@article{ref1,
title="Long-term placement trajectories of children who were maltreated and entered the child welfare system at an early age: consequences for physical and behavioral well-being",
journal="Journal of pediatric psychology",
year="2015",
author="Villodas, Miguel T. and Litrownik, Alan J. and Newton, Rae R. and Davis, Inger P.",
volume="41",
number="1",
pages="46-54",
abstract="OBJECTIVE : This study aimed to identify children's long-term placement trajectories following early child welfare involvement and the association of these trajectories with subsequent physical and behavioral well-being.  METHOD : Participants were 330 children who entered out-of-home care following a substantiated report of child abuse or neglect during infancy/early childhood and their caregivers. Participants were interviewed at child ages 4 and 12 years to assess children's physical and behavioral well-being and every 2 years in between to determine child placements.  RESULTS : Latent Class Analyses identified four stable placement trajectories (i.e., adopted [32%], kinship care [15%], stable reunified [27%], and stable foster care [9%]), and two unstable trajectories (i.e., disrupted reunified [12%] and unstable foster care [5%]). Logistic regressions revealed that children in the unstable trajectories had significantly poorer physical and behavioral well-being than children in stable trajectories.  CONCLUSIONS AND RELEVANCE : Maltreated children placed in out-of-home care are at risk for long-term placement instability and poorer physical and behavioral well-being.<p /> <p>Language: en</p>",
language="en",
issn="0146-8693",
doi="10.1093/jpepsy/jsv031",
url="http://dx.doi.org/10.1093/jpepsy/jsv031"
}