Outcome in placements for adoption or long term fostering
Newcastle City Health NHS
Trust, Newcastle upon Tyne
Correspondence to: Dr Joy S Holloway, Newcastle City Health NHS Trust, Division of Community Health, East Paediatric Team, Shieldfield Health Centre, 4 Clarence Walk, Newcastle upon Tyne NE2 3AN.
Accepted 25 November 1996
OBJECTIVES
To describe a five year cohort of
children whose placements for adoption or long term (permanent)
fostering were recommended by Newcastle upon Tyne Family Placement
Panel and to determine the outcome of these placements.
DESIGNRetrospective total five year cohort
study. Outcome data were extracted from records three to five years
after placement.
SETTINGNewcastle upon Tyne Social Services
Adoption and Fostering Unit.
SUBJECTSAll 234 permanent family placements
recommended by the Family Placement Panel from 1 January 1986 to 31 December 1990.
MAIN OUTCOME MEASUREDisruption of the placement.
RESULTSA total of 20% of the placements had
disrupted (2% of adoptive placements and 51% of long term fostering
placements). Disruption was generally associated with increased age at
placement. Disruption was not associated with special needs, the sex of
the child, previous disruption, or being placed with siblings. Forty
four per cent of children from disrupted placements returned to live
with their birth families.
CONCLUSIONSIn view of the poor outcome for older
children, there is a case for more preventative work and also for more
support after placement.
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© 1997 by Archives of Disease in Childhood
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(1997). Foster and adoptive mothers' assessment of permanent family placements. Arch. Dis. Child.
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