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Education of Children and
Young People in Care:
Research on What Works


                     IAIN MATHESON, NEW ZEALAND

                IFCO 2011 Biennial World Conference,
                           Victoria, British Columbia,
                                  Canada, 10-15 July
HEALTH WARNING!
Health warning
1.    Many research and evaluation studies are small-scale
2.    Not all are independent
3.    Challenges of ‘real life’ research with children in care
4.    Program fidelity often an issue
5.    Interface between practice, policy and research
6.    Use a wide definition of the term ‘research’
7.    Different countries not always comparable
8.    Limited to research studies published in English
9.    Findings often more encouraging than definitive
10.   Studies don’t always reveal why an initiative worked
11.   Examples from my own doctoral research not necessarily typical
Health warning
What might be done to lift the educational
achievement of children in foster care by
some people and organisations with some
children and youth in some circumstances
and in some countries that might
sometimes be helpful if implemented
properly for reasons, along with effects
when combined with other interventions,
that we do not necessarily entirely
understand!!!
Presentation outline

1.   Summary of research on the educational attainment of children
     in (foster) care

2.   Overview of research on education initiatives

3.   Three recent research studies


Throughout, provide some illustrative examples from my own
doctoral research
How do children in foster care fare
educationally?
How do children in foster care fare
educationally?

   WELL                               OK                   POORLY
            • Daly & Gilligan, 2010;       • Aldgate et al., 1992; Allard & McNamara, 2003;
            • Pecora, et al., 2006.         Australian Institute of Health & Welfare (AIHW),
                                            2007; Barnardo’s, 2006; Berridge et al., 2008;
                                            Biehal et al.,1992; Biehal et al.,1995; Blome,
                                            1997; Borland et al., 1998; Brodie, 2006; Burley &
                                            Halpern, 2001; Cavanagh, 1996; Cheung & Heath,
                                            1994); Children, Schooling and Families and the
                                            Department of National Statistics, 2008; Essen,
                                            Lambert & Head, 1976; Fanshel & Shinn, 1978;
                                            Finkelstein, et al., 2002; Fletcher-Campbell, 2003;
                                            Flynn & Biro, 1998; Harker et al.2003; Heath,
                                            Aldgate & Colton, 1989; Heath et al., 1994;
                                            Jackson,1987; Kufeldt et al., 2003; McClung &
                                            Gayle, 2010; McMillan & Tucker, 1998; Merdinger
                                            et al., 2005; Mitic & Rimer, 2002; Osborn & St.
                                            Clare, 1987; Ritchie, 2003; Stein, 1990; Stein &
                                            Carey, 1986; Trout et al., 2008; Weiner & Weiner,
                                            1990.
What are the explanations for
this?
What are the explanations
for this?

  Failed by the Child
                          Long term effects of
      Welfare and
                           abuse and neglect
  Education Systems

                    Multiple
                    reasons

        Socially
                         Particular educational
    disadvantaged
                                 needs
     background
Is there good research to support
current education initiatives?
Is there good research to support
current education initiatives?
 Very few programmes or initiatives specifically
 designed to raise the educational attainment
 of children and young people in care have
 been systematically evaluated (Borland et al.,
 1998)

 Too few US studies on education interventions
 to include in their literature synthesis
 (Trout et al., 2008)
Research on how to raise
educational attainment


               Practise




         Systems      Programs
Practise focused research
     SCHOOL       PLACEMENT              SCHOOL      SIGNIFICANT
   ENROLMENT      STABILITY            CONTINUITY       ADULT




   REPEATING A      NEEDS               VALUING        SCHOOL
     GRADE?        ASSESSED            EDUCATION     EXCLUSIONS




     RIGHT        SPARE TIME       EDUCATION           SCHOOL
     SCHOOL       ACTIVITIES      EXPECTATIONS       ATTENDANCE




                            EXTENDED        FOSTER FAMILY-
         OPPORTUNITIES
                                               SCHOOL
           TO ACHIEVE         FAMILY           CONTACT
Systems focused research
                                                          LOOKED AFTER
  ORGANIZATIONAL                         CARER/STAFF
                    FOSTER FAMILIES                         CHILDREN
                                        PROFESSIONAL
  UNDERSTANDING       SUPPORTED                            EDUCATION
                                        DEVELOPMENT
                                                             TEAMS




