Young People Transitioning From Out Of Home Care

This book challenges and revises existing ways of thinking about leaving care policy, practice and research at regional, national and international levels. Bringing together contributors from fifteen countries, it covers a range of topical policy and practice issues within national, international or comparative contexts. These include youth justice, disability, access to higher education, the role of advocacy groups, ethical challenges and cultural factors. In doing so it demonstrates that, whilst young people are universally a vulnerable group, there are vast differences in their experiences of out-of-home care and transitions from care, and their shorter and longer-term outcomes. Equally, there are significant variations between jurisdictions in terms of the legislative, policy and practice supports and opportunities made available to them. This significant edited collection is essential reading for all those who work with young people from care, including social workers, counsellors, and youth and community practitioners, as well as for students and scholars of child welfare.

The transition to adulthood is a longer and more complex process than it was just a few decades ago, and a growing number of youth and young adults experience significant challenges in the establishment of an autonomous and independent lifestyle when compared to previous generations. Successful high school graduation followed by employment is no longer the inevitable trajectory for young people, especially in the current socio-economic context where jobs are less accessible and more demanding in terms of specialized skills and higher academic qualifications. Unable to rely on family for emotional and financial support, vulnerable youth, who grow up in substitute care, are especially effected by the lengthening of this transition to adulthood. The dismal outcomes for youth growing up in care are by now well-documented, and more recently, a range of models have been proposed to help advance our understanding of these outcomes and how to forestall them. However, the literature on leaving care has long suffered from the absence of theory that could guide meaningful intervention. In response to this gap, Leaving Care and the Transition to Adulthood offers a comprehensive overview of the newest contributions to this area in relation to theory, in addition to the Theory of Emerging Adulthood, while also featuring cutting-edge research and best practices that support adjustment across a range of domains for this population. International in scope, this book focuses on bringing together major advances that span the literature on transitioning to adulthood within the care system, offering a unique and important contribution to the field.

The transition from care into adulthood is a difficult step for any young person, but young people leaving care have a high risk of social exclusion, both in terms of material disadvantage and marginalisation. In Young People's Transitions from Care to Adulthood leading academics gather together the latest international research relating to the transition of young people leaving care, outlining and comparing the range of legal and policy frameworks, welfare regimes and innovative practice across 16 countries. The book also highlights the variations that exist between different groups leaving care. Featuring key messages for policy and practice, this book will give academics, practitioners and policymakers valuable insights into how to encourage resilience and improve outcomes for care leavers.

Nearly half of states have laws that explicitly permit the state child welfare system to continue providing foster care for children beyond the age of majority (usually no later than 19). However, the number of states that actually facilitate youth remaining in care beyond their 18th or 19th birthdays is significantly smaller. Over 20,000 young people have been emancipated from foster care annually from FY2002 through FY2006. While most young people have access to emotional and financial support systems throughout their early adult years, older youth in care and those who age out of care often face obstacles to developing independent living skills and building supports that ease the transition to adulthood. Older foster youth who return to their parents or guardians may continue to experience poor family dynamics or a lack of emotional and financial supports, and studies have shown that recently emancipated foster youth fare poorly relative to their counterparts in the general population on several outcome measures. Recognising the difficulties faced by older youth in care and youth emancipating from foster care, Congress created a new Independent Living initiative (P.L. 99-272)in 1986 to assist certain older foster youth as they enter adulthood. The legislation authorised mandatory funding to states under a new Section 477 of the Social Security Act. In 1999, the John H. Chafee Foster Care Independence Act (P.L. 106-169) replaced the Independent Living Program with the Chafee Foster Care Independence Program (CFCIP) and doubled the total annual funds available to states from $70 million to $140 million. The law also expanded the population of youth eligible to receive independent living services - with no lower age limit - and gave states greater flexibility in designing independent living programs. Independent living services can refer to assistance in obtaining a high school diploma, training in daily living skills, and training in financial management, among other services. Amendments to the CFCIP in FY2002 (P.L. 107-133) authorised discretionary funding for states to provide education and training vouchers to eligible youth. Along with the CFCIP, federal child welfare law and other federal programs are intended to help older current youth in care and foster care alumni make the transition to adulthood. The federal foster care program has protections in place to ensure that older youth in care have a written case plan that addresses the programs and services that will assist in this transition, among other supports. Further, federal law authorises funding for states to provide workforce assistance and housing to older foster youth. Despite these efforts and the resilience displayed by current and former foster youth, policymakers and child welfare practitioners have suggested that at a minimum, young people need better support to build stronger connections with caring adults before leaving foster care and should have the option to remain in care upon reaching their 18th or 19th birthdays.

