Behavioral Medicine & Clinical Psychology, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio, USA.
Department of Pediatrics, University of Cincinnati College of Medicine, Cincinnati, Ohio, USA.
Infant Ment Health J. 2022 Sep;43(5):797-807. doi: 10.1002/imhj.22013. Epub 2022 Jul 28.
Women previously in out-of-home care (i.e., foster care) experience poorer health and psychosocial outcomes compared to peers, including higher pregnancy rates and child protective services involvement. Home visiting programs could mitigate risks. Studies examining home visiting enrollment for women with a history of out-of-home care are needed. Women previously in out-of-home care based on child welfare administrative data between 2012 and 2017 (n = 1375) were compared to a demographically matched sample (n = 1375) never in out-of-home care. Vital records data identified live births in the two groups. For those who had given live birth (n = 372), linked administrative data were used to determine and compare rates of referral and enrollment into home visiting, and two indicators of engagement: number of days enrolled, and number of visits received. Women previously in out-of-home care were referred for home visiting more often than their peers. There were no differences in rates of enrollment. Women previously in out-of-home care remained enrolled for shorter durations and completed fewer home visits than peers. Findings suggest barriers to home visiting enrollment and retention in home visiting programs for women previously in out-of-home care. Studies with larger samples and more complete assessments of outcomes are warranted.
曾接受过家庭外照顾（例如寄养）的妇女与同龄人相比，健康和心理社会结局较差，包括更高的怀孕率和儿童保护服务的介入。家庭探访项目可能会降低风险。需要研究曾接受过家庭外照顾的妇女参加家庭探访的情况。比较了 2012 年至 2017 年期间基于儿童福利行政数据的曾接受过家庭外照顾的妇女（n=1375）与从未接受过家庭外照顾的人口统计学匹配样本（n=1375）。通过生命记录数据确定了两组中的活产。对于那些已经生育过的人（n=372），使用关联的行政数据来确定和比较家庭探访的转介和入组率，以及两个参与指标：入组天数和接受的访问次数。曾接受过家庭外照顾的妇女比同龄人更常被转介接受家庭探访。但入组率没有差异。曾接受过家庭外照顾的妇女入组时间较短，接受的家访次数也较少。研究结果表明，曾接受过家庭外照顾的妇女在参加家庭探访和在家庭探访项目中保持参与方面存在障碍。需要进行样本更大、对结果进行更全面评估的研究。
