Goemans, A., Van Geel, M., & Vedder, P. (2018). Variability in Developmental Outcomes of Foster Children: Implications for Research and Practice. Children Australia, 43(2), 116-123.
In the review article on her former studies in foster care Anouk Goemans from Leiden University sketches on the one hand a discouraging image about foster care, on the other she sees opportunities to improve.
Discouraging
International research shows that the average development of foster children does not improve after entering foster care! But this is about averages - some of the foster children improve and some of them worsen in the foster family. In Goemans' research on 446 Dutch foster children, aged between 3 and 17, it appeared that in the foster family, about 40% of foster children had serious behavioral problems. And we do not yet know why foster care works for one child and not for another. Or else: there is no guarantee that foster care ensures that children develop positively and we do not know why children do or do not pick up the chances of the improved environment.
Specific for ‘in-home placed’ children
A number of factors emerged from the research: Positive parenting, foster children receiving interventions, foster parents considering to quit foster care or having concerns about their own biological children, or plans for reunification.
In the case of foster and adopted children, attachment and trauma are the main concerns - all children have experienced at least one separation - and thus a broken attachment relationship. Attachment to previous caregivers often could not be safe due to inadequate parenting or lack of love, or due to neglect and sometimes mistreatment and other traumas. Most currently used screening instruments do not specifically zoom in on this. The Brief Assessment Checklist (BAC, Tarren-Sweeney) proved to be sensitive to the specific problems of foster and adoptive children, and with the help of such an instrument children could be helped more effectively.
Focus on attachment
This brings us to the following insights from science: It seems that insecure attachment and the learned inaccurate images of safety and attachment make foster children less susceptible to the positive influence of the foster parents. This means they cannot benefit from the supportive, sensitive and responsive environment that foster parents generally offer. This may also be the basis of the limited effect of interventions in foster care. From my perspective, this calls for extra attention for the attachment relationship between foster parents and foster child - and this requires stability of placements.
Support for foster parents
Another approach is to support the foster parents to reduce their stress. Behavioral problems of foster children increase the stress of foster parents and this stress can lead to foster parents deciding to quit foster care. Foster care workers must be alert. Good relationship and communication with the foster care organization and other professionals can reduce the stress for foster parents.
Abstract: This article focuses on the variability in developmental outcomes of foster children and the implications for foster care research and practice. We first provide a brief overview of our previous work, where we have shown by means of meta-analysis and a longitudinal study that foster children greatly vary with respect to their developmental functioning. We then discuss that it is both the heterogeneity of developmental trajectories and the lack of an accurate model for predicting foster children's development that make the screening and monitoring of foster children's development important. We provide suggestions for screening and monitoring, and discuss the Brief Assessment Checklist as an example of a specific instrument available for screening and monitoring of vulnerable children exposed to severe social adversity. We conclude our article with directions to improve foster care and research on foster care, including a discussion of the effectiveness of and foster children's susceptibility to interventions, support for foster parents and the potential of large national and international studies.