Impact of out-of-home care on children’s outcomes: A longitudinal cohort study using linked administrative data from Manitoba, Canada
Objective To provide rigorous quantitative evidence about the impact of out-of-home care on children’s outcomes. Approach Guided by an Advisory Circle of First Nations (FN) Knowledge Keepers and conducted in partnership with FN researchers, we used linked administrative data to identify all Manitoba...
Published in: | International Journal of Population Data Science |
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Swansea University
2024
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Online Access: | https://doi.org/10.23889/ijpds.v9i5.2679 https://doaj.org/article/ad737e5da5c74e97831ed813a402c9a3 |
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ftdoajarticles:oai:doaj.org/article:ad737e5da5c74e97831ed813a402c9a3 2024-09-30T14:35:08+00:00 Impact of out-of-home care on children’s outcomes: A longitudinal cohort study using linked administrative data from Manitoba, Canada Marni Brownell Kayla Frank Nathan Nickel Jennifer Enns Lisa Flaten Stephanie Sinclair Elizabeth Decaire Jennifer Chartrand Scott Sinclair Teresa Mayer Chris Nash Jamie Pfau Anita Durksen Colette Scatliff Mikayla Hunter Soomin Han Stephaney Patrick Hera Casidsid Sana Amjad Marlyn Bennett Hygiea Casiano James Houston Laura Bowler Therese Stukel 2024-09-01T00:00:00Z https://doi.org/10.23889/ijpds.v9i5.2679 https://doaj.org/article/ad737e5da5c74e97831ed813a402c9a3 EN eng Swansea University https://ijpds.org/article/view/2679 https://doaj.org/toc/2399-4908 doi:10.23889/ijpds.v9i5.2679 2399-4908 https://doaj.org/article/ad737e5da5c74e97831ed813a402c9a3 International Journal of Population Data Science, Vol 9, Iss 5 (2024) Demography. Population. Vital events HB848-3697 article 2024 ftdoajarticles https://doi.org/10.23889/ijpds.v9i5.2679 2024-09-17T16:00:48Z Objective To provide rigorous quantitative evidence about the impact of out-of-home care on children’s outcomes. Approach Guided by an Advisory Circle of First Nations (FN) Knowledge Keepers and conducted in partnership with FN researchers, we used linked administrative data to identify all Manitoba children served by Child Protection Services (CPS) at FN agencies (FNA) and other agencies (OA) (2007-2018). We compared health, education, and legal system outcomes of those in care (FNA n=10,856; OA n=8,468) to those with protection concerns but not in care (FNA n=12,896; OA n=14,394). Using instrumental variable analysis with CPS agency rate of out-of-home care as the instrument, outcomes between groups were compared using 2-stage multivariate probit regressions adjusted for child and family factors. Results Odds of teen pregnancy (FNA OR 3.69, 95% CI 1.40-9.77; OA 5.10 (1.83-14.25)), teen birth (FNA 3.23 (1.10-9.49); OA 5.06 (1.70-15.03)), and positive STI tests (FNA ns; OA 7.21 (3.63-14.32)) were higher and odds of vaccination at age 2 (FNA ns; OA 0.49 (0.29-0.80)) were lower for children in care than children not in care. Odds of being accused (FNA ns; OA 2.71 (1.27-5.75)), victim (FNA ns; OA 1.68 (1.10-2.56)), or charged with a crime (FNA ns; OA 2.68 (1.21-5.96)), and odds of being incarcerated (FNA 3.64 (1.95-6.80); OA 1.19 (1.19-8.04)) were higher for children in care. Conclusions Out-of-home care negatively affects children’s health, social and legal system outcomes. Implications CPS agencies should work with FN leaders to develop and implement strategies to reduce the number of children taken into care. Article in Journal/Newspaper First Nations Directory of Open Access Journals: DOAJ Articles Canada International Journal of Population Data Science 9 5 |
institution |
Open Polar |
collection |
Directory of Open Access Journals: DOAJ Articles |
op_collection_id |
ftdoajarticles |
language |
English |
topic |
Demography. Population. Vital events HB848-3697 |
spellingShingle |
Demography. Population. Vital events HB848-3697 Marni Brownell Kayla Frank Nathan Nickel Jennifer Enns Lisa Flaten Stephanie Sinclair Elizabeth Decaire Jennifer Chartrand Scott Sinclair Teresa Mayer Chris Nash Jamie Pfau Anita Durksen Colette Scatliff Mikayla Hunter Soomin Han Stephaney Patrick Hera Casidsid Sana Amjad Marlyn Bennett Hygiea Casiano James Houston Laura Bowler Therese Stukel Impact of out-of-home care on children’s outcomes: A longitudinal cohort study using linked administrative data from Manitoba, Canada |
