Systematic Review of the Evaluation of Foster Care Programs.

OBJETIVE: The aim of this study was to conduct an exhaustive synthesis to determine which instruments and variables are most appropriate to evaluate foster care programs (foster, kinship, and professional families). This evaluation includes the children, their foster families, their families of origin, professionals, and foster care technicians. METHOD: The systematic review included randomized, quasi-randomized, longitudinal, and control group studies aimed at evaluating foster care interventions. RESULTS: A total of 86 studies, 138 assessment instruments, 18 constructs, and 73 independent research teams were identified. CONCLUSIONS: (1) although the object of the evaluations was the children, the informants were usually the people in charge of their care; therefore, effort should be made to involve the children in a more participatory way; (2) psychosocial functioning, behavior, and parenting are transversal elements in most evaluations, while quality of life and coping are not sufficiently well incorporated; (3) practical instruments (brief and easy to apply and correct) that are widely used and carry scientific guarantees should be prioritized to ensure the comparability and reliability of the conclusions; and (4) progress should be made in the study of evaluation models for all forms of foster care, including foster, extended, and specialized families.

OBJETIVO: El objetivo es realizar una síntesis exhaustiva que contribuya a determinar qué instrumentos y variables son las más adecuadas para evaluar programas de acogimiento familiar (familias extensas, ajenas y profesionalizadas), incluyendo en esta evaluación a los niños, sus familias acogedoras, sus familias de origen y a los profesionales y técnicos del acogimiento familiar. Método: La revisión sistemática incluyó estudios aleatorizados, cuasialeatorizados, longitudinales y con grupo control dirigidos a evaluar intervenciones de acogimiento familiar. RESULTADOS: Se identificaron 86 estudios, 138 instrumentos de evaluación, 18 constructos y 73 equipos de investigación independientes. CONCLUSIONES: (1) aunque el objeto de las evaluaciones sean los niños, habitualmente los informantes son las personas a cargo de sus cuidados, con lo que se debe hacer un esfuerzo por involucrarlos de forma más participativa; (2) el funcionamiento psicosocial, el comportamiento o la parentalidad son elementos transversales en la mayor parte de evaluaciones, sin embargo la calidad de vida y el afrontamiento no están suficientemente bien incorporados; (3) deben priorizarse instrumentos prácticos (breves y fáciles de aplicar y corregir), de amplio uso y con garantías científicas para asegurar la comparabilidad y fiabilidad de las conclusiones; (4) debe avanzarse en la investigación de modelos de evaluación en todas las modalidades de acogimiento familiar, ya sea en familias ajenas, extensas o especializadas.

Changes in Mental Health of Children and Young People in Residential Care: Outcomes and Associated Factors.

Several studies have evidenced that children in out-of-home care (OOHC), including foster family care and residential care, reveal high levels of mental health disorders (ranging from 40% to 88%). This study examines the outcomes in mental health reported by key residential workers in a group of children and youth (N = 492) between 8-17 years old who were in residential child care (RCC) in Spain. The research also aims to explore the relationship between mental health outcomes and the provision of mental health services (i.e., receiving any mental health treatment) as well as the influence of child, family, and placement factors. The design of this study includes two measures: a baseline (T1) and a follow-up two years later (T2). The results indicated that 29.9% of young people enjoyed sustained mental health; 26% meaningful improvement in their mental health; 23.5% meaningful deterioration; and the remaining 20.5% showed no meaningful change. One of the main findings was that receiving mental health treatment had a significant impact on mental health outcomes. It is crucial to establish protocols and systematic detection tools to assess mental health and ensure detection and referral to proper treatment.

