Predicting Factors in Coping Profiles Among Out-of-Home Care Leavers in Aftercare Services: A Document-Based Bayesian Analysis.

Adolescents in aftercare services and transitioning from out-of-home care, also known as care leavers, are more prone to social exclusion, risk behaviors, mental health problems, and lower quality of life compared to adolescents without a history in out-of-home care. These factors have a detrimental...

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Publicado en:Journal of Child & Family Studies Vol. 34; no. 2; pp. 396 - 415
Autores principales: Petäjä, Ulla-Kaarina, Terkamo-Moisio, Anja, Ryynänen, Olli-Pekka, Häggman-Laitila, Arja M.
Formato: Artículo
Publicado: Springer Nature Feb2025
Materias:
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Feb2025
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        atl: Predicting Factors in Coping Profiles Among Out-of-Home Care Leavers in Aftercare Services: A Document-Based Bayesian Analysis.
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          Petäjä, Ulla-Kaarina
          Terkamo-Moisio, Anja
          Ryynänen, Olli-Pekka
          Häggman-Laitila, Arja M.
        affil:
          https://ror.org/00cyydd11 Department of Nursing Science, University of Eastern Finland, P.O. Box 1627, 70211, Kuopio, FI, Finland
          https://ror.org/040af2s02 Department of Public Health, University of Helsinki, P.O. Box 20, 00014, Helsinki, FI, Finland
          https://ror.org/00cyydd11 Institute of Public Health and Clinical Nutrition, University of Eastern Finland, P.O. Box 1627, 70211, Kuopio, FI, Finland
          https://ror.org/03vdzkx92 City of Helsinki, Social Services, Health Care and Rescue Services Division, P.O. Box 1, 00099, Helsinki, FI, Finland
      su:
        Finland
        Cross-sectional method
        Substance abuse
        Health status indicators
        Psychological adaptation
        Foster home care
        Retrospective studies
        Teenagers' conduct of life
        Impulsive personality
        Alcoholism
        Educational attainment
        Research funding
        Probability theory
        Transitional care
        Patient aftercare
      sug:
        subj:
          Cross-sectional method
          Substance abuse
          Health status indicators
          Psychological adaptation
          Foster home care
          Retrospective studies
          Teenagers' conduct of life
          Impulsive personality
          Alcoholism
          Educational attainment
          Finland
          Child and Youth Services
          All other residential care facilities
          Other Residential Care Facilities
          Home Health Care Services
          Research funding
          Probability theory
          Transitional care
          Patient aftercare
      keyword:
        Aftercare service
        Bayesian analysis
        Care leaver
        Coping profile
        Medical and Health Sciences Public Health and Health Services
        Risk behavior
        Aftercare service
        Bayesian analysis
        Care leaver
        Coping profile
        Medical and Health Sciences Public Health and Health Services
        Risk behavior
      ab: Adolescents in aftercare services and transitioning from out-of-home care, also known as care leavers, are more prone to social exclusion, risk behaviors, mental health problems, and lower quality of life compared to adolescents without a history in out-of-home care. These factors have a detrimental effect on their coping. This study was a cross-sectional document analysis which examined Finnish care leavers' coping profiles and identified health related, educational, and behavioral background factors as well as their combinations predicting those profiles by utilizing Bayesian method. The data comprised information on care leavers that were aftercare services' clients in one large Finnish city in the Fall 2020 (N = 698). Care leavers were divided into three groups based on the severity of factors affecting their coping: a minority belonged to the "moving on" group (6.7%), the majority (73.4%) to the "survivors" group, and a fifth (19.9%) to the – most problematic – "strugglers" group. Overall, 16 independent health related, educational, and behavioral factors were found to be associated with coping profiles. The most strongly associated variables were alcohol and drug use in personal history as well as during aftercare, and impulsivity. In addition, having access to a student's social benefits had a protective effect on care leavers' coping. Therefore, coping is a multifaceted phenomenon, which emphasizes the importance of service development and multiprofessional collaboration. In addition, the factors affecting the coping profile are also interconnected, which emphasizes the significance of further research, including intervention studies, to increase the knowledge of the phenomenon. Highlights: This study is the first one utilizing Bayesian method for predicting care leavers' coping profiles. Fifth of the care leavers belonged to the most problematic group which strugglers with many aspects of life. Alcohol and drug use in personal history and during aftercare as well as impulsivity, were most strongly related to coping profiles of the care leavers. The results indicated a positive effect of studying on care leavers' coping, which emphasizes the importance of educational support. Care leavers' unbroken substance use indicated ineffectiveness of services and a need for development of early interventions.
      pubtype: Academic Journal
      doctype: Article
      src: R
    language: English
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