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An alternative to traditional foster care, this practice places children removed from home due to maltreatment with other members of their family or with friends of the family. This practice is rated Promising for reducing behavioral and adaptive problems, increasing child well-being, decreasing the number of placements, and reducing institutional abuse. The practice is rated Ineffective for increasing family reunification and attachment.
Practice Goals/Target Population
Child abuse, neglect, or other types of maltreatment often result in the removal of children (under the age of 18) from the home and in their placement in one of several different types of out-of-home-settings, the most common of which is within the foster care system (Winokur, Holtan, and Batchelder 2014). An alternative to traditional foster care placement, kinship care allows children removed from their parents to be cared for by relatives, members of their tribes or clans, godparents, stepparents, or other adults with whom they have a kinship bond (Child Welfare League of America 1994). Kinship care allows children to live with individuals whom they know and trust, reduces the trauma children may experience when they are placed with unknown persons in foster care, and reinforces children’s sense of identity and self-esteem that is often tied to family history and culture (Wilson and Chipunga 1996).
The primary goal of kinship care is either 1) family preservation, in which the permanency goal for children is reunification with their birth parents; or 2) substitute care, in which kinship care is considered to be a long-term arrangement when reunification is not possible, or the permanency goal is adoption or guardianship by kin caregivers (Scannapieco and Hegar 1999).
Practice Components
There are several variations of kinship care, including formal, informal, and private placements. Formal kinship care refers to a legal arrangement in which a child welfare agency has custody of a child and arranges placement with a kin caregiver, who can be licensed or unlicensed (Ayala-Quillen 1998). Informal kinship care refers to when a child welfare agency assists in placing a child with a kin caregiver, but the agency does not seek court action to obtain custody of the child (Geen 2000). Finally, private kinship care is a voluntary arrangement between the birth parents and family members without the involvement of a child welfare agency (Dubowitz 1994).
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Mental Health & Behavioral Health | Multiple mental health/behavioral health outcomes
Aggregating the results from 15 studies, Winokur, Holtan, and Batchelder (2014) found a statistically significant effect size favoring the treatment group (d = -0.33) on measures of behavior problems. This finding indicates that children in kinship care had lower reported levels of internalizing and externalizing behavior problems, such as depression or aggression, compared with children in foster care. |
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Mental Health & Behavioral Health | Adaptive problems
Aggregating the results from six studies, Winokur, Holtan, and Batchelder (2014) found a statistically significant effect size favoring the treatment group (d = -0.42) on measures of adaptive problems (i.e., levels of competence). This finding indicates that children in kinship care had higher reported levels of competence, compared with children in foster care. |
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Mental Health & Behavioral Health | Emotional wellbeing
Aggregating the results from four studies, Winokur, Holtan, and Batchelder (2014) found a statistically significant effect size favoring the treatment group (OR = 0.50) on measures of well-being (i.e., positive emotional health). This finding indicates that children in kinship care were two times more likely to report positive emotional health, compared with children in foster care. |
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Victimization | Child abuse/neglect/maltreatment
Aggregating the results from three studies, Winokur, Holtan, and Batchelder (2014) found a statistically significant effect size favoring the treatment group (OR = 0.27) on institutional abuse (i.e., a substantiated incident of abuse or neglect that occurred in an out-of-home placement setting by either kin caregivers or foster parents but not by the birth or biological parents). This finding indicates that children in kinship care were 3.7 times less likely to experience institutional abuse, compared with children in foster care. |
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Family Functioning | Out-of-home placement/permanency
Aggregating the results from six studies, Winokur, Holtan, and Batchelder (2014) found a statistically significant effect size favoring the treatment group (OR = 0.39) on number of placements. This finding indicates that children in kinship care experienced fewer out-of-home placements, compared with children in foster care. |
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Family Functioning | Reunification
Aggregating the results from 13 studies, Winokur, Holtan, and Batchelder (2014) found no statistically significant effect on family reunification. This finding indicates that there was no difference in the rate of family reunification between children in kinship care and children in foster care. |
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Family Functioning | Attachment
Aggregating the results from five studies, Winokur, Holtan, and Batchelder (2014) found no statistically significant effect on children’s attachment with family. This finding indicates that there was no difference in measures of attachment to family between children in kinship care and children in foster care. |
These sources were used in the development of the practice profile:
Winokur, Marc, Amy Holtan, and Keri E. Batchelder. 2014. “Kinship Care for the Safety, Permanency, and Well-Being of Children Removed from the Home for Maltreatment.” Cochrane Database of Systematic Reviews 1: CD006546. View abstract
https://www.cochranelibrary.com/cdsr/doi/10.1002/14651858.CD006546.pub3/media/CDSR/CD006546/CD006546.pdfThese sources were used in the development of the practice profile:
Ayala-Quillen, B.A. 1998. “The Adoption and Safe Families Act of 1997 Kinship Care Report: An Analysis of Key Areas.” Protecting Children 14(3):12–14.
Child Welfare League of America. 1994. Kinship Care: A Natural Bridge. Washington, D.C.: Child Welfare League of America.
Dubowitz, Howard. 1994. “Kinship Care: Suggestions for Future Research.” Child Welfare 73(5):553–64.
Geen, Rob. 2000. “In the Interest of Children: Rethinking Federal and State Policies Affecting Kinship Care.” Policy & Practice of Public Human Services 58(1):19–27.
Scannapieco, Maria, and Rebecca L. Hegar. 1999. “Kinship Foster Care in Context.” In Rebecca L. Hegar, and Maria Scannapieco (eds.). Kinship Foster Care: Policy, Practice, and Research. New York: Oxford University Press,1–13.
Wilson, D.B., and S.S. Chipungu. 1996. “Introduction.” Child Welfare 75(5):387-95.
Winokur, Marc A., Amy Holtan, and Keri E. Batchelder. 2018. "Systematic Review of Kinship Care Effects on Safety, Permanency, and Well-Being Outcomes." Research on Social Work Practice 28(1):19-32.
Winokur, Marc, Desiree Rozen, Stephen Thompson, Shawon Green, and Deborah Valentine. 2005. Kinship Care in the United States: A Systematic Review of Evidence-Based Research. Social Work Research Centre: Colorado State University.
Winokur, Marc, Amy Holtan, and Deborah Valentine. 2009. "Kinship Care for the Safety, Permanency, and Well-Being of Children Removed from the Home for Maltreatment." Cochrane Database of Systematic Reviews 1.
Following are CrimeSolutions-rated programs that are related to this practice:
Age: 0 - 18
Gender: Male, Female
Race/Ethnicity: Black, Hispanic
Targeted Population: Children Exposed to Violence, Families, Victims of Crime
Setting (Delivery): Home
Practice Type: Victim Programs, Wraparound/Case Management
Unit of Analysis: Persons
251 Lake Street Offices Tromsø United States
Marc Winokur
Colorado State University, Social Work Research Center, School of Social Work
Campus Delivery 1586
Fort Collins, CO 80523
United States
Email
Amy Holtan
UiT The Artic University of Norway, Regional Centre for Child and Youth Mental Health and Child Welfare
Norway
Keri Batchelder
Division of Child Support Services Colorado Department of Human Services
Email