La investigación en el ámbito de la protección a la infancia ha destacado la presencia de un alto porcentaje de niños, niñas y adolescentes (NNA) en acogimiento residencial y familiar con trastornos de salud mental (entre el 40% y el 88%). Este estudio tiene como objetivo examinar los cambios experimentados en la salud mental de los NNA durante el proceso de acogida según informan sus educadores de referencia en un grupo de 492 NNA entre 8-17 años que se encontraban en hogares de protección en España. El estudio también tiene como objetivo explorar la relación entre los resultados en salud mental y el tratamiento recibido desde diferentes servicios de salud mental, además de la influencia que puedan ejercer factores del NNA, su familia o el proceso de protección. El diseño del estudio se basa en dos medidas: línea base (T1) y seguimiento dos años después (T2). Los resultados indican que el 29.9% de los NNA mantenía una buena salud mental en las dos medidas, 26% manifestaron una mejora significativa partiendo de niveles clínicos, 23.5% manifestaron un deterioro significativo y el 20.5% no mostraron cambios significativos, manteniendo niveles clínicos en ambas medidas. Una de las principales conclusiones fue que estar recibiendo o no tratamiento en salud mental resultó ser un factor clave en la evolución de los NNA. Por tanto, resulta crucial establecer sistemas de detección de problemas de salud mental en esta población con el fin de derivar precozmente a tratamientos adecuados.

Crossing Countries and Crossing Ages: The Difficult Transition to Adulthood of Unaccompanied Migrant Care Leavers.

The social changes experienced in many countries have prolonged the transition to adult life for young people. That being said, those who leave child care cannot afford this privilege, in that they do not benefit from the same support and resources, having to confront an accelerated transition which exposes them to increased risk of negative outcomes and social exclusion. Moreover, this transition might be even riskier for unaccompanied migrant care leavers, who are four times as vulnerable, given their status as young people in care, as adolescents, as migrants and being unaccompanied. This paper seeks to explore the profiles, needs, and experiences of unaccompanied young migrants in comparison with other care leavers. Data were collected by means of a semi-structured interview to explore their pre-care, in-care, and aftercare experiences. A highly specific profile of unaccompanied young migrants has been revealed that differs from the other care leavers in terms of worse educational, occupational, and economic outcomes, limited support networks, and more obstacles to accessing aftercare supports. Conversely, they also exhibited some strengths, such as having less pre-care, in care, and aftercare traumatic experiences, less psychological distress and fewer risky behaviors compared with other care leavers.

PLANEA Independent Life Skills Scale: Development and Validation.

BACKGROUND: The aim of this study was to develop and validate the PLANEA Independent Life Skills Scale, an instrument created according to the Planea Program framework for training independent living skills in young people in residential care. METHOD: A sample of 1,098 young people took part, 60% were women and 37% were living in residential child care, with a mean age of 17.69 years ( SD = 2.25). Psychometric analyses were carried out within the frameworks of Classical Test Theory and Item Response Theory models. RESULTS: The new instrument demonstrated three first-order factors (Self-Care and Wellbeing, Daily Arrangements and Organizational Skills, and Employment and Accommodation) and one second-order factor (Independent Life Skills), with excellent test score reliability, including a short version, PLANEA-9 (ω = .86 - .94). Clear evidence was found of validity in relation to other variables, such as general self-efficacy ( r = .519), and discriminative capacity. CONCLUSIONS: The PLANEA Independent Life Skills Scale was shown to be a reliable valid instrument for assessing this construct in young people.

No one ever asked us. Young people's evaluation of their residential child care facilities in three different programs.

BACKGROUND: Residential child care is a very complex measure and has been the subject of heated debate in many countries. However, there is a paucity of studies that examine quality assessments of these services, much less that have asked the children and young people receiving those services about their own evaluations. METHOD: This study interviewed 209 young people between 11 and 20 years of age, in 21 residential facilities, about their degree of satisfaction with the care they receive. These residential facilities are differentiated into three types of programs that will be compared: preparation for adult life (PAL), therapeutic care for behavioral problems (TRC) and general programs for children and young people without any specific profile (GRC). The instrument used is an interview that includes both quantitative and qualitative assessments. RESULTS: The results show a trend toward positive average scores on practically all aspects, highlighting the support from as well as the connection they feel with the educators who care for them. On the other hand, young people in TRC displayed lower scores on almost all aspects evaluated while those in PAL were the most positive. CONCLUSIONS: The main implications for the practice will be discussed from these youths’ perspective.

School Functioning of a Particularly Vulnerable Group: Children and Young People in Residential Child Care.

