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Factors associated with outcomes for looked-after children and young people: a correlates review of the literature: Looked-after children and young people: factors and outcomes
Open accessAbstract
In 2008, the Department of Health made a referral to the National Institute for Health and Clinical Excellence and the Social Care Institute for Excellence to develop joint public health guidance on improving the physical and emotional health and well-being of children and young people looked after by the local authority/state. To help inform the decision-making process by identifying potential research questions pertinent to the outcomes of looked-after children and young people (LACYP), a correlates review was undertaken. Iterative searches of health and social science databases were undertaken; searches of reference lists and citation searches were conducted and all included studies were critically appraised. The correlates review is a mapping review conducted using systematic and transparent methodology. Interventions and factors that are associated (or correlated) with outcomes for LACYP were identified and presented as conceptual maps. This review maps the breadth (rather than depth) of the evidence and represents an attempt to use the existing evidence base to map associations between potential risk factors, protective factors, interventions and outcomes for LACYP. Ninety-two studies were included: four systematic reviews, five non-systematic reviews, eight randomized controlled trials, 66 cohort studies and nine cross-sectional studies. The conceptual maps provide an overview of the key relationships addressed in the current literature, in particular, placement stability and emotional and behavioural factors in mediating outcomes. From the maps, there appear to be some key factors that are associated with a range of outcomes, in particular, number of placements, behavioural problems and age at first placement. Placement stability seems to be a key mediator of directional associations. The correlates review identified key areas where sufficient evidence to conduct a systematic review might exist. These were: transition support, training and support for carers and access to services.
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The DAWBA interview has generated realistic prevalence estimates of mental disorders when used in public health services.
“it has generated realistic prevalence estimates of mental disorders when used in public health services [32,45].”
From Mental disorders in foster children: a study of prevalence, comorbidity and risk factors (2013) · cites this paper as [32]
Age, sex, and learning difficulties, as well as low socioeconomic status, are well-established predictors of mental health problems in children in general.
“Age, sex, and learning difficulties [31,32], as well as low socioeconomic status [33,34], are well-established predictors of mental health problems in children in general.”
From Mental disorders in foster children: a study of prevalence, comorbidity and risk factors (2013) · cites this paper as [32]
The last author has documented high inter-rater agreement with Robert Goodman, who developed the DAWBA.
“Last author has documented high inter-rater agreement with Robert Goodman, who developed the DAWBA [32].”
From Mental disorders in foster children: a study of prevalence, comorbidity and risk factors (2013) · cites this paper as [32]
The prevalence of ADHD disorders, Behavioural disorders, and Emotional disorders in the sample was nearly 10 times greater than what has been reported in epidemiological studies of Norwegian children.
“Regarding the main diagnostic groups, the prevalence of ADHD disorders, Behavioural disorders, and Emotional disorders was nearly 10 times greater than what has been reported in epidemiological studies of Norwegian children [32,49].”
From Mental disorders in foster children: a study of prevalence, comorbidity and risk factors (2013) · cites this paper as [32]
In Norway, children with ADHD disorders have better access to mental health services and special education compared to children with emotional disorders.
“In Norway, it has been documented that children with ADHD disorders have better access to mental health services and special education, compared to children with emotional disorders [32].”
From Mental disorders in foster children: a study of prevalence, comorbidity and risk factors (2013) · cites this paper as [32]
In other surveys, non-participants have been found to be at higher risk for mental disorders.
“In other surveys, non-participants have been found to be at higher risk for mental disorders [32], and our estimates might therefore be considered conservative.”
From Mental disorders in foster children: a study of prevalence, comorbidity and risk factors (2013) · cites this paper as [32]
This comorbidity was approximately twice as high as reported for Norwegian children in general.
“In the present study, the overall comorbidity among the 3 main diagnostic groups — Emotional disorders, ADHD disorders and Behavioural disorders (43.4%) — was approximately twice as high as that reported for Norwegian children in general [32], and it was even higher than in children referred to specialist mental health services [47].”
From Mental disorders in foster children: a study of prevalence, comorbidity and risk factors (2013) · cites this paper as [32]
Findings have indicated that Norway has a relatively low overall prevalence of child mental disorders.
“Findings have indicated that Norway has a relatively low overall prevalence of child mental disorders [32].”
From Mental disorders in foster children: a study of prevalence, comorbidity and risk factors (2013) · cites this paper as [32]
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Citations
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Metadata
- Authors
- Jones, R., Everson-Hock, E. S., Papaioannou, D., Guillaume, L., Goyder, E., Chilcott, J., Cooke, J., Payne, N., Duenas, A., Sheppard, L. M., & Swann, C.
- Affiliations
- University of Sheffield (GB)
- National Institute for Health and Care Excellence (GB)
- Corresponding author
- Jones, R.
- Venue
- Child: Care, Health and Development
- Publisher
- Wiley
- Published
- 2011-03-24
- Volume
- 37
- Issue
- 5
- Pages
- 613-622
- ISSN
- 0305-1862 (ISSN-L)
- PMC
- PMC3500671
- OpenAlex
- W1947869133
- Cited by
- 106
- References
- 30
- Citations by year
- 2026: 5 · 2025: 7 · 2024: 6 · 2023: 5 · 2022: 5 · 2021: 14 · 2020: 10 · 2019: 10 · 2018: 8 · 2017: 5 · 2016: 8 · 2015: 6 · 2014: 9 · 2013: 4 · 2012: 1
- FWCI
- 1.78
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Child Care Health and Development (publishedVersion)
- Europe PMC (PubMed Central) (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- White Rose Research Online (University of Leeds, The University of Sheffield, University of York) (acceptedVersion)
- Funders
- University of Sheffield
- Topics
- Social Sciences › Sociology and Political Science › Child Welfare and Adoption
- Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Child and Adolescent Health
- Social Sciences › Public Administration › Social Work Education and Practice
- Keywords
- children in care, child welfare outcomes, risk factors, protective factors, placement stability, behavioral problems, emotional well-being, coming of age, access to services, concept maps
- MeSH terms
- Adolescent, Child, Child Welfare, Child, Preschool, England, Female, Foster Home Care, Humans, Infant, Infant Welfare, Male, Risk Factors, Social Behavior, Statistics as Topic, Outcome Assessment, Health Care, Quality Improvement
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