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1.
Int J Environ Res Public Health ; 20(10)2023 05 15.
Article in English | MEDLINE | ID: covidwho-20242335

ABSTRACT

The COVID-19 pandemic had several negative impacts on child and adolescent victims of domestic violence, especially on those who lived in the residential foster care system. The main goal of the present study was to understand these negative impacts through the perspectives of professionals in Portuguese residential foster care structures using both individual interviews and an online survey. One hundred and three professionals aged between 22 and 64 years (M = 38.39; SD = 8.34) participated in the online survey (86 females and 17 males). Of those, seven professionals, four females and three males aged between 29 and 49 years (M = 38.43, SD = 7.50), were also interviewed. According to the participants, the conditions imposed by the COVID-19 pandemic contributed adversely not only to the increase in domestic violence against children and adolescents but also to the aggravation of the conditions children and adolescents living in the Portuguese residential foster care system were exposed to, namely concerning family relationships, access to resources and services, and institutional dynamics. The results suggest the necessity to develop standard procedures to cope with pandemic situations in the residential foster care system.


Subject(s)
COVID-19 , Domestic Violence , Male , Female , Humans , Adolescent , Child , Young Adult , Adult , Middle Aged , Pandemics , Portugal/epidemiology , COVID-19/epidemiology , Foster Home Care
2.
Child Abuse Negl ; 141: 106232, 2023 07.
Article in English | MEDLINE | ID: covidwho-20238970

ABSTRACT

BACKGROUND: There is a disproportionate representation of Aboriginal children in the Australian Out of Home Care system. An important strategy to ensure Aboriginal children experience trauma informed care that is culturally situated is to have access to Aboriginal practitioners. The experiences of Aboriginal practitioners working in Aboriginal Out of Home Care have not been explored thoroughly. PARTICIPANTS AND SETTING: This community led research was undertaken on Dharawal Country on the South Coast of the Illawarra region, Australia with an Out of Home Care program managed by an Aboriginal Community Controlled Organisation. The study included Aboriginal (n = 50) and non-Aboriginal (n = 3) participants connected through employment or community membership to the organisation. OBJECTIVE: We aimed to explore the wellbeing needs of Aboriginal practitioners working with Aboriginal children in Aboriginal Out of Home Care. METHODS: This co-designed qualitative research project used yarning sessions (individual and group), co-analysis with co-researchers, document analysis and reflexive writing. FINDINGS: Aboriginal practitioners are required to bring their cultural expertise to their work and with this, there is an expectation of cultural leadership and the fulfilling of cultural responsibilities. These elements bring with them emotional labour that must be acknowledged and accounted for in working in the Out of Home Care sector. CONCLUSION: The findings point to the importance of establishing an organisational social and emotional wellbeing framework in recognition of Aboriginal practitioner's specific needs, centring cultural participation as a key wellbeing and trauma informed strategy.


Subject(s)
Australian Aboriginal and Torres Strait Islander Peoples , Foster Home Care , Health Personnel , Child , Humans , Australia , Indigenous Peoples , Health Personnel/psychology
3.
Child Abuse Negl ; 133: 105866, 2022 11.
Article in English | MEDLINE | ID: covidwho-2286352

ABSTRACT

BACKGROUND: LGBTQ+ youth frequently experience disparities in outcomes related to permanency and overall well-being while in out-of-home care. These negative outcomes often persist after youth have transitioned out of care, particularly in the domains of housing, education, employment, and mental health. Initial research has found that the ongoing COVID-19 pandemic has exacerbated negative physical and mental health outcomes, as well as decreased economic stability among transition age youth. OBJECTIVE: This study seeks to determine if COVID-19 has resulted in unique impacts on foster care alumni, and if these impacts are the same for LGBTQ+ and non-LGBTQ+ transition age youth. PARTICIPANTS AND SETTING: This study used data from the 2020 Jim Casey Youth Opportunities Initiative Opportunity Passport Survey to explore these questions. METHODS: This survey was administered electronically to a national sample of 1223 youth ages 18-26 with lived experience in foster care. RESULTS: Results indicate that relative to non-LGBTQ+ foster care alumni, LGBTQ+ foster care alumni experienced more negative outcomes in housing stability, employment, and mental health/trauma due to COVID-19. No significant differences were found for education-related impacts. Outcomes varied by sex assigned at birth, ethnicity, and sexual orientation, gender identity and expression (SOGIE) of respondents, with female respondents, black, indigenous and other people of color (BIPOC) youth and LGBTQ+ youth being most frequently impacted. CONCLUSIONS: Results indicate that relative to non-LGBTQ+ foster care alumni, LGBTQ+ foster care alumni experienced more negative outcomes in housing stability, employment, and mental health/trauma due to COVID-19. No significant differences were found for education-related impacts. Outcomes varied by sex assigned at birth, ethnicity, and sexual orientation, gender identity and expression (SOGIE) of respondents, with female respondents, BIPOC youth and LGBTQ+ youth being most frequently impacted. Implications for practice and policy are explored.