A large proportion of the children and young people in residential child care in Spain are there as a consequence of abuse and neglect in their birth families. Research has shown that these types of adverse circumstances in childhood are risk factors for emotional and behavioral problems, as well as difficulties in adapting to different contexts. School achievement is related to this and represents one of the most affected areas. Children in residential child care exhibit extremely poor performance and difficulties in school functioning which affects their transition to adulthood and into the labor market. The main aim of this study is to describe the school functioning of a sample of 1,216 children aged between 8 and 18 living in residential child care in Spain. The specific needs of children with intellectual disability and unaccompanied migrant children were also analyzed. Relationships with other variables such as gender, age, mental health needs, and other risk factors were also explored. In order to analyze school functioning in this vulnerable group, the sample was divided into different groups depending on school level and educational needs. In the vast majority of cases, children were in primary or compulsory secondary education (up to age 16), this group included a significant proportion of cases in special education centers. The rest of the sample were in vocational training or post-compulsory secondary school. Results have important implications for the design of socio-educative intervention strategies in both education and child care systems in order to promote better school achievement and better educational qualifications in this vulnerable group.

[Therapeutic Residential Care for Children and Youth: A Consensus Statement of the International Work Group on Therapeutic Residential Care].

Therapeutic Residential Care for Children and Youth: A Consensus Statement of the International Work Group on Therapeutic Residential Care. In many developed countries around the world residential care interventions for children and adolescents have come under increasing scrutiny. Against this background an international summit was organised in England (spring 2016) with experts from 13 countries to reflect on therapeutic residential care (TRC). The following working definition of TRC was leading: “Therapeutic residential care involves the planful use of a purposefully constructed, multi-dimensional living environment designed to enhance or provide treatment, education, socialization, support, and protection to children and youth with identified mental health or behavioral needs in partnership with their families and in collaboration with a full spectrum of community based formal and informal helping resources”. The meeting was characterised by exchange of information and evidence, and by preparing an international research agenda. In addition, the outlines of a consensus statement on TRC were discussed. This statement, originally published in English and now reproduced in a Spanish translation, comprises inter alia five basic principles of care that according to the Work Group on Therapeutic Residental Care should be guiding for residential youth care provided at any time.

Foster carer experience in Spain: Analysis of the vulnerabilities of a permanent model.

BACKGROUND: The voice of foster families is a valuable tool in the development and improvement of foster family services. Regularly evaluating the satisfaction of foster carers can facilitate the early identification of a range of problems that might pose a risk to the placement. METHOD: This article reports the experience of 200 Spanish foster families (kinship and non-kinship) with foster services in relation to motivation for becoming foster carers, sources of stress and reward, satisfaction with the services and needs. Semi-structured interviews were performed. The aims of the research are principally of a descriptive character, so each group of variables was examined using frequency analysis. RESULTS: The foster carers interviewed demonstrated a high degree of satisfaction with the foster programs, although some areas seem more problematic, such as financial compensation, information provided about the fostered child, contact with the birth family and the sensitivity of professionals. CONCLUSIONS: This study reveals several differences with regard to international literature, that are related to particularities of the Spanish child care system. The results may be extremely useful for the implementation of policy changes which could contribute to raised levels of satisfaction for the foster carers, and increased effectiveness of the programs.

Decision making in child protection: An international comparative study on maltreatment substantiation, risk assessment and interventions recommendations, and the role of professionals' child welfare attitudes.

Child welfare professionals regularly make crucial decisions that have a significant impact on children and their families. The present study presents the Judgments and Decision Processes in Context model (JUDPIC) and uses it to examine the relationships between three independent domains: case characteristic (mother's wish with regard to removal), practitioner characteristic (child welfare attitudes), and protective system context (four countries: Israel, the Netherlands, Northern Ireland and Spain); and three dependent factors: substantiation of maltreatment, risk assessment, and intervention recommendation. The sample consisted of 828 practitioners from four countries. Participants were presented with a vignette of a case of alleged child maltreatment and were asked to determine whether maltreatment was substantiated, assess risk and recommend an intervention using structured instruments. Participants' child welfare attitudes were assessed. The case characteristic of mother's wish with regard to removal had no impact on judgments and decisions. In contrast, practitioners' child welfare attitudes were associated with substantiation, risk assessments and recommendations. There were significant country differences on most measures. The findings support most of the predictions derived from the JUDPIC model. The significant differences between practitioners from different countries underscore the importance of context in child protection decision making. Training should enhance practitioners' awareness of the impact that their attitudes and the context in which they are embedded have on their judgments and decisions.

