Sense of Stability: Specialized Group Homes and Their Benefits

In this final post, I’m going to begin by stealing a phrase from a former Australian politician and say that this is the post that brings home the bacon; this is the one that pulls the whole game together. In my second post, I talked at length about the particularly bad outcomes in foster care for TGNB youth. In the third post, I described the shortcomings of existing group homes and how legislative reforms may stymie efforts to create a congregate care facility designed specifically to meet the needs of TGNB youth.  In this final post, I will lay out in detail the logistical challenges of—and practical solutions to—the emotional and housing needs of TGNB youth, how specialized group homes are uniquely capable of meeting those needs. Continue reading “Sense of Stability: Specialized Group Homes and Their Benefits”

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Sense of Belonging: Kinship, Companionship, Community, and Gender Identity in Foster Care

NOTE – It is necessary, now, to make a correction of an error in this post, and to better fit these posts up with a bit more vocabulary to enhance understanding of gender issues in foster care generally. Repeatedly throughout this post, I used the term transgender and gender nonconforming (TGNC) to refer to children and adults who are not cisgender. Cisgender [PDF pg. 1], according to the American Psychological Associations’ “Guidelines for Psychological Practice with Transgender and Gender Nonconforming People” is an “adjective used to describe a person whose gender identity and gender expression align with sex assigned at birth; a person who is not TGNC.” The issue with the TGNC terminology is that it is, in and of itself, exclusionary. A better terminology would be trans and gender non-binary (TGNB) because it fundamentally recognizes that gender is a spectrum, rather than a binary state.

As stated in my last post, transgender and gender non-conforming youth face unique and grave challenges in the foster care system. At its core, the fundamental risk faced by trans and gender non-binary (TGNB) youth is that they will suffer mistreatment, due to prejudice or indifference, in the care of non-specialized group homes—group homes that, as a result of the federal and state reforms seeking to move away from such institutions, will lack specially trained staff and targeted programming. This change means that TGNB youth will either be in group homes that don’t address their needs or be isolated in resource homes that also lack specialized training and programming.

Continue reading “Sense of Belonging: Kinship, Companionship, Community, and Gender Identity in Foster Care”

The Conundrums of Scaling Up

This post is part of the series of posts where I explore the question “Why does a pilot project succeed, but the following implementations fail?” In my previous post, I looked at how even successful social impact pilot projects fail to show similar results on being replicated due to various factors. I also hinted at pilot projects’ added complexity: while experiments only need to be replicated, pilot projects also need to be scaled up. In this post, I will deal with three essential aspects of scaling up that need to be accounted for: (1) the manner in which we define scaling up and its impact on funding; (2) the locational peculiarities of certain projects and finally, (3) the economics of demand and supply in scaling up.

Continue reading “The Conundrums of Scaling Up”

ACE Detection and Treatment: A Holistic Approach for Foster Youth

As explained in my previous posts, adverse childhood experiences (ACEs) are detrimental to juvenile development and have lasting affects that shape adult behavior. Therefore, the subsection of youth in the foster care system is vulnerable to the detrimental affects of ACEs and should be afforded additional care and services.

But since ACEs seem to be fairly pervasive, how do we determine who has ACEs and how many they have?

Implementation of a Universal Form of ACE Testing:

The 1998 Kaiser-CDC study that introduced ACEs found that 52% of participants reported at least 1 ACE, and 25% of participants had more than 2 ACEs. It is unlikely that the Kaiser-CDC ACE findings have decreased given that the United States has the highest incarceration rate in the world, greatly surpassing our neighbors abroad.  In the US, almost 1 in 28 children have a parent who is incarcerated. For that reason, it is important that a standardized ACE test is implemented as a base determination of child trauma and as a mechanism to assess what services may be beneficial to youth who are entering the dependency system.

Continue reading “ACE Detection and Treatment: A Holistic Approach for Foster Youth”

The Dangers of Repressed Trauma: Mario’s Story of Overcoming Adverse Childhood Experiences

In my last post, I discussed ACEs and their effects on a macro-level. As previously discussed, adults with high ACE scores are more likely to exhibit maladaptive behaviors, including drug and alcohol use disorders. In 2017, approximately 19.7 million American citizens, aged 12 and older, had a substance abuse disorder related to abuse of alcohol or illicit drugs. In 2016 the Centers for Disease Control (CDC) conducted a review of all drug overdose data. They found that accidental drug overdose was the cause of death for 63,632 Americans in 2016. The rate of overdose deaths increased in all categories, regardless of age, gender, ethnicity, sexual orientation, and socio-economic class.

Additionally, drug and alcohol disorders place a great strain on the criminal justice system. In 2018, 456,000 people were incarcerated for drug possession, trafficking, or other non-violent drug offense. According to a 2017 study by the National Institute on Drug Abuse, drug abuse and addiction cost the American economy more than $740 billion annually in “lost workplace productivity, healthcare expenses, and crime-related costs.” When the cost of addiction tops $740 billion and places such a strain on society, we are all affected by addiction, whether or not we personally struggle with substance abuse.

Continue reading “The Dangers of Repressed Trauma: Mario’s Story of Overcoming Adverse Childhood Experiences”

The Dangerous Classes: Why is Kinship Care the Hot New Thing?

In my last post, I explained why kinship foster care is the ideal out-of-home placement for children in foster care. The concept of extended families taking care of each other’s children is not new. Even today, millions of children are being raised by their relatives in informal kinship care, where government agencies are never involved. The modern increase in kinship care was a result of legislation intended to alleviate the nation’s decades-long foster home shortage. With their back against the wall, lawmakers are finally supporting the types of policies we should have used all along: placing kids with their families. Why did it take so long?

In this post, I will discuss the history of the Child Welfare System with a focus on socioeconomic class, and how that history impacts our system today. The forerunners of today’s Child Welfare System were right to focus on placing kids with families but were wrong about which families were best. That history helps explain why kinship care has been historically disfavored.

Continue reading “The Dangerous Classes: Why is Kinship Care the Hot New Thing?”

What Youth Need

Now that we have discussed how the basic needs of children include love, protection, a sense of nurturing and belonging, stability, and support, how do we ensure that youth within the foster care system are provided with these staples so they need not seek them from outside influences such as gangs? In this post, I will talk about how community-based services can help minimize and hopefully prevent gang involvement for youth within the foster care system, as well as ways in which we, as members of the community, may be able to provide these children with some sense of stability and consistency while they are in the chaos that is currently the foster care system.

Continue reading “What Youth Need”