                    SUFFICIENT POOL    SOCIAL WORK &
   EXTENDING AGE                                          FOSTER CARE
                       OF FOSTER         EDUCATION
  FOR FOSTER CARE                                          STANDARDS
                        CARERS         COLLABORATION



                                           MULTI-
                        TEACHER         DIMENSIONAL       INFORMATION
     EDUCATION
                    INFORMATION ON       TREATMENT
  SUPPORT FUNDING                                           SYSTEMS
                    CHILDREN IN CARE    FOSTER CARE
                                           (MTFC)



                               LEGISLATION/     LOOKING AFTER
               PERSONAL
                               GUIDANCE ON      CHILDREN (LAC)
              EDUCATION
                                CORPORATE        AND SIMILAR
           PLANS/PLANNING
                             RESPONSIBILITIES    INITIATIVES
Program focused research
                                       WORK
    PAIRED           PRIVATE                        READING
                                   PLACEMENTS
                                                  ‘FAIRS’ AND
    READING         TUTORING        FOR YOUNG
                                                 STORYTELLING
                                      PEOPLE



    OFF-SITE                     OUT-OF-SCHOOL     SUPPORT AT
                    DESIGNATED
   EDUCATION                         CLUBS       KEY EDUCATION
                     TEACHERS
   PROVISION                       OUTREACH       TRANSITIONS



                     COLLEGE
  FOSTER CARER                    COMPRHENSIVE          BOOK
                      CAMPUS
    TUTORING                          NEEDS
                     SUPPORT                            CLUBS
                                   ASSESSMENT
                     PROGRAM


                             VIRTUAL       COMPUTER
             BOARDING     PRINCIPAL FOR   INITIATIVES
             EDUCATION     CHILDREN IN    FOR FOSTER
                              CARE         CHILDREN
FLYNN, R., PAQUET, M.-P. & MARQUIS, R. (2010).
 CAN TUTORING BY FOSTER PARENTS IMPROVE
 FOSTER CHILDREN'S BASIC ACADEMIC SKILLS?

 INTERVENTION LOGIC
 Children benefit from parental tutoring

 PROGRAM (INTERVENTION YEAR 1)
  Michael Maloney’s (1998) Teach Your Children Well
  68 foster parents recruited, trained and supported
  Foster parents agree to tutoring 3 hours x 30 weeks
  Foster parent collect weekly performance data
  Teacher(s) encouraged to adjust homework
  Child reward component

 FINDINGS (INTERVENTION YEAR 1):
 1. Significant gains in sentence comprehension and math calculation
 2. No significant gains in word reading or spelling



Flynn, R., Paquet, M.-P. & Marquis, R. (2010). Can tutoring by foster parents improve foster children's basic academic skills? In E. Fernandez & R. Barth (Eds.),
How does foster care work? International evidence on outcomes (pp. 260-273). London, UK: Jessica Kingsley.
METHODOLOGY
 Randomized controlled trial:
 • 2007-10 - intervention year I 2008/09
 • Intervention group 42 and control group 35

 DATA COLLECTION
 • 3 x 4th edition of Wide Range Achievement Test (Wilkinson & Robertson, 2006)
 • 3 x Connor’s ADHD/DSM-IV Scales-Parent (CADS-P; Conners, 1999)
 • 3 x ASEBA Child Behaviour Checklist for Ages 6 to 18 (CBLC/6-18; Achenbach & Rescoria, 2001) (N/A)

 CHILDREN:
 77 children in family foster care aged 6 to 13 and likely to benefit (criteria in place), recruited from 9 participating
 Children’s Aid Societies

 ISSUES ARISING
 • Only 20 foster parents implemented the intervention well (out of 42); 12 did not implement at all
 • Year 1 control group offered (improved) intervention in year 2.
 • Intervention year 2 results now due
 • Group tutoring option to be developed

 LOCATION
 Ontario (Canada)


Flynn, R., Paquet, M.-P. & Marquis, R. (2010). Can tutoring by foster parents improve foster children's basic academic skills? In E. Fernandez & R. Barth (Eds.),
How does foster care work? International evidence on outcomes (pp. 260-273). London, UK: Jessica Kingsley.
OSBOURNE, C., ALFANO, J. & WINN, T. (2010).
 PAIRED READING AS LITERACY INTERVENTION
 FOR FOSTER CHILDREN.

