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  • Title: Long-Term Placement Trajectories of Children Who Were Maltreated and Entered the Child Welfare System at an Early Age: Consequences for Physical and Behavioral Well-Being.
    Author: Villodas MT, Litrownik AJ, Newton RR, Davis IP.
    Journal: J Pediatr Psychol; 2016; 41(1):46-54. PubMed ID: 25834181.
    Abstract:
    OBJECTIVE: This study aimed to identify children's long-term placement trajectories following early child welfare involvement and the association of these trajectories with subsequent physical and behavioral well-being. METHOD: Participants were 330 children who entered out-of-home care following a substantiated report of child abuse or neglect during infancy/early childhood and their caregivers. Participants were interviewed at child ages 4 and 12 years to assess children's physical and behavioral well-being and every 2 years in between to determine child placements. RESULTS: Latent Class Analyses identified four stable placement trajectories (i.e., adopted [32%], kinship care [15%], stable reunified [27%], and stable foster care [9%]), and two unstable trajectories (i.e., disrupted reunified [12%] and unstable foster care [5%]). Logistic regressions revealed that children in the unstable trajectories had significantly poorer physical and behavioral well-being than children in stable trajectories. CONCLUSIONS AND RELEVANCE: Maltreated children placed in out-of-home care are at risk for long-term placement instability and poorer physical and behavioral well-being.
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