Foster Care Outcomes for Children With Intellectual Disability

2016 ◽  
Vol 54 (5) ◽  
pp. 299-315 ◽  
Author(s):  
Elspeth M. Slayter
Keyword(s):  
Intellectual Disability ◽  
Foster Care ◽  
Child Welfare ◽  
Foster Children ◽  
National Study ◽  
Cross Sectional ◽  
Child Welfare Policy ◽  
Care Outcomes ◽  
Outcomes For Children ◽  
Children With Intellectual Disability

Abstract The promotion of speedy, permanent outcomes for foster children is a central child welfare policy goal. However, while children with intellectual disability (ID) are at greater risk for child welfare involvement, little is known about their case outcomes. This cross-sectional national study explores between-group foster care outcomes. Foster children with intellectual disability were more likely to have experienced an adoption disruption or dissolution but less likely to be reunified with a parent, primary caretaker or other family member. Implications for interagency collaboration in support of pre and post-foster care discharge support services are discussed.

Epilogue

2017 ◽  
Author(s):  
Megan Birk
Keyword(s):  
Child Care ◽  
Foster Care ◽  
Child Welfare ◽  
Progressive Era ◽  
Foster Children ◽  
Foster Parents ◽  
Family Preservation ◽  
Dependent Child ◽  
Care Policy ◽  
Child Welfare Policy

This epilogue examines how changes in child welfare policy were affected by the decline of the farm home as a symbol of American prosperity, the appropriate levels of work and education for children, the expense of placement, the problems with supervision, and efforts at family preservation. It explains how the decisions made during the Progressive Era to rationalize, study, centralize, and professionalize institutionalization and placement permanently altered the methods of care for dependent children throughout the country. It suggests that the farm placement system changed in part because the farm itself was in transition, and that foster care was also unsuccessful in ways similar to the practice it was purported to replace. Finally, it considers problems with dependent child care policy that persist until today, in which foster children are trapped in a web of bureaucracy that undermines conscientious foster parents from being able to parent.

Health Services for California's Foster Children: Current Practices and Policy Recommendations

PEDIATRICS ◽  
1987 ◽  
Vol 80 (2) ◽  
pp. 183-191
Author(s):  
Neal Halfon ◽  
Linnea Klee
Keyword(s):  
Health Care ◽  
Foster Care ◽  
Child Welfare ◽  
Health Services ◽  
Health Care Providers ◽  
Foster Children ◽  
Health Care Use ◽  
Policy Recommendations ◽  
Care Providers ◽  
Children In Foster Care

The organization and delivery of health services to children in foster care was investigated in 14 California counties in 1985. Foster care administrators, child welfare workers, foster parents, and health care providers responded to questionnaires and structured interviews performed by two pediatricians knowledgeable about the child welfare system. The organization of health services demonstrated a high degree of variability between counties. Although some counties initially evaluate all dependent children using specific protocols and examinations sites, more often services were poorly organized, fragmented, and had few safeguards to ensure delivery of appropriate health care. Use of recommended Early Periodic Screening Diagnosis and Treatment services was also variable, and counties could not provide documentation of use rates by foster children. Even less consistent was the performance of routine initial mental health assessments. Financial disincentives, fewer available providers, difficulties in obtaining and using Medicaid-reimbursed services, and fragmentation of services were frequently identified as barriers to access. To improve the organization and delivery of services, access barriers must be diminished, services must be better organized and integrated, and new financing mechanisms must be developed. Specific policy recommendations are presented.

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