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Adverse Childhood Experiences and Foster Care Placement Stability
Kiley W Liming1, Becci Akin1, Jody Brook1
1School of Social Welfare, University of Kansas, Lawrence, Kansas.
Pediatrics
|December 1, 2021
Summary
Children with more adverse childhood experiences (ACEs) face greater foster care instability. Addressing ACEs and trauma at entry is crucial for stable placements.
Area of Science:
- Child Welfare Research
- Pediatric Psychology
- Trauma Studies
Background:
- Adverse Childhood Experiences (ACEs) are linked to negative health and social outcomes.
- Foster care placement stability is a critical factor in child well-being.
- Understanding ACEs' impact on foster care is essential for improving outcomes.
Purpose of the Study:
- To investigate the association between cumulative Adverse Childhood Experiences (ACEs) and placement stability in Kansas foster care.
- To quantify the risk of placement instability based on the number of ACEs experienced by children.
Main Methods:
- Secondary data analysis of 2998 children (6-18 years) in Kansas foster care (Oct 2015-July 2019).
- Multivariate hierarchical logistic regression models were used to assess the influence of cumulative ACEs on placement stability.
- ACEs were self-reported at intake; placement stability data from the state administrative database.
Main Results:
- Increased cumulative ACEs significantly correlated with higher odds of foster care placement instability.
- Children with 6-9 ACEs had 52% higher odds (OR: 1.52, P < .001) of instability; those with ≥10 ACEs had 31% higher odds (OR: 1.31, P < .05).
- Child's race, sex, age, and sibling status in care also significantly impacted placement stability.
Conclusions:
- Higher cumulative ACE exposure increases the likelihood of foster care placement instability.
- Proactive assessment and intervention for ACEs and trauma at foster care entry are recommended.
- Findings underscore the need for trauma-informed approaches in child welfare services.
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