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Référence bibliographique [22548]
Esposito, Tonino, Caldwell, Johanna, Chabot, Martin, Delaye, Ashleigh, Trocmé, Nico, Hélie, Sonia et Fallon, Barbara. 2022. «Reunification Trajectories in Quebec: Acknowledging Chronic Family Challenges to Support Stability ». Child Abuse & Neglect, vol. 130, p. 1-12.
Fiche synthèse
Intentions :
This study «aims to identify clinical factors present in households experiencing reunification after a child is placed out of the home, and subsequently which of these factors are present when a child re-enters out-of-home care.» (p. 4)
Échantillon/Matériau :
«This study uses linked data from two datasets to conduct a longitudinal study examining reunification trajectories following out-of-home care placement: 1) anonymized longitudinal clinical-administrative child protection data from sixteen mandated child protection jurisdictions in Quebec spanning 2008 to 2017, and 2) clinical data from the 2008 Quebec Incidence Study (QIS) on children reported to and evaluated by child protection services (Étude d’incidence québécoise sur les signalements évalués en protection de la jeunesse). The QIS is a cross-sectional study conducted periodically across 16 mainstream child protection organizations in Quebec. A three-month sampling period was used, and data were collected from investigating child welfare workers in the fall of 2008. For the purposes of this study, a longitudinal follow-up of more than nine years was carried out using a representative 3051 children drawn up as part of the QIS 2008 study who were all matched to the administrative data using their unique numeric beneficiary number (there was no missing data for this sample).» (p. 4)
Instruments :
Questionnaires
Type de traitement des données :
Analyse statistique
The results of the study show that «[f]ifty-four percent of children who came into care and were later reunified ended up re-entering care, on average with 16 months of reunification.» (p. 6) Also, «[i]n terms of the risk factors that we found to be significant for initial placement but not reunification breakdown (i.e., child’s suicidal thoughts, inappropriate sexual behavior, and self-harming behavior), it is possible that families received relevant services during the reunification process that helped them to resolve. These risk factors might be ameliorated through child-focused behavioral mental health interventions. The risk factors that remained significant for reunification breakdown (child’s academic difficulties, attachment issues, and caregiver drug abuse) may not have easily been addressed for some families during their involvement with the child protection system – throughout the initial evaluation, placement, or reunification periods.» (p. 8) «The risk factors that were significant in [this] analysis both for placement and for reunification breakdown suggest compounding factors that may affect reunification stability. Risk factors such as attachment issues and caregiver drug abuse may be linked and more ingrained or difficult to resolve than other risk factors (Hohman & Butt, 2001), and may be exacerbated by poverty (Lloyd, 2018).» (p. 8-9)
This study «aims to identify clinical factors present in households experiencing reunification after a child is placed out of the home, and subsequently which of these factors are present when a child re-enters out-of-home care.» (p. 4)
2. Méthode
Échantillon/Matériau :
«This study uses linked data from two datasets to conduct a longitudinal study examining reunification trajectories following out-of-home care placement: 1) anonymized longitudinal clinical-administrative child protection data from sixteen mandated child protection jurisdictions in Quebec spanning 2008 to 2017, and 2) clinical data from the 2008 Quebec Incidence Study (QIS) on children reported to and evaluated by child protection services (Étude d’incidence québécoise sur les signalements évalués en protection de la jeunesse). The QIS is a cross-sectional study conducted periodically across 16 mainstream child protection organizations in Quebec. A three-month sampling period was used, and data were collected from investigating child welfare workers in the fall of 2008. For the purposes of this study, a longitudinal follow-up of more than nine years was carried out using a representative 3051 children drawn up as part of the QIS 2008 study who were all matched to the administrative data using their unique numeric beneficiary number (there was no missing data for this sample).» (p. 4)
Instruments :
Questionnaires
Type de traitement des données :
Analyse statistique
3. Résumé
The results of the study show that «[f]ifty-four percent of children who came into care and were later reunified ended up re-entering care, on average with 16 months of reunification.» (p. 6) Also, «[i]n terms of the risk factors that we found to be significant for initial placement but not reunification breakdown (i.e., child’s suicidal thoughts, inappropriate sexual behavior, and self-harming behavior), it is possible that families received relevant services during the reunification process that helped them to resolve. These risk factors might be ameliorated through child-focused behavioral mental health interventions. The risk factors that remained significant for reunification breakdown (child’s academic difficulties, attachment issues, and caregiver drug abuse) may not have easily been addressed for some families during their involvement with the child protection system – throughout the initial evaluation, placement, or reunification periods.» (p. 8) «The risk factors that were significant in [this] analysis both for placement and for reunification breakdown suggest compounding factors that may affect reunification stability. Risk factors such as attachment issues and caregiver drug abuse may be linked and more ingrained or difficult to resolve than other risk factors (Hohman & Butt, 2001), and may be exacerbated by poverty (Lloyd, 2018).» (p. 8-9)