Saturday, 14 January 2006 - 8:00 AM

The Kentucky Foster Care Census: Measuring Child Well-Being in the Child Welfare System

Dana J. Sullivan, PhD, University of Louisville.

The three goals of the Adoption and Safe Families Act, passed in 1997 containing mandates for public child welfare agencies, are safety, permanency, and improving the well-being of children and families. This is the first time that well-being has been made a specific goal. There has been a lack of focus on the well-being of children in the child welfare system. Altshuler and Gleeson (1999) described the foci on safety and permanency, to the exclusion of well-being, as a triangle that can only be completed when well-being becomes a focus of child welfare services. Kentucky utilized a census approach to measure the well-being of the children in the foster care system, in order to gather data on the well-being of these children in foster care, while verifying the placement of each child, in order to do a self-assessment of service delivery and to guide the development of policy (Huebner et al., 2002a). The purpose of this study was to analyze the results of the census. CHAID analysis (Kass, 1980) was utilized to partition the data into mutually exclusive, exhaustive subsets to best describe the well-being of the children in the census. The results showed that as number of months in care increased, so did the number of diagnosed medical needs and physical disabilities. Having an Individualized Education Plan was the most significant predictor of need in the cognitive areas of education and developmental disability. Age was the most significant predictor of having an identified emotional need, with children ages 5 to 12 having the highest percentage of need in the sample. Boys had more emotional and developmental disability problems than did the girls in the sample. Region was the most significant predictor regarding the adequacy of the resources received in each domain. Urban and rural regions had mixed results, indicating that even though urban areas may have more resources, foster children may not have access to them. Children receiving inadequate resources had fewer visits with their case workers, especially related to medical and physical disability resources. As number of months in care increased, the adequacy of the resources received increased. The results of the census, overall, showed that there were low percentages of identified or diagnosed needs and that most of the children in the sample had access to needed resources. The children were being visited fairly frequently by their case workers, receiving educational advocacy, having regular visits to the doctor and dentist, and their needs were being tracked as they continued to be in the system. Implications for child welfare practice, research, and policy are discussed, as well as suggestions for future research. References Altshuler, S. J., & Gleeson, J. P. (1999). Completing the evaluation triangle for the next century: Measuring child “well-being” in family foster care. Child Welfare, 78(1), 125-147. Huebner, R., Wolford, B., & Hommrich, B. (2002a). Kentucky foster care census executive summary. Retrieved from www.trc.eku.edu/fostercare.html Kass, G. V. (1980). An exploratory technique for investigating large quantities of categorical data. Applied Statistics, 29(2), 119-127.


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