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Hundreds of thousands of Australians live with the dire aftermath of having been institutionalised as children in the national 'Care' network of orphanages and children's homes. In 2023 the Australian Orphanage Museum (AOM) was opened, both to memorialise the experiences of children whose early lives were blighted by out-of-home Care (OOHC), and to facilitate activism aimed at gaining justice for those now-adult Care-leavers. The article in part utilises the author's lived experience as a Care-leaver activist to summarise the rise of Care-leaver activism, placing it in a heritage context as it applies to the institutions themselves. It examines the role of the AOM in collecting and displaying apparently mundane objects that have profound meaning for individual stakeholders, and in preserving archival material documenting the early activist groups. Various forms of past and contemporary Care-leaver activism are discussed, and examples of successful and less successful campaigns are examined. The AOM is shown to perform a vital role in providing affirmation for Care-leavers, advocating on their behalf to the wider community, and working in conjunction with other activist groups and projects to aid researchers in the field. [ABSTRACT FROM AUTHOR]

High child protection caseworker turnover diminishes care quality. While burnout is acknowledged, the impact of protective factors is unclear. This study examines caseworkers' burnout, individual resilience's protective role, and strategies for curbing turnover and preserving work-life balance. Results indicate that personal, work, and client-related subscales correlate highly. The moderating effect of resilience on burnout was significant yet marginal. Maintaining boundaries was the primary core theme reported in relation to strategies to maintain work-life balance. The results of this study highlight potentially modifiable factors likely to reduce caseworker turnover. Findings support the need for a collective re-evaluation of resilience as an individual responsibility to something that can be supported and fostered within the workplace for increasing employee retention. [ABSTRACT FROM AUTHOR]

Aboriginal children and young people are over‐represented in the out‐of‐home care system, yet their voices are largely absent in practice and policy decision‐making. This paper presents a review of research that captures the voices of Aboriginal children and young people in out‐of‐home care. Three key themes are discussed: connection to culture, connection to family and participation. This paper argues for culturally meaningful research that honours child and youth citizenship, voice and roles in decision‐making as critical to quality care and positive outcomes. This paper aims to highlight the importance of listening and responding to the voices of Aboriginal children and young people as critical to the provision of appropriate care and supporting positive outcomes. [ABSTRACT FROM AUTHOR]

Conflicts are common in adolescent friendships and romantic relationships. The ways girls in care navigate conflicts in close relationships have implications for their resilience, since their family relationships are compromised. We employed qualitative and quantitative approaches to explore the conflicts in the friend and romantic relationships of 37 girls in care. They completed an interview about the conflicts with their best friend and boyfriend and a measure on the positive and negative quality of the friendship and romantic relationship within which the conflicts took place. Thematic analysis indicated the girls experienced more intense and volatile conflicts with their boyfriend than best friend. However, the intensity of these conflicts was mitigated by their positive perceptions in their quantitative reports. Despite conflicts, the girls reported significantly higher levels of positive than negative relationship quality within their romantic relationships and similar levels of negative quality between the two relationships. Findings highlight the girls' struggles with their romantic relationship compared to their friendship and especially their attempts to interpret conflict within a more global assessment of relationship quality. The findings provide a nuanced understanding of the girls' relational patterns, which can be used to inform interventions to support their development of healthy relationships. [ABSTRACT FROM AUTHOR]

\nSUMMARYThis research was conducted as part of an action research project supporting intersectoral care experiments in Flanders for minors in residential care. This article details some of the questions the stakeholders in this project had at the start of such a project, as well as the results from a scoping literature review conducted to answer these questions. This scoping literature review was conducted on four databases, returning 23 articles providing information on the effects of, good practices of, or barriers for intersectoral care for looked-after minors. Results show that research on this specific topic for this population is scarce, mostly qualitative, and mostly from the perspective of staff rather than clients. Reports on the effects of intersectoral initiatives seem cautiously encouraging. Many possible obstacles for coordinated or shared care have been identified, with difficulties in communication, information sharing and lack of shared vision as prominent ones. Many potentially good practices have however also been identified in this review that can help collaborative partners overcome several of the barriers. Intersectoral collaboration in the care for minors in residential settings seems to have positive effects like better permanency and staff wellbeingGood practices include getting to know people working in other sectors and having formal proceduresJoint case planning, intersectoral training and consultation options can lead to familiarity with people in other sectorsLack of communication and disagreements about decision making are frequently mentioned as hindering intersectoral care in this populationIntersectoral collaboration in the care for minors in residential settings seems to have positive effects like better permanency and staff wellbeingGood practices include getting to know people working in other sectors and having formal proceduresJoint case planning, intersectoral training and consultation options can lead to familiarity with people in other sectorsLack of communication and disagreements about decision making are frequently mentioned as hindering intersectoral care in this population [ABSTRACT FROM AUTHOR]

Previous studies have indicated that youth in care may represent a high-risk group for bullying victimization. So far, research has focused primarily on problem behavior rather than on potential personal or social resources of youth in care, particularly in the context of bullying victimization. Therefore, the purpose of this study was to examine whether youth in care are more likely to experience bullying victimization. Furthermore, it was analyzed if personal and social resources were protective of bullying victimization and whether these associations were moderated by family placement while controlling for lifetime poly-victimization. An online survey was completed by n = 119 youth in care and n = 110 youth in biological families in Germany - with or without a social/biological caregiver. Overall, the results showed that youth in care were 7.41 times more likely to experience bullying victimization than youth in biological families. Personal and social resources did add to the explained variance of current bullying victimization beyond lifetime poly-victimization in the child's report. In particular, low levels of child-reported parental support and school integration were associated with more bullying victimization. These associations were not moderated by family placement, indicating similar effects for both, youth in care and youth in biological families. [ABSTRACT FROM AUTHOR]

Young people in residential care in Australia have generally experienced significant childhood trauma and neglect. Consequently, they present with a range of complex and challenging behaviours that pose a risk to themselves and others. Numerous reports have emphasised the need for trauma therapy for children; however, young people in residential care frequently do not access effective therapeutic services. In this article, the authors detail and reflect on the implementation of a treatment package of the Sleeping Dogs method plus Eye Movement Desensitisation and Reprocessing (EMDR) to engage young people living in residential care in EMDR therapy to process their complex trauma. IMPLICATIONS An integrated treatment package of Sleeping Dogs method with intensive EMDR can overcome the barriers to the successful implementation of evidence-based trauma treatment with young people living in residential care. Implementation requires collaboration between all systems surrounding the young person and compassionate engagement with families and carers. [ABSTRACT FROM AUTHOR]

