Behavior problems of children in kinship care
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Updated: Sep 25, 2026

Assessment and Evaluation of the High Risk Neonate: The NICU Network Neurobehavioral Scale
Published on: August 25, 2014
H Dubowitz1, S Zuravin, R H Starr
1Department of Pediatrics, University of Maryland, School of Medicine, Baltimore 21204.
Insights
Children in kinship care exhibit significantly higher rates of behavioral issues than the general population. This study highlights the need for mental health evaluations and screenings for these children.
Area of Science:
- Child Psychology
- Social Work
- Family Studies
Background:
- Kinship care, where children live with relatives, is an increasingly common out-of-home placement.
- Research on the behavioral outcomes and specific needs of children in kinship care remains limited.
Purpose of the Study:
- To evaluate the behavioral patterns of children residing in kinship care arrangements.
- To identify key factors that predict behavioral problems in this population.
Main Methods:
- Utilized the Child Behavior Checklist (CBCL) completed by caregivers of 346 children in kinship care.
- Collected background data from caregivers and caseworkers.
- Employed logistic regression analysis to determine significant predictors of behavior problems.
Main Results:
- A substantial proportion of children in kinship care, 42% of boys and 28% of girls, scored in the clinical range on the CBCL, far exceeding the general population's 10%.
- Identified multiple significant predictors of behavior problems, including reason for placement, child's gender and race, caregiver's perception, caregiver education, caseworker contact frequency, and long-term plans.
Conclusions:
- Children in kinship care demonstrate a high prevalence of behavioral problems, indicating they are a high-risk group.
- Routine mental health evaluations and regular screenings are strongly recommended for children in kinship care to address their needs proactively.
Abstract:
An increasing number of children needing out-of-home care are being placed with relatives. Despite this pervasive policy, there has been scant research on children in this arrangement called kinship care. The objectives of this study were (1) to assess the behavior of children in kinship care and (2) to identify predictors of their behavior. The caregivers of 346 children in kinship care completed the Child Behavior Checklist (CBCL). Background information was obtained from caregivers and caseworkers. Forty-two percent of boys and 28% of girls had overall CBCL scores in the clinical range, compared with an expected 10% in the general population. Logistic regressions revealed several variables significantly associated with behavior problems including: reason for placement, gender, race, caregiver's perception of the child, caregiver's educational level, number of contacts between caregiver and caseworker, long-term plan, and child's age. The frequent behavior problems among these high-risk children in kinship care suggest they all deserve mental health evaluations; at a minimum, periodic screening is indicated.
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