The Role of Culture in Child Dependency Cases

 

Cultural Connections for Foster Children

 

Last year I was asked to develop a training for the Arizona Court Improvement Program to address the role of culture in child dependency cases.  As I prepared the presentation, I wasn't sure where to begin to address the question, "what is role of culture in child dependency cases?   From my FCRB experience, I know that Section III (D) in the DCS Progress Report addresses “efforts to maintain cultural connections, including opportunities for the child to build cultural awareness, identity, and involvement.”

 

From a long list of definitions of “culture,” I selected, “society’s common foundation of beliefs and behaviors and its concepts of how people should conduct themselves” (Hunter School of Social Work web page.) I then began putting together the presentation with the idea of addressing national and ethnic cultural differences and how we assure that the child’s cultural “beliefs, behaviors, and concepts” remain in the child’s life as he moves through the foster care system.  Pretty straight forward.  

 

But it quickly became apparent that not every child is tied to an ethnic or national culture.  My grandmother was born in Prague, Bohemia, and came to the US as a child bringing her Bohemian (note the capital “B”) ways with her.  Her daughter, my mother, cooked Bohemian food, knitted “continental” style, spoke to her mother in Bohemian. She had clearly adopted some of her mother’s culture.  My brothers and I have some curiosity about Bohemia (now Czech Republic) but no real connection to the Bohemian culture.

 

So we make efforts to assure that those children who are tied to an ethnic or national culture keep those connections.  But, I soon realized that cultural influence extends far beyond just ethnic/national culture.  Additional cultural influences include the foster child’s family, neighborhood, church/organizations, and school.  Each of these “cultures” (aka “microsystems”) have common beliefs and behaviors and a child placed in foster care loses connections to all of them in one swift move. As a foster child, I clearly remember the experience of being placed into different foster homes.  It was almost paralyzing.  And it didn’t matter whether it was kinship or non-kinship placement, or if the foster parents and their home were perfect in every way; the rules were different from my home “culture” and I didn’t know what they were.  In one “kinship” placement, my brother and I went to a new school for three weeks.  We were lost in that particular school culture.  Nothing was the same; not the school work, the teaching methods, the rules, and no one answered our main question, “how come no one is wearing their uniforms?” (We were Catholic school kids and that was true “culture shock.”).  We were also far away from our church where we were both involved with Scout troops and, of course, we did not know our new neighbors (church and neighborhood - two more cultures lost.)  But, for us, it was more of a temporary stressor because we knew we would be reunited with our mother and older brothers eventually.*

 

For children who are abused/neglected, the “culture shock” is much worse.  Children who have been physically abused, or who have not had adequate food, managed to adapt to their abusive environments for survival.  Perhaps they learned how to sneak and hide food or steal change to buy food; or they became adept at sensing when it was safe to approach a parent and when it wasn’t.  Most of these children have spent their entire lives in abusive/neglectful homes.  It’s all they know; and their neural pathways for their specific survival behaviors are strong.  When they are removed and placed in foster care, they enter unfamiliar territory with unknown rules and new people who might or might not hurt them. They are unsure of how to get food; nervous about attending a new school, and have no neighborhood friends to play with after school.

 

In their new placement, these children may display behaviors that we would consider “survival” tactics in their abusive homes but “odd” in their foster homes e.g., hoarding food, stealing money, or raising their arms in self-defense when approached by an adult.  That was their home culture.  At school they may be so far behind that they become lost or just give up trying (every move through foster care results in 4-6 months loss of academic progress in school.).  Regardless of the quality of their care, their removal from home and school cultures may be unsettling because the abuse and neglect way of life is all they know.   

 

It becomes apparent that, in addition to assuring connections to ethnic/national cultures, we also need to consider connections to the child’s “microsystems.”  So we ask, always with the safety of the child in mind, “Is it possible for the child to remain in the same school (in accordance with ARS 15-816.01) and/or continue to participate in church/scouting activities?  Can we enlist the assistance of safe family members for transportation to and from these locations to help keep the child’s connection to friends and family strong?  How can we safely help the child preserve some connection to his extended family, neighborhood, school, church, extracurricular activity? Children removed from their homes will always have difficulty adjusting to a new environment, but the more “cultural” connections we can maintain for them, the less “culturally shocking” their move will be. 