Aboriginal children are overrepresented in Australia's child protection system, and limited tools are available to assist with connecting these children to their culture. The Stitching Our Future Together (SOFT) Program, developed in consultation with Aboriginal and non-Aboriginal peoples, services, and other specialists, is used within the Department of Communities' Child Protection and Family Support (CPFS) Division in Western Australia to address big emotions and safe behaviours with Aboriginal children in care. This study used phenomenology and social constructivism to explore CPFS staff's perspectives and experiences of the SOFT Program. Seven semistructured in-depth interviews took place with CPFS staff. Five themes were identified: the SOFT Program and its use, culturally responsive practice, facilitating relationships, communication, and recommendations and implementation challenges. Participants expressed that the SOFT Program fostered an understanding of, and communication about, pertinent issues such as family and domestic violence, drug and alcohol addiction, mental health, and child neglect and abuse. The findings show how staff described the program's capacity to help them navigate complex situations, highlighting the need to incorporate more culturally centred and creative-based work into child protection practice. IMPLICATIONS The SOFT Program positively supports culturally responsive practice and facilitates relationships and communication for child protection workers and children in care. The integration of creative and legislated practices assists with personalising and enhancing the effectiveness of child protection work with children in care. [ABSTRACT FROM AUTHOR]

This article critically examines safety and innovation in out-of-home care, with a particular focus on addressing the entrenched overrepresentation of Aboriginal and Torres Strait Islander children and young people in the child welfare system. Grounded in the practical insights of safe house workers and managers, the purpose of this article is to share an innovative practice case study—the Tangentyere Safe House in Alice Springs, Northern Territory, Australia. As a case study within an Aboriginal Community-Controlled Organisation, Tangentyere Safe House emerges as a site for understanding the confluence of cultural safety, familial connections, and strategies to mitigate overrepresentation. Key themes explored include promoting cultural safety and supporting connections with the family of origin. Through a methodological lens that privileges practice-based knowledge, this article captured the on-the-ground experiences of those actively engaged in child safety. The findings underscore the innovative practices employed by Tangentyere Safe House in navigating out-of-home care within an Indigenous context to argue for a holistic and culturally informed approach to child protection interventions, drawing attention to the practical strategies employed by safe house workers. The article showcases the central role of Aboriginal Community-Controlled Organisations in providing care alongside families in out-of-home care. IMPLICATIONS The innovative approach of the Tangentyere Safe House highlights the importance and unique role of Aboriginal Community-Controlled Organisations in out-of-home care. The role of Aboriginal Community-Controlled Organisations should be formally recognised in the Aboriginal and Torres Strait Islander Child Placement Principle hierarchy. Frontline safe house workers' knowledge and expertise regarding Aboriginal and Torres Strait Islander children in out-of-home care can inform all stakeholder involvement including police interventions. [ABSTRACT FROM AUTHOR]

For children entering out-of-home care due to child protection concerns, meaningful connections to family and culture are important and necessary. In this article the complexities of promoting cultural connections for culturally and linguistically diverse children in out-of-home care are explored. Through the use of the settlement, ethnicity, language and faith (S.E.L.F) cultural framework, practitioners and leaders working in the child and family sector can consider the cultural elements of the children in their care. The framework provides questions to explore what culture may mean for families and encourages practitioners to self-reflect on their own cultural assumptions. The framework development has been informed through community of practice reflections and learnings by the authors who have held multiple practice, leadership, and research roles in the child and family sector. IMPLICATIONS The S.E.L.F. framework encompasses curiosity questions that guide the collection of information from children and families to aid in better understanding and enhancing cultural connection practices and to build organisational cultural competency. The framework promotes practitioner critical thinking and reflection on their own cultural bias and assumptions. [ABSTRACT FROM AUTHOR]

Children and young people who live in out-of-home care (OoHC) can display aggressive behaviours when their emerging self-regulation and executive functioning systems are overwhelmed. Consequently, their carers can experience incidents that may cause some carers' ongoing stress symptoms. Early intervention with occupational health supports is important; however, including a specific trauma treatment such as Eye-Movement Desensitisation and Reprocessing (EMDR) is unusual. EMDR supports the resolution of stress symptoms and helps carers promote a stable home environment. Stability contributes to calm home environments and incident reduction. The purpose of this mixed methods study was to better understand the inclusion of EMDR into a workforce wellbeing model and explore changes in incident numbers in houses, staff retention, and time-loss injury. Interviews with senior managers and focus groups with therapeutic practitioners from two Australian states were conducted. Descriptive statistics for administrative data were calculated after a quantitative audit. Several programs including EMDR and occupational health policies were working towards enhanced workplace safety. A reduction in the monthly average incident rate from 11.9 (2019–2020) to 6.9 (2022–2023) was identified. Offering an effective treatment to staff that promotes wellbeing, retention, and stability in care homes may be a critically important policy recommendation for organisations with staff at risk of traumatic incidents. IMPLICATIONS Eye -Movement Desensitisation and Reprocessing (EMDR) is an effective trauma therapy that works for residential out-of-home care staff. EMDR enhances carers' emotional wellbeing and capacity when working with the young people in their care. More stable relationships between carers, children, and young people can lead to reductions in stressful workplace incidents and a more stable workforce. [ABSTRACT FROM AUTHOR]

Within the Australian context, we argue there is limited research to guide practice on supporting cultural connections for non-Indigenous children from culturally and linguistically diverse backgrounds in out-of-home care. Based on practice wisdom and international research evidence, a compiled case study demonstrates how a set of practices can work together. These key practices are respectfully engaging the children's family members in cultural care planning; coaching and supporting carers to promote cultural connection; integrating culture into life story work; and identifying cultural mentors. IMPLICATIONS Practices that can support the identity development for children from culturally and linguistically diverse backgrounds include cultural care planning, life story work, and cultural mentors, and these practices may work best when developed in concert with each other. Practice to support cultural connections for children from culturally and linguistically diverse backgrounds in Australia requires further research evidence and development. [ABSTRACT FROM AUTHOR]

The importance of acknowledging the grief and loss integral to the experiences of foster carers, has long been understood. However, in a complex area of practice and an increasingly pressured out-of-home care sector, there is a need to refocus foster care program and practitioner attention on supporting carers and their families with the difficult experience of placements ending. This article reports on findings from research that aimed to understand current carer experiences of grief and loss, their coping strategies, their support needs, and the implications for a foster care agency's duty of care towards its workforce. Through a mixed-methods exploratory methodology, data were collected through an online survey and semistructured interviews with carers affiliated with a foster carer provider operating across three Australian jurisdictions. Carers called for acknowledgement of the deep feelings they develop for the children they look after and help for the grieving process, through training, preparation, and tailored support based on authentic relationships with professionals. The need for well-trained and strongly supported agency workers was emphasised. IMPLICATIONS Providing updates to carers about foster children who have left their care can alleviate the pain of grief and loss. Training, preparation, and step-by-step support for carers can promote healthy grieving processes. Tailored support for grieving carers needs to be founded on authentic relationships with foster care professionals and open and honest communication. [ABSTRACT FROM AUTHOR]

