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监护权与亲属收养后儿童的连续性:逼近正确的反事实。

Continuity for children after guardianship versus adoption with kin: Approximating the right counterfactual.

机构信息

Helen Bader School of Social Welfare, University of Wisconsin-Milwaukee, 2400 E. Hartford Avenue, Milwaukee, WI 53211, United States.

School of Social Work, East Carolina University, 116 Rivers Building, Greenville, NC 278558, United States.

出版信息

Child Abuse Negl. 2017 Oct;72:32-44. doi: 10.1016/j.chiabu.2017.07.001. Epub 2017 Jul 23.

Abstract

Over the past two decades there has been a rapid increase in the number of children and youth living in guardianship and adoptive homes who were previously in foster care. Further, previous studies compared outcomes for children in guardianship homes to those for children in adoptive homes, despite the fact that many factors likely affect the selection of foster youth into different types of permanent placements. This study examined two counterfactuals for guardianship as a permanent placement type: adoption only and adoption or long-term-fostercare (A+LTFC). Longitudinal outcomes were tracked for children who exited foster care with relatives through guardianship (N=4,884) or adoption (N=12,163), as well as children in long-term foster care with relatives (N=4,840). Propensity scores were used to match children on key indicators. In the matched sample of guardianship versus adoption cases only, children who exited to guardianship were more likely to experience discontinuity than children who exited through adoption, 11% vs. 6% respectively. However, when guardianship was compared to the combination of adoption or long-term foster care, children in guardianship experienced the same proportion of discontinuity, 11% vs. 11% respectively. These results suggest that simply matching guardianship to adoption without taking into account LTFC may be the wrong way to estimate the "what if" counterfactual if children were not discharged to guardianship. Findings also support the use of guardianship as a potential solution for children in LTFC whose caregivers are not planning to adopt.

摘要

在过去的二十年中,生活在监护和收养家庭中的儿童和青少年数量迅速增加,而这些儿童和青少年之前曾在寄养家庭中生活。此外,之前的研究比较了监护家庭中的儿童和收养家庭中的儿童的结果,尽管许多因素可能影响寄养青年进入不同类型的永久安置。本研究考察了监护作为一种永久安置类型的两种反事实情况:仅收养和收养或长期寄养(A+LTFC)。通过监护(N=4884)或收养(N=12163)离开寄养家庭的儿童以及与亲属一起在长期寄养中生活的儿童(N=4840)的纵向结果进行了跟踪。使用倾向评分对关键指标进行匹配。在仅对监护与收养案例进行匹配的样本中,与通过收养离开的儿童相比,通过监护离开的儿童更有可能经历连续性中断,分别为 11%和 6%。然而,当将监护与收养或长期寄养相结合进行比较时,监护中的儿童经历的连续性中断比例相同,分别为 11%和 11%。这些结果表明,如果儿童没有被安置在监护中,仅仅将监护与收养相匹配而不考虑长期寄养,可能无法正确估计“如果”的反事实情况。研究结果还支持将监护作为长期寄养中其照顾者不打算收养的儿童的一种潜在解决方案。

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