Substance use among current and former foster youth: A systematic review
Open accessAbstract
Substance use tends to escalate across adolescence and into young adulthood, and can be intensified by experiences with trauma and maltreatment, mental illness, and exposure to parental alcohol and drug use. Despite the disproportionately high levels of these variables among youth placed in the foster care system, relatively few studies have focused on the measurement of substance use in this vulnerable population. The current review summarizes the published literature on alcohol and drug outcomes for current and former foster youth. Specifically, prevalence of use and diagnoses are presented separately, as well as a review of risk and protective factors. Discussion of results addresses limitations and suggestions for improvement in the measurement of these outcome variables.
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The absence of these critical protective factors can mean that these youth face increased risk of homelessness, poverty, substance abuse, and other poor outcomes.
“The absence of these critical protective factors can also mean that these youth face increased risk of homelessness, poverty, substance abuse, and other poor outcomes (Shook et al., 2011; Braciszewski & Stout, 2012; Dworsky & Courtney, 2010; Pecora et al., 2006; Winter et al., 2016).”
From Intervention development to improve foster youth mental health by targeting coping self-efficacy and help-seeking (2023) · cites this paper as Braciszewski & Stout, 2012
The review’s “Child welfare versus foster care” section reports that lack of connection to caregivers was associated with higher substance use, supporting that part of the claim. Its Discussion also suggests that scarce support services after leaving care could contribute to problematic substance use. The cited passages do not establish that absence of protective factors increases the risk of homelessness or poverty. (LLM, conf=0.86)
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Cites
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Substance use and abuse among older youth in foster care
Vaughn, M. G., Ollie, M. T., McMillen, J. C., Scott, L., & Munson, M. (2007) · Addictive Behaviors · doi:10.1016/j.addbeh.2006.12.012 · Cited by 178 · see citing works
Flagged first, then by citations
Research works printed but not linked: 32
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Cited by
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Slesnick, N., Chavez, L., Bunger, A., Famelia, R., Ford, J., Feng, X., Higgins, S., Holowacz, E., Jaderlund, S., Luthy, E., et al. (2021) · Addiction Science & Clinical Practice · doi:10.1186/s13722-021-00237-7 · Cited by 20 · see citing works
Blakeslee, J. E., Kothari, B. H., & Miller, R. A. (2023) · Children and Youth Services Review · doi:10.1016/j.childyouth.2022.106753 · Cited by 12 · see citing works
- Authors
- Braciszewski, J. M., & Stout, R. L.
- Affiliations
- Brown University (US)
- Pacific Institute For Research and Evaluation (US)
- Corresponding author
- Braciszewski, Jordan M.
- Venue
- Children and Youth Services Review
- Publisher
- Elsevier BV
- Published
- 2012-12
- Volume
- 34
- Issue
- 12
- Pages
- 2337-2344
- ISSN
- 0190-7409 (ISSN-L)
- PMC
- PMC3596821
- OpenAlex
- W2026088031
- Cited by
- 130
- References
- 2
- Citations by year
- 2026: 9 · 2025: 9 · 2024: 7 · 2023: 33 · 2022: 7 · 2021: 14 · 2020: 9 · 2019: 8 · 2018: 8 · 2017: 9 · 2016: 8 · 2015: 5 · 2014: 3 · 2013: 1
- FWCI
- 1.16
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Children and Youth Services Review (publishedVersion)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- RePEc: Research Papers in Economics (submittedVersion)
- Funders
- National Institute on Drug Abuse (T32DA016184)
- Topics
- Social Sciences › Safety Research › Child Welfare and Adoption
- Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
- Health Sciences › Health Professions › General Health Professions › Homelessness and Social Issues
- Keywords
- substance use, foster youth, foster care, alcohol consumption, drug use, trauma, maltreatment, mental illness, parental substance use, risk and protective factors, prevalence, young adults
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