Children and young people in Australian foster or kinship care are separated from their siblings for a range of reasons. These may include issues that are behavioural, sibling-related, the capacity of carers to host multiple children, or policies that enforce a one-child-per-bedroom rule. This study investigated strategies enhancing stability and meaningful connections among siblings within the Mockingbird Family, a social network model of foster and kinship caring. Case examples, network mapping, and visualisation of the Mockingbird Family networks are presented alongside results from thematic analysis of qualitative data. The findings suggest that the Mockingbird Family facilitates meaningful contact and sibling connections, even when coplacement was not possible. Sibling coplacement and contact provide crucial benefits such as emotional support, stability, shared experiences, and a sense of belonging, contributing to children's and young people's development, healing from trauma, and overall wellbeing. IMPLICATIONS Keeping sibling groups connected and in contact can reduce placement breakdown and contribute to their overall wellbeing. The Mockingbird Family model of foster care provides a range of options for keeping siblings meaningfully connected through coplacement within the same constellation and opportunities for other siblings to join in Mockingbird Family activities. [ABSTRACT FROM AUTHOR]

The overrepresentation of Aboriginal and Torres Strait Islander (respectfully referred to hereafter as "Aboriginal") children in the child protection system is a concern in Australia, with Aboriginal children placed in out-of-home care at a rate 11 times that of non-Aboriginal children. This study utilised linked administrative data to determine the longitudinal child protection pathways from birth to age 10 years for a cohort of 15,815 Aboriginal children born in Western Australia between 2000 and 2006. In total, 9,269 (59%) children did not have any contact with child protection between one year prior to birth and their 11th birthday. Conversely, 6,546 (41%) Aboriginal children were involved with child protection during the study period, with 1,405 (9%) children placed in out-of-home care. Infants who had a child protection notification were more likely than other age groups to have a substantiated notification of abuse and neglect and placed in out-of-home care. More than half (56%) of all children were predominantly placed in kinship care; however, only 22% had their first placement with kinship carers. Aboriginal-led strategies together with the support and commitment of all levels of government are required to reduce entry into care and improve outcomes for Aboriginal children in care. IMPLICATIONS Aboriginal-led strategies and wholistic responses can reduce the overrepresentation of Aboriginal children reported to child protection systems, and support families and communities. Infancy stands out as a key point of system involvement. This stage offers an opportunity where early intervention and family support strategies may prevent first time involvement with the child protection services and promote kinship placement, reunification with parents, and community-led supportive care. [ABSTRACT FROM AUTHOR]

High child protection caseworker turnover diminishes care quality. While burnout is acknowledged, the impact of protective factors is unclear. This study examines caseworkers' burnout, individual resilience's protective role, and strategies for curbing turnover and preserving work-life balance. Results indicate that personal, work, and client-related subscales correlate highly. The moderating effect of resilience on burnout was significant yet marginal. Maintaining boundaries was the primary core theme reported in relation to strategies to maintain work-life balance. The results of this study highlight potentially modifiable factors likely to reduce caseworker turnover. Findings support the need for a collective re-evaluation of resilience as an individual responsibility to something that can be supported and fostered within the workplace for increasing employee retention. [ABSTRACT FROM AUTHOR]

Out‐of‐home care is associated with a range of negative social outcomes for the young people who experience it. The most promising path to improved life chances for care‐experienced young people is arguably through education, especially post‐secondary education. Currently, no national data are collected on the post‐secondary education participation of care‐experienced young people. However, the evidence that exists suggests their participation rate is likely very low. Historically, one reason for post‐secondary participation gaps has been the fact that care ended abruptly at 18 years, forcing care‐experienced young people into independence much faster and earlier than the vast majority of their same‐age peers. The recent extension to care to 21 years for most young people in care across all Australian jurisdictions has changed the out‐of‐home care landscape considerably. A central question is whether the extension of care will, in itself, result in increased post‐secondary education access and success for care‐experienced young people. We address this question through an examination of the current out‐of‐home care and education landscape, including state and territory legislation, Australian Government policy and current post‐secondary settings and outcomes. [ABSTRACT FROM AUTHOR]

Youth in out‐of‐home care are at high risk for suicide‐related thoughts and behaviors (STB), yet there are no known efficacious interventions that reduce STB for this population. Fostering Healthy Futures for Preteens (FHF‐P) is a 9‐month community‐based mentoring and skills training preventive intervention for children in out‐of‐home care. A randomized controlled trial enrolled 156 participants aged 9–11 years who were placed in out‐of‐home care over the prior year. Participants were 48.9% female, 54.1% Hispanic, 30.1% Black, and 27.1% American Indian. Follow‐up interviews, conducted 7–12 years postintervention (85.2% retention rate), asked young adult participants, aged 18–22, to self‐report lifetime STB as indexed by non‐suicidal self‐injury, suicidal thoughts, plans, and/or attempts. There was a nonsignificant reduction in the odds of STB for the intervention group at follow‐up (OR = 0.74; CI, 0.32, 1.69). However, FHF‐P significantly moderated the effect of baseline STB; control youth who reported baseline STB had 10 times the odds of young adult STB (OR = 10.44, CI, 2.28, 47.78), but there was no increase in the odds of adult‐reported STB for intervention youth. Findings suggest that FHF‐P buffers the impact of pre‐existing STB on young adult STB for care‐experienced youth. Further research is needed to identify mechanisms that may reduce STB in this population. Highlights: Fostering Healthy Futures for Preteens (FHF‐P) is an intervention for children in out‐of‐home care.This randomized trial examined whether FHF‐P reduced suicide‐related thoughts and behaviors (STB).FHF‐P demonstrated a nonsignificant 26% reduction in the odds of STB 7–12 years postintervention.An interaction effect suggested that FHF‐P buffered the impact of preteen STB on young adult STB. [ABSTRACT FROM AUTHOR]

Infants have the highest rate of admission into out‐of‐home care in Australia, with rising rates of entry to care occurring around the world. Our previous research identified children who entered care as infants as having high levels of developmental vulnerability. The objective of this study was to determine the child protection and developmental trajectories of children who entered care as infants and whether meeting developmental needs through service provision improves trajectories and outcomes for these children. This is a prospective cohort study using three waves (2011–2016) of survey data from the New South Wales Pathways of Care Longitudinal Study which includes standardised assessments (Age and Stages Questionnaire, Brief Infant Toddler Social Emotional Assessment and the Child Behaviour Checklist), as well as linked administrative child protection and health data. Our findings suggest that children who entered care as infants predominantly remained in the care system and had a high level of developmental vulnerability as infants. A large group had positive physical and cognitive developmental trajectories with service provision increasing over time; however, early service provision is needed. Another group was identified as having early social–emotional concerns and displaying worsening social–emotional trajectories. Intervention for this group is an important priority to reduce risk of ongoing poor mental health outcomes. [ABSTRACT FROM AUTHOR]

