Long-term benefits of providing transitional services to youth aging-out of the child welfare system: Evidence from a cohort of young people who use drugs in Vancouver, Canada

Brittany Barker¹, Jean Shoveller², Cameron Grant³, Thomas Kerr⁴, Kora DeBeck⁵

Affiliations

¹ B.C. Centre on Substance Use, 1045 Howe St., Vancouver, B.C., V6Z 2A9 Canada; Department of Medicine, University of British Columbia, 2775 Laurel Street, 10th Floor, Vancouver, B.C., V5Z 1M9 Canada. Electronic address: bccsu-bb@bccsu.ubc.ca.
² B.C. Centre on Substance Use, 1045 Howe St., Vancouver, B.C., V6Z 2A9 Canada; School of Population and Public Health, University of British Columbia, 2206 E Mall, Vancouver, B.C., V6T 1Z3 Canada.
³ B.C. Centre on Substance Use, 1045 Howe St., Vancouver, B.C., V6Z 2A9 Canada.
⁴ B.C. Centre on Substance Use, 1045 Howe St., Vancouver, B.C., V6Z 2A9 Canada; Department of Medicine, University of British Columbia, 2775 Laurel Street, 10th Floor, Vancouver, B.C., V5Z 1M9 Canada.
⁵ B.C. Centre on Substance Use, 1045 Howe St., Vancouver, B.C., V6Z 2A9 Canada; School of Public Policy, Simon Fraser University, 515 W Hastings St., Vancouver, B.C., V6B 5K3 Canada.

PMID: 32889145
PMCID: PMC7864665
DOI: 10.1016/j.drugpo.2020.102912

Long-term benefits of providing transitional services to youth aging-out of the child welfare system: Evidence from a cohort of young people who use drugs in Vancouver, Canada

Brittany Barker et al. Int J Drug Policy. 2020 Nov.

. 2020 Nov:85:102912.

doi: 10.1016/j.drugpo.2020.102912. Epub 2020 Sep 1.

Authors

Brittany Barker¹, Jean Shoveller², Cameron Grant³, Thomas Kerr⁴, Kora DeBeck⁵

Affiliations

¹ B.C. Centre on Substance Use, 1045 Howe St., Vancouver, B.C., V6Z 2A9 Canada; Department of Medicine, University of British Columbia, 2775 Laurel Street, 10th Floor, Vancouver, B.C., V5Z 1M9 Canada. Electronic address: bccsu-bb@bccsu.ubc.ca.
² B.C. Centre on Substance Use, 1045 Howe St., Vancouver, B.C., V6Z 2A9 Canada; School of Population and Public Health, University of British Columbia, 2206 E Mall, Vancouver, B.C., V6T 1Z3 Canada.
³ B.C. Centre on Substance Use, 1045 Howe St., Vancouver, B.C., V6Z 2A9 Canada.
⁴ B.C. Centre on Substance Use, 1045 Howe St., Vancouver, B.C., V6Z 2A9 Canada; Department of Medicine, University of British Columbia, 2775 Laurel Street, 10th Floor, Vancouver, B.C., V5Z 1M9 Canada.
⁵ B.C. Centre on Substance Use, 1045 Howe St., Vancouver, B.C., V6Z 2A9 Canada; School of Public Policy, Simon Fraser University, 515 W Hastings St., Vancouver, B.C., V6B 5K3 Canada.

PMID: 32889145
PMCID: PMC7864665
DOI: 10.1016/j.drugpo.2020.102912

Abstract

Background: Youth aging-out of the child welfare system (CWS) experience numerous vulnerabilities including, elevated rates of substance use and substance use disorders. Calls to improve services to transition youth to independence are common; however, evidence of the long-term impacts associated with transitional service utilization is scarce. Further, existing services frequently lack appropriate supports for substance using youth and it is unknown if youth are able to access such services. In the present study, we assess the relationship between transitional service utilization and health and social outcomes among a cohort of people who use drugs (PWUD) that aged-out of the CWS.

Methods: Data were obtained from two harmonized cohorts of PWUD in Vancouver, Canada. Those who reported aging-out were asked about service utilization, availability, barriers, and interest across seven categories of transitional services. Multivariable logistic regression analyses were conducted to assess the relationship between having previously utilized transitional services and current health and social outcomes.

Results: Between December 2014 and November 2017, 217 PWUD reported having previously aged-out of the CWS. Across service categories, reported service utilization prevalence ranged from 16.6-61.8% while unmet demand ranged from 64.8-78.4%. In multivariable analyses, compared to individuals who utilized ≤1 service while aging-out, having utilized 4-7 services was significantly associated with reduced odds of current homelessness (adjusted odds ratio [AOR]=0.29) and engaging in daily drug use (AOR=0.35) (both p<0.05).

Conclusion: Findings suggest that this understudied high-risk population of PWUD and aged-out of the CWS experience long-term benefits associated with transitional service utilization and are interested and willing to engage in these services. However, given high unmet demand, findings also highlight considerable gaps in service delivery and support calls for extending the age of emancipation for all youth in the CWS and in particular, for additional harm reduction and substance use supports embedded into service models.

Keywords: Aging-out; Canada; Child welfare system; Drug use trajectories; People who use drugs; Service access; Street-involved youth.

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References

1. Ames ME, Rawana JS, Gentile P, & Morgan AS (2013). The Protective Role of Optimism and Self-esteem on Depressive Symptom Pathways Among Canadian Aboriginal Youth. Journal of Youth and Adolescence, 44(1), 142–154. 10.1007/s10964-013-0016-4. - DOI - PubMed
1. Antle BF, Johnson L, Barbee A, & Sullivan D (2009). Fostering interdependent versus independent living in youth aging out of care through healthy relationships. Families in Society, 90(3), 309–315. 10.1606/1044-3894.3890. - DOI
1. Arteaga I, Chen C-C, & Reynolds AJ (2010). Childhood predictors of adult substance abuse. Children and Youth Services Review, 32(8), 1108–1120. 10.1016/j.childyouth.2010.04.025. - DOI - PMC - PubMed
1. Barker B, Kerr T, Alfred GT, Fortin M, Nguyen P, Wood E, & Debeck K (2014). High prevalence of exposure to the child welfare system among street-involved youth in a Canadian setting: Implications for policy and practice. BMC Public Health, 14(1), 10.1186/1471-2458-14-197. - DOI - PMC - PubMed
1. Barker B, Kerr T, Dong H, Wood E, & DeBeck K (2017). High school incompletion and childhood maltreatment among street-involved young people in Vancouver, Canada. Health and Social Care in the Community, 25(2), 378–384. 10.1111/hsc.12314. - DOI - PMC - PubMed

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Long-term benefits of providing transitional services to youth aging-out of the child welfare system: Evidence from a cohort of young people who use drugs in Vancouver, Canada

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Long-term benefits of providing transitional services to youth aging-out of the child welfare system: Evidence from a cohort of young people who use drugs in Vancouver, Canada

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