Comparing Long-Term Placement Outcomes of Residential and Family Foster Care: A Meta-Analysis

Dongdong Li, Grace S Chng, Chi Meng Chu, Dongdong Li, Grace S Chng, Chi Meng Chu

Abstract

This study presents findings from three separate meta-analyses investigating differences between children placed in residential care and in family foster care with regard to three outcomes: internalizing behaviors, externalizing behaviors, and perception of care. Based on publications from the last 20 years, a total of 23 studies were included. The total sample consisted of 13,630 children in care, with 7,469 from foster care and 6,161 from residential care. The results from this study indicated that children in foster care had consistently better experiences and less problems across the three outcomes as compared to children in residential care. Analyses did not reveal evidence of publication bias, and sensitivity analyses also suggested that results were not influenced by individual studies. Additionally, moderation analyses revealed that the differences between foster and residential care could vary depending on certain factors such as the publication year, the gross domestic product of the country, and the length of care. The implications of differences in outcomes between the two placements are discussed.

Keywords: foster care; outcome; placement; residential care.

Conflict of interest statement

Declaration of Conflicting Interests: The author(s) declared no potential conflict of interest with respect to the research, authorship, and/or publication of this article.

Figures

Figure 1.
Figure 1.
Flowchart of the literature search.
Figure 2.
Figure 2.
Forest plots by study names and outcomes.

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