The study was designed to understand the roles and challenges of child protection services (CPS) employees in arranging out-of-home care for children with minority and immigrant backgrounds in Rogaland, Norway. Findings from the six in-depth interviews with CPS employees showed that, guided by existing laws and policies, they follow three phases from investigation to the care order decision. The premium they place on “best-interests-of-children” can be contested in relation to the rights of the family. CPS employees day-to-day challenges include understanding minority families cultural backgrounds, finding foster families, and communication. Based on the findings, policy and practice recommendations are made. [ABSTRACT FROM AUTHOR]

The critique that child welfare services (CWS) are primarily focused on neglect cases resulting from poverty is longstanding and reemerging from discussions about how to address America's racial history and structural oppression which begets poverty. Understanding how poverty and CWS involvement operate requires testing relationships between poverty and other factors influencing placement. Drawing on NSCAW II, we identify families (n = 445) investigated for neglect, with children younger than 15, and remaining home upon investigation at the study's baseline. This study uniquely allows for distinguishing the contribution of poverty and family adversities on foster care placements among neglecting families. Families were followed for 36 months, to observe placements into out-of-home care. Poverty levels were not strongly related to subsequent placement. Children in families with high levels of adversity – especially arrests and domestic violence – were most likely to be placed into foster care. Employment at initial contact was associated with less later foster care placement even when income levels were generally low. The findings add to the evidence that placement into foster care may most significantly result from an accumulation of adversities. Intervention that might help reduce foster care placements for neglected children who begin receiving services at home are considered. [ABSTRACT FROM AUTHOR]

This study aimed to identify latent classes of child welfare placement histories, with a focus on entry to residential treatment settings (RTS), and how youth behavior and development are associated with the probability of latent class membership. This study utilized secondary child welfare administrative data. The study found that a four-class model was the best fit for the data. The four latent classes were defined by instability while in family settings, stability in kinship care, movement through congregate care settings, and stability in non-kinship foster care. Youth behavior and developmental period were significantly associated with latent class membership. [ABSTRACT FROM AUTHOR]

Background: Children in care and care leavers have worse health outcomes than their peers without care experience. This study addresses an evidence gap in exploring care-experienced young people's views and experiences of accessing general practice and dental services and attending health reviews in England. Methods: We conducted a qualitative study using podcasting as a creative medium. We recruited young people from two sites: one in South England (A) and one in greater London (B). We held two paired discussions in site A and two focus groups in site B, with 14 participants in total. Participants were aged between 13 and 22 years and were diverse in gender, ethnicity, and care experiences. Data were analysed thematically using candidacy theory as a theoretical framework. Results: Mental health was a prevailing concern for participants, but general practice was not considered a place to discuss it. Most participants reported distant relationships with primary healthcare professionals and considered opening-up to a professional to be risky, for example, it could result in an unknown/unwanted outcome. A lack of time and personal connection in appointments, and experiences of feeling judged, dismissed, or misunderstood, hindered young people's ability to disclose mental health or relationship concerns. Participants reported variation in the timeliness and location of services, with salient examples of extensive waiting periods for braces. Participants perceived annual health reviews to be largely inconsequential. Conclusions: Any primary care presentation by a care-experienced young person should trigger additional professional curiosity. To build rapport and trust, professionals should not underestimate the power of active listening, being reliable and honest, and small acts of thoughtfulness, for example, ensuring medical letters are provided promptly. Carers and other trusted professionals should help care-experienced young people to understand the role of primary care and support them with access. Health reviews may not be of value to all young people in care. Further research is needed to examine primary healthcare access for care-experienced young people with significant safeguarding and healthcare needs. [ABSTRACT FROM AUTHOR]

Kinship is core to Aboriginal culture, values and wellbeing. However, the strength of culture and relationships is often not fully recognised or respected by Westernised systems. This article highlights cultural strengths through use of a detailed case study narrative illustrating the importance of community self-determination when an Aboriginal child needs to be relocated to other carers/family members. Situated within an Aboriginal participatory action research methodology, we utilised a case study method where a participant and co-author (*Amelia) collaborated with two academics to tell her story as an illustration of the strengths of community and kinship that can support vulnerable children. Through this partnership we learn the importance of Aboriginal community involvement in Amelia’s progression from early childhood experience of family violence to thriving young adulthood. We confirm the importance of including Aboriginal knowledges and practices in raising at-risk Aboriginal children and we contribute to social work practice knowledges by learning from Indigenous experience. We conclude that social work needs to build on the strengths of Aboriginal communities’ abilities by valuing kinship support systems.IMPLICATIONS When faced with adversity such as family violence, Aboriginal culture can be a protective factor.Social workers need to understand the importance of culture in the healing process for Aboriginal children.Keeping Aboriginal children connected to culture is paramount for long-term recovery and the ability to create healthy relationships.When faced with adversity such as family violence, Aboriginal culture can be a protective factor.Social workers need to understand the importance of culture in the healing process for Aboriginal children.Keeping Aboriginal children connected to culture is paramount for long-term recovery and the ability to create healthy relationships. [ABSTRACT FROM AUTHOR]

In Australia, on any given day, about 45,000 children and youth aged 0–17 (about 1 per cent of Australian youth) are in the care of the state, often cared for through delegation‐funded child welfare organisations. Many of these children are in out‐of‐home care of such organisations for brief periods of time, but a substantial number remain in care until their mandatory emancipation. About 3600 youth a year are obliged to leave care at 18 years of age, due to child protection orders ending before their 18th birthday. Many advocates in the field, including former youth in out‐of‐home care represented in the CREATE Foundation, believe that this is much too young to be out on their own. Founded in 2016, Home Stretch is a national advocacy campaign to extend the leaving care age for young people in out‐of‐home care from 18 to 21 years in all Australian jurisdictions. Prior to the Home Stretch movement, no Australian state, territory or federal government (with the partial exception of the ACT) had indicated any action, interest or desire to extending its services to children in state care past 18 years. Yet, extended care in varying forms has been found recommended in various government enquiries over the past several decades. Seven years after the Home Stretch launch, extended care is now offered in all eight Australian jurisdictions, and at last count, over 4200 young people are in extended care arrangements to 21 years across the country. This is a remarkable social policy about face by the Government in a relatively short space of time. In this article, we describe the advocacy strategy employed. [ABSTRACT FROM AUTHOR]

