Abstract
Little is known about how the challenges faced by caregivers influence the variation in social, emotional, and behavioral (SEB) outcomes of youth placed in kinship versus non-relative foster care. This study examined SEB symptoms among youth in kinship and non-relative foster care settings, hypothesizing that changes in caregiver depression would modify children’s change in behavior over time. Child Behavior Checklist (CBCL) assessments of 199 children placed with kinship and non-relative foster care providers in a Mid-Atlantic city were conducted at time of placement and 6–12 months post-placement. Linear regression estimated CBCL change scores for youth across placement type and caregiver depression trajectories. Kinship caregivers were more likely to become depressed or remained depressed than non-relative foster caregivers. Youth in kinship care always exhibited better change in SEB outcomes than youth in non-relative foster care, but these positive outcomes were principally observed among families where caregivers demonstrated a reduction in depression over time or were never depressed. Adjusted change scores for non-relative foster care youth were always negative, with the most negative scores among youth whose caregivers became depressed over time. Caregiver well-being may modify the influence of placement setting on SEB outcomes for youth placed into out-of-home care. Findings lend to policy relevance for child welfare systems that seek kinship settings as a panacea to the challenges faced by youth, without allocating resources to address caregiver needs.
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U.S. Department of Health and Human Services, Administration for Children and Families, Administration on Children, Youth and Families, Children’s Bureau. The AFCARS report: preliminary estimates for FY 2011 as of July 2012. [Cited 2013 May 23]. http://www.acf.hhs.gov/sites/default/files/cb/afcarsreport19.pdf.
Annie E. Casey Foundation. (2012). Kids Count Data Book. [Cited 2013 Oct 24]. http://www.aecf.org/~/media/Pubs/Initiatives/KIDS%20COUNT/123/2012KIDSCOUNTDataBook/KIDSCOUNT2012DataBookFullReport.pdf.
Chipungu, S. S., Everett, J. E., Verduik, M. J., & Jones, H. (1998). Children placed in foster care with relatives: A Multi-site Study. Washington, DC: U.S. Department of Health and Human Services.
Frank, D., Augustyn, M., Knight, W., Pell, T., & Zuckerman, B. (2001). Growth, development and behavior in early childhood following prenatal cocaine exposure: A systematic review. JAMA, 285(12), 1613–1625.
Jones, J. K. (1998). Functioning and adjustment of children in kinship care versus nonrelative foster family care placements. Buffalo: University of New York at Buffalo. (dissertation).
Rubin, D. M., Downes, K. J., O’Reilly, A. R., Mekonnen, R., Luan, X., & Localio, R. (2008). Impact of kinship care on behavioral well-being for children in out-of-home care. Archives of Pediatrics & Adolescent Medicine, 162(6), 550–556.
Barth, R. P., Shenyang, G., & McCrae, J. S. (2007). Propensity score matching strategies for evaluating the success of child and family service programs. Research on Social Work Practice, 18(3), 212–222.
Kemp, C. Children living with relatives struggle with physical, mental health issues. American Academy of Pediatrics News, 2010 May 2. [Cited 2013 March 21]. http://aapnews.aappublications.org/cgi/content/full/aapnews.20100502-3v1?rss=1.
Berrick, J. D. (1998). When children cannot remain home: Foster family care and kinship care. Future of Children, 8(1), 72–87.
Stahmer, A. C., Leslie, L. K., Hurlburt, M., et al. (2005). Developmental and behavioral needs and service use for young children in child welfare. Pediatrics, 116(4), 891–900.
Horwitz, S. M., Hurlburt, M. S., Heneghan, A., et al. (2012). Mental health problems in young children investigated by U.S. child welfare agencies. Journal of the American Academy of Child & Adolescent Psychiatry, 51(6), 572–581.
Ehrle, J., & Geen, R. (2002). Kin and non-kin foster care-findings from a national survey. Children and Youth Services Review, 24(1–2), 15–35.
Berrick, J., Barth, R., & Needell, B. (1994). A comparison of kinship foster homes and foster family homes: Implications for kinship foster care as family preservation. Children and Youth Services Review, 16(1–2), 33–63.
Barth, R., Courtney, M., Berrick, J., & Albert, V. (1994). From child abuse to permanency planning. New York, NY: Aldine de Gruyter.
Harden, B. J., Clyman, R. B., Kriebel, D. K., & Lyons, M. E. (2004). Kith and kin care: Parental attitudes and resources of foster and relative caregivers. Children and Youth Services Review, 26(7), 657–671.
Scannapieco, M., Hegar, R. L., & McAlpine, C. (1997). Kinship care and foster care: A comparison of characteristics and outcomes. Families in Society, 78(5), 480–488.
Harris, M. S., & Skyles, A. (2008). Kinship care for African American children: Disproportionate and disadvantageous. Journal of Family Issues, 29(8), 1013–1030.
Cheng, T. C., & Lo, C. C. (2011). A longitudinal analysis of some risk and protective factors in marijuana use by adolescents receiving child welfare services. Children and Youth Services Review, 33(9), 1667–1672.
Grogan-Kaylor, A., Ruffolo, M. C., Ortega, R. M., & Clarke, J. (2008). Behaviors of youth involved in the child welfare system. Child Abuse & Neglect, 32(1), 35–49.
Harden, B. J., & Whittaker, J. V. (2011). The early home environment and developmental outcomes for young children in the child welfare system. Children and Youth Services Review, 33(8), 1392–1403.
