Gavin Hamilton, MScConnie Cheung, PhD

Introduction Objective Methods Results Discussion Conclusion

INTRODUCTION

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OACAS

Mission

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“Self-esteem is an overall

reflection of one’s self-worth, which encompasses beliefs about oneself as well as an emotional response to those beliefs”.

INTRODUCTION

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50 y/o

AGE

Self Esteem

INTRODUCTION

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Low self esteem◦Negative outcomes

High self esteem ◦Positive outcomes

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Predictors?

Theory: different stressors than general population

Introduction

OBJECTIVE

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To examine the effects of out-of-home care on self esteem

a) Quality of Placementb) Caregiver-child relationshipc) Stability of Care

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Cross-sectional◦Data collected in 2010-2011

Participants (n=207)◦Children ages 10-15 in either family

or group-based foster care

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1hr interview 7 developmental dimensions

Three respondents:◦Child◦Caregiver◦Child Welfare Worker

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Multi-informant measure

1) Child reported Series of 6 validated questions

2) Child Welfare Worker reported Series of 4 validated questions

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1. Quality of Placement◦ Series of 6 questions

2. Child-caregiver relationship◦ Series of 4 questions

3. Stability of care◦ Three stability variables used:

(residences, schools, caregivers)

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Conclusion

In the model, we controlled for: ◦General Health◦School performance◦Sex◦Race◦Obesity (BMI)◦TV time◦Team sport involvement◦Risk Taking/Rebelliousness◦Safety◦History of Abuse

ρ=0.23* ρ=0.31*

*P-value<0.01

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Spearman correlation Hierarchical multiple regression Missing Data was imputed

◦% missing: range= 0% to18% Stata 10.0 statistical software

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Gender◦Male=118 (57%)◦Female= 89 (43%)

Age◦Mean = 13.2 y/o◦Range = 10 to 15

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All children in care exposure variables are correlated with Self Esteem!

*P-value<0.05**P-value<0.01

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Caregiver-child relationship Self Esteem

Stableenvironment

Unstableenvironment

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Conclusion

Finding #1: Quality of placement was

associated with higher levels of self esteem

Chaos?

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Conclusion

Finding #2: The strength of the relationship

that the child forms with the caregiver is associated with self esteem.

This association is moderated by the stability of care.

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Conclusion

Cross sectional data◦Causality?

Self report data

Quantitative analyses examining qualitative issues

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CONCLUSION

These results highlight the importance of the quality of the placement, and the bonds formed by the child and caregiver.

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CONCLUSION

Consider a longitudinal study to examine causality of the associations

Consider including a qualitative method in future studies

Dissemination of findings to the CAS and caregivers