The criminalization of young women in care remains an important practice and policy issue in England despite 2018 national guidance and the subsequent development of local authority protocols to reduce the criminalization of care‐experienced young people. This paper contributes to the emerging research on young women whose behaviour challenges professionals, through secondary analysis of case file data and narrative interviews with 24 care‐experienced young women from a national project on care and offending. Analysis focused on young women's pathways through the care, justice and education systems and identified five domains within young women's lives where available risk or resilience factors were significant in directing young women towards prosocial opportunities, to new types of victimization or to criminalization and offending. These domains consisted of placements and caregiver relationships; partner relationships; pregnancy and motherhood; participation in education; and the transition to adulthood through leaving care. The paper concludes with implications for practice for professionals working with young women, in particular emphasizing that how the care, justice and education systems respond to young women can contribute to negative pathways or transform them. [ABSTRACT FROM AUTHOR]

This article brings together the experiences of parents whose children are placed in out‐of‐home care (OHC) with the theoretical concept of moral injury. The findings are based on empirical data from a research and development project conducted in seven Swedish municipalities with the aim of developing support for such parents. This article draws on a data set of qualitative interviews with 40 parents, 30 mothers and 10 fathers, with children in OHC. The interview transcripts were analysed thematically, with an abductive approach to theories and the empirical data. The findings illustrate how parents of children in OHC experience moral injury in relation to seven aspects: professionals' morally problematic and distressing behaviour, problematic services, an adversarial system, systemic bias, parent's actions, children's withdrawal and feeling excluded. The injuries are related to events in several periods—prior to the child's removal, during the execution of removal and during OHC—and tend to last for many years. These findings stress that the social services must be aware of the injuries parents experience and must minimize the possible harm and moral injury. We also suggest that parents of children in OHC should have an appointed social worker as a means of support. [ABSTRACT FROM AUTHOR]

ABSTRACT Trauma negatively impacts on the ability of children in out‐of‐home care to experience safety in their relationships. Trauma rearousal can continue to occur even when children are living in a safe and stable setting due to environmental triggers. Carers who are emotionally regulated themselves can model and support emotional regulation (known as coregulation) when their child becomes dysregulated. To do this, carers need agencies to provide trauma‐informed and therapeutic models of care, so they in turn can offer an emotionally secure experience for their child. This article reports on participatory action research with caseworkers from two nongovernment and one government organisation who supported foster and kinship carers to coregulate with children in long‐term care. Reflective practice meetings were held over an eight‐month period to capture the perspectives and experiences of 16 caseworkers who trialled practice changes for coregulation. An inductive analysis approach was used to elicit themes. Findings revealed a three‐phase process took place for caseworkers and carers to (1) acknowledge the presence of trauma and stress, (2) become aware of their own emotional capacity and (3) apply coregulation strategies. This process was possible when organisations promoted trauma awareness and relational safety, thereby creating a ‘holding environment’ for their caseworkers and allowing coregulation to be experienced by carers and their children. [ABSTRACT FROM AUTHOR]

Previous international research indicates that social workers may lack the competence to comfortably involve children in child protection processes. Implementation of stricter competence requirements for child welfare staff has been discussed to address shortcomings in child welfare practice. In Norway, this implementation is scheduled for 2031, and subject to ongoing discussion. Through multivariate robust linear regression analysis of data collected in five Norwegian urban settlements (n = 135), this study explored the association between social workers educational level and attitudes toward child participation in cases concerning contact between children in out-of-home care and their birth parents. The results indicate a significant difference in attitudes toward children’s involvement in cases concerning contact with birth parents when comparing social workers with master’s degrees to those with bachelor’s degrees, whereas social workers with master’s degrees exhibit more positive attitudes. Social workers are generally found to have positive attitudes toward participation; however, the findings indicate concerns regarding participation in cases related to contact, particularly due to potential loyalty conflicts that might cause stress to the child. [ABSTRACT FROM AUTHOR]

Norwegian youth in out‐of‐home care move three times as frequently as their peers. Such placement instability is linked to negative outcomes in terms of social attachment, well‐being, educational achievements, health, and future opportunities. Norway implemented a new child welfare service reform in 2022 that increased the municipalities responsibilities for out‐of‐home care. The "incentive package" and "Barneløftet" were measures implemented to prepare the municipalities for these changes. This study evaluates how the implemented measures affect the number of moves within out‐of‐home care in Trøndelag county. An event‐study design with difference‐in‐difference estimates was used to study the effect of the measures. The data are Norwegian registers that include most children in out‐of‐home care from 2013 to 2021. The findings of this study indicate that increased support for foster care homes significantly reduces the number of moves. Increased placement stability is associated with an increased sense of belonging, thus facilitating positive development. [ABSTRACT FROM AUTHOR]

Research has demonstrated children in out-of-home care have experienced trauma and a significant proportion are in need of behavioral health services (e.g. Casaneuva et al., NSCAW II baseline report: Child well-being, US Department of Health and Human Services, Washington, DC, 2011). Accessing services requires interagency coordination between child welfare and behavioral health professionals; however, challenges to coordination and collaboration may result in lack of service utilization for many youth (Hanson et al. 2016). Utilizing a mixed methodological approach, this paper describes the results of a study conducted five years after full state-wide implementation of processes designed to promote the use of evidence-based practices to inform decision-making for youth dually served by the child welfare and behavioral health systems. Outcomes from the study were used to develop strategies to address programmatic concerns and reinforce implementation supports. Study findings may aid organizations seeking to reinforce data-informed practices and employ strategies for addressing barriers at the worker and agency level. [ABSTRACT FROM AUTHOR]

The receipt of long-term financial social assistance (FSA) as an indicator of financial difficulties among Finnish youth with prenatal substance exposure (PSE) was investigated in comparison with unexposed youth. Data from national health and social welfare registers were collected for 18–24-year-old exposed (n = 355) and unexposed (n = 1011) youth. The influence of youth and maternal characteristics and out-of-home care (OHC) on the association between PSE and youth's long-term FSA receipt was studied by generalized linear models and mediation analyses. Exposed youth had an increased likelihood of long-term FSA receipt (OR 4.89, 95% CI 3.76, 6.37) but the difference with unexposed was attenuated following adjustments for youth and maternal characteristics and OHC (AOR 1.33, 95% CI 0.89, 1.98). Maternal long-term FSA receipt (0.48, 95% CI 0.35, 0.64) and OHC (0.63, 95% CI 0.47, 0.83) mediated a large proportion of the association between PSE and youth's long-term FSA receipt. Youth's mental or behavioral disorders partly mediated the association (0.21, 95% CI 0.14, 0.30), but the mediating effect of lack of secondary education was minor (0.03, 95% CI 0.01, 0.07). Receipt of long-term FSA among youth with PSE likely reflects maternal substance abuse linked with maternal financial situation and care instability in childhood. [ABSTRACT FROM AUTHOR]

