THE MANY FACES OF THE “FOSTER CARE YOUTH” LABEL: HOW YOUNG WOMEN MANAGE THE STIGMA OF OUT-OF-HOME PLACEMENT
Abstract
A number of studies have found that adolescents in foster care expect and perceive stigma related to their “foster care youth” status. Yet, little is known about how this perceived stigma manifests, as well as how youth manage it. The current study therefore aimed to explore how young women with a history in foster care integrate these experiences into their life stories. The focus is on discursive manifestations of stigma in participants’ narratives about placement in foster care, their own perceptions of care-experienced girls and women, as well as how they self-present. Special attention is also given to the ways in which youth try to reduce, deflect, or eliminate stigma. The present study draws on semi-structured interviews conducted with a sample of 20 young women with a history in foster care. Our findings suggest that participants do anticipate and perceive public stigma in relation to their history in foster care. The results also highlight the various strategies used by participants to resist self-stigmatization. The main strategy used was to distance themselves from their “foster care youth” status, insisting that they should never have been placed in foster care and that they are not faring badly as adults, unlike typical care-experienced youth.
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Aiello, B., & McQueeney, K. (2016). “How can you live without your kids?”: Distancing from and embracing the stigma of “incarcerated mother”. Journal of Prison Education and Reentry, 3(1), 32–49. http://dx.doi.org/10.15845/jper.v3i1.982
An, E. M., Lee, S. J., & Chung, I.-J. (2020). The effects of the stigma trajectory of adolescents in out-of-home care on self-esteem and antisocial behavior. Children and Youth Services Review, 116, Art. 105167. https://doi.org/10.1016/j.childyouth.2020.105167
Arnett, J. J. (2000). Emerging adulthood: A theory of development from the late teens through the twenties. American Psychologist, 55(5), 469–480. http://dx.doi.org/10.1037/0003-066X.55.5.469
Ashford, R. D., Brown, A. M., McDaniel, J., & Curtis, B. (2019). Biased labels: An experimental study of language and stigma among individuals in recovery and health professionals. Substance Use & Misuse, 54(8), 1376–1384. https://doi.org/10.1080/10826084.2019.1581221
Bakketeig, E., Boddy, J., Gundersen, T., Østergaard, J., & Hanrahan, F. (2020). Deconstructing doing well: What can we learn from care experienced young people in England, Denmark and Norway? Children and Youth Services Review, 118, Art. 105333. https://doi.org/10.1016/j.childyouth.2020.105333
Ballantine, C. (2021). The reaffirmation of self? Narrative inquiry for researching violence against women and stigma. Violence Against Women, 28(9), 2231–2253. https://doi.org/10.1177/10778012211024269
Benoit, C., Jansson, S. M., Smith, M., & Flagg, J. (2018). Prostitution stigma and its effect on the working conditions, personal lives, and health of sex workers. Journal of Sex Research, 55(4–5), 457–471. https://doi.org/10.1080/00224499.2017.1393652
Bermea, A. M., Forenza, B., Rueda, H. A., & Toews, M. L. (2019). Resiliency and adolescent motherhood in the context of residential foster care. Child and Adolescent Social Work Journal, 36(5), 459–470. https://doi.org/10.1007/s10560-018-0574-0
Brännström, L., Vinnerljung, B., Forsman, H., & Almquist, Y. B. (2017). Children placed in out-of-home care as midlife adults: Are they still disadvantaged or have they caught up with their peers? Child Maltreatment, 22(3), 205–214. https://doi.org/10.1177/1077559517701855
Calheiros, M. M., Garrido, M. V., Lopes, D., & Patrício, J. N. (2015). Social images of residential care: How children, youth and residential care institutions are portrayed? Children and Youth Services Review, 55, 159–169. https://doi.org/10.1016/j.childyouth.2015.06.004
Clark, M. (2012). Negotiating stigmatized identities and overcoming barriers to inclusion in the transition to adulthood. In A. Azzopardi & S. Grech (Eds.), Inclusive communities: A critical reader (pp. 85–102). Brill.
