Leopoldo Ulloa

Professor Fairchild

Psychology 194

April 16, 2009

 

The Social Effects of Young Adults Transitioning from Foster Care to Independent Status

 

I.  Overview- This research paper will analyze the social effects of the painful transition foster care children go through once they reach the legal age to become independent individuals. However, some of these young adults do not have the proper tools, education, friends, family, mentors, or health to survive independently. First, there are be a discussion on the current situation of the foster care system, followed by an analysis of studies performed by psychologists who examined the effects of the transitional period: lack of preparation for the real world, educational outcomes, mental health, and their vulnerability to violence, drugs, alcohol, and homelessness. This literary review will conclude with multiple suggestions on how to continually improve the foster care system in order to provide the best opportunities possible for young adults who did not have any alternatives in living their childhood.

 

II. Background– This section discusses the history of the foster care system, current situations, and needs of the young adults who transition from the foster care system to independence.

A. Pelton, Leroy H.; "A History of Child Protection in America," Book Review; Children and Youth Services Review, Vol 27(5), May 2005. pp. 561-565.

1. History of Foster Care system from the Progressive Era to contemporary times.

2. Author suggests that the main problem with the current system is that it remains overburdened, and that this problem can be addressed by increasing resources to it.

            a. No need to redesign or restructure but to give more power to welfare system/parents

b. Pelton suggests the opposite: remove the powers of the parents in order to make them more cautious of how they treat their children

B. Vacca, James S.; Children and Youth Services Review, Vol 30(5), May 2008. pp. 485-492.

1. The research shows that there are presently about a half million children in foster care, and approximately 20,000 of these youths will turn eighteen years of age, be classified as adults and emancipate or "age out" of the foster care system each year.

2. The capacity to graduate from high school is often difficult and challenging for foster children without any continuity in their high school educational experience. These children will attend several high schools before they graduate, and if they move during the school year, classes will be frequently interrupted by changes

3. This article addresses and answers the following two questions: (1) "Why do foster children have difficulty after they leave high school?" and (2) "What can be done to help foster children make a more successful transition to an independent life?

C. Hollander, Scott; Budd, Jonathan; Petulla, William A.; Staley, Jennifer A.; Family Court Review, Vol 45(3), Jul 2007. pp. 444-454.

1. 20,000 foster youth leave system without the basic necessities of housing, education, employment, and health care.

2. Article outlines the problems facing foster youth as they leave care and to detail, as a case study, the steps taken by KidsVoice, a Pittsburgh legal services organization representing almost 5,000 dependent children each year, to help youth in foster and substitute care transition more successfully to adulthood and independent living.

 

III. Cause and Effects of Inefficient Transitional System

A. Preparation Effectiveness

Clare, Glenda; Dissertation Abstracts International Section A: Humanities and Social Sciences,

Vol 67(9-A), 2007. pp. 3374.

1.                        This study investigates whether the perception of barriers and coping-efficacy were related to the acquisition of life skills self-efficacy as a precursor for the transition to adulthood of older youth in foster care.

2.                        The population for this study consisted of youth in foster care (aged 18 and over) transitioning to adulthood. Many older youth maintaining relationships with foster care officials are enrolled in the Chafee Education and Training Vouchers Program (ETV). A sample of 160 older youth who either viewed the Foster Club website or who were recruited by a foster care program participated in this study. Youth completed three instruments: The Ansell-Casey Life Skills Assessment (ACLSA), Short Form; the Perception of Barriers Scale (POB) and the Coping with Barriers Scale (CWB). The following research questions were examined: (1) Is there a relationship between the perception of barriers and ACLSA scores of older youth in care transitioning to adulthood? (2) Is there a relationship between levels of coping-efficacy and ACLSA scores of in care transitioning to adulthood? and (3) Are relationships between the scores on the dependent variable (ACLSA) and independent variables (perception of barriers and coping-efficacy) different based on age, gender and time in foster care?

3.                        The results generated in this study were consistent with those previously found in the literature. Relationships were found between the perception of barriers, coping efficacy and ACLSA scores. Participating youth who perceived no or fewer barriers completed high school and were enrolled in the Chafee Education Training and Vouchers Program (ETV). They are seemingly successful in the transition process. They have higher life skills self-efficacy and coping-efficacy, resulting in more confidence in their ability to over come barriers when they are encountered. The relationships between the perception of barriers, coping efficacy and ACLSA scores were not significantly impacted by age, gender and time in foster care placement of participating youth.

