The impact of care-related factors on the communication skills and wellbeing of looked after and adopted children

The research project explores the severity and specificity of language and communication difficulty in a population of Looked After and Adopted Children and the association between these difficulties and several care-related factors, mental health and Adverse Childhood Experiences (ACEs). 68% of a sample of 57 children performed in the bottom 10% of the general population for language and communication ability. Similar levels of severity were found for both structural and pragmatic abilities.

Language and communication difficulties were associated with older children, later age of entry into care and placement type (foster care vs. adoption) but not placement disruption. A significant relationship was found between mental health and language difficulty, but no link was established with ACEs.<br><br>A systematic review was conducted to explore the literature regarding the impact of placement instability on behavioural and mental health outcomes in foster care children. 14 studies were included in the final review.