 INTERVENTION LOGIC
 Benefits if foster carers have a direct role in education

 PROGRAM (2008/09)
 Paired reading (Morgan, 1976)
 Training workshops
 Children select reading material
 3+ x 20+ minute reading sessions x 16 weeks
 Monitoring sheet/school liaison

 FINDINGS
 1.Marked increase in mean reading age from 8 years to 9 years over 16 weeks (mean ‘gap’ halved)
 2.Foster carers also reported other positive impacts




Osbourne, C., Alfano, J. & Winn, T. (2010). Paired reading as a literacy intervention for foster children. Adoption & Fostering 34(4) 17-27.
METHODOLOGY
 Mixed methods approach with dominant QUAN method (Pre-test/post-test)

 DATA COLLECTION
 • 2 x Salford Sentence Reading Test (Bookbinder, 2002)
 • 16 x Completion of foster carer monitoring sheets

 CHILDREN
 68 primary-aged children in family foster care in participating schools initially identified (open to all such children).
 However, data only available on 35 of 68

 ISSUES
  Individual gains ranged from 1 to 31 months
  Children most ‘behind’ benefitted more
  Foster carers also reported increase in child’s confidence and interest in reading
  As a by-product, facilitated links between foster carers, social workers and teachers
  initially identified children
  Program feedback from 16 foster carers only
  Program also implemented for 2009/10 & 2010/11 (includes high schools)
  Results on 2009/10 cohort due
  LOCATION
 Hampshire (United Kingdom)


Osbourne, C., Alfano, J. & Winn, T. (2010). Paired reading as a literacy intervention for foster children. Adoption & Fostering 34(4) 17-27.
TIDEMAN, E., VINNERLJUNG, B., HINTZE, K. &
 ISAKSSON, A. (2011). IMPROVING FOSTER
 CHILDREN'S SCHOOL ACHIEVEMENTS

 INTERVENTION LOGIC
 Children benefit from intensive, support based upon
 thorough assessment of needs and potential

 PROGRAM (2 YEARS)
 • Part-time Psychologist and Special Needs teacher
 • 9 standardized psychological and pedagogical tests
 • Children, foster carers & teachers given results
 • Education plan with quarterly planning meetings
 • Teachers tutored (direct work with some children)
 • Tools for teachers and foster carers

 FINDINGS
 Significant gains in IQ (as measured by WISC-III), reading
 and spelling skills
 Weaker, non-significant improvements in maths skills.




Tideman, E., Vinnerljung, B., Hintze, K. & Isaksson, A. (2011). Improving foster children's school achievements: Promising results from a Swedish intensive study.
Adoption & Fostering 35(1) 44-57.
METHODOLOGY
 Pre-test/post-test design

 DATA COLLECTION
 Wechsler Intelligence Scale for Children 3rd Ed (WISC-III) (Wechsler, 1999); VMI (Beery and Beery, 2004); Beck
 Young People Inventories (Beck et al, 2004); Strengths and Difficulties Questionnaire) (Goodman, 1997; Smedje et
 al, 1999); Visual Analogue Scale (Badia et al, 1999); Letter-Word Chains (Jacobson, 2004); DLS Reading Speed Test
 (Jarpsten and Taube, 1997); DLS Spelling Test (Jarpsten, 1999); Magne Maths Diagnostic Test (Engstrom & Magne,
 2003); Classroom observation (relationships) and teacher interviews (school competencies)

 CHILDREN
 25 of all 30 children aged 7-11 years (median age 10) in long term family foster care in one large town

 ISSUES
 • As well as being intensive and based upon a battery of standardized tests, other characteristics were that it was
   comprehensive, highly individualized, structured, collaborative and strengths-based
 • A complex program with many variables
 • Only 1 child left the program

 LOCATION
 Helsingborg (Sweden)




Tideman, E., Vinnerljung, B., Hintze, K. & Isaksson, A. (2011). Improving foster children's school achievements: Promising results from a Swedish intensive study.
Adoption & Fostering 35(1) 44-57.
Conclusion

1. Education is a critically important gateway for
   children in foster care.
2. The education of children has become a major
   priority in many jurisdictions.
3. We are making some progress.
4. We do require more validated ‘education’
   initiatives that demonstrably ‘work’.
5. We also need to mediate our understanding of
   these through, and integrate with, our
   professional experience.
Conclusion