 

 

*We were in foster care each time our mother, who was battling cancer, was hospitalized, which was quite often, but we returned home when she did. We returned to foster care after she died and eventually were placed with an aunt and uncle. Our older brothers were self-sufficient

 

Breaking the Foster Cycle

One of the most detrimental experiences for a child’s immediate and future well-being is to be moved from foster home to foster home, or, in the case of failed reunifications, from foster home to biological parents and back to a foster home.  Changes in placement affect the child’s sense of trust, feelings of abandonment, and ability to attach to new caregivers.  But this movement, informally referred to as “foster cycling,” will occur for most children in foster care. 

According to childwelfare.gov, multiple placements are also associated with higher delinquency rates in males; increased (actually, double for most children) visits to emergency rooms because of the lack of continuous medical care; and increased use of mental health services.  Multiple placements lead to multiple schools and every school change results in an estimated loss of 4 to 6 months of school progress per school change.  Over one-third children who age out of foster care will have attended five or more schools while in care. (See:  www.theatlantic.com/archive/2014/02/every-time-fosters-kids-move-they-lose-months-of-academic-progress/284134)

Among the reasons for foster cycling are foster parent turnover, failed reunifications with biological parents, and unusual behaviors from the child that the foster parents are not prepared to handle.   Of all the people who move through the lives of foster children, none are in a better position to affect multiple placements than foster parents.  That effort begins by helping the child acclimate to his new home. 

Annette Jones and her colleagues at the University of Buffalo recently interviewed 35 certified, experienced foster parents to gain insight as to what works to help foster children adjust to a new foster home.  The foster parents described several approaches to making their newly arrived foster child feel welcome.  Briefly, these foster parents…

·         emphasize that the foster home is now also the child’s home. 
·         help the child make the home “their own” by surrounding them with their own possessions.
·         commit themselves to handling whatever behavior problems might arise during the initial adjustment period. 
·         do not insist that the child refer to them as “mom” and “dad.”
·         do not refer to their children as “foster” children thus making it easier for the child to feel a part of the family.
·         set up a daily routine so the child knows what to expect from day to day.
·         allow the child to freely express his loyalty to his biological parents.
·         relieve parentified children from their responsibilities to care for younger siblings, thus allowing them to return to their “childhoods.”


Other efforts to reduce the foster cycling include excellent foster parent training, confidence that family reunification will be successful, and a quicker road to permanence with a family, whether family reunification, adoption, or guardianship.  

Sibling groups. Together? Or Apart?

I recently met with a grandparents group in El Mirage to discuss a number of issues they were having while caring for their grandchildren.  Some grandparents were concerned that their grandchildren had been separated between kinship placements and asked me to research policies on keeping siblings together. 

“Sibling” is generally defined more by relationship than by their genetic relatedness. Unrelated children who have lived in the same family together are “siblings” more than children who share the same parents but have not lived together. 
An article from the Child Welfare Information Gateway (January 2013) highlights the pros and (a few) cons of siblings placed together.

The benefits of keeping siblings together are obvious:  siblings provide a sense of safety and emotional support.  As a foster child myself, I was always placed with one (or more) of my three older brothers.  This gave me an ever present feeling of protection when surrounded by strange people in an unfamiliar environment.  Research indicates that these supportive relationships last throughout childhood and into adulthood, i.e., forever.  In addition, research indicates that siblings placed together have a higher probability of family reunification than siblings placed in different foster homes. 

Siblings placed together also tend to have better academic performance than separated sibs.   Having the children in the same placement also makes communication between placement, children, case managers, and birth families easier than having to include two or more placements in the communication loop. 