Subject(s)
COVID-19 , Child, Foster , Adolescent , Adult , COVID-19/epidemiology , Female , Foster Home Care/psychology , Gender Identity , Humans , Infant, Newborn , Male , Pandemics , Young Adult
4.
JAMA Pediatr ; 176(11): 1145-1148, 2022 Nov 01.
Article in English | MEDLINE | ID: covidwho-2013272

ABSTRACT

This study assesses estimates of new orphanhood based on excess deaths to provide a comprehensive measure of the COVID-19 pandemic's long-term impact on orphanhood and caregiver loss.


Subject(s)
Acquired Immunodeficiency Syndrome , COVID-19 , Child , Humans , Caregivers , Foster Home Care
5.
Child Abuse Negl ; 131: 105527, 2022 09.
Article in English | MEDLINE | ID: covidwho-1670313

ABSTRACT

BACKGROUND: The COVID-19 pandemic has brought unique challenges to parents of young children, due to the closure of schools and childcare centers, and increased caregiver burden. These challenges may be especially pronounced for youth with foster care backgrounds, as they lack critical support and resources to rely on during emergency situations. OBJECTIVE: The purpose of the present study was to examine the experiences of these vulnerable young parents since the beginning of the pandemic. PARTICIPANTS AND SETTING: Our study included 17 young parents ages 18-26, who had recently aged out of foster care or were currently in extended care. Participants were predominantly female, and Black, Indigenous, or people of color (BIPOC). METHODS: Youth participated in virtual focus groups or individual interviews and described their experiences and challenges during the COVID-19 pandemic. A structured thematic analysis approach was employed to examine key themes in youths` accounts. RESULTS: Analysis resulted in five major themes: (a) employment disruptions and economic hardships, (b) educational challenges for parents and children, (c) parental and child mental health concerns, (d) insufficient resources and barriers to service receipt, and (e) "silver linings". CONCLUSIONS: Young parents with foster care backgrounds faced numerous challenges due to COVID-19 and struggled to access critical resources and supports. Implications for policy, practice, and research are discussed.


Subject(s)
COVID-19 , Adolescent , Adult , Aged , COVID-19/epidemiology , Child , Child, Preschool , Female , Focus Groups , Foster Home Care/psychology , Humans , Male , Pandemics , Parents , Young Adult
6.
Child Abuse Negl ; 124: 105444, 2022 02.
Article in English | MEDLINE | ID: covidwho-1568569

ABSTRACT

BACKGROUND: Research is needed to facilitate better understanding of how different groups have been impacted by COVID-19, especially those in already strained service systems such as foster care. These inquiries will support further response, recovery and preparedness efforts. OBJECTIVE: This qualitative study addressed how professionals and caregivers in foster care described being affected by COVID-19 in order to support future research and planning for foster care systems in this pandemic context. PARTICIPANTS AND SETTING: A sample of foster parents and foster care professionals (N = 357) from a mostly rural, southeastern state in the U.S. participated in the study. METHODS: Qualitative analysis was conducted of 357 open-ended responses regarding the impact of COVID-19 from a survey distributed in August 2020. RESULTS: The coding process resulted in the identification of 15 distinct themes: Isolation & Loss of Social Support, Work Changes/Stressors, School Issues, Childcare Issues, No Impact/Positive Changes, Financial Problems, Fear of Contagion, Negative Child Welfare Impacts, Mental Health Problems/Stress, Loss of Faith/Trust & Societal Frustrations, Health & Mental Healthcare Access Issues, PPE & Testing Issues, Grief & Loss, and Marital Problems. Secondary impacts rather than direct physiologic effects of the virus were primarily reported. CONCLUSIONS: This study underscores the various challenges facing foster care systems, and how the pandemic context is exacerbating many of these issues. Further research is needed to ensure the implementation of adequately complex and nuanced responses that target needs and avoid creating further problems for foster care.