“… five factors emerged as critical
to their success:
 having people who care about you
 experiencing stability
 being given high expectations
 receiving encouragement and support
 being able to participate and achieve”


                      (Happer et al., 2006).
Quality Foster Care!
                  Thanks
For copy of presentation and/or references email
     Iain on iain@mathesonassociates.co.nz
Conclusion (cont…)
           POLICYMAKERS AND
              POLITICIANS


           SOCIAL WORKERS &
            ORGANISATIONS



          FAMILIES, FRIENDS &
              COMMUNITY



              TEACHERS &
               SCHOOLS



                FOSTER
               FAMILIES




                CHILD

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[International] Matheson, I. (2011). The education of children and young people in care: Research on what works. IFCO 2011.

  • 1. Education of Children and Young People in Care: Research on What Works IAIN MATHESON, NEW ZEALAND IFCO 2011 Biennial World Conference, Victoria, British Columbia, Canada, 10-15 July
  • 3. Health warning 1. Many research and evaluation studies are small-scale 2. Not all are independent 3. Challenges of ‘real life’ research with children in care 4. Program fidelity often an issue 5. Interface between practice, policy and research 6. Use a wide definition of the term ‘research’ 7. Different countries not always comparable 8. Limited to research studies published in English 9. Findings often more encouraging than definitive 10. Studies don’t always reveal why an initiative worked 11. Examples from my own doctoral research not necessarily typical
  • 4. Health warning What might be done to lift the educational achievement of children in foster care by some people and organisations with some children and youth in some circumstances and in some countries that might sometimes be helpful if implemented properly for reasons, along with effects when combined with other interventions, that we do not necessarily entirely understand!!!
  • 5. Presentation outline 1. Summary of research on the educational attainment of children in (foster) care 2. Overview of research on education initiatives 3. Three recent research studies Throughout, provide some illustrative examples from my own doctoral research
  • 6. How do children in foster care fare educationally?
  • 7. How do children in foster care fare educationally? WELL OK POORLY • Daly & Gilligan, 2010; • Aldgate et al., 1992; Allard & McNamara, 2003; • Pecora, et al., 2006. Australian Institute of Health & Welfare (AIHW), 2007; Barnardo’s, 2006; Berridge et al., 2008; Biehal et al.,1992; Biehal et al.,1995; Blome, 1997; Borland et al., 1998; Brodie, 2006; Burley & Halpern, 2001; Cavanagh, 1996; Cheung & Heath, 1994); Children, Schooling and Families and the Department of National Statistics, 2008; Essen, Lambert & Head, 1976; Fanshel & Shinn, 1978; Finkelstein, et al., 2002; Fletcher-Campbell, 2003; Flynn & Biro, 1998; Harker et al.2003; Heath, Aldgate & Colton, 1989; Heath et al., 1994; Jackson,1987; Kufeldt et al., 2003; McClung & Gayle, 2010; McMillan & Tucker, 1998; Merdinger et al., 2005; Mitic & Rimer, 2002; Osborn & St. Clare, 1987; Ritchie, 2003; Stein, 1990; Stein & Carey, 1986; Trout et al., 2008; Weiner & Weiner, 1990.
  • 8. What are the explanations for this?
  • 9. What are the explanations for this? Failed by the Child Long term effects of Welfare and abuse and neglect Education Systems Multiple reasons Socially Particular educational disadvantaged needs background
  • 10. Is there good research to support current education initiatives?
  • 11. Is there good research to support current education initiatives? Very few programmes or initiatives specifically designed to raise the educational attainment of children and young people in care have been systematically evaluated (Borland et al., 1998) Too few US studies on education interventions to include in their literature synthesis (Trout et al., 2008)
