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差异风险:残疾如何塑造从寄养照料中长大的青少年向成年过渡过程中的风险。

Differential Risks: How Disability Shapes Risk in the Transition to Adulthood for Youth who Age Out of Foster Care.

作者信息

McCauley Erin

机构信息

323 Uris Hall, Cornell University, Ithaca, NY, Department of Sociology, Department of Policy Analysis and Management, Cornell University.

出版信息

Child Youth Serv Rev. 2021 Dec;131. doi: 10.1016/j.childyouth.2021.106293. Epub 2021 Nov 10.

DOI:10.1016/j.childyouth.2021.106293
PMID:34898774
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8657864/
Abstract

OBJECTIVE

This study examines how disability is associated with risk during the transition to adulthood for youth who age out of foster care and considers how experiences in the child welfare system contribute to these associations.

BACKGROUND

The transition to adulthood is important for later socioeconomic standing, health, and wellbeing. Youth who age out of foster care with disabilities may require a high level of support during this transition yet may lack support.

METHOD

This study employs linear probability models to estimate the association between disability and incarceration, homelessness, childbearing, and substance abuse between ages 17 and 21 using linked administrative data from the National Data Archive on Child Abuse and Neglect (N=5,221).

RESULTS

Having a physical or sensory disability is associated with lower risk in the transition to adulthood. Alternatively, having an emotional or mental related disability is associated with increased risk of incarceration and homelessness, but the association with homelessness is accounted for by child welfare experiences.

CONCLUSION

Due to the importance of foster care and child protective histories in explaining some risky outcomes for youth with emotional and mental disabilities, policy makers and practitioners should include those early stages of care when seeking it improve outcomes in the transition to adulthood for youth with disabilities who age out of foster care.

摘要

目的

本研究探讨了寄养儿童成年过渡期间残疾与风险之间的关联,并考虑了儿童福利系统中的经历如何促成这些关联。

背景

成年过渡对后期的社会经济地位、健康和幸福至关重要。残疾的寄养儿童在这一过渡期间可能需要高水平的支持,但可能缺乏支持。

方法

本研究采用线性概率模型,利用来自国家虐待与忽视儿童数据档案库的关联行政数据(N = 5221),估计17至21岁之间残疾与监禁、无家可归、生育和药物滥用之间的关联。

结果

身体或感官残疾与成年过渡期间较低的风险相关。相反,患有情感或精神相关残疾与监禁和无家可归风险增加相关,但与无家可归的关联可由儿童福利经历解释。

结论

由于寄养照料和儿童保护历史在解释患有情感和精神残疾青年的一些风险结果方面的重要性,政策制定者和从业者在寻求改善从寄养照料中成年过渡的残疾青年的结果时,应纳入这些早期照料阶段。

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本文引用的文献

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Evaluating the self-determination model for older youth in foster care: Establishing efficacy and exploring moderation of response to intervention.评估寄养环境中大龄青少年的自主决定模型:确定有效性并探索干预反应的调节因素。
Child Youth Serv Rev. 2020 Dec;119. doi: 10.1016/j.childyouth.2020.105419. Epub 2020 Sep 24.
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Transition to adulthood for youth with disabilities who experienced foster care: An ecological approach.残疾青少年从寄养到成年的转变:一种生态方法。
Child Abuse Negl. 2020 Jan;99:104310. doi: 10.1016/j.chiabu.2019.104310. Epub 2019 Dec 12.
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Pregnancy and Childbearing Among Young Adults Who Experienced Foster Care.寄养经历的年轻人的妊娠和生育。
Child Maltreat. 2018 May;23(2):166-174. doi: 10.1177/1077559517733816. Epub 2017 Oct 15.
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Foster Care Outcomes for Children With Intellectual Disability.寄养照料对智障儿童的结果影响。
Intellect Dev Disabil. 2016 Oct;54(5):299-315. doi: 10.1352/1934-9556-54.5.299.
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Exiting and Returning to the Parental Home for Boomerang Kids.“回巢族”进出父母家的情况。
J Marriage Fam. 2015 Jun 1;77(3):806-818. doi: 10.1111/jomf.12183.
6
Assessing Restrictiveness: A Closer Look at the Foster Care Placements and Perceptions of Youth With and Without Disabilities Aging Out of Care.评估限制性:深入研究寄养安置以及有残疾和无残疾的青少年在寄养结束后的看法。
J Public Child Welf. 2013;7(5):586-609. doi: 10.1080/15548732.2013.845644.
7
Reaching everyone: Promoting the inclusion of youth with disabilities in evaluating foster care outcomes.惠及每一个人:促进残疾青年纳入寄养照料结果评估。
Child Youth Serv Rev. 2013 Nov;35(11). doi: 10.1016/j.childyouth.2013.08.010.
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Homelessness during the transition from foster care to adulthood.从寄养到成年过渡期的无家可归问题。
Am J Public Health. 2013 Dec;103 Suppl 2(Suppl 2):S318-23. doi: 10.2105/AJPH.2013.301455. Epub 2013 Oct 22.
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The prevalence of youth with disabilities among older youth in out-of-home placement: an analysis of state administrative data.寄养大龄青年中残疾青年的患病率:基于州行政数据的分析
Child Welfare. 2012;91(4):61-84.
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Foster care transition services for youth with disabilities: findings from a survey of county service providers.为残疾青年提供的寄养照料过渡服务:对县级服务提供者的一项调查结果
Child Welfare. 2010;89(6):63-81.