Youth Aging Out of Foster Care: A Closer Look


Each year about 20,000 young people leave the foster care system at age 18 without being adopted or returning to their birth families. 1

Fewer than one-third of the states offer former foster youth ages 18 to 21 access to Medicaid coverage.2 An estimated 30 percent to 40 percent of foster children have physical or emotional difficulties, but a 2001 longitudinal study of youth leaving care found that 44 percent had problems obtaining health care “most or all of the time.” 3

Some studies report high school dropout rates among foster youth as high as 55 percent. 4

Two to four years after leaving foster care, foster care alumni continue to face serious challenges and hardships. A 2001 study found only half were regularly employed, more than half of the young women had given birth, and a significant number were dependent on welfare support. Nearly half of the population had been arrested, and a quarter had been homeless. 5

Children and youth in foster care are especially vulnerable to disruptions in education, a by-product of frequent placement disruptions. On average, children in foster care attend school only 76 percent of the time and foster children in special education are likely to show patterns of declining attendance. Young people who have aged out of foster care and are no longer receiving services, yet are still enrolled in school, have the poorest attendance records. 6

More research findings and helpful links:

Northwest Foster Care Alumni Study: Foster alumni suffer higher rates of depression, panic disorders and Post Traumatic Stress Disorder than their peers. In fact foster alumni have higher rates of PTSD than war veterans, and lower recovery rates than the general population, according to the new Northwest Foster Care Alumni Study.
Simulation studies point to key reforms that could improve mental health status and educational outcomes for foster youth. Chief among them are stabilizing foster and school placements, improving screening, assessment and mental health services for foster youth, providing access to tutoring and supplemental education services, and providing for continued relationships with caring adults and concrete transitional resources after foster care.
http://www.casey.org/Resources/Publications/NorthwestAlumniStudy.htm

A two-page summary of findings and recommendations is here.


Midwest Evaluation of the Adult Functioning of Former Foster Youth: Teens aging out of foster care have it especially tough. They are more likely than their peers to face mental health and substance abuse problems, sexually transmitted diseases, involvement with the juvenile justice system and difficulty completing high school. These are among the first findings from Chapin Hall's longitudinal study of youth aging out of foster care. http://www.chapinhall.org/article_abstract_new.asp?ar=1355&L2=61&L3=131

2004 Kids Count Data Book: According to Kids Count, 40 percent of older youth routinely spend at least a part of their adolescence in group homes and other institutional settings, where maintaining sustained connections with a caring and supportive family is more difficult.
http://www.aecf.org/kidscount/databook/

Issue Brief: The Educational Status of Foster Children: Most foster youth have high educational aspirations, but many lag behind in academic achievement, reports Chapin Hall. Strengthening collaboration between schools and child welfare agencies may pose substantial challenges, but are essential to improve the odds for foster children who enter school with significant educational delays and never catch up.
http://www.chapinhall.org/article_abstract_new.asp?ar=1377&L2=61&L3=130


Psychiatric Disorders Prevalent among Older Youths in Foster Care: Older youth in foster care have disproportionately higher rates of lifetime and past-year psychiatric disorders, according to a study published in the Journal of the American Academy of Child and Adolescent Psychiatry. Initial and periodic mental health assessments and mechanisms to continue mental health services for young adults transitioning out of the foster care system are recommended.