Building the evidence base to improve ‘matching’ in foster care
Further research is needed to identify what
impact various matching practices have on children, young people and foster
families
You can read the full report here.
The review highlighted that it is important to ask children and
young people about their preferences in a match, including valuing which aspects
of matching are most important to them. Although children and young people,
foster carers, and social workers all agreed this was important, children and
young people spoke about when they were not asked their preferences, and a
‘poor’ match led to yet another disrupted relationship and move. It was also
considered valuable to consult foster carers, other children within the
fostering household, and birth parents when appropriate.
Matching isn’t just about the decision-making process. Matching
also includes the process of preparing, arriving, and joining as a household. Children
and young people emphasised the importance of a planned process for transition
and the literature highlighted that many transitions between households
happened in a chaotic environment. When transitions were planned, children
valued knowing what was going to happen and visiting a foster family before
moving in. . Foster carers and children and young people valued the sharing of
accurate information. The research raised the idea of foster carers
‘co-constructing’ a family with a child or young person – going beyond telling
children the rules and routines in a household to making rules, routines, and building a
household atmosphere together.
A good ‘match’ was viewed as more than a box-ticking exercise.
It accounted for the complexity of needs, identity, and preferences of children
and young people and the structural systems of discrimination or disadvantage
that they can face. Good matching also ensured support for shifting
identities. For example, g00d matching didn’t just look at what a young person
said was most important to them such as their love of football or having a dog –
it acknowledged that these were important but also that supports for aspects such
as gender identity, sexual orientation, and racial identity could become more
important over time and in response to discrimination. Further research is
needed to identify what impact various matching practices have on children,
young people and foster families.
The review raised fundamental questions around what makes a
‘good match’ versus what makes a good foster carer who helps support any
child’s interests and identity. It also raised questions around the time and
funding needed to invest in a planned process for matching and role of power in
decision-making for a child in care – how much children and others should be
consulted versus allowed to make the decision. The review also raised questions
about the intersectionality of a child or young person in care’s social
categorisations (for example, race, religion, language, sexual orientation) and
the ways in which those categories reflect identities, create systems of
disadvantage, and the difficulties in capturing them in a matching process..
Senior Advisor Eleanor Ott recently
reflected on the results of CEI’s systematic review on ‘matching’ and
‘co-creating’ processes when connecting children with foster families, tying
the research findings to her own experience as a foster carer in a piece
published in Children & Young People Now.
Study methods
This was a full systematic review that aimed to comprehensively
locate relevant studies per pre-specified inclusion and exclusion criteria and
double-screened titles, abstracts, and full papers. We screened 7,006 titles
and abstracts from 11 databases and screened 1,140 records on websites and grey
literature. We retrieved and assessed 237 full-text studies for eligibility.
Twenty-three studies from 24 publications were included in this review following full text screening; 18 studies from 19 publications were included for Question 1 around views and experiences of matching in foster care in the UK and five studies were included for Question 2 on impact and attribution. Data was extracted per pre-specified criteria, and we undertook thematic analysis and an iterative process of refining the coding structure and developing findings presented as a narrative synthesis. Quality was assessed using Critical Appraisal Skills Programme (CASP) checklists. Confidence in the findings, as assessed using Confidence in the Evidence from Review of Qualitative research (CERQual), ranged from low to high. Further research is needed to identify what impact various matching practices have on children, young people and foster families.