Exploring placement stability for children in out-of-home care in England: a sequence analysis of longitudinal administrative data.

Abstract:

BACKGROUND:To monitor stability of care, the proportion of children in England who have experienced three or more placements in the preceding 12-month period is published in government statistics. However, these annual snapshots cannot capture the complexity and heterogeneity of children's longitudinal care histories. OBJECTIVE:To describe the stability of care histories from birth to age 18 for children in England using a national administrative social care dataset, the Children Looked After return (CLA). PARTICIPANTS AND SETTING:We analyzed CLA data for a large, representative sample of children born between 1992 and 1994 (N = 16,000). METHODS:Using sequence analysis methods, we identified distinct patterns of stability, based on the number, duration, and timing of care placements throughout childhood. RESULTS:Although care histories were varied, six distinct patterns of stability were evident including; adolescent 1st entries (17.6%), long-term complex care (13.1%) and early intervention (6.9%). Overall, most children (58.4%) had a care history that we classified as shorter term care with an average of 276 days and 2.48 placements in care throughout childhood. Few children (4.0%) had a care history that could be described as long-term stable care. CONCLUSIONS:Longitudinal analyses of administrative data can refine our understanding of how out-of-home care is used as a social care intervention. Sequence analysis is a particularly useful tool for exploring heterogeneous and complex care histories. Considering out-of-home care histories from a life course perspective over the entire childhood period could enable service providers to better understand and address the needs of looked after children.

journal_name

Child Abuse Negl

journal_title

Child abuse & neglect

authors

Mc Grath-Lone L,Harron K,Dearden L,Gilbert R

doi

10.1016/j.chiabu.2020.104689

subject

Has Abstract

pub_date

2020-11-01 00:00:00

pages

104689

eissn

0145-2134

issn

1873-7757

pii

S0145-2134(20)30344-6

journal_volume

109

pub_type

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