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Examining Developmental Adversity and Connectedness in Child Welfare-Involved Children

Published online by Cambridge University Press:  01 June 2018

Erin P. Hambrick Open the ORCID record for Erin P. Hambrick [Opens in a new window] ,
Thomas W. Brawner  and
Bruce D. Perry
Erin P. Hambrick*
Affiliation:
The ChildTrauma Academy, Houston, Texas, USA Department of Psychology, University of Missouri – Kansas City, Kansas City, Missouri, USA
Thomas W. Brawner
Affiliation:
The ChildTrauma Academy, Houston, Texas, USA Center for Research Methods and Data Analysis, University of Kansas, Lawrence, Kansas, USA
Bruce D. Perry
Affiliation:
The ChildTrauma Academy, Houston, Texas, USA Department of Psychiatry, Northwestern University Feinberg School of Medicine, Chicago, Illinois, USA
*
address for correspondence: Erin P. Hambrick, PhD, Department of Psychology, University of Missouri – Kansas City, 5030 Cherry Street, Room 309, Kansas City, Missouri 64114. E-mail: [email protected]
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Abstract

Identifying optimal out-of-home placements for child welfare-involved youth is challenging. Examples of youth recovering within each “out-of-home” placement type (foster, relative, residential) are evident, as are examples of youth who are deteriorating. The heterogeneity in developmental history and current functioning of youth makes blanket policies regarding placement unwise. Examination of developmental heterogeneity and functioning of youth in the welfare system can provide insights about factors influencing outcomes, thereby informing practice, program and policy. We explore whether current relational health (connectedness) promotes positive outcomes for child welfare-involved youth while controlling for developmental risk (history of adverse, and lack of relationally positive, experiences). Clinicians at 19 organisations serving child welfare-involved youth used a neurodevelopmentally informed approach to intervention, the Neurosequential Model of Therapeutics (NMT), which includes metrics to assess the developmental timing of children's risk, “connectedness” and neurodevelopmental functioning (e.g., sleep, arousal, cortical control). Data-driven statistical techniques were used to produce stable, generalisable estimates. Risk during the perinatal (0–2 months) period significantly predicted children's functioning; current relational health predicted outcomes more strongly. Although early life developmental risk has a persistent effect on functioning, relationally supportive contexts may mitigate this risk. Improving relational contexts of child welfare-involved youth, regardless of placement type, is key.

Keywords

child traumachild maltreatmentsocial supportneurosequential modelregularisation
Type
Articles
Information
Children Australia , Volume 43 , Special Issue 2: Understanding Outcomes for Care Experienced Children , June 2018 , pp. 105 - 115
Copyright
Copyright © The Author(s) 2018 

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