While most young people have access to emotional and financial support systems throughout their early adult years, older youth in foster care and those who are emancipated from care often face obstacles to developing independent living skills and building supports that ease the transition to adulthood. Older foster youth who return to their parents or guardians may continue to experience poor family dynamics or a lack of emotional and financial supports, and studies have shown that recently emancipated foster youth fare poorly relative to their counterparts in the general population on several outcome measures. The federal government recognises that older youth in foster care and those aging out are vulnerable to negative outcomes and may ultimately return to the care of the state as adults, either through the public welfare, criminal justice, or other systems. This book provides background on young people in and exiting from foster care, and the federal support that is available to these youth as they transition to adulthood.

This comprehensive book thoroughly addresses all aspects of health care transition of adolescents and young adults with chronic illness or disability; and includes the framework, tools and case-based examples needed to develop and evaluate a Health Care Transition (HCT) planning program that can be implemented regardless of a patient’s disease or disability. Health Care Transition: Building a Program for Adolescents and Young Adults with Chronic Illness and Disability is a uniquely inclusive resource, incorporating youth/young adult, caregiver, and pediatric and adult provider voices and perspectives. Part I of the book opens by defining Health Care Transition, describing the urgent need for comprehensive transition planning, barriers to HCT and then offering a framework for developing and evaluating health care transition programs. Part II focuses on the anatomic and neuro-chemical changes that occur in the brain during adolescence and young adulthood, and how they affect function and behavior. Part III covers the perspectives of important participants in the HCT transition process – youth and young adults, caregivers, and both pediatric and adult providers. Each chapter in Part IV addresses a unique aspect of developing HCT programs. Part V explores various examples of successful transition from the perspective of five key participants in the transition process - patients, caregivers, pediatric providers, adult providers and third party payers. Related financial matters are covered in part VI, while Part VII explores special issues such as HCT and the medical home, international perspectives, and potential legal issues. Models of HCT programs are presented in Part VIII, utilizing an example case study. Representing perspectives from over 75 authors and more than 100 medical centers in North America and Europe, Health Care Transition: Building a Program for Adolescents and Young Adults with Chronic Illness and Disability is an ideal resource for any clinician, policy maker, caregiver, or hospitalist working with youth in transition.

Each year more than 25,000 youth age out of the American foster care system to face uncertain futures as young adults. Many of them have experienced the trauma of abuse, neglect, disrupted family relationships, and multiple foster care placements. The past two decades have seen increased funding and services in a society-wide attempt to mitigate the effects of such childhood adversity, but a consistent pattern of loss and broken attachments adds up. Development and education are severely compromised. A quarter of youth experience homelessness after exiting care; 25-50% will not complete high school, and only 3-6% will graduate college. Four years after leaving care, less than half are employed, and their earnings remain well below the poverty line. Rates of mental health disorders, early pregnancy and parenthood, and involvement in the criminal justice system are all heightened. Youth Leaving Foster Care is the first comprehensive text to focus on youth emerging from care, offering a new theoretical framework to guide programs, policies, and services. The book argues that understanding infant, child, and adolescent development; attachment experiences and disruptions; and the impacts of unresolved trauma and loss on development are critical to improving long-term outcomes. It provides an overview of the foster care context, detailed discussion of the effects of maltreatment on development from infancy through young adulthood, and common mental health problems and treatment recommendations. It includes a discussion of delinquency and the juvenile justice system, as well as issues facing pregnant and parenting youth, LGBT youth, and youth with disabilities. Presenting the best practices in transitional living programs and policy and research recommendations, this crucial guide also reviews and summarizes the latest research, which are enhanced with illustrative case vignettes. Each mental health and program chapter concludes with key practice principles reflecting the relationship-based approach. Presenting a multidimensional, integrated perspective that gives greater consideration to psychological and interpersonal needs, this vital guide offers an approach that will strengthen the capacity of youth leaving care to transition into successful adult lives.