Colbridge, A. K., Hassett, A., & Sisley, E. (2017). “Who am I?” How female care leavers construct and make sense of their identity. SAGE Open, 7(1). https://doi.org/10.1177/2158244016684913
Corrigan, P. W., Morris, S. B., Michaels, P. J., Rafacz, J. D., & Rüsch, N. (2012). Challenging the public stigma of mental illness: A meta-analysis of outcome studies. Psychiatric Services, 63(10), 963–973. https://doi.org/10.1176/appi.ps.201100529
Corrigan, P. W., & Rao, D. (2012). On the self-stigma of mental illness: Stages, disclosure, and strategies for change. The Canadian Journal of Psychiatry, 57(8), 464–469. https://doi.org/10.1177%2F070674371205700804
Cosner Berzin, S., Singer, E., & Hokanson, K. (2014). Emerging versus emancipating: The transition to adulthood for youth in foster care. Journal of Adolescent Research, 29(5), 616–638. https://doi.org/10.1177/0743558414528977
Courtney, M. E., Okpych, N. J., Park, K., Harty, J., Feng, H., Torres-García, A., Sayed, S., & Hall, C. (2018). Findings from the California Youth Transitions to Adulthood Study (CalYOUTH): Conditions of youth at age 21. https://www.chapinhall.org/wp-content/uploads/CY_YT_RE0518_1.pdf
Craig, M. A., & Richeson, J. A. (2012). Coalition or derogation? How perceived discrimination influences intraminority intergroup relations. Journal of Personality and Social Psychology, 102(4), 759–777. https://doi.org/10.1037/a0026481
Dansey, D., Shbero, D., & John, M. (2019). Keeping secrets: How children in foster care manage stigma. Adoption and Fostering, 43(1), 35–45. https://doi.org/10.1177/0308575918823436
Denenberg, P. (2016). The experience of children and young people in long term foster care [Doctoral dissertation, Lancaster University]. https://eprints.lancs.ac.uk/id/eprint/78550/
Emond, R. (2014). Longing to belong: Children in residential care and their experiences of peer relationships at school and in the children’s home. Child and Family Social Work, 19(2), 194–202. https://doi.org/10.1111/j.1365-2206.2012.00893.x
Evans, D. N., Pelletier, E., & Szkola, J. (2018). Education in prison and the self-stigma: Empowerment continuum. Crime & Delinquency, 64(2), 255–280. https://doi.org/10.1177/0011128717714973
Ferguson, L. (2018). “Could an increased focus on identity development in the provision of children’s services help shape positive outcomes for care leavers?” A literature review. Child Care in Practice, 24(1), 76–91. https://doi.org/10.1080/13575279.2016.1199536
Frimpong-Manso, K. (2018). Building and utilising resilience: The challenges and coping mechanisms of care leavers in Ghana. Children and Youth Services Review, 87, 52–59. https://doi.org/10.1016/j.childyouth.2018.02.016
Goemans, A., van Geel, M., & Vedder, P. (2018). Variability in developmental outcomes of foster children: Implications for research and practice. Children Australia, 43(2), 116–123. https://doi.org/10.1017/cha.2018.19
Grittner, A. L., & Walsh, C. A. (2020). The role of social stigma in the lives of female-identified sex workers: A scoping review. Sexuality & Culture, 24(5), 1653–1682. https://doi.org/10.1007/s12119-020-09707-7
Gypen, L., Vanderfaeillie, J., de Maeyer, S., Belenger, L., & van Holen, F. (2017). Outcomes of children who grew up in foster care: Systematic-review. Children and Youth Services Review, 76, 74–83. https://doi.org/10.1016/j.childyouth.2017.02.035
Hansson, L., Lexén, A., & Holmén, J. (2017). The effectiveness of narrative enhancement and cognitive therapy: A randomized controlled study of a self-stigma intervention. Social Psychiatry and Psychiatric Epidemiology, 52(11), 1415–1423. https://doi.org/10.1007/s00127-017-1385-x