Horwitz, S. M., Hurlburt, M. S., Cohen, S. D., Zhang, J., & Landsverk, J. (2011). Predictors of placement for children who initially remained in their homes after an investigation for abuse or neglect. Child Abuse & Neglect, 35(3), 188–198.
Sprang, G., Clark, J. J., & Staton-Tindall, M. (2010). Caregiver substance use and trauma exposure in young children. Families in Society, 91(4), 401–407.
Hines, A. M., Lemon, K., Wyatt, P., & Merdinger, J. (2004). Factors related to the disproportionate involvement of children of color in the child welfare system: A review and emerging themes. Children and Youth Services Review, 26(6), 507–527.
Fuller-Thomson, E., & Minkler, M. (2000). African American grandparents raising grandchildren: A national profile of demographic and health characteristics. Health and Social Work, 25(2), 109–118.
Fuller-Thomson, E., Minkler, M., & Driver, D. (1997). A profile of grandparents raising grandchildren in the United States. Gerontologist, 37(3), 406–411.
Whitley, D. M., Kelley, S. J., & Sipe, T. A. (2001). Grandmothers raising grandchildren: Are they at increased risk for health problems? Health and Social Work, 26(2), 105–114.
Achenbach, T. M. (1991). Manual for child behavior checklist 4-18. Burlington, VT: University of Vermont, Department of Psychiatry.
Gandek, B., Ware, J. E., Aaronson, N. K., et al. (1998). Cross-validation of item selection and scoring for the SF-12 health survey in nine countries: results from the IQOLA Project. Journal of Clinical Epidemiology, 51(11), 1171–1178.
Ware, J. E, Jr, Kosinski, M., & Keller, S. D. (1996). A 12-Item short-form health survey: Construction of scales and preliminary tests of reliability and validity. Medical Care, 34(3), 220–233.
Brazier, J. E., & Robert, J. (2004). The estimation of a preference-based measure of health from the SF-12. Medical Care, 42(9), 851–859.
Jenkinson, C., Layte, R., Jenkinson, D., et al. (1997). A shorter form health survey: Can the SF-12 replicate results from the SF-36 in longitudinal studies. Journal of Public Health, 19(2), 179–186.
Vilagut, G., Forero, C. G., Pinto-Meza, A., et al. (2013). The mental component of the Short-Form 12 Health Survey (SF-12) as a measure of depressive disorders in the general population: Results with three alternative scoring methods. Value in Health, 16(4), 564–573.
StataCorp. (2007). Stata Statistical Software: Release 10. College Station, TX: StataCorp LP.
Heneghan, A., Stein, R. E. K., Hurlburt, M. S., et al. (2013). Mental health problems in teens investigated by U.S. child welfare agencies. Journal of Adolescent Health, 52(5), 634–640.
Kohl, P. L., Jonson-Reid, M., & Drake, B. (2011). Maternal mental illness and the safety and stability of maltreated children. Child Abuse & Neglect, 35(5), 309–318.
Fostering Connections to Success and Increasing Adoption Act of 2008 P.L. 110-351. Child Welfare Information Gateway Web site. [Published 2008; cited 2013 March 21]. http://www.childwelfare.gov/systemwide/laws_policies/federal/index.cfm?event=federalLegislation.viewLegis&id=121.
Hill, R. (2006). Synthesis of research on disproportionality in child welfare: An update. [Cited 2013 March 21]. http://www.cssp.org/reform/child-welfare/other-resources/synthesis-of-research-on-disproportionality-robert-hill.pdf.
Knott, T., & Donovan, K. (2010). Disproportionate representation of African-American children in foster care: Secondary analysis of the National Child Abuse and Neglect Data System, 2005. Children and Youth Services Review, 32(5), 679–684.
Roberts, D. (2002). Shattered bonds: The color of child welfare. New York, NY: Civitas Books.
Scannapieco, M., & Jackson, S. (1996). Kinship care: The African American response to family preservation. Social Work, 41(2), 190–196.
Boyle, M., & Pickles, A. (1997). Influence of maternal depressive symptoms on ratings of childhood behavior. Journal of Abnormal Child Psychology, 25, 399–412.
Hops, H., Biglan, A., Sherman, L., Arthur, J., Friedman, L., & Osteen, V. (1987). Home observations of family interactions of depressed women. Journal of Consulting and Clinical Psychology, 55(3), 341–346.
Webster-Stratton, C., & Hammond, M. (1988). Maternal depression and its relationship to life stress, perceptions of child-behavior problems, parenting behaviors, and child conduct problems. Journal of Abnormal Child Psychology, 16(3), 299–315.
Acknowledgments
We thank the Philadelphia Department of Human Services and the foster care agencies and providers for their contributions to this study. Robin Hernandez-Mekonnen contributed to primary data collection, and Christina Kang-Yi assisted with data preparation and analysis. This project was supported by a grant from the William Penn Foundation and a fellowship to Dr. Rubin from the Stoneleigh Foundation.
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Garcia, A., O’Reilly, A., Matone, M. et al. The Influence of Caregiver Depression on Children in Non-relative Foster Care Versus Kinship Care Placements. Matern Child Health J 19, 459–467 (2015). https://doi.org/10.1007/s10995-014-1525-9
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DOI: https://doi.org/10.1007/s10995-014-1525-9