Características y desarrollo del acogimiento familiar en dos países con fuerte tradición de acogimiento residencial: España y Portugal / Characteristics and Development of Foster Care in Two Countries with a Strong Tradition of Residential Care: Spain and Portugal

Los procesos de acogimiento familiar que se producen en cada país dependen de factores históricos y culturales que dan lugar a grandes diferencias internacionales. A pesar de que las comparativas internacionales ofrecen un medio de intercambio de experiencias, lo que permite el aprendizaje mutuo y la transferencia de buenas prácticas, a menudo encontramos enormes barreras para su realización debido, entre otros factores, al limitado acceso a los datos sobre la práctica de la protección infantil. Frente a estas limitaciones, este artículo ofrece una investigación comparativa realizada en España y Portugal, cuyo objetivo ha sido la evaluación del acogimiento familiar en dos países donde la investigación en el ámbito de la protección infantil ha sido tradicionalmente desatendida. Sobre una muestra de 357 casos en España y 289 en Portugal, se realizó un estudio del perfil de características de los niños acogidos, las familias de origen y los acogedores, así como de los procesos de acogida en ambos países. La comparativa reveló importantes diferencias relacionadas con la mayor edad al inicio del acogimiento de los niños en España; el perfil de los acogedores, con edades más avanzadas, un bajo nivel educativo y llevando a cabo acogidas de más de un niño simultáneamente en Portugal. El estudio comparado nos ha permitido identificar áreas que requieren mayor atención en ambos países, como la renovación generacional del banco de acogedores en Portugal o la necesidad de acelerar los procesos de toma de decisiones para la entrada en acogimiento familiar en España. Se pretende que este artículo sirva de aliento para la recogida de datos y comparación con otros países iberoamericanos.

Fostering processes that occur in each country depend on historical and cultural factors that give rise to large international differences. Despite the fact that international comparisons offer a way of exchanging experiences, allowing mutual learning and transfer of good practice, we often encounter major barriers for its completion due to limited access to data on child protection practice, among other factors. Given these limitations, this article provides a comparative study conducted in Spain and Portugal. The aim is the evaluation of family foster care interventions in two countries where research in the field of child protection has traditionally been neglected. The profile of foster children, families of origin and foster families, as well as the features of the fostering processes were studied in a sample of 357 cases in Spain and 289 in Portugal. The comparison revealed significant differences related to the older age of Spanish foster children at the beginning of the foster placement. The profile of foster carers revealed older age, low educational level and frequent situations of multiple placements in Portugal. The comparative study has identified areas that require further attention in both countries, such as the generational shift of foster carers in Portugal or the need to speed up the decision-making processes for entry into a family foster placement in Spain. This article intends to be an encouragement for data collection and comparison in other Latin American countries.

La calidad del acogimiento residencial en Portugal y el ejemplo de la evolución española / No disponible

Este artículo describe el desarrollo histórico de los hogares para niños y jóvenes en Portugal y lleva a cabo una revisión de las investigaciones actuales sobre el sistema portugués de acogimiento residencial. Se apunta la necesidad de cumplir con criterios de calidad en los servicios prestados a los niños y jóvenes y se analiza el concepto de calidad en este contexto. Confrontando la realidad portuguesa con la española, se destaca el limitado número de trabajos de investigación sobre la calidad de los hogares de acogida portugueses y su adaptación a las necesidades de los niños y jóvenes. Se concluye que el acogimiento residencial de menores en Portugal ha ido evolucionando, y sigue funcionando, sin ningún apoyo real en un programa de evaluación amplio y exhaustivo de la calidad de sus servicios. A continuación, se describe un programa de evaluación de la calidad del acogimiento residencial en Portugal cuya implementación permitiría orientar las decisiones políticas y la definición de las prácticas profesionales que respondan alas necesidades de los niños y los jóvenes en acogimiento (AU)

This article describes the evolution of residential care for children and young people in Portugal and how it developed. Institutional care in Portugal has changed and is still changing, but achieved improvements are not truly based on sound criteria and wide service quality evaluation. In comparison to Spanish reality, a research review in Portugal came to the conclusion that there are no studies onthe quality of extended care or information about how those services suit the real needs of children and young people. This fact underlines the importance and urgency of carrying out a broad study on care quality, allowing the assessment of current status, measuring the suitability of the services provided and the matching of institutional offers with real needs. A nationwide evaluation proposal of the residential care system in Portugal is made based on the assessment of institutionalized children’s needs and of the quality ofthe services provided by institutions. Such a broad study will support national-level policy decisions about structures, methods, mechanisms and resources, contributing to a higher degree of specialization and, ultimately, allowing the comparison of the state of residential care in Portugal with the reality in other countries (AU)

Factors affecting foster care breakdown in Spain.