Hare, A. D., & Bullock, R. (2006). Dispelling misconceptions about looked after children. Adoption & Fostering, 30(4), 26–35. https://doi.org/10.1177/030857590603000405
Hatzenbuehler, M. L., Phelan, J. C., & Link, B. G. (2013). Stigma as a fundamental cause of population health inequalities. Public Health, 103, 813–821. https://doi.org/10.2105/ajph.2012.301069
Havlicek, J., & Samuels, G. M. (2018). The Illinois State Foster Youth Advisory Board as a counterspace for well-being through identity work: Perspectives of current and former members. Social Service Review, 92(2), 241–289. https://doi.org/10.1086/697694
Hébert, S. T., & Lanctôt, N. (2016). Association between unstable placement patterns and problem behaviors in adolescent girls. Residential Treatment for Children & Youth, 33(3–4), 286–305. https://doi.org/10.1080/0886571X.2016.1246400
Hélie, S., Poirier, M.-A., Esposito, T., & Turcotte, D. (2017). Placement stability, cumulative time in care, and permanency: Using administrative data from CPS to track placement trajectories. International Journal of Environmental Research and Public Health, 14(11), 1405. https://doi.org/10.3390/ijerph14111405
Hill, C. E., Thompson, B. J., Hess, S. A., Knox, S., Nutt Williams, E., & Ladany, N. (2005). Consensual qualitative research: An update. Journal of Counseling Psychology, 52(2), 196–205. http://dx.doi.org/10.1037/0022-0167.52.2.196
Hill, C. E., Thompson, B. J., & Nutt Williams, E. (1997). A guide to conducting consensual qualitative research. The Counseling Psychologist, 25(4), 517–572. https://doi.org/10.1177/0011000097254001
Kools, S. M. (1997). Adolescent identity development in foster care. Family Relations, 46(3), 263–271.
Kools, S. M. (1999). Self-protection in adolescents in foster care. Journal of Child and Adolescent Psychiatric Nursing, 12(4), 139–152. https://doi.org/10.1111/j.1744-6171.1999.tb00063.x
Lanctôt, N., & Turcotte, M. (2018). De l’appréhension à la distanciation: Les expériences d’éducatrices qui interviennent auprès d’adolescentes placées en centre résidentiel. Sociétés et Jeunesses En Difficulté, 20, 1–20.
Levey, T. G., & Pinsky, D. (2015). A constellation of stigmas: Intersectional stigma management and the professional dominatrix. Deviant Behavior, 36(5), 347–367. https://doi.org/10.1080/01639625.2014.935658
Liegghio, M. (2017). Our biggest hurdle yet: Caregivers’ encounters with structural stigma in child and youth mental health. Families in Society: The Journal of Contemporary Social Services, 98(4), 300–309. https://doi.org/10.1606/1044-3894.2017.98.35
Link, B. G., & Phelan, J. C. (2001). Conceptualizing stigma. Annual Review of Sociology, 27, 363–385. https://doi.org/10.1146/annurev.soc.27.1.363
Livingston, J. D., & Boyd, J. E. (2010). Correlates and consequences of internalized stigma for people living with mental illness: A systematic review and meta-analysis. Social Science and Medicine, 71(12), 2150–2161. https://doi.org/10.1016/j.socscimed.2010.09.030
Ma, P. H. X., Chan, Z. C. Y., & Loke, A. Y. (2019). Self-stigma reduction interventions for people living with HIV/AIDS and their families: A systematic review. AIDS and Behavior, 23(3), 707–741. https://doi.org/10.1007/s10461-018-2304-1
Marshall, G., Winter, K., & Turney, D. (2020). Honneth and positive identity formation in residential care. Child and Family Social Work, 25(4), 733–741. https://doi.org/10.1111/cfs.12749
McAdams, D. P. (1988). Power, intimacy, and the life story: Personological inquiries into identity. Guilford.
