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Predictors of foster care exits to permanency: A competing risks analysis of reunification, guardianship, and adoption

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  • Akin, Becci A.

Abstract

Although foster care is intended to be temporary, and policy explicitly requires permanency outcomes, many children experience lengthy stays and exit foster care without a permanent family. This study sought to identify which child and placement characteristics were important predictors of exit to three types of permanency outcomes: reunification, guardianship, and adoption. A sample of 3351 children who entered foster care in 2006 was observed for 30 to 42Â months. Permanency outcomes were analyzed using competing risks survival analysis. Children exited foster care to different types of permanency at different rates and frequencies. Reunification occurred most quickly and frequently. Guardianship was second in terms of median duration but third in frequency. Adoption was the second most common exit but had the longest median duration. One in four children remained in foster care or exited without permanency. While patterns varied by type of permanency, three major categories of important predictors were identified: 1) demographic characteristics of age at entry and race, 2) clinical needs related to children's disabilities and mental health problems, and 3) continuity and connections represented by kin placements, sibling placements, early stability, and absence of runaway events. Implications for practice, policy, and research are discussed.

Suggested Citation

  • Akin, Becci A., 2011. "Predictors of foster care exits to permanency: A competing risks analysis of reunification, guardianship, and adoption," Children and Youth Services Review, Elsevier, vol. 33(6), pages 999-1011, June.
    • Handle: RePEc:eee:cysrev:v:33:y:2011:i:6:p:999-1011
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    1. Oosterman, Mirjam & Schuengel, Carlo & Wim Slot, N. & Bullens, Ruud A.R. & Doreleijers, Theo A.H., 2007. "Disruptions in foster care: A review and meta-analysis," Children and Youth Services Review, Elsevier, vol. 29(1), pages 53-76, January.
    2. Kelly, Patrick J., 2004. "A Review of Software Packages for Analyzing Correlated Survival Data," The American Statistician, American Statistical Association, vol. 58, pages 337-342, November.
    3. Leathers, Sonya J., 2005. "Separation from siblings: Associations with placement adaptation and outcomes among adolescents in long-term foster care," Children and Youth Services Review, Elsevier, vol. 27(7), pages 793-819, July.
    4. Davis, Inger P. & Landsverk, John & Newton, Rae & Ganger, William, 1996. "Parental visiting and foster care reunification," Children and Youth Services Review, Elsevier, vol. 18(4-5), pages 363-382.
    5. Wulczyn, Fred, 2003. "Closing the gap: are changing exit patterns reducing the time African American children spend in foster care relative to Caucasian children?," Children and Youth Services Review, Elsevier, vol. 25(5-6), pages 431-462.
    6. Yampolskaya, Svetlana & Armstrong, Mary I. & Vargo, Amy C., 2007. "Factors associated with exiting and reentry into out-of-home care under Community-Based Care in Florida," Children and Youth Services Review, Elsevier, vol. 29(10), pages 1352-1367, October.
    7. Landsverk, John & Davis, Inger & Ganger, William & Newton, Rae & Johnson, Ivory, 1996. "Impact of child psychosocial functioning on reunification from out-of-home placement," Children and Youth Services Review, Elsevier, vol. 18(4-5), pages 447-462.
    8. Wells, Kathleen & Guo, Shenyang, 1999. "Reunification and reentry of foster children," Children and Youth Services Review, Elsevier, vol. 21(4), pages 273-294, April.
    9. Wulczyn, Fred & Zimmerman, Emily, 2005. "Sibling placements in longitudinal perspective," Children and Youth Services Review, Elsevier, vol. 27(7), pages 741-763, July.
    10. Nick Colegrave & Graeme D. Ruxton, 2003. "Confidence intervals are a more useful complement to nonsignificant tests than are power calculations," Behavioral Ecology, International Society for Behavioral Ecology, vol. 14(3), pages 446-447, May.
    11. Courtney, Mark E. & Yin-Ling Irene Wong, 1996. "Comparing the timing of exits from substitute care," Children and Youth Services Review, Elsevier, vol. 18(4-5), pages 307-334.
    12. Rosenberg, Steven A. & Robinson, Cordelia C., 2004. "Out-of-home placement for young children with developmental and medical conditions," Children and Youth Services Review, Elsevier, vol. 26(8), pages 711-723, August.
    13. Connell, Christian M. & Katz, Karol H. & Saunders, Leon & Tebes, Jacob Kraemer, 2006. "Leaving foster care--the influence of child and case characteristics on foster care exit rates," Children and Youth Services Review, Elsevier, vol. 28(7), pages 780-798, July.
    14. Snowden, Jessica & Leon, Scott & Sieracki, Jeffrey, 2008. "Predictors of children in foster care being adopted: A classification tree analysis," Children and Youth Services Review, Elsevier, vol. 30(11), pages 1318-1327, November.
    15. Smokowski, Paul R. & Mann, Emily A. & Reynolds, Arthur J. & Fraser, Mark W., 2004. "Childhood risk and protective factors and late adolescent adjustment in inner city minority youth," Children and Youth Services Review, Elsevier, vol. 26(1), pages 63-91, January.
    16. Harris, Marian S. & Courtney, Mark E., 2003. "The interaction of race, ethnicity, and family structure with respect to the timing of family reunification," Children and Youth Services Review, Elsevier, vol. 25(5-6), pages 409-429.
    17. Becker, Marion A. & Jordan, Neil & Larsen, Rebecca, 2007. "Predictors of successful permanency planning and length of stay in foster care: The role of race, diagnosis and place of residence," Children and Youth Services Review, Elsevier, vol. 29(8), pages 1102-1113, August.
    18. Vogel, Cheri A., 1999. "Using Administrative Databases to Examine Factors Affecting Length of Stay in Substitute Care," Children and Youth Services Review, Elsevier, vol. 21(8), pages 677-690, August.
    19. Smith, Brenda D., 2003. "After Parental Rights are Terminated: Factors Associated with Exiting Foster Care," Children and Youth Services Review, Elsevier, vol. 25(12), pages 965-985, December.
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