Out-of-home care in childhood and socio-economic functioning in adulthood: ONS Longitudinal Study 1971-2011

Abstract

BackgroundChildren who spent time in non-parental care report poor outcomes in many aspects of their later lives on average, but less is known about differences by type of care. We examined whether socioeconomic, family, and living arrangements of adults who had been in non-parental care across the first three decades of adult life varied by type of care (residential, non-relative and relative).MethodsWe used longitudinal data from the Office for National Statistics Longitudinal Study (LS). Participants were aged<18 years and had never been married at baseline of each census year from 1971-2001 (n=242,843). Separately for each adult follow-up age (20 to 29; 30 to 39; 40 to 49), multi-level logistic regression models were used to compare socioeconomic, family, and living arrangements by different out-of-home care (OHC) experiences.ResultsAny OHC increased the likelihood of poorer functioning in the three domains of socioeconomic circumstances, family formation and relationships, and living arrangements. This was evident in their 20s, 30s and 40s; the most adverse outcomes were observed for those with a history of residential care, followed by non-relative OHC, and the least adverse outcomes for relative OHC. Moderation by childhood census year, age in OHC, and gender altered the relationship between OHC and some, but not all, adult outcomes. The strongest, most consistent, evidence was for widening of inequalities in age 20-29 outcomes across childhood census years and weakest evidence for any moderation of age 40-49 outcomes by age when in OHC.ConclusionEnduring inequalities in social and economic functioning for OHC-experienced adults were found. The evidence overwhelmingly supports the policy to place children in relative care whenever possible, with residential care the least favoured option.

Non-parental care in childhood and adult outcomes: double whammy for minority children?

“…Since main effects are reported elsewhere [45], we estimated and report average marginal effects for each outcome. For linear outcomes, this is the average of the difference between estimated values on the outcome if each LS member had been in parental or non-parental care by ethnic group, leaving all other covariate values unchanged.…”

“…Qualitative studies are needed to understand why South Asian care-leavers are more affected by their experiences in the long-term than Black care-leavers when compared with their same ethnicity peer group. This finding is especially puzzling since South Asian children are more likely to be in relative care and Black children in residential care [52,53], yet outcomes by care-type are universally more positive for relative care than residential care [45].…”

Utveckling av en evidensbaserad och objektiv familjehemsutredning | Development of an evidence-based and objective process for assessing prospective foster carers

“…Många placeras därför istället på institution trots att forskning tyder på att specialiserade familjehem ger bättre resultat än institutionsvård (SBU, 2018). De institutionsplacerade barnen är överrepresenterade bland de som senare blir inneliggande patienter vid psykiatriska vårdavdelningar eller döms för brott, och de skaffar sig mer sällan utbildning utöver grundskola eller etablerar sig på arbetsmarknaden (Vinnerljung & Sallnäs, 2008;Sacker, Lacey, Maughan, & Murray, 2021). Nya rekommendationer från Socialstyrelsen (2021b) slår därför fast att fler ungdomar måste få plats i (specialiserade) familjehem istället för att placeras på institution.…”