Breakdown of foster care has been defined as the situation in which one of the involved parties terminates the intervention before having achieved the goals established for the case plan. This work presents a study carried out with a Spanish sample of 318 closed cases of children who were placed in foster homes and kinship care. The data were collected through the exhaustive review of the child protection and foster placement files, complemented with interviews of the welfare workers in charge of each case. The rate of breakdown of the entire sample was 26.1%, although it was significantly different in kinship care (19.7%) and foster care (31.2%). The results of this study indicate that the variables related to breakdown depend on the placement modality, either in foster care or kinship care. In the first case, the variables related to the child's characteristics are noteworthy, especially behavior and academic problems, with special relevance in the 9-12-year-old group, and in children who were previously in residential care. In contrast, in kinship care, the parents' problems (prison, mental health) and having some measure of guardianship are the most important. The fact of undergoing foster placement after having lived in various residential homes is transcendental. Lastly, the availability of economic resources and even the foster carers' studies seem to be related to foster breakdown.

Estrategias para la captación de familias acogedoras / No disponible

El acogimiento familiar provee a niños y niñas la oportunidad de crecer y desarrollarse en un ambiente familiar, mientras esperan que se resuelva aquello que provocó la separación de su familia o bien son adoptados o se independizan al cumplir la mayoría de edad. Encontrar familias dispuestas a acoger a estos niños supone uno de los principales retos para el sistema de protección durante la próxima década. Este artículo lleva cabo una revisión de las prácticas internacionales para la captación de familias acogedoras. Las intervenciones de captación exitosas son aquellas que se dirigen a toda la comunidad, implican en sus intervenciones a los acogedores veteranos, usan todos los medios a su alcance y envían mensajes realistas sobre lo que supone acoger. La investigación también subraya la necesidad de llevar a cabo planes de captación y sensibilización anuales y de contar con sistemas de evaluación de las estrategias. En el artículo se aportan una serie de pautas para gestores y técnicos de programas de acogida (AU)

Fostering provides children with an opportunity to grow and develop in a family environment, while finding a solution to the source of separation from their families, either with adoption or with independence when reaching the age of majority. Finding families ready to look after those children is one of the most important challenges for foster care systems in the next decade. This paper aims to review international procedures to recruit foster families. The most successful recruitment interventions are those aimed at general population, involving experienced foster parents, using all available resources, and sending objective messages about what this decision entails. Previous research also underlies the need for yearly recruitment and sensitization plans, and assessment systems of the strategies used. Several guidelines are offered in this paper for agencies and managers of foster programs (AU)

[Outcome assessment in the Spanish young offenders' law. Recidivism and associated factors]. / Evaluación de resultados de la ley de responsabilidad penal de menores. Reincidencia y factores asociados.

The present study aims to assess the impact of the Spanish young offenders law (LO/2000). Recidivism and its associated risk factors were used as indicators of impact. Data were collected from young offenders' reports opened after 2001 and closed before 2005. The final sample consisted of 382 young offenders (327 males and 55 females). Results indicated that 70% had not re-offended in an average period of 1.6 years. Most of the youngsters with fewer risk factors, usually start their criminal careers with less serious offences and the interventions seemed to be fairly effective. In the cases of young offenders with a higher number of risk factors, the interventions (custodial and non-custodial) were less effective, as recidivism rates were higher. Interventions must focus on family and community contexts in order to achieve adequate social integration of young delinquents.

Job stress and burnout in residential child care workers in Spain.

The aim of this study is to identify the variables related to stress and burnout syndrome among child residential care workers, as well as the most problematic areas of their work. A random sample of 257 professionals working in the Residential Child Care sector in Spain was studied by means of the TBQ questionnaire (Teachers' Burnout Questionnaire), adapted to child care workers. The results enabled us to detect the principal sources of job dissatisfaction, as well as revealing a greater incidence of stress than of burnout. Certain personal and work variables displayed relevant relationships with these measures.