He is one of four developers of Family Connects, a brief, universal, postnatal, visiting program for which two randomized controlled trials indicate improved infant, caregiver, family, and
health service utilization outcomes.
On social - emotional measures, foster children in the NSCAW study tended to have more compromised functioning than would be expected from a high - risk sample.43 Moreover, as indicated in the previous section, research suggests that foster children are more likely than nonfoster care children to have insecure or disordered attachments, and the adverse long - term
outcomes associated with such attachments.44 Many studies of foster children postulate that a majority have mental
health difficulties.45 They have higher rates of depression, poorer social skills, lower adaptive functioning, and more externalizing behavioral problems, such as aggression and impulsivity.46 Additionally, research has documented high levels of mental
health service utilization among foster children47 due to both greater mental
health needs and greater access to
services.
This article describes the conduct of the randomized trial and examines the extent to which those in the Early Start series showed improved
outcomes in the areas of child
health, preschool education,
utilization of welfare
services, parenting, child abuse and neglect, and early behavioral adjustment.