For more than three decades, official and independent enquiries have documented the poor outcomes experienced by many young people transitioning from out‐of‐home care (OOHC) in Australia, known as care leavers. Yet, until 2017, most of the state and territory governments cut off financial support to these vulnerable young people at no later than 18 years of age and failed to provide them with the ongoing material and relationship assistance into early adulthood guaranteed to most of their non‐care peers. Australia was regarded internationally as a leaving care laggard. This paper examines the remarkably effective advocacy strategies used by the Home Stretch campaign, formed in 2016, to persuade all Australian jurisdictions to extend OOHC until 21 years. By the end of 2022, every state and territory had agreed to introduce some form of extended care, and Australia was recognised as a global leader in leaving care policy and programmes provision. [ABSTRACT FROM AUTHOR]

Concern exists that the growing over-representation of Aboriginal and Torres Strait Islander children and young people in out-of-home care (OOHC) across Australia is perpetuating historical, discriminatory child removal policies and practices. The disproportionate number of Indigenous children in OOHC is increasing at the same time as growing multi-jurisdictional policy and legal mandate for Indigenous self-determination, leadership, and cultural connectedness in the OOHC space. This study aims to provide evidence and instruction to social work educators, policymakers and practitioners in Australia's complex child protection, wellbeing, and justice systems about why and how Aboriginal and Torres Strait Islander-controlled organizations are best placed to lead OOHC service delivery for Indigenous children, their family and community. The qualitative research, located in Queensland, engages the knowledge and experience of Elders, Indigenous child safety professionals and Aboriginal and Torres Strait Islander young adults who have recently exited OOHC to explore the importance of Indigenous-led OOHC service provision for generating genuine, intergenerational systemic change. Ten themes or authoritative Directives to non-Indigenous stakeholders are elicited and discussed. The paper concludes with three recommendations that press for a shift in the Western values and practices that underscore the monitoring and evaluation of Indigenous-led OOHC service providers by government. [ABSTRACT FROM AUTHOR]

Numerous studies show that children and young people in out-of-home care (OOHC) face significant disadvantage in completing high school and accessing post-secondary education. The current research involved a two-round Delphi survey which aimed to identify educational challenges and school reforms to improve the educational experiences of children and young people in OOHC. A total of 45 participants from three OOHC stakeholder groups (carers of children in OOHC, professionals/educators, and young people with lived experience of OOHC) completed the round one survey which consisted of open-ended questions analysed using thematic analysis. In the second survey round, 19 participants completed a Likert scale questionnaire which drew on themes from the round one thematic analysis. Using a consensus threshold of 70% for the round two survey, participants agreed that students in OOHC face a myriad of educational challenges, such as dealing with a history of trauma, frequent home and school transitions, mental health issues and stigma as a result of being in OOHC. It was agreed that teachers lack knowledge and experience, and schools lack support for students in OOHC. Stakeholders recommended provision of greater mental health support, coordination of services and more autonomy for OOHC students regarding their education. [ABSTRACT FROM AUTHOR]

"Vulnerability" is now a widely used term in different settings—from politics and academia to everyday life. In response, a growing body of research has emerged critiquing and challenging the use of the concept in the social sciences. In this paper, we explore the use of the term vulnerability in research on children in out-of-home care and discuss the possible negative consequences of this—for the people involved and for the knowledge produced. Showing some of the problems involved in classifying these children as "particularly vulnerable", we argue that there is a need for more nuanced understandings of children growing up in out-of-home care. [ABSTRACT FROM AUTHOR]

ABSTRACT Restoring children from out‐of‐home care (OOHC) to their families is the preferred outcome for all children removed by child protection services, yet little is known about how restoration processes are experienced by families and services supporting them. This paper provides important insights about Aboriginal child restoration from 40 practitioners and stakeholders at a community forum led by Aboriginal Community Controlled Organisations in regional New South Wales (NSW), Australia. This is one component of larger Aboriginal‐led research, which investigates child protection experiences and pathways to successful restoration in NSW and the data source for this paper. The community forum explored the issues for families navigating family preservation, OOHC and restoration within child protection and legal systems. Findings include the need for a continuum of support for families throughout their engagement with child protection systems and crucially following the removal of their children. Barriers to effective restoration practice included a lack of access to meaningful and ongoing preservation services, insufficient cultural care planning and family finding efforts that are often too late, the pressure on services to support families without adequate capabilities or enough resourcing, the lack of transparency and the complexities in navigating the restoration process, and the lack of culturally informed support for children and their families while children are in care. Implications for policy and practice are discussed. This paper contributes to understanding practice, processes and barriers for restoration, particularly focused on the perspectives of Aboriginal families and communities, with potential insights for practice within Australia and internationally. [ABSTRACT FROM AUTHOR]

From an international comparative perspective, the four nations of the United Kingdom have robust legal and policy frameworks governing care leaving. Measures taken include access to aftercare workers; pathway planning; introduction of extended care arrangements (permitting young people to remain in placement beyond 18 years); and specific types of financial support. The paper explores commonalities and differences in approaches across the United Kingdom and illuminates how resource constraints, placement availability, workforce challenges and cultural norms may result in implementation gaps and a postcode lottery of provision. Findings lend weight to calls for attentiveness to and systematic evaluation of the implementation process to understand the challenges encountered in embedding effective support for care leavers. Findings also highlight the value of further comparative studies that explore the systems and subsystems of law, policy, and practice in the four nations to contribute to more-informed leaving care policy and practice. [ABSTRACT FROM AUTHOR]

To complement previous research investigating the educational attainment of young people in out‐of‐home care reporting lower educational outcomes and risk factors, a more comprehensive approach is necessary. Our objective with this article is to better understand the learning careers of young people in residential care. That includes documenting their experience and the meaning they attribute to learning in formal settings over time and identifying critical turning points in each young person's learning career. Based on an interpretative paradigm, we conducted a qualitative study using biographical interviews with young people aged 14–18 in residential care in Quebec, Canada. We first demonstrate that the learning careers of young people in residential care are unique and non‐linear. Second, by studying turning points, we highlight the critical role that institutions, teachers and youth workers can play in fostering a positive or negative learning career. Finally, we noted learners' different responses to these circumstances and differences in learners' perception of their measured performance and their influence on their engagement with formal learning. We discuss why considering young people as the main actors and producers of meaning regarding their educational experience and learning careers appears necessary. [ABSTRACT FROM AUTHOR]