Subject(s)
COVID-19 , Pandemics , Caregivers , Child , Foster Home Care , Humans , Qualitative Research , SARS-CoV-2
7.
Child Abuse Negl ; 123: 105383, 2022 01.
Article in English | MEDLINE | ID: covidwho-1499720

ABSTRACT

BACKGROUND: COVID-19 continues to have devastating impacts across the United States, causing high levels of unemployment and disconnection from work and school. Furthermore, some communities are at higher risk for adverse outcomes due to the pandemic, including transition age foster youth. Transition age foster youth report negative impacts on their employment, educational attainment, ability to meet basic needs, and their connection to work and school. OBJECTIVE: The current study examines the impact of the COVID-19 pandemic on key young adult outcomes including education, employment, financial well-being, and disconnection from work and school. METHODS: Young people from the Jim Casey Youth Opportunities Initiative complete a survey every April and October. This study focuses on a subsample of 2117 young people who completed 8004 surveys. Utilizing an interrupted time series design, we examine changes in outcomes at six time points pre-pandemic onset (April 2017-October 2019) and two timepoints post-pandemic onset (October 2020 and April 2021). RESULTS: The pandemic slowed the declining school enrollment rates but did not reverse the downward trend that started before the pandemic. The pandemic decreased the number of young people who were employed and increased the number of those who were disconnected from work and school. The pandemic increased the number of young people who reported having savings. CONCLUSION: Transition age foster youth needs access to employment and educational opportunities, which were disrupted during the COVID-19 pandemic. Additional resources are needed to ensure young people are connected to work and school.


Subject(s)
COVID-19 , Adolescent , Foster Home Care , Humans , Pandemics , SARS-CoV-2 , Unemployment , United States/epidemiology , Young Adult
8.
Child Abuse Negl ; 121: 105262, 2021 11.
Article in English | MEDLINE | ID: covidwho-1347534

ABSTRACT

BACKGROUND: COVID-19 is likely to have negatively impacted foster families but few data sources are available to confirm this. OBJECTIVE: The current study used Reddit social media data to examine how foster families are faring in the pandemic. Discussion topics were identified and examined for changes before and after COVID-19. PARTICIPANTS AND SETTING: Comments were collected from three Reddit online discussion boards dedicated to foster families (N = 11,830). METHODS: We used machine learning techniques, including Latent Dirichlet Allocation, for topic modeling and textual analysis for qualitative coding of the Reddit comments. RESULTS: Results showed that three main topics had both significant quantitative and meaningful qualitative changes before and after COVID-19. There were significant increases in conversation about becoming a foster parent (F = 5.75, p = 0.02) and activities for foster children (F = 10.61, p = 0.001), whereas there was a significant decrease in discussing permanency (F = 9.46, p = 0.003) before and after the onset of COVID-19. Qualitative coding showed that regarding the topic of becoming a parent, excitement over approval of foster care license before COVID-19 shifted to foster families' increased anxieties about delays in their licensing cases after COVID-19. For permanency, content changed from the best interest of the child and reunifications before COVID-19 to concerns over family separations and permanency challenges after COVID-19. Regarding activities for foster children, content related to everyday activities before COVID-19 changed to specific activities foster children and families could do during lockdowns. Results suggest areas child welfare workers may focus on to better support foster families during and after the pandemic.


Subject(s)
COVID-19/psychology , Foster Home Care , Social Media/statistics & numerical data , COVID-19/epidemiology , Child , Communicable Disease Control , Humans , Pandemics , SARS-CoV-2
9.
Child Abuse Negl ; 116(Pt 2): 104945, 2021 06.
Article in English | MEDLINE | ID: covidwho-1053269

ABSTRACT

BACKGROUND: Media outlets have suggested that rates of child maltreatment may increase during the global COVID-19 pandemic. The few empirical studies that have examined pandemic related changes in rates of child maltreatment have relied predominantly on reports of suspected maltreatment. OBJECTIVE: This study examines rates of documented, substantiated child maltreatment resulting in foster care placement, as well as demographic correlates of child maltreatment within the foster care system, before and during the COVID-19 pandemic. PARTICIPANTS AND SETTING: Data were available for all youth in the FL foster care system from January 1, 2001 through June 30, 2020 (i.e., > 304,000 youth; > 1.1 million total placements). METHODS: This study utilizes data from the Florida State Automated Child Welfare Information System (SACWIS). RESULTS: Results revealed a decrease in the number of youths placed in the FL foster care system during the COVID-19 pandemic with the greatest reduction in April, 2020 during the Safer-at-Home Order (24 % fewer youth in 2020 than 2019). In contrast, the percentage of placements into foster care due to maltreatment increased by 3.34 %. Demographic-linked differences were observed in placement rates and exposure to maltreatment. CONCLUSIONS: While prior work suggests that reports of child maltreatment have decreased during the COVID-19 pandemic, this study demonstrates that overall rates of substantiated maltreatment resulting in foster care placement have increased for White youth, while rates of placement of due to inadequate supervision, emotional neglect, and/or parental substance use have decreased for Black youth. Implications for policy and future research are discussed.


