The influence of social determinants of health among young adults after they have left foster care in the <scp>US</scp>

Collins, James; Thomas, Laura

doi:10.1111/jocn.14317

Cited by 8 publications

(5 citation statements)

References 34 publications

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“…Disruptions in connections with family, peers, schools, and communities due to interpersonal difficulties and placement changes can make getting a driver's license difficult 29 . Social networks help young adults gain access to housing, education, and access to healthcare services after leaving foster care 34‐36 . Clarifying healthcare access for young adults with foster care history is necessary given ongoing health needs that foster care and histories of trauma impose on otherwise healthy youth.…”

Section: Discussionmentioning

confidence: 99%

Life is a highway: Driver's license acquisition and social determinants for youth in foster care and their non‐foster care peers

2020

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Background Data regarding the connection between driver licensure and social determinants for youth could provide insight into the impact of driver license acquisition. These relationships are important for youth overall and particularly for foster youth given that adolescents in foster care obtain driver's licenses less often than their non‐foster care peers. This integrative review explores the association between driver licensure and social determinants. Methods Whittemore and Knafl guidelines were used to conduct the integrative review. The articles were identified in collaboration with an expert in library science and public health. Results were organized by the Healthy People 2030 (HP 2030) Social Determinants of Health (SDOH) model. Results Six studies were included. Social and community context included social support structures helping youth get driver's licenses. Economics, including income and education, influenced license acquisition. Driver license acquisition was associated with improved well‐being, security, and mental health. Conclusion While fewer of those living in urban, walkable neighborhoods with access to public transportation were licensed, results from other studies suggest that car access is associated with psychological well‐being. Further, licensure is disproportionately lower for populations historically marginalized from equal housing, education, and employment opportunities. Licensure plays a role in well‐being.

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Section: Discussionmentioning

confidence: 99%

Life is a highway: Driver's license acquisition and social determinants for youth in foster care and their non‐foster care peers

2020

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“…The SDH framework highlights the importance of non-medical factors that influence health outcomes, such as access to healthcare, income, education, social support, and environmental conditions (Collins et al 2018;WHO, 2015). This framework is especially relevant to PWUD, who often encounter multiple social disadvantages that hinder their ability to access and utilize rehabilitation services.…”

Section: Social Determinants Of Health (Sdh) Frameworkmentioning

confidence: 99%

“…The SDH framework explains that health outcomes are shaped by a complex interplay of factors beyond medical care, including social, economic, and environmental conditions. It recognizes the impact of upstream determinants like income inequality and education levels, as well as downstream determinants such as housing and access to health facilities on individual health and well-being (Marandi, 2013;Collins et al 2018). The SDH framework thus provides relevant variables, including various social, economic, and environmental factors that might hinder PWUD's access to rehabilitation services.…”

Section: Social Determinants Of Health (Sdh) Frameworkmentioning

confidence: 99%

If They Cannot Pay for Everything: Overcoming Barriers to Accessing and Utilising Formal Rehabilitation for People Who Use Drugs (PWUD) in Ga East Municipality, Ghana

2024

IJFMR

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This study assessed the views and experiences of service providers and individuals who have gone through rehabilitation for substance abuse in the Ga East Municipality of Ghana. Data was collected through in-depth interviews with rehabilitation healthcare providers and individuals who have received rehabilitation care. The study found that there is a significant gap in the provision of rehabilitation care for substance abuse in Ghana, with only a limited number of facilities available particularly outside of urban areas. The cost of treatment was identified as a significant barrier to accessing care, particularly for those from low-income backgrounds. The quality of care provided in rehabilitation facilities was also a concern for participants, with many noting shortfalls in standardisation across facilities. This study underscores the critical need for enhanced public education regarding substance abuse and its available treatment options. Additionally, it highlights the significant gaps in Ghana's rehabilitation care provision for substance abuse and emphasises the urgency of addressing these gaps. This includes initiatives aimed at improving access to care, enhancing the quality of care provided with a specific focus on implementing patient-centered approaches and reducing stigma. The study offers recommendations, including the enhancement of regulatory frameworks and low-cost rehabilitation facilities. Furthermore, the study advocates for subsidising treatment costs or incorporating them into health insurance plans, coupled with increased public education and support programs, thus providing valuable insights that can inform the development of evidence-based policies and interventions for rehabilitation care in Ghana. By addressing the identified gaps in access and utilisation of rehabilitation healthcare provision, such policies and interventions could contribute to achieving Sustainable Development Goal (SDG) 3, particularly Target 3.5 which focuses on strengthening the prevention of drug use and improving access to effective treatment services for individuals struggling with substance abuse.

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“…Young people who have experienced periods of being unhoused tend to have worse overall health and well-being outcomes into adulthood (Collins & Thomas, 2018 ). Physical health can be compromised by the poor housing conditions associated with housing insecurity, such as mold exposure and lead paint toxicity (Shaw, 2004 ).…”

Section: Introductionmentioning

confidence: 99%

Young Adults with Lived Foster Care Experience Who Later Experience Houselessness: an Exploratory Latent Class Analysis

Orsi

Clemens

Thibodeau

et al. 2023

Int. Journal on Child Malt.

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Young adults with lived experience in out-of-home care during childhood report later experiences of housing instability as common. Existing literature identifies a host of factors compounding an individual’s risk of experiencing houselessness, but research has yet to explore constellations of characteristics which describe youth formerly in care who later become unhoused. This exploratory study leverages a public–private data linkage collaborative to integrate and de-identify child welfare data extracted from a Rocky Mountain state’s administrative database and houselessness service utilization data from a regional provider in a large metro area of the state. Linkage and sampling yielded a final sample of 285 youth (ages 18 to 24) formerly in foster care who accessed houselessness services between December 2018 and March 2020 and who had signed required consents. A 22-measure latent class analysis identified three characteristic groups: intensive youth corrections involvement and emancipation from the child welfare system (32% of sample); family-based challenges, neglect, and more moderate youth corrections involvement (41% of sample); and youth behavior and substance use challenges along with family reunification before accessing houselessness services (26%). We found that young women and Black, Indigenous, and people of color were disproportionately represented in the sample compared to the state’s population of youth in out-of-home care. Youth with long histories of child welfare placement were a majority of the sample. Implications are discussed. Data-sharing barriers must be addressed to facilitate further research aimed at understanding houselessness within this population.

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The influence of social determinants of health among young adults after they have left foster care in the US

Cited by 8 publications

References 34 publications

Life is a highway: Driver's license acquisition and social determinants for youth in foster care and their non‐foster care peers

Life is a highway: Driver's license acquisition and social determinants for youth in foster care and their non‐foster care peers

If They Cannot Pay for Everything: Overcoming Barriers to Accessing and Utilising Formal Rehabilitation for People Who Use Drugs (PWUD) in Ga East Municipality, Ghana

Young Adults with Lived Foster Care Experience Who Later Experience Houselessness: an Exploratory Latent Class Analysis

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