B. Reconnection with biological family

Collins, Mary Elizabeth; Paris, Ruth; Ward, Rolanda L.; American Journal of Orthopsychiatry, Vol

78(1), Jan 2008. pp. 54-62.

1. Research on the experiences of youth leaving foster care as they enter adulthood has noted that they often reconnect, and sometimes live with, members of their family of origin. This is often thought to be a curious finding because at some earlier point, the families were deemed unsafe, requiring removal of the child to foster care.

2. Author reviews what is known about the extent to which young adults reunite with their families after they leave foster care and brings the topic to the attention of social workers.

C. Background Characteristics v.  Case Outcome Decisions

Lu, Yuhwa Eva; Landsverk, John; Ellis-Macleod, Elissa; Newton, Rae; Ganger, William; Johnson,

Ivory; Children and Youth Services Review, Vol 26(5), May 2004. pp. 447-461.

1. This study reviews the records of 3936 children and adolescents under the age of 17 who were referred to the public receiving home for suspected maltreatment. The study examines the correlation between background characteristics (i.e. age, gender, race/ethnicity, reasons for referral), and case outcome decisions (i.e. case open to service, out-of-home placement, and family reunification), using bivariate and multivariate analysis. Racial/ethnic differences are observed. Compared to census data, African Americans are the only over-represented group. Latinos, Asians, and Anglos are all under-represented.

2. Significant differences were detected when race/ethnicity was analyzed with respect to the case opened, length of stay in the foster care, and length of time for family reunification. African American subjects are consistently observed in each outcome category at higher proportions than all other racial/ ethnic groups, both mainstream and minority populations.

D. Long-Run Effects of Movements between Foster homes while in the Program

V. Unrau, Yvonne A.; Seita, John R.; Putney, Kristin S.; Children and Youth Services Review, Vol

30(11), Nov 2008. pp. 1256-1266.

1. The purpose of this qualitative study is to better understand the experience and perceived impact of multiple placement moves on adults who lived in foster care for at least some portion of their childhoods. Network and snowball sampling resulted in interviews with 22 adults between the ages of 18 and 65 years old, who had formerly lived in foster care.

2. The findings reveal that the experience of placement moves is not only remembered as a series of significant losses but also perceived by participants to leave imprinted negative emotional scars, particularly in the area of trusting people and building and maintaining relationships. While participants remembered the negative aspects of placement moves in very similar ways, strategies for coping and resilience were more unique to individuals.

3. The findings are important in that prior research on placement stability has not focused on understanding the perceived consequences of the move experience on those formerly in foster care who are now adults. Theories of attachment, grief, traumatic stress and resilience, as well as the concept of family privilege, can help to inform best practice for foster care practitioners and caregivers involved in placement moves for foster children.

E. Long-Run Vulnerabilities to Drugs in young adults transitioning into Indepedence

Vaughn, Michael G.; Ollie, Marcia T.; McMillen, J. Curtis; Scott, Lionel Jr.; Munson, Michelle;

Addictive Behaviors, Vol 32(9), Sep 2007. pp. 1929-1935.

1.      The purpose of this study was to explore prevalence and predictors of current and lifetime substance use and substance abuse disorder, use among older youth in foster care. Interviews were conducted with 406 17-year old youth (90% of those eligible) in one state's foster care system between December 2001 and June 2003.

2.      Forty-five percent of foster care youth reported using alcohol or illicit drugs within the last six months; 49% had tried drugs sometime during their lifetime and 35% met criteria for a substance use disorder. Having a diagnosis of Conduct Disorder and/or living in an independent living situation significantly increased the likelihood of current and lifetime substance use and disorder.

3.      Older youth in the foster care system report similar levels of lifetime alcohol and illicit substance use when compared to the general adolescent population. However, rates of substance use disorder are high.

 

IV. How to Improvement Transitional System

 

A. Discover of early signs of future drug use/mental health issues in Foster Care Youth 

1. Taussig, Heather N.; Child Abuse & Neglect, Vol 26(11), Nov 2002. pp. 1179-1199.

a. The current study examined protective and vulnerability factors in a longitudinal study of youth placed in foster care. A cohort of 214 ethnically-diverse youth, ages 7-12 yrs old, were recruited for the Time 1 study if they remained in foster care for at least 5 mo. For the Time 1 study, youth and their caregivers were interviewed and assessed approximately 6 months following their initial placement. Six years later, as adolescents, the youth were re-interviewed regarding their involvement in 4 domains of risk behavior. Bivariate analyses indicated that several Time 1 control variables (e.g., age, ethnicity, type of maltreatment, behavior problems) and Time 1 psychosocial predictor variables (i.e., dimensions of social support and self-perception) were related to the Time 2 risk behavior outcomes.

b. The results suggest that there are some modifiable protective and vulnerability factors present shortly after maltreated youth are placed in foster care that predict their engagement in adolescent risk behaviors 6 yrs later.

