PEDIATRICS Vol. 76 No. 5 November 1985, pp. 841-847
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Foster Care for Child Maltreatment. II. Impact on School Performance

Desmond K. Runyan MD, DrPH1 and Carolyn L. Gould MD1

1 From the Departments of Social and Administrative Medicine and Pediatrics, School of Medicine, The University of North Carolina at Chapel Hill, Chapel Hill, and the Department of Pediatrics, University of Maryland, School of Medicine, Baltimore

At least 150,000 children currently reside in foster care in the United States because of child maltreatment. Nearly 15% of all confirmed maltreatment reports record foster care as one of the acute interventions. Yet, the impact of foster care has been largely unexamined. We conducted a historical cohort study of the impact of foster care on subsequent school performances for 114 children placed in foster care because of maltreatment. A comparison cohort was constituted of 106 maltreated children who were similar in age, race, sex, and year of diagnosis but who were left in their homes after report. School records were reviewed for 96 of the foster care children and 69 of the home care children. School attendance had improved for both groups at the time of follow-up nearly 8 years later. Children in school at the time of report who were then placed in foster care missed an average of 15.6% of the school year prior to the report compared with missing only 3.48% of the most recent school year. The children from the comparison group missed an average of 8.5% of the school year prior to their index maltreatment report and 7.2% of their most recent year in school. Forty-four percent of the foster care group achieved average or above average grades on follow-up compared with the passing rate for the home care group of 32% (P = .17). The foster care children were more likely to receive special education services. Overall, both groups were doing poor work in school an average of 8 years after maltreatment report. There appears to be no evidence for a significant rehabilitative effect of foster care as measured by subsequent school performance.

Key Words: child abuse and neglect • foster care • school performance • absenteeism

Submitted on November 16, 1984
Accepted on July 22, 1985




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