Out-Of-Home Care: A Case Study

According to a Child Protective Investigation, there are approximately half a million children in the U.S. foster care system, otherwise known as congregate care (group homes and institutions). Children are placed in congregate care when they are found to be in an unsafe environment. Usually children of abuse or maltreatment are placed first (Font, 2015). Out-of-home-care causes increased problems of attachment, behavioral, and psychological disorders in the developing child.
Child safety is the primary goal of out-of-home-care; however, maltreatment investigations are still reported in those institutions. One in four foster children report physical or psychological abuse by a foster parent every year. Children with disabilities or a past of abuse are at higher risk for maltreatment in their out-of-home-care (Font, 2015). The young child is at the greatest risk for disturbances in the developing brain if their environment lacks stimulating activities that are needed for physical, emotional, and behavioral growth.

The most common psychological problems developed by these children are ADHD, anxiety, depression, eating disorders, and bipolar disorder. Many children suffer from attachment disorders from their foster families when taken in at a young age. Removing children from their home has proved to be traumatic to the psychological development of the child, thus creating a tough decision for child protective services when children cannot be taken in by family members (Lohr & Jones, 2016). Researchers have found that children who are in foster homes or congregate homes are more likely to be put on psychiatric medications including antianxiety, antipsychotics, stimulants, and