a risk and resilience framework for understanding and enhancing the lives of young people living in...

A Risk and Resilience Framework for Understanding and Enhancing the Lives of Young People Living in Foster Care

Bob FlynnSchool of Psychology

& Centre for Research on Educational & Community Services

University of Ottawa([email protected])

Outline What is resilience in children & youth? What protective factors have been found

to promote resilience in children & youth? Some findings in our Ontario Looking After

Children (OnLAC) project Conclusion: What would a resilience

framework for policy and practice look like for young people living in foster care?

What is resilience in children & youth?

Brief history & definition of resilience

Beginning in 1970s, researchers noted that some children at high risk for problems and psychopathology were developing quite well.

“First-generation” resilience researchers: Anthony (1974), Garmezy (1971, 1974), Murphy (1974), Rutter (1979), Werner & Smith (1982).

Definition of resilience: “Good outcomes in spite of serious threats to adaptation or development” (Masten, 2001).

For a child to be defined as resilient, 2 key criteria need to be satisfied:

Positive adaptation, including development of competence Significant risk or adversity

Usual criteria for defining positive adaptation in studies of resilience

Presence of positive behaviour (e.g., academic achievement, happiness, life satisfaction) More specifically, success in meeting

age-related expectations or standards of behaviour known as developmental tasks

Absence of undesirable behaviour (e.g., serious emotional distress, criminal behaviour)

Usual criteria for defining good adaptation in studies of resilience (continued)

Good external adaptation (e.g., gaining occupational skills)

Good internal adaptation (e.g., psychological well-being)

Functioning in normal range (“doing OK or better”), rather than excelling

Multiple outcome domains (rather than a single domain)

Typical measures of good outcome in resilience studies Academic achievement (e.g., grades, test

scores, staying in school, graduating from high school)

Conduct (rule-abiding vs. anti-social behaviour)

Peer acceptance & friendship Normative mental health (few symptoms of

internalizing or externalizing behaviour) Involvement in age-appropriate healthy

activities (e.g., extracurricular activities, sports, community service)

Defining serious threats to good adaptation Individual risk factors:

E.g., premature birth, divorce, maltreatment, motherhood in unwed teenagers, parental psychopathology, poverty, homelessness

Cumulative risk indices: Cumulative risk scores Stressful life experience scores

What protective factors have been found to promote resilience in children and youth?

Protective factors promoting resilience in children & youth (Masten)

Within the child: Good cognitive abilities, including problem-solving

& attentional skills Easy temperament, adaptable personality Positive self-perception & self-efficacy Faith & a sense of meaning in life Positive outlook on life Good self-regulation of emotional arousal &

impulses Talents valued by self & society Good sense of humour General appeal or attractiveness to others

Protective factors promoting resilience in children & youth (cont’d)

Within the family: Close relationships with caregiving adults Authoritative parenting (i.e., high

warmth/responsiveness & monitoring/supervision)

Positive family climate, including low discord between parents

Organized home environment Postsecondary education of parents Parents with protective qualities listed above Parents’ involvement in child’s education Socioeconomic advantages

Protective factors promoting resilience in children & youth (cont’d)

Within interpersonal environment (within or outside family): Close relationships to competent,

prosocial, & supportive adults Connections to prosocial & rule-

abiding peers

Protective factors promoting resilience in children & youth

Within the community: Effective schools Ties to prosocial organizations (schools,

clubs, church groups, scouting, etc.) Neighbourhoods with high « collective

efficacy » High levels of public safety Good emergency social services (e.g., 911,

child protection) Good public health & health-care services

Basic human adaptational systems that underlie protective factors and explain why resilience is relatively frequent (Masten, 2001)

Resilience is the product of ordinary, basic human adaptive processes & assets, namely: Brain development Cognition Attachment relationships & parenting Regulation of emotion & behaviour Motivation for learning & engaging in the

environment Formal educational systems, cultural belief

systems, & religious organizations

Major lessons from Emmy Werner’s Kauai longitudinal study

The great importance of early childhood in laying the foundation for resilience, as well as

