Predictors of adult quality of life for foster care alumni with physical and/or psychiatric disabilities
Abstract
Introduction This study used quality of life and resilience as theoretical frameworks for evaluating predictors of outcomes for adults who received foster care services alumni of foster care and were diagnosed with a physical or psychiatric disability while in foster care. Method First, outcomes for foster care alumni with and without physical and psychiatric disabilities (N=1,087) were compared according to quality of life variables. Second, using only participants with disabilities (N=578), stepwise regression analyses were performed to determine whether risk and protective factors were associated with specific outcomes. Results Alumni with disabilities had significantly lower economic (p=.020) and health (p=.001) outcomes; and reported lower educational attainment (p=.002), more difficulty paying monthly bills (p=.026), more psychiatric diagnoses (p=.006), lower self-esteem (p=.013), and worse physical health (p=.001) than those without disabilities. For alumni with disabilities, receiving special education services and experiencing sexual abuse while in foster care were significant risk factors for poor self-esteem; conversely, receiving services and resources that prepared foster care alumni for leaving foster care (e.g., protective factors) predicted better outcomes. Conclusions By expanding the quality of life outcomes analyses to investigate the impact of risk and protective factors on outcomes of foster care alumni with disabilities, this study fills a gap in the literature by assessing outcome differences within the foster-care population. The study found protective factors were associated with more educational attainment and higher self-esteem in adulthood. Conversely, those who received special education services and experienced sexual abuse while in foster care may be at the greatest risk of poor self-esteem and therefore, could benefit from services that enhance self-esteem.
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For transition-aged foster youth, outcomes often include adult functioning focused on educational attainment, employment, and/or housing.
“For transition-aged foster youth, outcomes often include adult functioning (e.g., Anctil et al., 2007; Courtney & Dworsky, 2006; Miller et al., 2017) focused on educational attainment (e.g., Batsche et al., 2014; Barth et al., 2007; Greeson et al., 2015), employment (e.g., Hook & Courtney, 2011; Zinn & Courtney, 2017; Kim et al., 2019), and/or housing (Berzin et al., 2011; Greeno et al., 2018; Kim”
From A Qualitative Investigation of Foster Youth Mental Health Outcomes: Measuring What Matters (2025) · cites this paper as Anctil et al., 2007
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- Authors
- Anctil, T. M., McCubbin, L. D., O’Brien, K., Pecora, P., & Anderson-Harumi, C. A.
- Affiliations
- Washington State University (US)
- Casey Family Programs (US)
- University of Washington (US)
- Corresponding author
- Anctil, Tina M.
- ORCID
- Pecora, Peter
- Venue
- Child Abuse & Neglect
- Publisher
- Elsevier BV
- Published
- 2007-10
- Volume
- 31
- Issue
- 10
- Pages
- 1087-1100
- ISSN
- 0145-2134 (ISSN-L)
- OpenAlex
- W2074319111
- Cited by
- 66
- References
- 29
- Citations by year
- 2026: 1 · 2025: 2 · 2024: 2 · 2023: 4 · 2022: 2 · 2021: 2 · 2020: 5 · 2019: 1 · 2018: 2 · 2017: 1 · 2016: 2 · 2015: 4 · 2014: 1 · 2013: 6 · 2012: 7
- FWCI
- 19.22
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Child Abuse & Neglect (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Social Sciences › Safety Research › Child Welfare and Adoption
- Social Sciences › Psychology › Clinical Psychology › Family and Disability Support Research
- Social Sciences › Psychology › Clinical Psychology › Child Abuse and Trauma
- Keywords
- foster care alumni, quality of life, resilience, physical disability, psychiatric disability, self-esteem, risk and protective factors, special education services, coming of age, economic outcomes, educational attainment, health outcomes
- MeSH terms
- Adult, Female, Forecasting, Foster Home Care, Persons with Disabilities, Disabled Persons, Humans, Interviews as Topic, Male, Quality of Life, United States
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