Children in Nordic Countries Focus on children in foster care Nordens Velfærdscenter 1

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Ole Søndergaard
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1 Children in Nordic Countries Focus on children in foster care Nordens Velfærdscenter 1

2 More than 40 persons have contributed with their knowledge and experiences Bo Vinnerljung Stockholms universitet Sverige Stefan Kling Skolöverläkare Sverige Hilma Forsman Stockholms universitet Sverige Heidi Jacobsen RBUP Øst og Sør Norge Hege Kornør RBUP Øst og Sør Norge Stine Lehmann Universitetet i Bergen Norge Susanna Hoikkala Centralförbundet för Barnskydd Finland Tarja Heino Institutet för hälsa och välfärd (THL) Finland Viktoria Skoog Kommunförbundet Västernorrland Sverige Kjerstin Bergman Sveriges Kommuner och Landsting Sverige Amy Holtan RKBU Nord UiT Norge Eyving Elgesem RBUP Øst og Sør Norge Misja Eiberg SFI Danmark Jakob Brixtofte Petersen Socialstyrelsen Danmark Guðjón Bjarnason Barnaverndarstofa Island Christine Välivaara Päsapuu Finland Karin Källsmyr Voksne for Barn Norge Ina Nergård Voksne for Barn Norge Sofie Stage SUS Danmark Trine Krab Nyby Børnerådet Danmark Helene Hardenstedt Nationellt kompetenscentrum anhöriga Sverige Stine Lindberg Børnerådet Danmark Bente Nielsen De 4 årstider Sebastian Kjellander Sverige Evelina Nilsson Sverige Alexandra Arvidsson Sverige Natali Montanari Sverige Tinna Nadja Nielsen Danmark Charlotte Jørgensen Danmark Christina Nordskov Larsen Danmark Hanna Liljendahl Juhl Danmark Andreas Stibolt Truelsen Danmark Ingrid Kvenna Veum Norge Robert Tangeland Norge Aiden Hall Norge Sami Isoniemi Finland Waranyoo Ronkainen Finland Vilma Vahama Finland Nordens Velfærdscenter 2

Institutet för hälsa och välfärd (THL) Finland Viktoria Skoog Kommunförbundet Västernorrland Sverige Kjerstin Bergman Sveriges Kommuner och Landsting Sverige Amy Holtan RKBU Nord UiT Norge Eyving

3 Focus on Children in Foster Care Education somatic health mental Health Aftercare Nordens Velfærdscenter 3

4 Focus on Children in Foster Care Education Nordens Velfærdscenter 4

5 What do we know? Education About half have no / incomplete / low grades Get poorer final grades compared with other children of the same talent Fewer repairing low grades in secondary school or adult education Underachiev in school, compared to their tested cognitive capacity 26 years: 27% have only primary school, 6% among peers Nordens Velfærdscenter 5

with other children of the same talent Fewer repairing low grades in secondary school or

6 What is the outcomes for children grown up in foster care? Corrected for absence of school failure ,2 6,4 3,9 4,8 4,9 2,7 6,8 7,5 3,9 3,8 9,8 5 3, Nordens Velfærdscenter 6

Corrected for absence of school failure 12 10 8 6

7 Poor educational performance can be improved. Most attempts have led to good results Cooperation Models SkolFam, Sammen for Laering, LUKoP Tutoring Paired reading Access to learning materials The Letterbox Club, Bogekoffert Special school support programs Laer For Livet Nordens Velfærdscenter 7

for Laering, LUKoP Tutoring Paired reading Access to learning materials The

8 Recommendations Education Assess reading and numeracy with standardized instruments of all school children in foster care, especially before adolescence to combat early school failures Give children access to individualized support to allow 'catch-ups' Nordens Velfærdscenter 8

adolescence to combat early school failures Give children access to

9 Focus on Children in Foster Care Somatic health Nordens Velfærdscenter 9

10 What do we know? Somatic health There are few Nordic studies Research indicates that foster children are a high risk group for somatic illness prior to placement, during the time in care and as young adults Nordens Velfærdscenter 10

11 Recently published Swedish study Health assessments 121 in out of home care (or before) 99 medical referrals Every second child - at least one referral Half of children - extensive dental caries Nordens Velfærdscenter 11

Every second child - at least one referral Half of

12 Recommendations Somatic health Make a comprehensive health assessment of all foster children, including dental health check Establish a health card which follows the child Create systematic monitoring of somatic health during the time in care Can we afford medical examinations? Nordens Velfærdscenter 12

follows the child Create systematic monitoring of somatic health during the

13 Instructions for a comprehensive health assessment of foster children How should a comprehensive health assessment be carried out and what should it contain What should a health card include? Nordens Velfærdscenter 13

assessment be carried out and what should it contain

14 Focus on Children in Foster Care Mental health Nordens Velfærdscenter 14

15 What do we know? Mental health Danish registry study - 20% have at least one psychiatric diagnosis Some of them were screened with SDQ. 49% scores on a "abnormal" level Norwegian study 51% - one or more DSM-IV diagnosis Nordens Velfærdscenter 15

16 Recommendations Mental health That foster children are offered a comprehensive examination of their mental health Child welfare authorities should, together with psychiatry and in close collaboration with various research environments, promote the development of knowledge-based activities Nordens Velfærdscenter 16

with psychiatry and in close collaboration with various research environments,

17 Aftercare Nordens Velfærdscenter 17

18 What do we know? Aftercare It goes better for foster children if they receive aftercare Nordens Velfærdscenter 18

19 Recommendations Aftercare Assess needs and access to support, together with every child leaving foster care Plan individual support systematically and in good time, together with the youth Provide all children leaving foster care in the older teens a conversation about the child's history Nordens Velfærdscenter 19

time, together with the youth Provide all children leaving foster care in the

20 Children in Nordic Countries Focus on children in foster care Nordens Velfærdscenter 20

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