McAdams, D. P. (1989). The development of a narrative identity. In D. M. Buss & N. Cantor (Eds.), Personality psychology: Recent trends and emerging directions (pp. 160–174). Springer US. https://doi.org/10.1007/978-1-4684-0634-4_12
McAdams, D. P. (2008). The life story interview-II. https://cpb-us-e1.wpmucdn.com/sites.northwestern.edu/dist/4/3901/files/2020/11/The-Life-Story-Interview-II-2007.pdf
McAdams, D. P. (2021). Narrative identity and the life story. In O. P. John & R. W. Robins (Eds.), Handbook of personality: Theory and research (4th ed., pp. 122–141).
McAdams, D. P., & McLean, K. C. (2013). Narrative identity. Current Directions in Psychological Science, 22(3), 233–238. https://doi.org/10.1177/0963721413475622
McKinney, J. (2014). Speaking of self: “Winners” and “losers” in therapeutic foster care. Children and Youth Services Review, 39, 84–90. https://doi.org/10.1016/j.childyouth.2014.02.002
McMurray, I., Connolly, H., Preston-Shoot, M., & Wigley, V. (2011). Shards of the old looking glass: Restoring the significance of identity in promoting positive outcomes for looked-after children. Child and Family Social Work, 16(2), 210–218. https://doi.org/10.1111/j.1365-2206.2010.00733.x
Meisenbach, R. J. (2010). Stigma management communication: A theory and agenda for applied research on how individuals manage moments of stigmatized identity. Journal of Applied Communication Research, 38(3), 268–292. https://doi.org/10.1080/00909882.2010.490841
Mendes, P., & Rogers, J. (2020). Young people transitioning from out-of-home care: What are the lessons from extended care programs in the USA and England for Australia? The British Journal of Social Work, 50(5), 1513–1530. https://doi.org/10.1093/bjsw/bcaa028
Mendoza Lepe, R., Warren, M. A., Crano, W. D., & Sam, A. A. (2022). Distancing from a stigmatized identity. In C. R. G. Popescu (Ed.), Handbook of research on SDGs for economic development, social development, and environmental protection (pp. 66–89). IGI Global. https://doi.org/10.4018/978-1-6684-5113-7.ch004
Michell, D. (2015). Foster care, stigma and the sturdy, unkillable children of the very poor. Continuum, 29(4), 663–676. https://doi.org/10.1080/10304312.2015.1025361
Moore, K. E., Stuewig, J. B., & Tangney, J. P. (2016). The effect of stigma on criminal offenders’ functioning: A longitudinal mediational model. Deviant Behavior, 37(2), 196–218. https://doi.org/10.1080/01639625.2014.1004035
Moseson, H., Mahanaimy, M., Dehlendorf, C., & Gerdts, C. (2019). “…Society is, at the end of the day, still going to stigmatize you no matter which way”: A qualitative study of the impact of stigma on social support during unintended pregnancy in early adulthood. PLOS ONE, 14(5), e0217308. https://doi.org/10.1371/journal.pone.0217308
Mulkerns, H., & Owen, C. (2008). Identity development in emancipated young adults following foster care. Smith College Studies in Social Work, 78(4), 427–449. https://doi.org/10.1080/00377310802378594
Munford, R., & Sanders, J. (2015). Negotiating and constructing identity: Social work with young people who experience adversity. British Journal of Social Work, 45(5), 1564–1580. https://doi.org/10.1093/bjsw/bcu059
Nguyen, T., & Li, X. (2020). Understanding public-stigma and self-stigma in the context of dementia: A systematic review of the global literature. Dementia, 19(2), 148–181. https://doi.org/10.1177/1471301218800122
Pescosolido, B. A. (2013). The public stigma of mental illness: What do we think; what do we know; what can we prove? Journal of Health and Social Behavior, 54(1), 1–21. https://doi.org/10.1177/0022146512471197
Pescosolido, B. A., Martin, J. K., Scott Long, J., Medina, T. R., Phelan, J. C., & Link, B. G. (2010). “A disease like any other”? A decade of change in public reactions to schizophrenia, depression, and alcohol dependence. American Journal of Psychiatry, 167(11), 1321–1330. https://doi.org/10.1176/appi.ajp.2010.09121743
Peterie, M., Ramia, G., Marston, G., & Patulny, R. (2019). Social isolation as stigma-management: Explaining long-term unemployed people’s ‘failure’ to network. Sociology, 53(6), 1043–1060.https://doi.org/10.1177/0038038519856813
Ridge, T., & Millar, J. (2000). Excluding children: Autonomy, friendship and the experience of the care system. Social Policy & Administration, 34(2), 160–175. https://doi.org/10.1111/1467-9515.00183
Riessman, C. K. (2008). Narrative methods for the human sciences. Sage Publications.