Large numbers of children in Australia are in long-term out-of-home care (OOHC). Legal frameworks available for their care are long-term foster care, guardianship, and plenary adoption. Views of individuals with OOHC or adoption experience on these legal frameworks were explored via an online survey. A legal framework called simple adoption, which makes children legal members of adoptive families without legally excising them from birth families, was also considered. The respondents (N = 1019) evaluated aspects of these frameworks as strengths or weaknesses from which scores were calculated. Overall, simple adoption had the highest strength score, followed by plenary adoption, guardianship, and long-term foster care. The highest weakness score was for long-term foster care, followed by guardianship, plenary adoption, and simple adoption. That simple adoption enabled enduring familial relationships between children and their adoptive families while retaining legal identity and legal connection with birth families contributed to its favourable evaluation. IMPLICATIONS The legal severance of children from birth families and the supplanting of legal identity that occurs in plenary adoption makes this form of adoption unacceptable to many. Simple adoption, allowing for children to be full legal members of both their adoptive and birth families and preserving legal identity, makes it attractive to individuals with a variety of experience backgrounds. An exploration of legislative reform to allow for simple adoption in Australia should be undertaken. [ABSTRACT FROM AUTHOR]

The objective was to examine the impacts of duration of preadoption out-of-home care and adoptive family functioning on later psychiatric morbidity of adoptees with high (HR) and low (LR) genetic risk for schizophrenia spectrum disorders. The study uses nationwide data from the Finnish Adoptive Family Study of Schizophrenia. The study population in this substudy consisted of 43 h adoptees and 128 LR adoptees. Of these adoptees, 90 had spent 0–6 months and 81 over 6 months in preadoption out-of-home care. The family functioning of adoptive families was assessed based on Global Family Ratings and psychiatric disorders on DSM-III-R criteria. The results showed that among the adoptees with over 6 months in preadoption out-of-home care, the likelihood for psychiatric disorders was significantly increased in HR adoptees compared to LR adoptees. In adoptees with 6 months or less in preadoption out-of-home care, an increased likelihood for psychiatric disorders was found among those living in adoptive families with dysfunctional processes. These findings indicate that especially for HR children, a well-functioning early caregiving environment is crucial in terms of subsequent mental wellbeing. The results emphasize that when adoption is necessary, early placement and well-functioning adoptive family environment are beneficial to children. [ABSTRACT FROM AUTHOR]

Children in out-of-home care persistently show poorer educational and developmental outcomes than their peers. This study investigates the effect of the comprehensive educational intervention, "LUKoP," in a randomized controlled trial, compared to treatment-as-usual (TAU). Outcome measures included reading and math abilities, IQ and executive function, learning skills, and psychosocial functioning. One hundred foster children (66% female) aged 6–14 (M = 10.5, SD = 2.1) from 80 regular schools participated in the study. We applied a fixed-effects regression analysis. Regardless of group allocation, the children demonstrated significant progress in cognitive development, including IQ (ES = 0.40, p <.001), verbal comprehension (ES = 0.29, p =.02), and perceptual reasoning (ES = 0.60, p <.001) over time. The children who received the LUKoP intervention also had a significant increase in word-reading speed (ES = 0.21, p =.02) and a significant additional gain in IQ (ES = 0.34, p =.02) and verbal comprehension (ES = 0.41, p =.03), compared to TAU. No significant effect was found on the other outcome measures for either the TAU group (ES range = − 0.13 to 0.47, p >.05) or the LUKoP group (ES range = − 0.15 to 0.42, p >.05). We found no compelling evidence that the LUKoP intervention gives overall benefit to academic achievement; however, LUKoP demonstrated a greater effect on cognitive abilities than TAU. The findings and future directions for educational interventions for children in out-of-home care are discussed. [ABSTRACT FROM AUTHOR]

Introduction: Children in families affected by substance use disorders are at high risk of being placed in out‐of‐home care (OOHC). We aimed to describe the characteristics of parents who inject drugs and identify correlates associated with child placement in OOHC. Method s : We used baseline data from a community‐based cohort of parents who inject drugs (SuperMIX) from Melbourne, Australia. Participants were recruited via convenience, respondent‐driven and snowball sampling from April 2008 to November 2020, with follow‐up until March 2021. To explore correlates associated with child placement to OOHC, we used multivariable logistic regression and assessed for potential interactions between gender and a range of relevant covariates. Results: Of the 1067 participants, 611 (57%) reported being parents. Fifty‐six percent of parents reported child protection involvement. Almost half (49%) had children in OOHC. Nearly half of the parents lived in unstable accommodation (44%) and many of them experienced moderate–severe levels of anxiety (48%) and depression (53%). Female or non‐binary gender, identifying as Aboriginal or Torres Strait Islander, experiencing assault and having more children were associated with child removal to OOHC. Of the 563 participants who reported their own childhood care status, 135 (24%) reported they had been removed to OOHC. Discussion and Conclusions: We identified high rates of child placement in OOHC among parents who inject drugs. There is a need for targeted health and social services, that are gender and culturally responsive, in addition to systems‐level interventions addressing social inequities, such as housing, to support parents to care for their children. [ABSTRACT FROM AUTHOR]

This study investigates the effect of foster care relative to residential group care on enrollment in upper secondary education among Danish children in out-of-home care who were placed out of home at the age six to 14 years (n = 4530). We address the proposition that children placed in family foster care generally have less severe emotional and/or behavioral problems than children placed in residential group care by utilizing a variation in the municipalities' relative use of foster care among all children placed in out-of-home care. We find evidence that children living in municipalities with a high inclination to use foster care will be more likely to enroll in upper secondary education (p = 0.004). When splitting the sample by gender, we see that the effects are significant only among girls. When looking at potential mechanisms, we find that children in foster care are more likely to attend the school-leaving exams after lower secondary school, while we find no effect on the average standardized test score in the school-leaving exams. As with the main results, these findings apply to the girls only. Highlights: This study investigates the effect of foster care relative to residential group care on educational attainment among children in out-of-home care. We found that children in residential group care have more severe emotional and/or behavioral problems than children in foster care. We found evidence that children living in municipalities with a higher inclination to use foster care were more likely to continue into upper secondary education. As a mechanism, our findings suggest that foster care have beneficial impacts on the school decision-making process, whereas it has no impact on the child's scholastic ability. [ABSTRACT FROM AUTHOR]

Children in out‐of‐home care may experience multiple losses, from separation from birth parents and siblings to loss of friendships, culture, and sense of belonging and normality. The impacts of these significant losses on a child's development and wellbeing have typically been the subject of childhood trauma research. While understanding the impact is important, children's experiences of the losses and the ways adults can support them to grieve are less explored in research. Recently, out‐of‐home care researchers have begun to address this knowledge gap by applying the concept of ambiguous loss to capture and understand children's grief and loss. This article builds on this work and reports findings of a qualitative study that involved 30 out‐of‐home care practitioners. Constructivist Grounded Theory was applied to analyse the research data which resulted in the HEAR model that outlines the practice components that out‐of‐home care practitioners considered important in effectively responding to children's experience of ambiguous loss. These components are (1) Honouring ambiguous loss; (2) Establishing a care community; (3) Attuning to the lack of finality of ambiguous loss and (4) Reducing ambiguity. This article presents research findings that supported the development of the HEAR model, and discusses its implications for out‐of‐home care practice. [ABSTRACT FROM AUTHOR]

