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Published on: September 19, 2019
The Importance of Sibling Relationships for Children in Foster Care
R M A Shafi1, Eric R Pease1, Magdalena Romanowicz1
1Dr. Shafi is Assistant Professor of Psychiatry, Mayo Clinic, Department of Psychiatry and Psychology, Rochester, MN, and Consultant Psychiatrist, Department of Psychiatry, Cairns and Hinterland Hospital and Health Service, Cairns, Queensland, Australia. Dr. Pease is Assistant Professor of Psychiatry, Mayo Clinic, Department of Psychiatry and Psychology, Rochester, MN. Dr. Romanowicz is Child and Adolescent Fellowship Director, and Assistant Professor of Psychiatry, Mayo Clinic, Department of Psychiatry and Psychology, Rochester, MN. Dr. Baker is Consultant Child and Adolescent Psychiatrist, Momentum for Health, San Jose, CA. Dr. Wakefield is Department Chair of Psychiatry, Director of Child and Adolescent Psychiatry Services, Texas Tech University Health Sciences Center, Lubbock, TX. Dr. Morgan is Assistant Professor of Psychiatry, UMass Chan Medical School, Department of Psychiatry, Worcester MA. Dr. Dell is Division Chief of Child and Adolescent Psychiatry, Professor of Psychiatry and Neurobehavioral Sciences, University of Virginia, Charlottesville, VA.
Abstract:
There are approximately 500,000 children in the foster care system in the United States of America. With exposure to chronic and cumulative trauma, they constitute a population with an increased risk of developing mental health concerns and adverse outcomes in later life, including contact with the forensic system. Legislative frameworks that have been developed to facilitate improved outcomes are outlined, although these vary between states, and the focus is often on the parental relationship. Several studies have emphasized the importance of sibling relationships and that placing siblings in the same foster home is associated with higher rates of placement stability, reunification, adoption and guardianship, and fostering positive sibling relations. The multifaceted role of the clinician in promoting recovery from trauma, enhancing resiliency, and thoughtfully prescribing and advocating for familial relationships is discussed.
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