Rogers, J. (2017). ‘Different’ and ‘devalued’: Managing the stigma of foster-care with the benefit of peer support. British Journal of Social Work, 47(4), 1078–1093. https://doi.org/10.1093/bjsw/bcw063
Roschelle, A. R., & Kaufman, P. (2004). Fitting in and fighting back: Stigma management strategies among homeless kids. Symbolic Interaction, 27(1), 23–46. https://doi.org/10.1525/si.2004.27.1.23
Rüsch, N., Angermeyer, M. C., & Corrigan, P. W. (2005). Mental illness stigma: Concepts, consequences, and initiatives to reduce stigma. European Psychiatry, 20(8), 529–539. https://doi.org/10.1016/j.eurpsy.2005.04.004
Samuels, G. M., & Pryce, J. M. (2008). “What doesn’t kill you makes you stronger”: Survivalist self-reliance as resilience and risk among young adults aging out of foster care. Children and Youth Services Review, 30(10), 1198–1210. https://doi.org/10.1016/j.childyouth.2008.03.005
Schofield, G., Larsson, B., & Ward, E. (2017). Risk, resilience and identity construction in the life narratives of young people leaving residential care. Child and Family Social Work, 22(2), 782–791. https://doi.org/10.1111/cfs.12295
Seker, S., Boonmann, C., Gerger, H., Jäggi, L., d’Huart, D., Schmeck, K., & Schmid, M. (2021). Mental disorders among adults formerly in out-of-home care: a systematic review and meta-analysis of longitudinal studies. European Child and Adolescent Psychiatry,31, 1963–1982. https://doi.org/10.1007/s00787-021-01828-0
Sellnow-Richmond, S., Sellnow-Richmond, D., & Pemberton, K. (2022). Acceptance (for some): In-group stigmatization within the LGBTQ+ community. Communication Studies, 73(2), 190–209. https://doi.org/10.1080/10510974.2022.2026429
Severinsson, S., & Markström, A.-M. (2015). Resistance as a means of creating accountability in child welfare institutions. Child and Family Social Work, 20(1), 1–9. https://doi.org/10.1111/cfs.12070
Shapiro, J. R., & Neuberg, S. L. (2008). When do the stigmatized stigmatize? The ironic effects of being accountable to (perceived) majority group prejudice-expression norms. Journal of Personality and Social Psychology, 95(4), 877–898. https://doi.org/10.1037/a0011617
Steenbakkers, A., van der Steen, S., & Grietens, H. (2016). ‘To talk or not to talk?’: Foster youth’s experiences of sharing stories about their past and being in foster care. Children and Youth Services Review, 71, 2–9. https://doi.org/10.1016/j.childyouth.2016.10.008
Sulimani-Aidan, Y. (2017). Future expectations as a source of resilience among young people leaving care. The British Journal of Social Work, 47(4), 1111–1127. https://doi.org/10.1093/bjsw/bcw077
Teyhan, A., Wijedasa, D., & MacLeod, J. (2018). Adult psychosocial outcomes of men and women who were looked-after or adopted as children: Prospective observational study. BMJ Open, 8(2), e019095. https://doi.org/10.1136/bmjopen-2017-019095
Thomas, L. J. (2014). “Once a foster child … ”: Identity construction in former foster children’s narratives. Qualitative Research Reports in Communication, 15(1), 84–91. https://doi.org/10.1080/17459435.2014.955596
Trautner, M. N., & Collett, J. L. (2010). Students who strip: The benefits of alternate identities for managing stigma. Symbolic Interaction, 33(2), 257–279. https://doi.org/10.1525/si.2010.33.2.257
Turcotte, M., & Lanctôt, N. (2019). Histoires de placement : Comment de jeunes femmes intègrent leurs expériences en centre jeunesse au tournant de l’âge adulte. In J. Marcotte, F. Nadeau, M. Turcotte, & A. Vaillancourt (Eds.), Les paradoxes de la transition à la vie adulte. Perspectives croisées (pp. 25–40). Presses de l’Université Laval.