  • 12. Research on how to raise educational attainment Practise Systems Programs
  • 13. Practise focused research SCHOOL PLACEMENT SCHOOL SIGNIFICANT ENROLMENT STABILITY CONTINUITY ADULT REPEATING A NEEDS VALUING SCHOOL GRADE? ASSESSED EDUCATION EXCLUSIONS RIGHT SPARE TIME EDUCATION SCHOOL SCHOOL ACTIVITIES EXPECTATIONS ATTENDANCE EXTENDED FOSTER FAMILY- OPPORTUNITIES SCHOOL TO ACHIEVE FAMILY CONTACT
  • 14. Systems focused research LOOKED AFTER ORGANIZATIONAL CARER/STAFF FOSTER FAMILIES CHILDREN PROFESSIONAL UNDERSTANDING SUPPORTED EDUCATION DEVELOPMENT TEAMS SUFFICIENT POOL SOCIAL WORK & EXTENDING AGE FOSTER CARE OF FOSTER EDUCATION FOR FOSTER CARE STANDARDS CARERS COLLABORATION MULTI- TEACHER DIMENSIONAL INFORMATION EDUCATION INFORMATION ON TREATMENT SUPPORT FUNDING SYSTEMS CHILDREN IN CARE FOSTER CARE (MTFC) LEGISLATION/ LOOKING AFTER PERSONAL GUIDANCE ON CHILDREN (LAC) EDUCATION CORPORATE AND SIMILAR PLANS/PLANNING RESPONSIBILITIES INITIATIVES
  • 15. Program focused research WORK PAIRED PRIVATE READING PLACEMENTS ‘FAIRS’ AND READING TUTORING FOR YOUNG STORYTELLING PEOPLE OFF-SITE OUT-OF-SCHOOL SUPPORT AT DESIGNATED EDUCATION CLUBS KEY EDUCATION TEACHERS PROVISION OUTREACH TRANSITIONS COLLEGE FOSTER CARER COMPRHENSIVE BOOK CAMPUS TUTORING NEEDS SUPPORT CLUBS ASSESSMENT PROGRAM VIRTUAL COMPUTER BOARDING PRINCIPAL FOR INITIATIVES EDUCATION CHILDREN IN FOR FOSTER CARE CHILDREN
  • 16. FLYNN, R., PAQUET, M.-P. & MARQUIS, R. (2010). CAN TUTORING BY FOSTER PARENTS IMPROVE FOSTER CHILDREN'S BASIC ACADEMIC SKILLS? INTERVENTION LOGIC Children benefit from parental tutoring PROGRAM (INTERVENTION YEAR 1)  Michael Maloney’s (1998) Teach Your Children Well  68 foster parents recruited, trained and supported  Foster parents agree to tutoring 3 hours x 30 weeks  Foster parent collect weekly performance data  Teacher(s) encouraged to adjust homework  Child reward component FINDINGS (INTERVENTION YEAR 1): 1. Significant gains in sentence comprehension and math calculation 2. No significant gains in word reading or spelling Flynn, R., Paquet, M.-P. & Marquis, R. (2010). Can tutoring by foster parents improve foster children's basic academic skills? In E. Fernandez & R. Barth (Eds.), How does foster care work? International evidence on outcomes (pp. 260-273). London, UK: Jessica Kingsley.
  • 17. METHODOLOGY Randomized controlled trial: • 2007-10 - intervention year I 2008/09 • Intervention group 42 and control group 35 DATA COLLECTION • 3 x 4th edition of Wide Range Achievement Test (Wilkinson & Robertson, 2006) • 3 x Connor’s ADHD/DSM-IV Scales-Parent (CADS-P; Conners, 1999) • 3 x ASEBA Child Behaviour Checklist for Ages 6 to 18 (CBLC/6-18; Achenbach & Rescoria, 2001) (N/A) CHILDREN: 77 children in family foster care aged 6 to 13 and likely to benefit (criteria in place), recruited from 9 participating Children’s Aid Societies ISSUES ARISING • Only 20 foster parents implemented the intervention well (out of 42); 12 did not implement at all • Year 1 control group offered (improved) intervention in year 2. • Intervention year 2 results now due • Group tutoring option to be developed LOCATION Ontario (Canada) Flynn, R., Paquet, M.-P. & Marquis, R. (2010). Can tutoring by foster parents improve foster children's basic academic skills? In E. Fernandez & R. Barth (Eds.), How does foster care work? International evidence on outcomes (pp. 260-273). London, UK: Jessica Kingsley.
  • 18. OSBOURNE, C., ALFANO, J. & WINN, T. (2010). PAIRED READING AS LITERACY INTERVENTION FOR FOSTER CHILDREN. INTERVENTION LOGIC Benefits if foster carers have a direct role in education PROGRAM (2008/09) Paired reading (Morgan, 1976) Training workshops Children select reading material 3+ x 20+ minute reading sessions x 16 weeks Monitoring sheet/school liaison FINDINGS 1.Marked increase in mean reading age from 8 years to 9 years over 16 weeks (mean ‘gap’ halved) 2.Foster carers also reported other positive impacts Osbourne, C., Alfano, J. & Winn, T. (2010). Paired reading as a literacy intervention for foster children. Adoption & Fostering 34(4) 17-27.