The “opening of opportunities” in the 20s and 30s that led to “turning points” and positive shifts in life trajectories:

Continuing education at community colleges Educational and vocational skills in armed forces Marriage to a stable partner Conversion to a religion involving active participation in a

“community of faith” Recovery from a life-threatening illness or accident Most attributed their good outcomes to informal help (from

spouses, friends, extended family, teachers, etc.) rather than to formal help (from mental health professionals)

Some findings on resilience in our Ontario Looking After Children (OnLAC) project

Seven developmental outcome dimensions of Looking After Children

Health Education Identity Family and social relationships Self-presentation Emotional & behavioural development Self-care skills

Looking After Children’s role in increasing resilience:(1) Providing assets to offset risk factors

Asset(e.g.,tutoring)

Risk(e.g.,severepoverty ofbirth family

Positive outcome(e.g., child’ssuccessin school)

+

-

Looking After Children’s role in increasing resilience:(2) Improving mediators, to augment protective effects of assets & lessen negative effects of risks

Asset (e.g., Scouts orGuides)

Risk (e.g.,abusive birth parents)

Mediator (e.g., fosterParenting)

Positiveoutcome (e.g.,child’s good self-esteem)

+

-

+

Looking After Children’s role in increasing resilience:(3) Emphasizing natural risk buffers and improving effectiveness of risk-activated buffers

Natural buffer(e.g., child’s pleasing personality)

Risk (e.g.,violencein birth family)

Outcome (e.g., child’s good social interactions)

Risk-activatedbuffer (e.g.,effective social workintervention)

ILLUSTRATIVERESILIENCE-RELATED OUTCOMESFOR CHILDREN AND YOUTHS AGED 10-15

Comparisons on key Looking After Children developmental dimensions

Comparisons between: Non-random sample of 340 young

people aged 10-15 in care of Ontario CASs, and

Random sample of young people aged 10-15 from general Canadian population (i.e., from NLSCY)

Injuries in last 12 months? (ages 10-15)

18 14

82 86

0

20

40

60

80

100

%

Yes No

Ontario CAS (N =330) NLSCY (N = 4486)

Overnight hospitalization in last 12 months? (ages 10-15)

4 3

96 97

0

20

40

60

80

100

%

Yes No


Rating of academic achievement, in

reading, math & overall? (ages 10-15) (Thirds are based on Canadian [NLSCY] norms)

80

37

15

32

5

31

01020304050607080

%

Bot third (notresilient)

Mid third(resilient)

Top third(highly

resilient)

Ontario CAS (N = 319) NLSCY (N = 5775)

Note. Top third experience better academic achievement

Has child/youth ever repeated a grade at school (including kindergarten)? (ages 10-15)

28

9

72

91

0

20

40

60

80

100

%

Yes No

Ontario CAS (N =332) NLSCY (N =

Does child/youth receive special or resource help at school? (ages 10-15)

60

7

40

93

0

20

40

60

80

100

%

Yes No


General self-esteem (ages 10-15)(thirds based on Canadian [NLSCY] norms)

28 27

38 3734

37

05

10152025303540

%



Top third(highly

resilient)


Note. Top third report higher levels of general self-esteem.

Happiness & optimism about future (ages 10-15) (thirds based on Canadian [NLSCY] norms)

5458

46 44

0

10

20

30

40

50

60

%

1st half (low resilience) 2nd half (high resilience)


Note. Top third report higher levels of happiness & optimism.

Peer relationships (ages 10-15) (thirds based on Canadian [NLSCY] norms)

49

33

19

2832

39

0

10

20

30

40

50

%



Top third(highly

resilient)


Note: Top third experiences higher levels of positive relationships.

