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It takes a team: Improving placement stability among children and youth with Fetal Alcohol Spectrum Disorder in care in Canada

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  • Pelech, William
  • Badry, Dorothy
  • Daoust, Gabrielle

Abstract

Concerted efforts have been devoted to improving placement stability for children in care. These efforts have been driven by evidence of negative outcomes for foster children who experience frequent placement changes. Of particular concern are significantly higher rates of placement disruptions among children in care who experience Fetal Alcohol Spectrum Disorder (FASD). This mixed methods study examines the impact of enhanced child welfare practice interventions on placement stability for 182 children in care who experience FASD. A quasi-experimental matched comparison group design was employed, where rates of placement change were compared between children in the Project Regions who received enhanced practice standards to those in the Comparison Regions who did not. The sample included 182 participants including 98 children and youth in care from the Project Region and 84 cases from the Comparison Region. The Project Regions reported considerably lower placement changes (M=.33) than the Comparison Region (M=.98). Logistic regression analysis revealed that worker contact was found to be predictive of placement stability. Specifically, as worker contact increased, the likelihood of placement change decreased [B=−.28, W (5.35, p=.02)]. In keeping with the adage that it takes a village to raise a child, one could add for children affected by FASD, that it takes a dedicated team to promote placement stability and better life trajectories.

Suggested Citation

  • Pelech, William & Badry, Dorothy & Daoust, Gabrielle, 2013. "It takes a team: Improving placement stability among children and youth with Fetal Alcohol Spectrum Disorder in care in Canada," Children and Youth Services Review, Elsevier, vol. 35(1), pages 120-127.
    • Handle: RePEc:eee:cysrev:v:35:y:2013:i:1:p:120-127
    DOI: 10.1016/j.childyouth.2012.10.011
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    References listed on IDEAS

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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.
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    1. Gault, Siann & McGarrity, Matthew & Star, Jessica & Chaves, Debbie & MacDonald, Robert & Lee, Francesca & Gilbert, Olivia & Badry, Dorothy & Huber, Karen & Fischer, Meredith & Stefanon, Brianna & Mort, 2023. "Transitions into adulthood for people with fetal alcohol spectrum disorder: A scoping review of promising practices," Children and Youth Services Review, Elsevier, vol. 155(C).
    2. Babatope O. Adebiyi & Ferdinand C. Mukumbang & Charlene Erasmus, 2019. "The Distribution of Available Prevention and Management Interventions for Fetal Alcohol Spectrum Disorder (2007 to 2017): Implications for Collaborative Actions," IJERPH, MDPI, vol. 16(12), pages 1-24, June.
    3. Kerryn Bagley & Dorothy Badry, 2019. "How Personal Perspectives Shape Health Professionals’ Perceptions of Fetal Alcohol Spectrum Disorder and Risk," IJERPH, MDPI, vol. 16(11), pages 1-13, May.
    4. Morton Ninomiya, Melody E., 2015. "Revealing disjunctures: Making tensions between fetal alcohol spectrum disorder diagnoses and institutional supports visible," Children and Youth Services Review, Elsevier, vol. 59(C), pages 38-46.

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