topic_facet |
Demography. Population. Vital events HB848-3697 |
description |
Objective To provide rigorous quantitative evidence about the impact of out-of-home care on children’s outcomes. Approach Guided by an Advisory Circle of First Nations (FN) Knowledge Keepers and conducted in partnership with FN researchers, we used linked administrative data to identify all Manitoba children served by Child Protection Services (CPS) at FN agencies (FNA) and other agencies (OA) (2007-2018). We compared health, education, and legal system outcomes of those in care (FNA n=10,856; OA n=8,468) to those with protection concerns but not in care (FNA n=12,896; OA n=14,394). Using instrumental variable analysis with CPS agency rate of out-of-home care as the instrument, outcomes between groups were compared using 2-stage multivariate probit regressions adjusted for child and family factors. Results Odds of teen pregnancy (FNA OR 3.69, 95% CI 1.40-9.77; OA 5.10 (1.83-14.25)), teen birth (FNA 3.23 (1.10-9.49); OA 5.06 (1.70-15.03)), and positive STI tests (FNA ns; OA 7.21 (3.63-14.32)) were higher and odds of vaccination at age 2 (FNA ns; OA 0.49 (0.29-0.80)) were lower for children in care than children not in care. Odds of being accused (FNA ns; OA 2.71 (1.27-5.75)), victim (FNA ns; OA 1.68 (1.10-2.56)), or charged with a crime (FNA ns; OA 2.68 (1.21-5.96)), and odds of being incarcerated (FNA 3.64 (1.95-6.80); OA 1.19 (1.19-8.04)) were higher for children in care. Conclusions Out-of-home care negatively affects children’s health, social and legal system outcomes. Implications CPS agencies should work with FN leaders to develop and implement strategies to reduce the number of children taken into care. |
format |
Article in Journal/Newspaper |
author |
Marni Brownell Kayla Frank Nathan Nickel Jennifer Enns Lisa Flaten Stephanie Sinclair Elizabeth Decaire Jennifer Chartrand Scott Sinclair Teresa Mayer Chris Nash Jamie Pfau Anita Durksen Colette Scatliff Mikayla Hunter Soomin Han Stephaney Patrick Hera Casidsid Sana Amjad Marlyn Bennett Hygiea Casiano James Houston Laura Bowler Therese Stukel |
author_facet |
Marni Brownell Kayla Frank Nathan Nickel Jennifer Enns Lisa Flaten Stephanie Sinclair Elizabeth Decaire Jennifer Chartrand Scott Sinclair Teresa Mayer Chris Nash Jamie Pfau Anita Durksen Colette Scatliff Mikayla Hunter Soomin Han Stephaney Patrick Hera Casidsid Sana Amjad Marlyn Bennett Hygiea Casiano James Houston Laura Bowler Therese Stukel |
author_sort |
Marni Brownell |
title |
Impact of out-of-home care on children’s outcomes: A longitudinal cohort study using linked administrative data from Manitoba, Canada |
title_short |
Impact of out-of-home care on children’s outcomes: A longitudinal cohort study using linked administrative data from Manitoba, Canada |
title_full |
Impact of out-of-home care on children’s outcomes: A longitudinal cohort study using linked administrative data from Manitoba, Canada |
title_fullStr |
Impact of out-of-home care on children’s outcomes: A longitudinal cohort study using linked administrative data from Manitoba, Canada |
title_full_unstemmed |
Impact of out-of-home care on children’s outcomes: A longitudinal cohort study using linked administrative data from Manitoba, Canada |
title_sort |
impact of out-of-home care on children’s outcomes: a longitudinal cohort study using linked administrative data from manitoba, canada |
publisher |
Swansea University |
publishDate |
2024 |
url |
https://doi.org/10.23889/ijpds.v9i5.2679 https://doaj.org/article/ad737e5da5c74e97831ed813a402c9a3 |
geographic |
Canada |
geographic_facet |
Canada |
genre |
First Nations |
genre_facet |
First Nations |
op_source |
International Journal of Population Data Science, Vol 9, Iss 5 (2024) |
op_relation |
https://ijpds.org/article/view/2679 https://doaj.org/toc/2399-4908 doi:10.23889/ijpds.v9i5.2679 2399-4908 https://doaj.org/article/ad737e5da5c74e97831ed813a402c9a3 |
op_doi |
https://doi.org/10.23889/ijpds.v9i5.2679 |
container_title |
International Journal of Population Data Science |
container_volume |
9 |
container_issue |
5 |
_version_ |
1811638504688451584 |