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Risks of Long-Term Foster Care

No. 18: Instability and Early Life Changes Among Children in the Child Welfare System

1. All of the following attachment types have been associated with externalizing problems, except for:

A. Avoidant attachment

B. Insecure attachment

C. Resistant attachment

D. Disorganized attachment


2. Placement instability among young children adopted after multiple foster placements has been associated with deficits in inhibitory control and more externalizing, oppositional, and aggressive behaviors compared to both adopted children who had experienced one stable placement and children never placed in foster or adoptive care.

A. True

B. False


3. According to caseworkers’ reports, which of the following is the most prevalent reason that children are reported and come to the attention of CWS?

A. Failure to supervise the child.

B. Physical abuse.

C. Failure of a caregiver to provide for the child.

D. Emotional, moral / legal, or educational abuse.


4. A change in caregiver is very common in the first 2 years of life for infants reported to CWS for maltreatment.

A. True

B. False


5. Changes in caregiver of _____ can activate stress responses in young children beyond normal levels.

A. A day or more

B. A week or more

C. A month or more

D. A year or more


No. 19: Risk of Long-Term Foster Care Placement Among Children Involved with the Child Welfare System

6. Staying in care beyond _____ greatly increases a child’s chances of growing up in care.

A. 6 months

B. 12 months

C. 18 months

D. 24 months


7. Children living in foster care 36 months or more most commonly had _____ placement change(s).

A. 1

B. 3

C. 5

D. 7


8. Children 10 years or older who continue to live in foster care after 3 years are nearly certain to age out of foster care before finding a permanent placement alternative.

A. True

B. False


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