2. Dworsky, Amy; Courtney, Mark; Addressing the mental health service needs of foster youth during the transition to adulthood: How big is the problem and what can states do? Journal of Adolescent Health, Vol 44(1), Jan 2009. pp. 1-2.

a. Decline in the receipt of mental health services across different treatment types between the ages of 17 and 19 years old among approximately 400 young people transitioning out of foster care in Missouri encouraged this study. Equally important, although the declines were steepest between the month before and the month after discharge, receipt of psychotropic medication and outpatient treatment also fell among the young people who were still in care at age 19. Although only a minority of those who stopped taking psychotropic medications (11%) or receiving outpatient mental health care services (25%) cited cost as a reason, very few young people who did not have Medicaid coverage after leaving care continued to receive mental health services.

3. Linares, L. Oriana; Montalto, Daniela; Li, MinMin; Oza, Vikash S.; Journal of Consulting and Clinical Psychology, Vol 74(1), Feb 2006. pp. 32-41.

a. The purpose of this study was to evaluate the effectiveness of a 2-component intervention for biological and foster parent (pairs) to improve parenting practices, co-parenting, and child externalizing problems. Participants were biological and foster parents (N = 128) of primarily neglected children (ages 3 to 10 years) placed in regular foster homes. Biological and foster parents were randomly assigned in pairs to the intervention (n = 80) or a usual care (n = 48) condition. Intervention families received a 12-week parenting course (Incredible Years) and a newly developed co-parenting component.

b. Key findings included significant gains in positive parenting and collaborative co-parenting for both biological and foster parents at the end of the intervention. At follow-up, intervention parents sustained greater improvement in positive parenting, showed gains in clear expectations, and reported a trend for fewer child externalizing problems. Findings supported the feasibility of offering joint parenting training to meet the needs of participating families and demonstrated that the co-parenting construct applied to families in the foster care system was amenable to intervention.

4. Scott, Lionel D. Jr.; Munson, Michelle R.; McMillen, J. Curtis; Ollie, Marcia T.; American Journal of Community Psychology, Vol 38(3-4), Dec 2006. Special issue: Exemplars of community practice. pp. 223-236.

a. This study examined religious involvement and its association to risk behaviors (sexual behavior, marijuana use, alcohol use, and cigarette use) among older youth in foster care (N = 383). Three dimensions of religious involvement were assessed--church or religious service attendance, religious practices, and religious beliefs. Findings showed that gender, ethnic group membership, sexual abuse history, and placement type were significantly associated with older foster care youth's religious involvement.

b. Religious service attendance was associated with reduced odds of youth's engagement in sexual behavior in the past 2 months and current use of cigarettes. In addition, greater religious beliefs were associated with a reduction in odds of youth's use of alcohol in the past 6 months and current use of cigarettes. The consideration of religious involvement as a positive influence and resource that may reduce unhealthy risk behaviors among older youth in foster care is discussed.

 

B. The Need for an Early Supportive Network (Mentors/Friends/Siblings)

1. Munson, Michelle R.; McMillen, J. Curtis; Children and Youth Services Review, Vol 31(1), Jan 2009. pp. 104-111.

a. This study explores mentoring relationships among a group of older youth in foster care (n=339), particularly whether or not their relationships last over time.

b. Results of simultaneous and hierarchical regression analyses reveal that the presence of a mentor and the duration of the relationship at age 18 are associated with better psychological outcomes, such as fewer depression symptoms, less stress and more satisfaction with life at 18 1/2. b. Youth in long term natural mentoring relationships reported less stress and were less likely to have been arrested at age 19.

2. Osterling, Kathy Lemon; Hines, Alice M.; Child & Family Social Work, Vol 11(3), Aug 2006. pp.

242-253.

a. Studied 'Advocates to Successful Transition to Independence' mentoring program designed to train mentors to assist older adolescent foster youth in acquiring skills and resources needed for successful transition out of foster care and into adulthood.

b. Results suggest that the use of a mentoring program for older adolescent foster youth represents a particularly beneficial prevention strategy that may help prevent negative outcomes as youth emancipate from the foster care system and transition into young adulthood.

