Need a 200 word abstract regarding the following topic and a 3-4 page literature review (I’ll provide the articles )
Abstract: Child Welfare: An analysis of the policies and implications of the NYC foster care system
Consider the ways in which the history of settler colonialist society, its ideologies, beliefs, values, language and ways of knowing, shape the manner in which social work is currently practiced.
How do they contribute to the experiences of service users as they interface within the system you have chosen to write about?
How might they have shaped the meaning that service users place on their own circumstances, identities, etc.?
How do they inform how you, as the practitioner, utilize your power and positionally in the processes of assessment, engagement and intervention?
What are some of the strategies for dismantling these types of thoughts, policies and practices?
What are some alternative, decolonized thoughts, policies and practices and the possibilities that might emerge from these shifts?
Montclair State University Montclair State University
Montclair State University Digital Montclair State University Digital
Commons Commons
Department of Public Health Scholarship and Creative Works Department of Public Health
Spring 5-8-2014
Pregnant Teens in Foster Care: Concepts, Issues, and Challenges Pregnant Teens in Foster Care: Concepts, Issues, and Challenges
in Conducting Research on Vulnerable Populations in Conducting Research on Vulnerable Populations
Lisa D. Lieberman Montclair State University, liebermanl@montclair.edu
Linda L. Bryant Inwood House
Kenece Boyce Inwood House
Patricia Beresford New York City Regional Office
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MSU Digital Commons Citation MSU Digital Commons Citation Lieberman, Lisa D.; Bryant, Linda L.; Boyce, Kenece; and Beresford, Patricia, “Pregnant Teens in Foster Care: Concepts, Issues, and Challenges in Conducting Research on Vulnerable Populations” (2014). Department of Public Health Scholarship and Creative Works. 48. https://digitalcommons.montclair.edu/public-health-facpubs/48
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Journal of Public Child Welfare
ISSN: 1554-8732 (Print) 1554-8740 (Online) Journal homepage: https://www.tandfonline.com/loi/wpcw20
Pregnant Teens in Foster Care: Concepts, Issues, and Challenges in Conducting Research on Vulnerable Populations
Lisa D. Lieberman, Linda L. Bryant, Keneca Boyce & Patricia Beresford
To cite this article: Lisa D. Lieberman, Linda L. Bryant, Keneca Boyce & Patricia Beresford (2014) Pregnant Teens in Foster Care: Concepts, Issues, and Challenges in Conducting Research on Vulnerable Populations, Journal of Public Child Welfare, 8:2, 143-163, DOI: 10.1080/15548732.2014.895793
To link to this article: https://doi.org/10.1080/15548732.2014.895793
Accepted author version posted online: 28 Feb 2014. Published online: 08 May 2014.
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Journal of Public Child Welfare, Vol. 8:143–163, 2014
Copyright © Taylor & Francis Group, LLC
ISSN: 1554-8732 print/1554-8740 online
DOI: 10.1080/15548732.2014.895793
Pregnant Teens in Foster Care: Concepts, Issues, and Challenges in Conducting Research on Vulnerable Populations
LISA D. LIEBERMAN Montclair State University, Montclair, NJ, USA
LINDA L. BRYANT and KENECA BOYCE Inwood House, New York, NY, USA
PATRICIA BERESFORD New York State Office of Children and Family Services, New York, NY, USA
Teens in foster care give birth at over twice the rate of other teens.
Unique challenges exist for these vulnerable teens and babies, yet
research on such populations, particularly within the systems that
serve them, is limited. A demonstration project at Inwood House, a
residential foster care agency in New York City, from 2000 to 2005,
at the same time that the Administration for Children’s Services
was exploring policy and practice changes for this population, is
described. Research design and implementation issues, descriptive
data, and experiences provide lessons for improving the evidence
base to meet the needs of pregnant teens in care.
KEYWORDS child welfare, organizations/systems, foster care, preg-
nant teens
TEEN PREGNANCY AND BIRTH WITHIN THE
FOSTER CARE SYSTEM
The teen birthrate of 34.3 per 1000 females age 15–19 years is the lowest level ever recorded in the United States (U.S. Centers for Disease Control and Prevention [CDC], 2011; Hamilton, Martin, & Ventura, 2011). Despite
Received: 05/01/13; revised: 02/14/14; accepted: 02/14/14 Address correspondence to Lisa D. Lieberman, Assistant Professor, Department of Health
and Nutrition Sciences, Montclair State University, 1 Normal Avenue, UN4230, Montclair, NJ 07043, USA. E-mail: liebermanl@mail.montclair.edu
143
144 L. D. Lieberman et al.
this progress, challenges for babies of teen mothers are great—in 2006, the infant mortality rate in New York City (NYC) for babies of teen mothers was 24% higher than the NYC average, and in 2002, only 45% of teen mothers in NYC received prenatal care in their first trimester (Citizens Committee for Children of NYC, 2011; NYC Department of Health and Mental Hygiene, 2002). Although the overall percent of women receiving late or no prenatal care has decreased dramatically over the past decade, late or no prenatal care is higher among teens than all other groups (U.S. Department of Health and Human Services, 2005, 2010). In addition, low birth weight (LBW) among teen mothers is significantly higher than among mothers of all ages (11.7% of births to 15-year-old mothers, 9.5% of births to 19-year-old mothers, and 8.3% all births) (March of Dimes, 2009). In NYC, nearly one in 10 (9.9%) babies born to mothers age 19 years or younger were LBW, compared with 8.4% of babies born to mothers of all ages (NYS Council on Children and Families KWIC, 2012). Furthermore, poverty has long been considered one of the strongest predictors of low birth weight, particularly among teen mothers (Alan Guttmacher Institute, 1994; Reichman, 2005). In short, ‘‘pregnant teens are more likely than older mothers to be poor, undereducated, or to lack access to resources or services—all, in themselves, risk factors for low birth weight’’ (Reichman, 2005, p. 100).
