eprintid: 1475416
rev_number: 36
eprint_status: archive
userid: 608
dir: disk0/01/47/54/16
datestamp: 2016-02-25 16:43:27
lastmod: 2021-12-13 02:32:56
status_changed: 2016-02-25 16:43:27
type: article
metadata_visibility: show
creators_name: Mc Grath-Lone, L
creators_name: Dearden, L
creators_name: Nasim, B
creators_name: Harron, K
creators_name: Gilbert, R
title: Changes in first entry to out-of-home care from 1992 to 2012 among children in England
ispublished: pub
divisions: UCL
divisions: B16
divisions: B14
divisions: J81
divisions: B02
divisions: DD4
divisions: D13
divisions: G25
keywords: Foster care, Looked after children, Out-of-home care
note: © 2015 The Authors. Published by Elsevier Ltd. This is an open access article under the CC BY license (http://creativecommons.org/licenses/by/4.0/).
abstract: Placement in out-of-home care (OHC) indicates serious childhood adversity and is associated with multiple adverse outcomes. Each year 0.5% of children in England live in OHC but evidence is lacking on the cumulative proportion who enter during childhood and how this varies over time. We measured the proportion of children born between 1992 and 2011 who entered OHC, including variation in rates of entry over time, and explored the determinants of these changes using decomposition methods. We also described changes in placement type, duration and stability. By age 18, 3.3% of children born 1992-94 entered OHC. This proportion varied by ethnicity (1.6% of White vs. 4.5% of Black children born 2001-03 entered OHC by age 9, 95% CI [1.5-1.7] and [4.4-4.6], p<0.001) and increased over time (0.8% of children born 2009-11 entered OHC by age 1 vs. 0.5% born 1992-94, 95% CI [0.7-0.9] and [0.4-0.6], p<0.001). This overall increase was driven primarily by the increased rate of entry among White children and not by concurrent changes in the population's ethnic composition. The proportion of children entering OHC in England is increasing and characteristics of the care they receive are changing with earlier intervention and longer, more stable placements. Further research is required to understand the reasons for these changes in practice and whether they are cost-effective, sustainable, and improve outcomes for children and society.
date: 2016-01-04
date_type: published
official_url: http://dx.doi.org/10.1016/j.chiabu.2015.10.020
oa_status: green
full_text_type: pub
language: eng
primo: open
primo_central: open_green
article_type_text: Journal Article
verified: verified_manual
elements_id: 1090876
doi: 10.1016/j.chiabu.2015.10.020
pii: S0145-2134(15)00378-6
language_elements: eng
lyricists_name: Dearden, Lorraine
lyricists_name: Gilbert, Ruth
lyricists_name: Harron, Katie
lyricists_name: Mc Grath-Lone, Louise
lyricists_name: Nasim, Bilal
lyricists_id: LMDEA95
lyricists_id: RGILB52
lyricists_id: KLHAR48
lyricists_id: LLMCG97
lyricists_id: BNASI63
actors_name: Barczynska, Patrycja
actors_id: PBARC91
actors_role: owner
full_text_status: public
publication: Child Abuse & Neglect
volume: 51
pagerange: 163-171
event_location: England
issn: 1873-7757
citation:        Mc Grath-Lone, L;    Dearden, L;    Nasim, B;    Harron, K;    Gilbert, R;      (2016)    Changes in first entry to out-of-home care from 1992 to 2012 among children in England.                   Child Abuse & Neglect , 51    pp. 163-171.    10.1016/j.chiabu.2015.10.020 <https://doi.org/10.1016/j.chiabu.2015.10.020>.       Green open access   
 
document_url: https://discovery.ucl.ac.uk/id/eprint/1475416/1/1-s2.0-S0145213415003786-main.pdf