But there are some roadblocks to placing children together, the most obvious of which is the size of the sibling group -- the most common reason for not placing siblings together.  Sibling groups of three, four, five, or more may be difficult, if not impossible, to place because of the licensing requirements for differing numbers of children.  Siblings may also be separated if one (or more) of the children needs a higher level of care than other siblings, requiring a therapeutic foster home which may not be able to care for all of the children.

In addition to the number of siblings and required level of care, research has uncovered other factors that discourage keeping some siblings together.  They include:  serious behavior problems in one child that may place siblings/foster siblings in danger; and the tendency of siblings placed together to focus on each other and ignore the foster family’s efforts to include them in family activities.  Separating siblings may also provide "parentified" children, who have spent their lives taking care of younger children, an opportunity to find their own childhoods. 

The take-away from the research is that keeping siblings together is best but, in the end, this decision, like all foster care decisions, should consider the best interest of each of the children. 

For more information about this topic, visit:  www.childwelfare.gov 

Children’s Rights Addresses Failed Adoptions

Children’s Rights (CR) is a national legal advocacy organization whose goal is to improve and protect the lives and rights of abuse and neglected children across the United States.  CR identifies problems in each state’s foster care system and sets out to address and correct those problems through legal action.  Their current focus for Arizona is to improve physical and mental health care for foster children and increase the number of foster homes in our state. 
CR also produces a quarterly newsletter highlighting important issues addressing the needs of neglected and abused children.  Their Fall 2015, Notes from the Field newsletter addresses situations in which adoptive placements are unsuccessful.  Those of us involved with CASA and FCRB are familiar with stories of disruptions from foster care but, according to “When ‘Forever Families’ Don’t Last,” 10% to 25% of adoptions from foster care fail before they become final.  According to the authors, estimates of how many adoptions fail after the adoption is final is unknown.  Reasons for these failed adoptions include:  lack of follow-up services, unaddressed mental and behavioral health problems, an inability to bond as a family, and aging or sick adoptive parents. 
Children whose “forever families” turn out not to be “forever” add one more negative experience to their lives as foster children.  These children come into care because they are abused and/or neglected by the very people who should love them most often resulting in emotional and behavioral problems.  And, once in care, they experience new and frightening situations -- multiple placements and numerous strangers who move in and out of their lives (case managers, psychologist/psychiatrists, therapists, parent aides…).  Amazingly, some children manage to overcome these exceptional life events to be matched with an adoptive home, only to be disappointed.  From an attachment theory point of view, the devastating experience of anticipating a permanent, loving home only to have it fail is likely to make the children more cautious (or even resistant) to future adoptive placements and, ultimately, less eager to form an attachment to adoptive parents and siblings for fear of losing yet another family. 
“When Forever Families Don’t Last” concludes with recommendations to reduce the probability of disrupted adoptions at any point in time, including:  improved adoptive-parent education about traumatized children, quality mental health services for the children, and effective methods of matching children to families.  Support and guidance during and after the adoption can also reduce failed adoptions.
The article includes reflections from children who experienced a failed adoption.  One child summarized his experience of a failed adoption:  “To be taken away from my adoptive mother felt like a repeat of losing my biological parents again.  I internalized this experience and blamed myself for everything.  I was angry.” 

For more information about Children’s Rights visit www.childrensrights.org.  

"Reunification" and "Re-Entry" Rates


“Reunification” and “Re-Entry” Rates

As a researcher, locating descriptive statistics is an important and objective way to answer important questions about foster care.  Two statistics are pertinent to our discussion of the success or failure of the foster care system:  reunification and re-entry rates.  

Reunification, of course, refers to a foster child’s return to the family from which he was removed, usually the biological parents; while re-entry describes children who are removed from their families after reunification and placed back into the foster care system because the parents, once again, abused or neglected them. 

The national reunification rate for foster children has remained fairly stable over the years -- in the 51-53% range, meaning that slightly more than half of children entering foster care are reunified with their families.  Of course, the math tells us that leaves approximately 48% ( +1%) of foster children who are not reunified – a grim statistic that deserves serious attention.  (A subject for a later report.)

