Villodas Miguel T, Litrownik Alan J, Newton Rae R, Davis Inger P
Florida International University,
San Diego State University, Child and Adolescent Services Research Center, Rady Children's Hospital, San Diego, CA, and.
J Pediatr Psychol. 2016 Jan-Feb;41(1):46-54. doi: 10.1093/jpepsy/jsv031. Epub 2015 Apr 1.
This study aimed to identify children's long-term placement trajectories following early child welfare involvement and the association of these trajectories with subsequent physical and behavioral well-being.
Participants were 330 children who entered out-of-home care following a substantiated report of child abuse or neglect during infancy/early childhood and their caregivers. Participants were interviewed at child ages 4 and 12 years to assess children's physical and behavioral well-being and every 2 years in between to determine child placements.
Latent Class Analyses identified four stable placement trajectories (i.e., adopted [32%], kinship care [15%], stable reunified [27%], and stable foster care [9%]), and two unstable trajectories (i.e., disrupted reunified [12%] and unstable foster care [5%]). Logistic regressions revealed that children in the unstable trajectories had significantly poorer physical and behavioral well-being than children in stable trajectories.
Maltreated children placed in out-of-home care are at risk for long-term placement instability and poorer physical and behavioral well-being.
本研究旨在确定儿童早期受到儿童福利机构干预后的长期安置轨迹，以及这些轨迹与随后的身体和行为健康之间的关联。
参与者为330名儿童及其照顾者，这些儿童在婴儿期/幼儿期因虐待或忽视儿童的报告得到证实后进入家庭外照料。在儿童4岁和12岁时对参与者进行访谈，以评估儿童的身体和行为健康状况，并在其间每两年进行一次访谈以确定儿童的安置情况。
潜在类别分析确定了四种稳定的安置轨迹（即收养[32%]、亲属照料[15%]、稳定团聚[27%]和稳定寄养[9%]），以及两种不稳定的轨迹（即团聚中断[12%]和不稳定寄养[5%]）。逻辑回归显示不稳定轨迹中的儿童比稳定轨迹中的儿童身体和行为健康状况明显更差。
进入家庭外照料的受虐待儿童面临长期安置不稳定以及身体和行为健康状况较差的风险。
