Rates of out-of-home care among children in Canada: an analysis of national administrative child welfare data

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dc.contributor.author
Pollock, Nathaniel J.
Ouédraogo, Alexandra M.
Trocmé, Nico
Hovdestad, Wendy
Miskie, Amy
Crompton, Lindsay
Campeau, Aimée
Tanaka, Masako
Zhang, Cindy
Laprise, Claudie
Tonmyr, Lil
dc.date.accessioned
2025-01-27T17:06:20Z
dc.date.available
2025-01-27T17:06:20Z
dc.date.issued
2024-04
dc.description - en
As a part of the public health approach to child health and wellbeing, we analyzed administrative data from Canada to describe the population of children in out-of-home care, and estimate and compare rates of out-of-home care by province/territory, year, sex/gender, age group and placement type. We conducted a cross-sectional analysis of data from all provinces and territories for the period 2013/2014 to 2021/2022. We used frequencies, percentages, rates, and rate ratios to describe the population of children (and youth up to age 21 years) in out-of-home care. An estimated 61,104 children in Canada were in out-of-home care on March 31,2022. The national rate of out-of-home care was 8.24 children per 1000 population. Rate variations by province/territory were substantial and changed over time. Rates were highest among males and children aged 1 to 3 and 16 to 17 years. Foster homes were the most common type of placement, although kinship homes accounted for an increasing share. This analysis demonstrated that administrative data can be used to generate national indicators about the child welfare system. These data can be used for tracking progress towards health and social equity for children and youth.
dc.description.abstract - en
<p>Introduction: As a part of the public health approach to child welfare, data about children placed in out-of-home care are needed to assess population trends, understand drivers of social and health inequities, and examine outcomes for children and families. We analyzed administrative data from Canada to describe the population of children in out-of-home care, and estimate and compare rates of out-of-home care by province/territory, year, sex/gender, age group and placement type.</p> <p>Methods: We conducted a cross-sectional analysis of point-in-time data from all provinces and territories for the period 2013/2014 to 2021/2022. We used frequencies and percentages to describe the population of children (and youth up to age 21 years) in out-of-home care and estimated overall and stratified rates and rate ratios.</p> <p>Results: An estimated 61 104 children in Canada were in out-of-home care on 31 March 2022. The national rate of out-of-home care was 8.24 children per 1000 population. Rate variations by province/territory were substantial and changed over time. Rates were highest among males and children aged 1 to 3 and 16 to 17 years. Foster homes were the most common type of placement, although kinship homes accounted for an increas ing share.</p> <p>Conclusion: This analysis demonstrated that administrative data can be used to gener ate national indicators about children involved in the child welfare system. These data can be used for tracking progress towards health and social equity for children and youth in Canada. </p>
dc.identifier.doi
https://doi.org/10.24095/hpcdp.44.4.02
dc.identifier.issn
2368-738X
dc.identifier.uri
https://open-science.canada.ca/handle/123456789/3361
dc.language.iso
en
dc.publisher - en
Public Health Agency of Canada
dc.relation.istranslationof
https://open-science.canada.ca/handle/123456789/3362
dc.rights - en
Creative Commons Attribution 4.0 International (CC BY 4.0)
dc.rights - fr
Creative Commons Attribution 4.0 International (CC BY 4.0)
dc.rights.uri - en
https://creativecommons.org/licenses/by/4.0/
dc.rights.uri - fr
https://creativecommons.org/licenses/by/4.0/deed.fr
dc.subject - en
Health
Foster care placement
Administrative data
dc.subject - fr
Santé
Placement en famille d'accueil
Données administratives
dc.subject.en - en
Health
Foster care placement
Administrative data
dc.subject.fr - fr
Santé
Placement en famille d'accueil
Données administratives
dc.title - en
Rates of out-of-home care among children in Canada: an analysis of national administrative child welfare data
dc.type - en
Article
dc.type - fr
Article
local.acceptedmanuscript.articlenum
4
local.article.journaltitle - en
Health Promotion and Chronic Disease Prevention in Canada: Research, Policy and Practice
local.article.journalvolume
44
local.peerreview - en
Yes
local.peerreview - fr
Oui
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