Subject(s)
COVID-19 , Child Abuse , Foster Home Care , Adolescent , Child , Child Abuse/psychology , Child Welfare/psychology , Child, Preschool , Female , Florida , Foster Home Care/psychology , Humans , Infant , Infant, Newborn , Male , Pandemics , Parents , SARS-CoV-2 , White People
10.
Am Psychol ; 75(9): 1376-1388, 2020 12.
Article in English | MEDLINE | ID: covidwho-1003293

ABSTRACT

In today's world of global migration and urbanization, millions of children are separated from parents. Their mental health and future competences as citizens depend on the quality of care from foster parents and group home staff in nonparental care settings. Caregivers are challenged by poor work conditions, too many children, and a lack of knowledge about care for traumatized children. How can our profession match this challenge by upscaling interventions? Digital designs for applications of psychology are growing, recently accelerated by the COVID-19 crisis. From 2008, the author developed a blended learning intervention. In partnerships with nongovernmental organizations and government agencies, care recommendations from an international network of researchers are transformed into start-up seminars for staff, followed by a 6-month online classroom education. Students learn and practice how to train local caregiver groups in attachment-based care, using training sessions developed in local languages, adjusted to culture. At present, the author's Fairstart Foundation educated 500 staff from partners in 26 countries, who have trained the caregivers of some 40,000 children. The theoretical, logistic and technical steps from research to daily caregiver-child practices are described, to inspire discussions of how online designs and international partnerships may benefit underserved populations. (PsycInfo Database Record (c) 2020 APA, all rights reserved).


Subject(s)
Caregivers/education , Child Care , Child, Abandoned , Education, Distance , Foster Home Care , Group Homes , Program Development , Psychological Trauma/nursing , Teacher Training , Adult , COVID-19 , Child , Child Care/methods , Child Care/organization & administration , Child Care/standards , Child Care/statistics & numerical data , Child, Abandoned/statistics & numerical data , Education, Distance/methods , Education, Distance/organization & administration , Education, Distance/statistics & numerical data , Foster Home Care/methods , Foster Home Care/organization & administration , Foster Home Care/statistics & numerical data , Group Homes/organization & administration , Group Homes/statistics & numerical data , Humans , International Cooperation , Intersectoral Collaboration , Program Development/methods , Program Development/standards , Program Development/statistics & numerical data , Teacher Training/methods , Teacher Training/organization & administration , Teacher Training/statistics & numerical data
11.
Psicothema ; 32(4): 501-507, 2020 11.
Article in English | MEDLINE | ID: covidwho-874852

ABSTRACT

BACKGROUND: A pandemic disaster has specific effects on mental health, however, little is known about those specific effects in children and adolescents. Thus, the aim of this study is to describe the psychological impact of the COVID-19 pandemic on a sample of children and adolescents and to compare the results with previous national data and other studies to determine variations. METHOD: A total of 459 children and adolescents in residential care, foster families, kinship families, or family strengthening programs under SOS Children's Villages Spain were evaluated using the SDQ to measure internalizing and externalizing problems and using KIDSCREEN-10 index to measure heath related quality of life. An independent sample t-test, one-way ANOVA and the chi-square test were used. RESULTS: The children and adolescents in this study had worse psychological wellbeing than those in the 2017 Spanish reference, that is, before the COVID-19 outbreak. Quality of life remained the same. No differences between care modalities were found. CONCLUSION: It is necessary to monitor the mental health status of children and adolescents to prevent possible problems. Additionally, it is necessary to use well-known assessment instruments because it is essential to have a reference to other situations and populations.


Subject(s)
Betacoronavirus , Child, Adopted/psychology , Child, Foster/psychology , Child, Institutionalized/psychology , Coronavirus Infections/psychology , Pandemics , Pneumonia, Viral/psychology , Psychology, Adolescent , Psychology, Child , Adolescent , COVID-19 , Child , Family Characteristics , Female , Foster Home Care , Humans , Male , Quality of Life/psychology , Quarantine/psychology , Residential Facilities , SARS-CoV-2 , Spain , Vulnerable Populations
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