prevent Teen Pregnancy.
Mallette, J. K., Futris, T. G., Brown, G. L., & Oshri, A. (2015). The influence of father involvement and interparental relationship quality on adolescent mothers’ maternal identity. Family Relations, 64(4), 476–489. https://doi.org/10.1111/fare.12132
Mercer, R. T. (2004). Becoming a mother versus maternal role attainment. Journal of Nursing Scholarship, 36(3), 226–232. https://doi.org/10.1111/j.1547-5069.2004.04042.x
Miller, T. (2007). “Is this what motherhood is all about?” Weaving experiences and discourse through transition to first-time motherhood. Gender & Society, 21(3), 337–358. https://doi.org/10.1177/0891243207300561
Miller, K. M., Cahn, K., & Orellana, E. R. (2012). Dynamics that contribute to racial disproportionality and disparity: Perspectives from child welfare professionals, community partners, and families. Children and Youth Services Review, 34(11), 2201–2207. https://doi.org/10.1016/j.childyouth.2012.07.022
Narendorf, S. C., Munson, M. R., & Levingston, F. (2013). Managing moods and parenting: Perspectives of former system youth who struggle with emotional challenges. Children and Youth Services Review, 35(12), 1979–1987. https://doi.org/10.1016/j.childyouth.2013.09.023
Nelson, A. M. (2003). Transition to motherhood. Journal of Obstetric, Gynecologic, & Neonatal Nursing, 32(4), 465–477. https://doi.org/10.1177/0884217503255199
Noria, C. W., Weed, K., & Keogh, D. A. (2007). The fate of adolescent mothers. In Risk and resilience: Adolescent mothers and their children grow up (pp. 35–67). Lawrence Erlbaum Associates Publishers.
Oberlander, S. E., Black, M. M., & Starr, R. H. (2007). African American adolescent mothers and grandmothers: A multigenerational approach to parenting. American Journal of Community Psychology, 39(1), 37–46. https://doi.org/10.1007/s10464-007-9087-2
Oparah, J. C., & Bonaparte, A. D. (2015). Birthing justice: Black women, pregnancy, and childbirth. Routledge.
Oshima, K. M. M., Narendorf, S. C., & McMillen, J. C. (2013). Pregnancy risk among older youth transitioning out of foster care. Children and Youth Services Review, 35(10), 1760–1765.
Pawl, J. H., & St John, M. (2002). Infant mental health. New York: Wiley.
Peacock, S., Konrad, S., Watson, E., Nickel, D., & Muhajarine, N. (2013). Effectiveness of home visiting programs on child outcomes: A systematic review. BMC Public Health, 13(1), 17. https://doi.org/10.1186/1471-2458-13-17
Priel, B., & Besser, A. (2002). Perceptions of early relationships during the transition to motherhood: The mediating role of social support. Infant Mental Health Journal, 23(4), 343–360. https://doi.org/10.1002/imhj.10021
Pryce, J. M., & Samuels, G. M. (2010). Renewal and risk: The dual experience of young motherhood and aging out of the child welfare system. Journal of Adolescent Research, 25(2), 205–230. https://doi.org/10.1177/0743558409350500
Putnam-Hornstein, E., & King, B. (2014). Cumulative teen birth rates among girls in foster care at age 17: An analysis of linked birth and child protection records from California. Child Abuse & Neglect, 38(4), 698–705. https://doi.org/10.1016/j.chiabu.2013.10.021
Putnam-Hornstein, E., Cederbaum, J. A., King, B., & Needell, B. (2013). California’s most vulnerable parents: When maltreated children have children. Agoura Hills, CA: Conrad N. Hilton Foundation.
Putnam-Hornstein, E., Hammond, I., Eastman, A. L., McCroskey, J., & Webster, D. (2016). Extended foster care for transition-age youth: An opportunity for pregnancy prevention and parenting support. Journal of Adolescent Health, 58(4), 485–487. https://doi.org/10.1016/j.jadohealth.2015.11.015
Radey, M., Schelbe, L., McWey, L. M., Holtrop, K., & Canto, A. I. (2016). “It’s really overwhelming”: Parent and service provider perspectives of parents aging out of foster care. Children and Youth Services Review, 67, 1–10. https://doi.org/10.1016/j.childyouth.2016.05.013
Riessman, C. K. (2005). Narrative analysis. University of Huddersfield.
Rubin, R. (1967). Attainment of the maternal role: Part I Processes. Nursing Research, 16(3), 237–245.
Rubin, R. (1984). Maternal identity and the maternal experience (1st ed.). Springer Pub Co.
