PMID- 36109284
OWN - NLM
STAT- MEDLINE
DCOM- 20221004
LR  - 20221004
IS  - 1769-664X (Electronic)
IS  - 0929-693X (Linking)
VI  - 29
IP  - 7
DP  - 2022 Oct
TI  - The outcome of children placed in a welfare center or foster care before the age 
      of 4: Prognostic factors.
PG  - 484-489
LID - S0929-693X(22)00183-X [pii]
LID - 10.1016/j.arcped.2022.08.013 [doi]
AB  - BACKGROUND: In child and adolescent psychiatry, many patients are placed in 
      welfare institutions or foster care. OBJECTIVE: It is important to study their 
      progress in the long term and to examine the psychological and social care 
      arrangements as well as their impacts. POPULATION AND METHODS: This qualitative 
      study designed to identify potential prognostic factors relating to the outcome 
      of children placed in a welfare center or foster care before the age of 4 years 
      was based on the analysis of 34 case histories of children placed in a welfare 
      center or foster care in Angers. These records involved 129 cases collected for 
      the "Saint Ex" study, a quantitative case study conducted from 1994 to 2001 
      designed to assess the outcome of children placed in a welfare center or foster 
      care in Angers before the age of 4. The population sampling was purposive and was 
      based on eight subgroups defined by three clinical criteria: Parent-Infant 
      Relationship Global Scale assessment (PIR-GAS) at T1 (admission into welfare 
      center or foster care), the status of a "infant at risk" at T1, and GAF (Global 
      Assessment of Functioning) at T2 (exit from the welfare center or foster care). 
      RESULTS: The study population included 11 girls and 23 boys. Factors contributing 
      to adverse progression included problems with interactions at a very early age, 
      failure to listen or respond to a child's request regarding his or her placement, 
      long delays between establishing facts and implementing social measures, 
      discontinuity and/or inconsistency regarding the placement arrangements, and 
      sexual abuse. On the other hand, factors contributing to positive progress 
      included the diagnosis and adapted treatment of a mental disorder in the case of 
      one or both parents, early placement in a foster family, considering the child's 
      requests regarding the placement, responsiveness of social services, and 
      psychological or psychiatric follow-up. CONCLUSION: The analysis of these 34 
      cases sheds light on several prognostic elements, with the combination of all 
      these factors as the background. Care based on prevention seems essential to 
      protect early interactions and shorten the time that children are exposed to 
      danger.
CI  - Copyright (c) 2022 French Society of Pediatrics. Published by Elsevier Masson SAS. 
      All rights reserved.
FAU - Cailliez, A
AU  - Cailliez A
AD  - Service de Psychiatrie de l'Enfant et de l'Adolescent, CHU Angers, 49933 Angers 
      Cedex 9, France.
FAU - Duverger, P
AU  - Duverger P
AD  - Service de Psychiatrie de l'Enfant et de l'Adolescent, CHU Angers, 49933 Angers 
      Cedex 9, France.
FAU - Roze, M
AU  - Roze M
AD  - Service de Psychiatrie de l'Enfant et de l'Adolescent, CHU Angers, 49933 Angers 
      Cedex 9, France.
FAU - Rousseau, D
AU  - Rousseau D
AD  - Service de Psychiatrie de l'Enfant et de l'Adolescent, CHU Angers, 49933 Angers 
      Cedex 9, France.
FAU - Riquin, E
AU  - Riquin E
AD  - Service de Psychiatrie de l'Enfant et de l'Adolescent, CHU Angers, 49933 Angers 
      Cedex 9, France. Electronic address: Elise.Riquin@chu-angers.fr.
LA  - eng
PT  - Journal Article
DEP - 20220913
PL  - France
TA  - Arch Pediatr
JT  - Archives de pediatrie : organe officiel de la Societe francaise de pediatrie
JID - 9421356
SB  - IM
MH  - Adolescent
MH  - Child
MH  - *Child Abuse/diagnosis/psychology
MH  - *Child Welfare
MH  - Child, Preschool
MH  - Family
MH  - Female
MH  - Foster Home Care
MH  - Humans
MH  - Infant
MH  - Male
MH  - Prognosis
OTO - NOTNLM
OT  - Child psychiatry
OT  - Host family
OT  - Placement
OT  - Prognostic markers
COIS- Declaration of Competing Interest None.
EDAT- 2022/09/16 06:00
MHDA- 2022/10/05 06:00
CRDT- 2022/09/15 22:05
PHST- 2022/05/14 00:00 [received]
PHST- 2022/08/04 00:00 [accepted]
PHST- 2022/09/16 06:00 [pubmed]
PHST- 2022/10/05 06:00 [medline]
PHST- 2022/09/15 22:05 [entrez]
AID - S0929-693X(22)00183-X [pii]
AID - 10.1016/j.arcped.2022.08.013 [doi]
PST - ppublish
SO  - Arch Pediatr. 2022 Oct;29(7):484-489. doi: 10.1016/j.arcped.2022.08.013. Epub 
      2022 Sep 13.