Runyan D K, Gould C L
Pediatrics. 1985 Nov;76(5):841-7.
At least 150,000 children currently reside in foster care in the United States because of child maltreatment. Nearly 15% of all confirmed maltreatment reports record foster care as one of the acute interventions. Yet, the impact of foster care has been largely unexamined. We conducted a historical cohort study of the impact of foster care on subsequent school performances for 114 children placed in foster care because of maltreatment. A comparison cohort was constituted of 106 maltreated children who were similar in age, race, sex, and year of diagnosis but who were left in their homes after report. School records were reviewed for 96 of the foster care children and 69 of the home care children. School attendance had improved for both groups at the time of follow-up nearly 8 years later. Children in school at the time of report who were then placed in foster care missed an average of 15.6% of the school year prior to the report compared with missing only 3.48% of the most recent school year. The children from the comparison group missed an average of 8.5% of the school year prior to their index maltreatment report and 7.2% of their most recent year in school. Forty-four percent of the foster care group achieved average or above average grades on follow-up compared with the passing rate for the home care group of 32% (P = .17). The foster care children were more likely to receive special education services. Overall, both groups were doing poor work in school an average of 8 years after maltreatment report. There appears to be no evidence for a significant rehabilitative effect of foster care as measured by subsequent school performance.
目前在美国,至少有15万名儿童因遭受虐待而生活在寄养家庭中。在所有经证实的虐待报告中,近15% 将寄养作为紧急干预措施之一记录在案。然而,寄养的影响在很大程度上尚未得到研究。我们对114名因虐待而被安置在寄养家庭中的儿童进行了一项关于寄养对其后续学业成绩影响的历史性队列研究。一个对照队列由106名受虐待儿童组成,他们在年龄、种族、性别和诊断年份上相似,但在报告后仍留在自己家中。我们查阅了96名寄养儿童和69名家庭照料儿童的学校记录。在近8年后的随访时,两组儿童的上学出勤率均有所提高。报告时在校然后被安置在寄养家庭的儿童在报告前一学年平均缺课15.6%,而在最近一学年仅缺课3.48%。对照组儿童在其首次虐待报告前一学年平均缺课8.5%,在最近一学年缺课7.2%。随访时,44% 的寄养组儿童成绩达到平均水平或高于平均水平,而家庭照料组的及格率为32%(P = 0.17)。寄养儿童更有可能接受特殊教育服务。总体而言,在虐待报告平均8年后,两组儿童在学校的表现都很差。从后续学业成绩来看,似乎没有证据表明寄养有显著的康复效果。