Schelbe, L., & Geiger, J. M. (2017). Parenting under pressure: Experiences of parenting while aging out of foster care. Child and Adolescent Social Work Journal, 34(1), 51–64. https://doi.org/10.1007/s10560-016-0472-2
Schofield, T. J., Lee, R. D., & Merrick, M. T. (2013). Safe, stable, nurturing relationships as a moderator of intergenerational continuity of child maltreatment: A meta-analysis. Journal of Adolescent Health, 53(4), S32–S38. https://doi.org/10.1016/j.jadohealth.2013.05.004
Shpiegel, S., Cascardi, M., & Dineen, M. (2017). A social ecology analysis of childbirth among females emancipating from foster care. Journal of Adolescent Health, 60(5), 563–569.
Silver, L. J. (2015). System kids: Adolescent mothers and the politics of regulation. UNC Press Books.
Singer, E. R., Berzin, S. C., & Hokanson, K. (2013). Voices of former foster youth: Supportive relationships in the transition to adulthood. Children and Youth Services Review, 35(12), 2110–2117. https://doi.org/10.1016/j.childyouth.2013.10.019
Smith, J. A. (1999). Identity development during the transition to motherhood: An interpretative phenomenological analysis. Journal of Reproductive and Infant Psychology, 17(3), 281–299. https://doi.org/10.1080/02646839908404595
Stephens, T., & Aparicio, E. M. (2017). “It’s just broken branches”: Child welfare-affectedmothers’ dual experiences of insecurity and striving for resilience in the aftermath ofcomplex trauma and familial substance abuse. Children and Youth Services Review, 73, 248–256. https://doi.org/10.1016/j.childyouth.2016.11.035
Svoboda, D. V., Shaw, T. V., Barth, R. P., & Bright, C. L. (2012). Pregnancy and parenting among youth in foster care: A review. Children and Youth Services Review, 34(5), 867–875.
Sweet, M. A., & Appelbaum, M. I. (2004). Is home visiting an effective strategy? A meta-analytic review of home visiting programs for families with young children. Child Development, 75(5), 1435–1456. https://doi.org/10.1111/j.1467-8624.2004.00750.x
Tamis-Lemonda, C. S., Shannon, J., & Spellmann, M. (2002). Low-income adolescent mothers’ knowledge about domains of child development. Infant Mental Health Journal, 23(1–2), 88–103. https://doi.org/10.1002/imhj.10006
Voight, J. D., Hans, S. L., & Bernstein, V. J. (1996). Support networks of adolescent mothers: Effects on parenting experience and behavior. Infant Mental Health Journal, 17(1), 58–73. https://doi.org/10.1002/(SICI)1097-0355(199621)17:1%3c58::AID-IMHJ5%3e3.0.CO;2-Y
Whitman, T. L., Borkowski, J. G., Keogh, D. A., & Weed, K. (2001). Interwoven lives: Adolescent mothers and their children. Psychology Press.
Williams, C. W. (1991). Black teenage mothers: Pregnancy and child rearing from their perspective. Lexington Books.
Winter, V. R., Brandon-Friedman, R. A., & Ely, G. E. (2016). Sexual health behaviors and outcomes among current and former foster youth: A review of the literature. Children and Youth Services Review, 64, 1–14.
Acknowledgements
This study was funded by the Illinois Department of Children and Family Services as a part of the Illinois Pregnant and Parenting Youth in Care Home Visiting Pilot Study. The author extends gratitude to the young mothers who participated in this study and shared their important and moving stories of the transition to motherhood. The author further acknowledges the mentorship of the PI on the home visiting study, Dr. Amy Dworsky as well as the additional members of her dissertation committee and reactors, namely Drs. Sydney Hans (chair), Gina Fedock, Jon Korfmacher, Alida Bouris, and Mark Courtney for their support and guidance throughout the course of the study. Additionally, the author wishes to acknowledge colleagues and collaborators at Chapin Hall at the University of Chicago, particularly Elissa Gitlow. Finally, the author warmly acknowledges the invaluable community partnership with the Teen Parent Services Network and the 10 home visiting programs for their recruitment efforts and consultation.
Funding
This research was funded by the Illinois Department of Children and Families.
Author information
Authors and Affiliations
Corresponding author
Ethics declarations
Conflict of interest
The author declares no potential conflicts of interest.
Ethical Approval
This research is approved by the Institutional Review Boards at The University of Chicago Crown School of Social Work, Policy, and Practice and The Illinois Department of Children and Families.
Consent to Participate
All participants over 18 provided written informed consent to participate in the study. All participants under age 18 provided written assent to participate in the study.
Consent for Publication
All participants over 18 provided written informed consent, including consent for publication. All participants under age 18 provided written assent to participate, including consent for publication.
Additional information
Publisher's Note
Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.
Rights and permissions
About this article
Cite this article
Ethier, K.L. Relationships to Self, Baby, Others, and System: A Narrative Analysis of the Transition to Parenthood for Young Mothers in Foster Care. Child Adolesc Soc Work J 39, 711–734 (2022). https://doi.org/10.1007/s10560-022-00846-4
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s10560-022-00846-4