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Emergency department use for injuries by adolescents in foster care

Author

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  • Thackeray, Jonathan
  • Leonhart, Karen
  • Yackey, Katelyn
  • Cooper, Jennifer
  • Kelleher, Kelly

Abstract

Youth in foster care are overrepresented with respect to their utilization of emergency department (ED) services. This study examines the ED utilization patterns of adolescents in foster care and evaluates the characteristics of injury related versus non-injury related visits. We found that adolescents in foster care have high rates of ED use (1.84 visits per year (95% CI 1.59, 2.12)), with 31.2% of ED visits being injury-related. Male gender was found to be the only independent predictor of having an injury related vs. non-injury related ED visit (odds ratio 2.22 (95% CI 1.27–3.87)). Regarding the mechanisms of injury, adolescent youth in group homes were significantly more likely to present with injuries inflicted by themselves or by others in their residence (p<0.05 for both) but less likely to present with accidental injuries or injuries sustained during recreation (p<0.05 for both). Resources and interventions targeted at both youth and group home staff related to behavioral health assessment, post-traumatic coping skills and conflict management may have beneficial effects.

Suggested Citation

  • Thackeray, Jonathan & Leonhart, Karen & Yackey, Katelyn & Cooper, Jennifer & Kelleher, Kelly, 2016. "Emergency department use for injuries by adolescents in foster care," Children and Youth Services Review, Elsevier, vol. 62(C), pages 18-21.
    • Handle: RePEc:eee:cysrev:v:62:y:2016:i:c:p:18-21
    DOI: 10.1016/j.childyouth.2016.01.011
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    References listed on IDEAS

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    1. Berrick, Jill Duerr & Courtney, Mark & Barth, Richard P., 1993. "Specialized foster care and group home care: Similarities and differences in the characteristics of children in care," Children and Youth Services Review, Elsevier, vol. 15(6), pages 453-473.
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    Cited by:

    1. Wilson, Brendan & Barnett, Lisa M., 2020. "Physical activity interventions to improve the health of children and adolescents in out of home care – A systematic review of the literature," Children and Youth Services Review, Elsevier, vol. 110(C).
    2. Radney, Angelise & Lee, Joyce Y. & Xu, Amy & Steinke, Hannah R. & Mengo, Cecilia & Johnson-Motoyama, Michelle, 2024. "Racial and ethnic disparities in healthcare utilization among children in U.S. foster care: Recommendations to challenge the status quo based on a scoping review," Children and Youth Services Review, Elsevier, vol. 162(C).
    3. Yampolskaya, Svetlana & Robst, John & Armstrong, Mary I., 2020. "High cost child welfare cases: Child characteristics and child welfare services," Children and Youth Services Review, Elsevier, vol. 111(C).

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