Turcotte, M., & Lanctôt, N. (2021). Managing the toll of sex work with bounded agency: Perspectives of ex-sex workers. The Canadian Journal of Human Sexuality, 30(3), 296–305. https://doi.org/10.3138/cjhs.2020-0030
Vacca, J. S., & Kramer-Vida, L. (2012). Preventing the bullying of foster children in our schools. Children and Youth Services Review, 34(9), 1805–1809. https://doi.org/10.1016/j.childyouth.2012.05.014
Vaz Garrido, M., Nunes Patrício, J., Calheiros, M. M., & Lopes, D. (2016). Comparing the social images of youth in and out of residential care. Journal of Community & Applied Social Psychology, 26(5), 439–455. https://doi.org/10.1002/casp.2273
Villagrana, M., Guillen, C., Macedo, V., & Lee, S. Y. (2018). Perceived self-stigma in the utilization of mental health services in foster care and post foster care among foster care alumni. Children and Youth Services Review, 85, 26–34. https://doi.org/10.1016/j.childyouth.2017.10.040
Vinnerljung, B., Brännström, L., & Hjern, A. (2015). Disability pension among adult former child welfare clients: A Swedish national cohort study. Children and Youth Services Review, 56, 169–176. https://doi.org/10.1016/j.childyouth.2015.07.001
Vojak, C. (2009). Choosing language: Social service framing and social justice. British Journal of Social Work, 39(5), 936–949. https://doi.org/10.1093/bjsw/bcm144
Ward, T., & Gannon, T. A. (2006). Rehabilitation, etiology, and self-regulation: The comprehensive Good Lives Model of treatment for sexual offenders. Aggression and Violent Behavior, 11(1), 77–94. https://doi.org/10.1016/j.avb.2005.06.001
Watson, D. L., Latter, S., & Bellew, R. (2015). Adopted children and young people’s views on their life storybooks: The role of narrative in the formation of identities. Children and Youth Services Review, 58, 90–98. https://doi.org/10.1016/j.childyouth.2015.09.010
Weitzer, R. (2018). Resistance to sex work stigma. Sexualities, 21(5–6), 717–729. https://doi.org/10.1177/1363460716684509
Werder, K., Curtis, A., Reynolds, S., & Satterfield, J. (2022). Addressing bias and stigma in the language we use with persons with opioid use disorder: A narrative review. Journal of the American Psychiatric Nurses Association, 28(1), 9–22. https://doi.org/10.1177/10783903211050121
Willis, R., & Holland, S. (2009). Life story work: Reflections on the experience by looked after young people. Adoption & Fostering, 33(4), 44–52. https://doi.org/10.1177/030857590903300406
Zlotnick, C., Tam, T. W., & Soman, L. A. (2012). Life course outcomes on mental and physical health: The impact of foster care on adulthood. American Journal of Public Health, 102(3), 534–540. https://doi.org/10.2105/AJPH.2011.300285
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