Exploring the lives of children in care in Ireland AOIFE GAVIN AOIFE.GAVIN@NUIGALWAY.IE HEALTH PROMOTION RESEARCH CENTRE www.nuigalway.ie/hbsc NUI GALWAY Background Historical perspective of children in care in Ireland Policy and Legislation: Child Care Act, 1991 Children Act, 2001 Children's First Guidelines (2011) National Children's Strategy (2000) The Health Act, 2007 Context Children in Ireland – 1,056,947 (CSO, 2006) 2009 – 5,694 children in care (HSE, 2010) 89% are in foster care services 7% are in residential care (n=161 residential centres) 4% other care arrangements (HIQA, 2009) “Children in care” include children who are in voluntary care and those who are in care under care orders Children in care in Ireland have increased by 27% in the last decade (McNicholas, et al., 2012) Why explore their lives? 2nd goal of National Children’s Strategy “Children’s lives will be better understood; their lives will benefit from evaluation, research and information on their needs, rights and the effectiveness of services” Looked after children frequently present with complex health and educational needs and often face many obstacles in accessing services (McNicholas, 2012) Meltzer (2003) – 45% of CIC had mental health problems and experienced significant health and educational inequalities Limited research in Ireland to date exploring the lived experience of children in care Aim The purpose of this research is to explore the lives of children living in care in Ireland utilising the Health Behaviour in School-aged Children (2006) data in relation to the National Well-being Indicators Health Behaviour in School-aged Children (HBSC) The study aims to gain new insight into, and increase our understanding of young people’s health and wellbeing, health behaviours and their social context The findings are used to inform and influence children’s policy and practice and national and international levels The target age groups are 11, 13 and 15 years old Health Behaviour in School-aged Children Children’s lives SES: Gender Age Social Class Ethnicity Contexts: Family School Peers Risk behaviours: Drinking, smoking... Health enhancing behaviours: Physical activity, leisure activity... Health outcomes: Well being Life satisfaction Self rated health ........ HBSC International State of the Nations Children Report (SONC, 2008) Subset of well-being indicators Children’s relationships Children’s outcomes social, emotional and behavioural outcomes Formal and informal supports Methods Data based on the 2006 survey Nationally representative sample of children aged 10-18 (n=10,334 children aged 10 to 18) Recruited through schools – questionnaires completed anonymously in class Response rates – schools (63%); pupil (83%) Identifying children living in care Please answer this question for the home where you live all or most of the time and tick the people who live there. The response options were: mother; father; stepmother; stepfather; grandmother; grandfather; I live in a foster home or children’s home; I live somewhere else with someone else Demographic Profile of the Sample A total of 79 young people self-identified as living in care. Number of children in care by HSE Area SONC Indicators: Relationships Indicator Children in care (%) SONC (%) Ease of communication (mother) 54 78 Ease of communication (father) 41 60 3 or more friends of same gender 73 90 Have a pet 69 74 Been bullied 41 25 *n.b.: statistical analysis was not carried out to compare the groups Social, Emotional and Behavioural Outcomes Indicator Children in care (%) SONC (%) Participate in making school rules 37 23 Smoking – every day 21 9 Been drunk (last 30 days) 20 20 Cannabis use (lifetime) 30 16 Happy with way you are 42 58 Happy with life 72 91 Breakfast 5+ days a week 67 76 *n.b.: statistical analysis was not carried out to compare the groups Formal and Informal Supports Indicator Children in care (%) SONC (%) Feel safe in local area 70 90 Good place to spend free time 64 42 * n.b.: statistical analysis was not carried out to compare the groups Implications In general, children in care report experiencing more negative health and well-being outcomes across most indicators presented. Work on-going with HBSC 2010 data. Overall, children in care are among the most vulnerable in our society and we should continue to highlight and address ways to improve their health and well-being. Future work required to better understand the lives of children in care. #1-8-7 Acknowledgements Children, Parents, Schools Professor Candace Currie, International Coordinator, St. Andrews University Professor Oddrun Samdal, Data Bank Manager, University of Bergen HBSC network of researchers Department of Health Department of Children and Youth Affairs Thank you! www.nuigalway.ie/hbsc www.hbsc.org