Moving beyond risks among pregnant teens in general, in 2009, more than 400,000 children, from birth through age 17 years, were in foster care in the United States, some 24,605 in New York State and 15,895 in NYC (McKlindon, 2011; NYS Office of Children and Families, 2009). Although child welfare systems have sought to improve lifelong prospects for youth in foster care, a longitudinal study of youth who have left care suggests that their employment, stability, and health outcomes are grim (Sribnick, 2011; Courtney, Dworsky, Lee, & Raap, 2009). After leaving foster care, 2 to 4 years later only 50% are employed, 35% have been homeless, and 33% have no access to health care (Courtney, Dworsky, Lee, & Raap, 2009).
These long-term prospects may be even bleaker for those teens who become parents while in care. It is estimated that 33% of girls in foster care become pregnant by age 17 years and 50% by age 19 years (Sullivan, 2009; Courtney et al., 2005). More teens in foster care give birth than teens who are not in the system, with one study (Pecora et al., 2003) estimating the birth rate for girls in foster care at 17.2%, compared with 8.2% for unmarried teen girls who are not in care. More recent data suggests that, by the time they leave foster care (aging out, emancipation, or returning to their families), nearly 33% of females have given birth to at least one child (Schuyler Center for Analysis and Advocacy, 2009). Furthermore, the range of challenges for girls in foster care, such as mental health issues, past victimization, and substance use increase risks for early pregnancy (Coleman-Cowger, Green, & Clark, 2011). NYC does not aggregate pregnancy or births for foster care youth, thus a comparison with teen birth rates among youth who are not in care,
Pregnant Teens in Foster Care 145
or demonstration of other risk factors as they relate to pregnancy cannot be determined. Lack of such estimates, even to identify the nature of the target group, pregnant girls in care, demonstrates one major challenge of policy-making for this particularly vulnerable population.
There is an extensive literature on the service needs of pregnant teen- agers, and there are data that reflect the needs and long-term outcomes of teens in foster care. There is little discussion in the literature, however, of the intersection of these two, pregnant teens in care. Recognizing that pregnant teens in foster care may be at greater risk than other pregnant teens, for poorer health, educational and financial outcomes, and/or for placement of their own children in care, this limited knowledge base is particularly critical.
SPECIAL CHALLENGES OF RESEARCH ON PREGNANT
AND PARENTING TEENS IN CARE
When teens are pregnant in care, the system has to provide for their ad- ditional medical and emotional needs and address the increased likelihood of intergenerational placement, specifically that their children will be placed in care (Schuyler Center for Analysis and Advocacy, 2009). Some studies have demonstrated evidence of effectiveness of programs serving vulnerable pregnant populations, such as home visit and parenting programs (Olds, 2006; Olds, Sadler, & Kitzman 2007; Chaffin, 2004) and specialized teen prenatal clinics (Bensussen-Walls & Saewyc, 2001; Gifford, 2001).
However, few have measured these outcomes among teens in fos- ter care. One cross-site evaluation of demonstration programs for pregnant teens that was funded by the U.S. Office of Adolescent Pregnancy Programs (OAPP) included 12 projects and more than 1000 adolescents. The study reported that these interventions resulted in significant improvements in effective contraceptive use, increased use of routine childcare, and short- term delays in repeat pregnancy (Kan et al., 2012). Notably, one project that was part of this funding stream was not even eligible for the cross-site evaluation because the study design could not be met in its residential foster care setting. Determining how to best serve the needs of pregnant teens in care is, thus, particularly hampered by the challenges of conducting research within this complex service delivery system.
These challenges are common to conducting research in other multi- layered systems, including school-based pregnancy prevention programs (Kirby, 2001; Kirby, Laris, & Rolleri, 2007; Key, Gebregziabher, Marsh, & O’Rourke, 2008; Bennett & Assefi, 2005), and public health systems research (Bensussen-Walls & Saewyc, 2001; Gifford, 2001), and have also been iden- tified within child welfare programs (Stuczynski & Kimmich, 2010; Garstka, Collins-Camargo, Hall, Heal, & Ensign, 2012). They may be even more promi- nent in the child welfare system when working with pregnant teens.
146 L. D. Lieberman et al.
In the absence of sufficient high quality experimental and longitudinal research, practice and policy shifts often are ‘‘based on common sense, matters of fairness and justice, but lack strong evidence’’ (Osgood, Foster, & Courtney, 2010, p. 224) or, they are based on practice wisdom, since so little research is available on child welfare system interventions (Barth, 2008). Further complicating these issues, in a review of foster care in the United States, Bass, Shields, and Behrman (2004), concluded that it is not a cohesive system but a ‘‘combination of many overlapping and interacting agencies, all charged with providing services, financial support, or other assistance to children and their families’’ (p. 5). In such systems, it is difficult to conduct rigorous research that controls for confounding factors and is able to follow clients over a long period of time. Thus, not enough is known about the impact of specific interventions on the well-being of children in foster care. Regarding their transition to adulthood, ‘‘though promising directions for policy and practice are being identified, few interventions have been tested empirically’’ (Osgood et al., 2010, p. 224). A study in the Hawaii child welfare system (Daleiden & Chorpita, 2005) suggested that the system does not rely solely on evidence-based models, in part due to the many challenges of gathering such evidence. This study described policy decisions based on other models, individualized case conceptualization or practice- based evidence, instead. Such approaches can and should provide powerful insights from which systems can learn.