But, as I write and prepare presentations about attachment problems in foster children, I often wonder how many of “successful" reunifications eventually fail, i.e., how many children were removed from their homes after reunification?  That statistic is difficult to find and, unlike reunification rates, no national statistic exists (at least that I can find...)

I did, however, find several studies and statistical reports addressing the issue of re-entry rates and this is what I learned: 
  • States are held accountable, and must report, re-entry rates to the federal government.
  • The federal standard for re-entering foster care within 12 months of reunification is 9.9%.
  • Re-entry rates (within 12 months) range from 21% to 38% from state to state.
  • High re-entry rates could result in federal funding sanctions, increased caseloads, and   damage to children who experience repeated abuse/neglect and the resulting need to enter a new, unfamiliar placement.
  • The top two reasons for re-entry are because the children were reunified too soon (parents not ready) or “Family Reunification” was an inappropriate case plan from the beginning.
  • Related to the above, the factor most associated with re-entry into foster care is short foster care stays, 3-6 months.
  • Other correlates with re-entry rates include multiple placements, prior reports, and unmet needs of the biological families.
  • Two programs that reduce rates of re-entry are:  Home Builders (institutefamily.org) and Multi-dimensional Treatment Foster Care for Preschoolers (now known as Treatment Foster Care Oregon – tfcoregon.com).
As we (CASAs and FCRBers) oversee foster care cases, it is difficult at times to cull through the data to know what works and what doesn’t.  Looking to reliable research studies addressing important topics, such as reunification and re-entry rates, helps us to identify what factors are more likely to make reunification a success which we can keep in mind as we advise the court as to the progress of the foster care cases we oversee.   

Improving Foster Care

It's often easier for those of us who volunteer with Arizona’s Foster Care System to find the challenges and weaknesses of the system but, if we dig a little, we can find successful efforts at various levels of government to change the system for the benefit of the children it serves.

In 2014, the US Government passed the “preventing Sex Trafficking and Strengthening Families Act,” the intention of which was to “assist foster parents in applying a reasonable and prudent parent standard in a manner that protects child safety, while also allowing children to experience normal and beneficial activities.” For the foster child, this law eliminates the need for court orders to approve normal family/child activities such as extracurricular activities or out-of-state vacations with the foster family. It also eliminates the need to conduct criminal background checks of the parents of a child’s friend before approving a “sleepover.” For the first time since the bill passed, I noted an entry entitled “Reasonable and Prudent Parent Standard” in one of the documents I read this week in preparation for my next Foster Care Review Board. That law allowed the child whose case we are reviewing to participate in extracurricular activities (primarily basketball and the Rocket Science club) without the inconvenience of obtaining a court order first. This makes the foster care experience just a tad more like a “real” family experience for the child.

In recent years, California made substantial improvements to its Foster care system. Called Continuum of Care Reforms (CCRs), the bill was prepared to “make sure that youth in foster care have their day-to-day physical, mental, and emotional needs met; have the greatest chance to grow up in permanent…homes; and have the opportunity to grow into self-sufficient, successful adults.” (CA AB 403.) The reforms include: providing specific training for foster families, replacing long-term foster placements with more family-like settings; and transforming group homes into short-term, therapeutic homes to prepare children to live with foster families. In addition, efforts are being made in California to more accurately match the foster child to a foster family and to better train those foster parents, both of which will help prevent future placement changes. The CCRs also modify the rate structure for foster families and institute evaluations by youth and families of service providers.

And finally, in Arizona, several reporters for the Arizona Republic have been awarded a three-year Arizona Community Foundation grant to identify and explore problems that exist in Arizona’s Foster Care system. The purpose of this grant is to “support in-depth investigative reporting about child welfare in Arizona” (www.azfoundaton.org). More specific goals include: understanding why reports of child abuse are rising in Arizona (up 28% in the last three years), investigating the system itself, and finding solutions to the problems they find there.

So, as bleak as things may look at times, there have been some improvements in foster care in AZ and the US. And with some concerted effort, those of us involved with foster care can identify system weaknesses and bring them to the attention of legislators and journalists to effect important changes to reduce at least some of the stress experienced by children in care.