Child protection systems in Australia continue to disproportionately investigate Aboriginal families and intervene to remove Aboriginal children, applying non-Indigenous constructs and understandings of child development that contribute to these enduring inequities. Attachment theory is one such prevalent framework with significant applications in child protection. While constructions of attachment have attempted to grapple with diversity, its application in Australian child protection policy and practice reflects dominant socio-cultural perceptions as a foundation for decision making that misrepresents Aboriginal families and their children’s developmental needs. We position this socio-legal application of attachment specifically, and developmental sciences more broadly, within a long history of settler-colonial intervention, providing a façade of scientific authority that perpetrates further harms on Aboriginal children, families and communities. We offer insights about a new frame for attachment that respects Aboriginal worldviews as part of structural transformations to address those harms. [ABSTRACT FROM AUTHOR]

Background: Children and young people living in and leaving care are known to have experienced significant childhood adversity and trauma resulting in potentially deleterious impact on their health and well‐being across the life course. Studies point to the complex needs of this population who may benefit from allied health professional (AHP)‐related support with limited studies located. This review sought to address this gap by systematically scoping empirical literature focused on the provision of AHP support to this cohort of children and young adults to assist an understanding of the service needs for this vulnerable population. Methods: This scoping review followed Arskey and O′Malley's five steps framework (2005) to identify and review relevant literature. A focus on identifying the evidence, challenges and gaps in research relating to AHP support for children and young people living in and leaving care was initially agreed, followed by a systematic search using a combination of three key concepts to identify relevant studies in five AHP disciplinary areas to identify best evidence in the past decade (2011–2021). Study inclusion criteria were based on empirical studies of children and young people living in care (0–17 years) and leaving care (18–25 years). A data extraction table was formulated as a means of charting the data, aligned with the scope and objectives of this review. Finally, data were subsequently collated, synthesised and reported based on key thematic areas emerging from included studies regarding AHP support to children and young people living in and leaving care. Results: A total of 13 studies met the review inclusion criteria. Included studies reported specifically on speech and language therapist (SLT; n = 5), occupational therapist (OT; n = 3) and arts‐based therapies (n = 5). No studies were identified with regard to the use of physiotherapy and dietetics with this population. Results indicated that children and young people living in and leaving care have high rates of speech, language, communication and sensory needs. More rigorous screening, assessment and early intervention were identified as essential for this vulnerable group. Increased multidisciplinary collaboration and OT support for young adults in preparation for transition to independent living was identified as an urgent requirement. Included studies indicate promising results in relation to access to arts‐based therapies with particular reference to identity formation for children and young people living in and leaving care. Conclusions: Although evidence of effectiveness remains limited, AHP service provision (specifically speech and language therapy, occupational therapy and arts‐based therapies) has the potential to contribute positively to addressing the complex and interacting needs of this vulnerable population. As a result, it is recommended that AHP service provision is integrated into the collaborative, multidisciplinary care available to children living in and leaving care. More extensive, higher quality research related to the benefits of AHP provision for this population of children and young people is essential to provide a more robust evidence base across the various professional disciplines that constitute allied health provision. [ABSTRACT FROM AUTHOR]

Children of color—especially Black and Indigenous children—are disproportionately overrepresented in foster care and experience barriers in accessing services and receiving physical and behavioral healthcare compared to their White counterparts. Although racial disparities in mental health outcomes of children in foster care have been examined systematically, less is known about racial disparities in their physical health outcomes. This systematic review aimed to examine disparities in physical health outcomes (i.e., general health, developmental delays and disability, chronic illness, health-compromising behaviors, all-cause mortality) of children in foster care by their race and ethnicity (PROSPERO ID: CRD42021272072). Systematic literature searches were conducted in PubMed, EMBASE, PsycINFO, CINAHL, Cochrane Library, and Psychology and Behavioral Sciences Collection. Of the 6,102 unique studies identified, 24 met inclusion criteria: peer-reviewed journal article; published from 1991 to 2021; written in English; involved children in the U.S. foster care system; children were primarily in family-based placements; included health outcomes; included children's race and ethnicity; conducted quantitative analyses; and had an observational study design. There was limited evidence to suggest racial disparities among physical health domains examined, in part, due to the small number of studies, variability across study measures and designs, how race and ethnicity were categorized, and how related results were reported. Research that disaggregates results by more nuanced race and ethnicity categories, goes beyond including race and ethnicity as control variables, and uses more robust study designs to understand where racial disparities lie is necessary to inform practice and policy efforts to attain race and health equity in child welfare. [ABSTRACT FROM AUTHOR]

Children in out‐of‐home care (OOHC) are a vulnerable group who often experience poorer outcomes than their peers who are not in OOHC. In 2020–2021, there were approximately 46 200 children in OOHC in Australia, with 91% in a family setting with foster or kinship carers. Data from other countries show similar patterns indicating that foster and kinship carers provide care for most children in OOHC. To effectively provide children in OOHC with the care they require, including safety, stability, and connection, the carers need a social support system that equips them to meet the needs of these vulnerable children and to prevent the breakdown of placements. The study presented in this paper draws on social constructivist and critical perspectives to examine the formal and informal social support available to carers using data from a qualitative study investigating OOHC in Queensland, Australia. Our sample is 113 carers, caring for 194 children aged 1–12 years old. We find lack of integration across formal support systems and failure to recognize the invisible workload undertaken by carers are two key challenges faced by carers. Upskilling and stabilizing the child protection work force, as well as better training for carers, is also required. Addressing these issues will enhance the social support systems of carers and improve the safety, stability, and connection of children in OOHC. [ABSTRACT FROM AUTHOR]

Domestic and family violence experienced by women and children is a significant social issue. Children and young people’s exposure to domestic and family violence is a recognised form of child abuse and neglect nationally and internationally reflected in child protection legislations and practice guidelines. There is an increasing imperative to ensure effective responses are provided to children and young people, however there are significant service gaps that warrant urgent attention. In this article it is argued that the way forward to responding to the increasing numbers of children and young people who experience domestic and family violence is to build capacity in the existing structure and expertise in women’s shelters. IMPLICATIONS Building capacity in existing structures and expertise within women’s shelters can help workers respond to the needs of children and young people. Implementing a child-centred and child-informed practice approach within shelters and employing specialists can ensure that children and young people will be safely and effectively supported. Building capacity in existing structures and expertise within women’s shelters can help workers respond to the needs of children and young people.Implementing a child-centred and child-informed practice approach within shelters and employing specialists can ensure that children and young people will be safely and effectively supported. [ABSTRACT FROM AUTHOR]