3. Shook, Jeffrey J.; Vaughn, Michael G.; Litschge, Christy; Kolivoski, Karen; Schelbe, Lisa; Children and Youth Services Review, Vol 31(2), Feb 2009. pp. 284-291.

a. The importance of friends during the developmental periods of childhood and adolescence is widely accepted and there is reason to believe that deviant peers play an important role in influencing the experiences and outcomes of young people aging out of foster care.

b. Article explores the role that deviant peers play in the lives of youth aging out of foster care.

c. Youth exhibiting high levels of deviant peer affiliations were more likely to be fired from a job, to possess a diagnosis of antisocial personality disorder, to report higher levels of substance use, and to report being arrested than youth in the other two classes. Youth in the low deviant peer affiliation class exhibited higher levels of family support and lower levels of neighborhood disorder than youth in the other two classes.

C. Transition Supportive Systems

1. Davis, Maryann; Within-state availability of transition-to-adulthood services for youths with serious mental health conditions. Psychiatric Services, Vol 57(11), Nov 2006. pp. 1658-1659.

a. This study describes the existence and nature of services within state child and adult mental health systems that support the transition from adolescence to adulthood.

b. Methods: State child and adult mental health administrators from all but one state were interviewed by telephone with a questionnaire regarding transition services in their state mental health system, such as supported housing, vocational support, preparation for independent living, and dual diagnosis treatment.

c. Results: One-quarter of child state mental health systems and one-half of adult state mental health systems offered no transition services, and few provided any kind of transition service at more than one site. Most types of transition services were available at all in less than 20 percent of the states.

d. Conclusions: Across the United States transition support services are lacking. The adult system in particular will require major transformation to provide the service capacity that is needed to meet the current standards of transition service accessibility for young Americans with serious mental health conditions.

2. Lemon, Kathy; Hines, Alice M.; Merdinger, Joan; Children and Youth Services Review, Vol 27(3), Mar 2005. pp. 251-270.

a. This article presents two analyses exploring the potentially beneficial role of independent living programs (ILPs) for foster youth.

1) First, a comparative analysis using survey data describes characteristics of former foster youth who were enrolled in an ILP while in foster care (N=81) compared to those who were not (N=113).

2) Second, an ethnographic analysis using interview data with ILP coordinators in nine California counties describes typical and unique ILP services, as well as the impact of recent federal policy changes on ILPs.

b. Survey results indicated that ILP participants were more likely to be African American or Mexican American/other Latino, and while in foster care, they tended to be placed in non-relative placements, had more out-of-home placements, and were more likely than non-ILP participants to have been taught a number of independent living skills.

3. Merdinger, Joan M.; Hines, Alice M.; Osterling, Kathy Lemon; Wyatt, Paige; Child Welfare Journal, Vol 84(6), Nov-Dec 2005. pp. 867-896.

a. This article presents early descriptive findings from the Pathways to College study, a multi-method and multiphase study of emancipated foster youth.

b. Results based on a sample of 216 emancipated foster youth attending a four-year university indicate that many of their experiences are characteristic of individuals manifesting resilience in the face of adversity.

c. At the same time, results indicate that although the youth are successful academically, they may be vulnerable in other areas. This article examines the participants' responses, comparing them to other studies to understand the factors that affect the academic performance of former foster youth.

4. Packard, Thomas; Delgado, Melanie; Fellmeth, Robert; McCready, Karen; Children and Youth Services Review, Vol 30(11), Nov 2008. pp. 1267-1278.

a. Over 24,000 youth "aged out" of the nation's foster care system in FY 2005. While independent living programs and other services are available to foster youth, and almost all states allow dependency courts to retain jurisdiction of foster youth beyond age 18, outcomes for former foster youth are disturbing.

b. This paper describes a program to address these challenges by providing extended foster care benefits and support to former foster youth from their 18th to 23rd birthdays. A detailed cost-benefit methodology documents expected costs and key benefits of the program.

c. According to this cost-benefit analysis, a program providing funding and guardian support for former foster youth is projected to result in net benefits to the State of California over the 40-year careers of participating former foster youth. The program, if successful for all youth, would increase lifetime earnings and taxes paid due to increased education

 

VI. References

 

Clare, Glenda. Perception of barriers and coping-efficacy as determinants of readiness for transition to adulthood among older youth in foster care. Dissertation Abstracts International Section A: Humanities and Social Sciences, Vol 67(9-A), 2007. pp. 3374.

 

Collins, Mary Elizabeth; Paris, Ruth; Ward, Rolanda L. The permanence of family ties: Implications for youth transitioning from foster care. American Journal of Orthopsychiatry, Vol 78(1), Jan 2008. pp. 54-62.