Getting along with (foster) mother(ages 10-15) (thirds based on Canadian [NLSCY] norms)

2129 31 31

48

40

0

10

20

30

40

50

%



Top third(highly

resilient)


Note: Top third reports higher levels of getting along with (foster) mother.

Level of pro-social behaviour (ages 10-15) (thirds based on Canadian [NLSCY] norms)

3327

35 35 35 38

05

10152025303540

%



Top third(highly

resilient)


Note: Top third reported higher levels of pro-social behaviour.

Level of anxiety/emotional distress (ages 10-15)(thirds based on Canadian [NLSCY] norms)

65

33

20

32

15

35

010

2030

4050

6070

%



Top third(highly

resilient)


Note: Top third reported lower levels of anxiety/emotional distress

Level of physical aggression(ages 10-15)(thirds based on Canadian [NLSCY] norms)

75

47

25

53

0

10

20

30

40

50

60

70

80

%

1st half (not resilient) 2nd half (resilient)


Note: 2nd half reported lower levels of aggressiion.

Level of indirect (relational) aggression (ages 10-15)(thirds based on Canadian [NLSCY] norms)

43

2631

37

25

37

05

1015202530354045

%



Top third(highly

resilient)


Note: Top third reported lower levels of indirect aggression.

Level of hyperactivity/inattention (ages 10-15, yr 1)(thirds based on Canadian [NLSCY] norms)

65

33

20

32

15

35

010203040506070

%



Top third(highly

resilient)


Note: Top third reported lower levels of hyperactivity.

Conclusion: What would a resilience framework for foster-care policy & practice look like? (Masten & Powell,

2003)

Mission: Frame goals in positive terms Promote competence Shift developmental course in more positive

direction Models: Include positive predictors and

outcomes in models of change Competence/health, as well as problems Developmental tasks Assets as well as risk factors Protective factors as well as vulnerabilities

Examples of strategies for promoting resilience in children and youth (Masten & Reed, 2002)

Risk-focused strategies: Preventing (or reducing) risk and stressors Prevent low birth weight through prenatal

care Prevent child abuse or neglect through

parent education Reduce teenage binge drinking or drug use

through prevention science (e.g., Communities That Care)

Prevent homelessness through housing policy or emergency assistance

Examples of strategies for promoting resilience in children and youth (continued)

Asset-focused strategies: Improving number or quality of developmental assets/community resources Provide tutors for school work Organize a Girls or Boys Club Offer parent education classes Build a recreation centre

Examples of strategies for promoting resilience in children and youth (continued)

Process-focused strategies: Mobilizing the power of human adaptational systems: e.g.,

Build self-efficacy through graduated success model of teaching

Teach effective coping strategies (e.g., pre-surgery) Foster secure attachments through home-visiting

programs for new parents Nurture mentoring relationships (e.g., Big

Brothers/Big Sisters) Encourage participation of children with prosocial

peers in healthy out-of-school-time activities Support cultural traditions that encourage children to

bond with prosocial adults (e.g., religious education; classes where elders teach Aboriginal traditions of dance)

Some resources on resilience, including applications in child

welfare

Flynn, R. J., Dudding, P. M., & Barber, J. G. (Eds). (2006). Promoting resilience in child welfare. Ottawa: University of Ottawa Press.

Masten, Ann. (2001). Ordinary magic: Resilience processes in development. American Psychologist, vol. 56, No. 3, pp. 227-238.

Masten, Ann S., & Reed, Marie-Gabrielle J. (2002). Resilience in development. Pp. 74-88 in C. R. Snyder & Shane J. Lopez (Editors), Handbook of positive psychology. New York: Oxford University Press.

Masten, Ann S., & Powell, Jennifer L. (2003). A resilience framework for research, policy, and practice. Pp. 1-25 in Suniya S. Luthar (Editor), Resilience and vulnerability: Adaptation in the context of childhood adversities. Cambridge, UK: Cambridge University Press.

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