Sunday, August 19, 2018

The evidence is in: Study after study after study finds that in typical cases children left in their own homes fare better than comparably-maltreated children placed in foster care

UPDATED, NOVEMBER 2024

There are a couple of studies that I cite so often on this blog and elsewhere that I once suggested readers could run a betting pool to guess which paragraph would contain the reference.

They are the three massive studies of more than 15,000 typical cases conducted by MIT researcher Prof. Joseph Doyle.  The longitudinal studies compared children in typical child welfare cases who were placed in foster care to children experiencing the same sort of alleged abuse or neglect who were left in their own homes. 

The studies didn’t guess what happened to these children based on subjective assessments. And the studies didn’t track the children for just a few months or maybe a year or two.  These studies tracked the children all the way into late adolescence and young adulthood and looked at what actually happened to them.  Typically, on measure after measure, the children left in their own homes did better.  A second, even larger study, confirmed the findings.

  
That was a decade ago.  In all the time since, the study has remained definitive. Nothing has matched it for size, scope or rigor. The closest that foster-care apologists could come to finding a flaw is their claim that the studies didn’t follow young children.  (In fact, they followed children as young as age 5.)

So the only straw at which the foster-care apologists could grasp was the hope – with no evidence – that the results would be different for even younger children.

But that ignored still another study, (also discussed here) from University of Minnesota researchers.  Using different methodology and outcomes, but again tracking actual outcomes all the way into adolescence, this study looked at children who first entered foster care anywhere from birth to age 9.  This study also was an apples-to-apples comparison. The researchers  looked at children under comparable circumstances and it, too, found that the children left in their own homes did better.

OK, the foster care apologists might say, but what about just infants. If we limit the study to just infants will we get the results we want?  No. Not even when the infants are born with cocaine in their systems.

University of Florida researchers studied two groups of such children; one group was placed in foster care, another left with birth mothers able to care for them.  After six months, the babies were tested using all the usual measures of infant development: rolling over, sitting up, reaching out.  Typically, the children left with their birth mothers did better.  For the foster children, the separation from their mothers was more toxic than the cocaine.

None of these studies is perfect, of course. But compare the rigor of these studies to the best the foster-care apologists can come up with.

The 2018 study


And now comes study #6.  Unlike the others, this one concerns children in Finland.  Once again it directly examined comparable cases. Once again it tracked the children all the way to young adulthood.  And, like the Minnesota study, this one was limited to young children – ages 2 to 6.  Once again, the children left in their own homes did better.

The researchers note one point about their child welfare system that they seem to think might make it different from the one in the United States. They write:

…in the Finnish context, the main reason for placement is not abuse but some level of neglect or inability to care for the child as a result of parental poor mental health, financial difficulties or the accumulation of problems.

But in fact, those are the main reasons for placement in the United States as well.  And,  as this investigative report from Finland’s public broadcaster YLE makes clear, the Finnish system’s denial of due process and penchant for needless removal are depressingly similar to the American system.

The fact that researchers got these results in Finland is important for a very different reason: In America foster-care apologists constantly blame the rotten outcomes of foster care on the fact that the system is underfunded.  If only we had more money, they claim, we could fix it.

But Finland is a world leader in social welfare spending; by some measures it’s #1 in the European Union.  If money is the problem, then the results from Finland should be vastly different.  That they are not is still more evidence that foster care is inherently so traumatic for a child that it is fundamentally unfixable. 

The 2019 Studies


This study took a different approach. It compared families who received high-quality interdisciplinary family defense to families that did not.  Children of the families who received this defense spent significantly less time in foster care, with no compromise of safety.

Another study in 2019 compared mental health outcomes for maltreated children placed in foster care compared to those left in their own homes.  The foster children were nearly twice as likely to suffer from Reactive Attachment Disorder - not surprising, since one cause of RAD is "repeated changes of primary caregivers. ..."

A study of the studies


And then there's this, from a review of studies concerning the impact of foster care on criminal behavior:

Many studies (82% of the eleven studies that addressed the first research question) showed higher rates of offending behavior for maltreated youth placed in foster care compared to those who remained at home, while some studies (27%) found no difference between the two groups of maltreated youth. One study showed higher risk of offending for maltreated youth who remained at home compared to maltreated youth placed in foster care only. Another study showed mixed findings ...

None of this means that no child ever should be placed in foster care.  But it all shows that foster care is an extremely toxic intervention that should be used sparingly and in small doses.  And, at long last, the burden of proof should shift from those who want children to remain safely in their own homes to those who want those children taken away.


Special thanks to Alia Innovations, whose own review of the literature led me to the studies cited in this update.