 

Davis, Maryann. Within-state availability of transition-to-adulthood services for youths with serious mental health conditions. Psychiatric Services, Vol 57(11), Nov 2006. pp. 1658-1659.

 

Dworsky, Amy; Courtney, Mark; Addressing the mental health service needs of foster youth during the transition to adulthood: How big is the problem and what can states do? Journal of Adolescent Health, Vol 44(1), Jan 2009. pp. 1-2.

 

Farruggia, Susan P. The transition from foster care to independence. Dissertation Abstracts International: Section B: The Sciences and Engineering, Vol 67(3-B), 2006. pp. 1729.

 

Hollander, Scott; Budd, Jonathan; Petulla, William A.; Staley, Jennifer A.; Helping Clietts Transition to Independent Living. Family Court Review, Vol 45(3), Jul 2007. pp. 444-454

 

Keller, Thomas E.; Cusick, Gretchen Ruth; Courtney, Mark E.; Approaching the transition to adulthood: Distinctive profiles of adolescents aging out of the child welfare system. Social Service Review, Vol 81(3), Sep 2007. pp. 453-484.

 

Lemon, Kathy; Hines, Alice M.; Merdinger, Joan; From foster care to young adulthood: The role of independent living programs in supporting successful transitions.Children and Youth Services Review, Vol 27(3), Mar 2005. pp. 251-270.

 

Linares, L. Oriana; Montalto, Daniela; Li, MinMin; Oza, Vikash S.; A Promising Parenting Intervention in Foster Care. Journal of Consulting and Clinical Psychology, Vol 74(1), Feb 2006. pp. 32-41.

 

Lu, Yuhwa Eva; Landsverk, John; Ellis-Macleod, Elissa; Newton, Rae; Ganger, William; Johnson, Ivory; Race, ethnicity, and case outcomes in child protective services. Children and Youth Services Review, Vol 26(5), May 2004. pp. 447-461.

 

Merdinger, Joan M.; Hines, Alice M.; Osterling, Kathy Lemon; Wyatt, Paige; Pathways to college for former foster youth: Understanding factors that contribute to educational success.

Child Welfare Journal, Vol 84(6), Nov-Dec 2005. pp. 867-896.

 

Munson, Michelle R.; McMillen, J. Curtis; Natural mentoring and psychosocial outcomes among older youth transitioning from foster care. Children and Youth Services Review, Vol 31(1), Jan 2009. pp. 104-111.

 

Osterling, Kathy Lemon; Hines, Alice M.; Mentoring adolescent foster youth: Promoting resilience during developmental transitions. Child & Family Social Work, Vol 11(3), Aug 2006. pp. 242-253.

 

Packard, Thomas; Delgado, Melanie; Fellmeth, Robert; McCready, Karen; A cost-benefit analysis of transitional services for emancipating foster youth. Children and Youth Services Review, Vol 30(11), Nov 2008. pp. 1267-1278.

 

Pelton, Leroy H.; Review of a History of Child Protection in America. Children and Youth Services Review, Vol 27(5), May 2005. pp. 561-565.

 

Scott, Lionel D. Jr.; Munson, Michelle R.; McMillen, J. Curtis; Ollie, Marcia T.; Religious involvement and its association to risk behaviors among older youth in foster care. American Journal of Community Psychology, Vol 38(3-4), Dec 2006. Special issue: Exemplars of community practice. pp. 223-236.

 

Shook, Jeffrey J.; Vaughn, Michael G.; Litschge, Christy; Kolivoski, Karen; Schelbe, Lisa; The importance of friends among foster youth aging out of care: Cluster profiles of deviant peer affiliations. Children and Youth Services Review, Vol 31(2), Feb 2009. pp. 284-291

 

Taussig, Heather N.; Risk behaviors in maltreated youth placed in foster care: A longitudinal study of protective and vulnerability factors. Child Abuse & Neglect, Vol 26(11), Nov 2002. pp. 1179-1199

 

Unrau, Yvonne A.; Seita, John R.; Putney, Kristin S.; Former foster youth remember multiple placement moves: A journey of loss and hope. Children and Youth Services Review, Vol 30(11), Nov 2008. pp. 1256-1266.

 

Vacca, James S.; Foster children need more help after they reach the age of eighteen. Children and Youth Services Review, Vol 30(5), May 2008. pp. 485-492.

 

Vaughn, Michael G.; Ollie, Marcia T.; McMillen, J. Curtis; Scott, Lionel Jr.; Munson, Michelle; Substance use and abuse among older youth in foster care. Addictive Behaviors, Vol 32(9), Sep 2007. pp. 1929-1935.