While most young people have access to emotional and financial support systems throughout their early adult years, older youth in foster care and those who are emancipated from care often face obstacles to developing independent living skills and building supports that ease the transition to adulthood. Older foster youth who return to their parents or guardians may continue to experience poor family dynamics or a lack of emotional and financial supports, and studies have shown that recently emancipated foster youth fare poorly relative to their counterparts in the general population on several outcome measures. The federal government recognizes that older youth in foster care and those aging out are vulnerable to negative outcomes and may ultimately return to the care of the state as adults, either through the public welfare, criminal justice, or other systems. Under the federal foster care program, states may seek reimbursement for youth to remain in care up to the age of 21. In addition, the federal foster care program has certain protections for older youth. For example, states must annually obtain the credit report of each child in care who is age 16 or older (age 14 and older as of late 2015). States must also assist youth with developing what is known as a transition plan. The law requires that a youth's caseworker, and as appropriate, other representative(s) of the youth, assist and support him or her in developing the plan. The plan is to be directed by the youth, and is to include specific options on housing, health insurance, education, local opportunities for mentors, workforce supports, and employment services. Other protections will go into effect in late 2015 that will require states to ensure that youth age 14 and older are consulted about the development and revisions to their case plan and permanency plan, and that the case plan includes a document listing certain rights for these youth. Separately, the federal government provides funding for services to assist in the transition to adulthood through the John H. Chafee Foster Care Independence Program (CFCIP). The law enables states to provide these services to youth who are likely to age out of foster care (with no lower age limit), and youth age 16 or older who left foster care for kinship guardianship or adoption. Independent living services may include assistance in obtaining a high school diploma, career exploration, training in daily living skills, training in budgeting and financial management skills, and preventive health activities, among other services. The CFCIP requires that states ensure youth in independent living programs participate directly in designing their own program activities that prepare them for independent living, and further that they “accept personal responsibility for living up to their part of the program.” The Chafee Education and Training Voucher (ETV) program separately authorizes discretionary funding for education and training vouchers for eligible youth to cover their cost of postsecondary education (until age 23). A recent evaluation of independent living programs, such as those that provide mentoring and life skills, shows mixed results. One promising independent living program has social workers who oversee a small caseload and have regular, ongoing interactions with the youth. The youth in this program are more likely to attend college and stay enrolled than their peers not in the program. Along with the CFCIP, other federal programs are intended to help current and former youth in foster care make the transition to adulthood. Federal law authorizes funding for states and local jurisdictions to provide workforce support and housing to older foster youth and youth emancipating from care. Further, the law that established the CFCIP created an optional Medicaid eligibility pathway for youth who age out of foster care; this pathway is often called the “Chafee option.

Across the states of America, child welfare agencies are offering a wide range of services and supports to youth who are in foster care or have recently aged out of foster care. Drawing on a national survey of state-based Independent Living Coordinators, this report provides information on available services, local eligibility criteria, state trends, use of the evidence-base, and examples of innovation and success, focusing on six service domains critical to successful transitions to adulthood: post-secondary education; employment and career development; financial capability; securing safe, stable, and affordable housing; accessing and managing health and mental health care; and establishing permanent relationships with supportive adults. This report summarises the key findings and national similarities and differences in services. The survey was conducted in collaboration with the Better Housing Coalition and the Children's Home Society of Virginia.

Young people develop health literacy skills in a variety of environments, facing critical thinking challenges about their health from school, home and family life, peers and social life, and online. To explore the development of health literacy skills in youth, the Roundtable on Health Literacy convened a workshop on November 19, 2019, in Washington, DC. Presenters at the workshop discussed factors relating to health literacy skills and ways to further develop those skills among youth from early childhood to young adulthood. This publication summarizes the presentation and discussion of the workshop.