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与儿童家庭外安置永久性相关的因素:一项生存分析

Factors Associated With Permanency for Children in Out-Of-Home Placement: A Survival Analysis.

作者信息

Ahn Haksoon, Williams Kimberly, Kim Jinyung, Moeller Elsa

机构信息

School of Social Work, University of Maryland, Baltimore, MD, USA.

出版信息

Child Maltreat. 2025 Feb;30(1):163-176. doi: 10.1177/10775595231217278. Epub 2023 Nov 28.

Abstract

Achieving permanency is a main goal of the child welfare system. To promote timely achievement of permanency, it is important to understand the determinants associated with permanency outcomes. This study aims to examine the length of time children spend in foster care and identify factors associated with achievement of permanency using administrative data from one state spanning a six-year timeframe and including a final sample of 1,874 children. Determinants associated with achievement of permanency were examined through multivariate survival analyses using Cox proportional hazards regression models. The median length of time in days to achieve permanency was: 188 for reunification, 505 for guardianship, and 932 for adoption. Race/ethnicity, age at removal, number of placement changes, number of siblings, having a removal family team decision meeting (FTDM), and placement type were significantly associated with achievement of permanency. Given the findings, this article proposes implications for practice and policy surrounding racial disproportionality, family engagement, kinship care, and placement stability.

摘要

实现永久性安置是儿童福利系统的一个主要目标。为了促进及时实现永久性安置,了解与永久性安置结果相关的决定因素很重要。本研究旨在利用一个州六年时间范围内的行政数据,考察儿童在寄养机构中的停留时间,并确定与实现永久性安置相关的因素,最终样本包括1874名儿童。通过使用Cox比例风险回归模型的多变量生存分析,研究了与实现永久性安置相关的决定因素。实现永久性安置的天数中位数分别为:与亲生父母团聚为188天,监护为505天,收养为932天。种族/族裔、被带走时的年龄、安置变动次数、兄弟姐妹数量、是否召开了安置家庭团队决策会议(FTDM)以及安置类型与实现永久性安置显著相关。鉴于这些研究结果,本文针对种族不均衡、家庭参与、亲属照料和安置稳定性等方面的实践和政策提出了相关建议。

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