  • 19. METHODOLOGY Mixed methods approach with dominant QUAN method (Pre-test/post-test) DATA COLLECTION • 2 x Salford Sentence Reading Test (Bookbinder, 2002) • 16 x Completion of foster carer monitoring sheets CHILDREN 68 primary-aged children in family foster care in participating schools initially identified (open to all such children). However, data only available on 35 of 68 ISSUES  Individual gains ranged from 1 to 31 months  Children most ‘behind’ benefitted more  Foster carers also reported increase in child’s confidence and interest in reading  As a by-product, facilitated links between foster carers, social workers and teachers  initially identified children  Program feedback from 16 foster carers only  Program also implemented for 2009/10 & 2010/11 (includes high schools)  Results on 2009/10 cohort due LOCATION Hampshire (United Kingdom) Osbourne, C., Alfano, J. & Winn, T. (2010). Paired reading as a literacy intervention for foster children. Adoption & Fostering 34(4) 17-27.
  • 20. TIDEMAN, E., VINNERLJUNG, B., HINTZE, K. & ISAKSSON, A. (2011). IMPROVING FOSTER CHILDREN'S SCHOOL ACHIEVEMENTS INTERVENTION LOGIC Children benefit from intensive, support based upon thorough assessment of needs and potential PROGRAM (2 YEARS) • Part-time Psychologist and Special Needs teacher • 9 standardized psychological and pedagogical tests • Children, foster carers & teachers given results • Education plan with quarterly planning meetings • Teachers tutored (direct work with some children) • Tools for teachers and foster carers FINDINGS Significant gains in IQ (as measured by WISC-III), reading and spelling skills Weaker, non-significant improvements in maths skills. Tideman, E., Vinnerljung, B., Hintze, K. & Isaksson, A. (2011). Improving foster children's school achievements: Promising results from a Swedish intensive study. Adoption & Fostering 35(1) 44-57.
  • 21. METHODOLOGY Pre-test/post-test design DATA COLLECTION Wechsler Intelligence Scale for Children 3rd Ed (WISC-III) (Wechsler, 1999); VMI (Beery and Beery, 2004); Beck Young People Inventories (Beck et al, 2004); Strengths and Difficulties Questionnaire) (Goodman, 1997; Smedje et al, 1999); Visual Analogue Scale (Badia et al, 1999); Letter-Word Chains (Jacobson, 2004); DLS Reading Speed Test (Jarpsten and Taube, 1997); DLS Spelling Test (Jarpsten, 1999); Magne Maths Diagnostic Test (Engstrom & Magne, 2003); Classroom observation (relationships) and teacher interviews (school competencies) CHILDREN 25 of all 30 children aged 7-11 years (median age 10) in long term family foster care in one large town ISSUES • As well as being intensive and based upon a battery of standardized tests, other characteristics were that it was comprehensive, highly individualized, structured, collaborative and strengths-based • A complex program with many variables • Only 1 child left the program LOCATION Helsingborg (Sweden) Tideman, E., Vinnerljung, B., Hintze, K. & Isaksson, A. (2011). Improving foster children's school achievements: Promising results from a Swedish intensive study. Adoption & Fostering 35(1) 44-57.
  • 22. Conclusion 1. Education is a critically important gateway for children in foster care. 2. The education of children has become a major priority in many jurisdictions. 3. We are making some progress. 4. We do require more validated ‘education’ initiatives that demonstrably ‘work’. 5. We also need to mediate our understanding of these through, and integrate with, our professional experience.
  • 23. Conclusion “… five factors emerged as critical to their success:  having people who care about you  experiencing stability  being given high expectations  receiving encouragement and support  being able to participate and achieve” (Happer et al., 2006).
  • 24. Quality Foster Care! Thanks For copy of presentation and/or references email Iain on iain@mathesonassociates.co.nz
  • 25. Conclusion (cont…) POLICYMAKERS AND POLITICIANS SOCIAL WORKERS & ORGANISATIONS FAMILIES, FRIENDS & COMMUNITY TEACHERS & SCHOOLS FOSTER FAMILIES CHILD