Multimorbidity and access to social care: exploiting emerging administrative data sources in Scotland

Henderson, D. , Bailey, N. , McCowan, C. and Mercer, S. (2018) Multimorbidity and access to social care: exploiting emerging administrative data sources in Scotland. International Journal of Population Data Science, 3(4), p. 136. (doi: 10.23889/ijpds.v3i4.727)

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Abstract

Introduction: Children who have been in out-of-home care have faced significant issues during their lives, and they are considered one of the most vulnerable groups in society. Given the limited evidence in Western Australia about outcomes for care-leavers, this study represents a base line for future studies of care-leavers outcomes. Objectives and Approach: A retrospective cohort study exploring the outcomes for young people born between 1990-1995, who have reached at least 18 years of age and have had a period of care, compared to other similar children in WA. This project used administrative linked data from the Department of Communities Child Protection and Family Support Division, Departments of Health, Education, and Corrective Services. This study undertook a descriptive approach to compare outcomes for young people who have left out-of-home care, and logistic regression modelling to explore the odds of having poorer outcomes among those who had a period in care. Results: Young people aged 18 years and over who had been in out-of-home care had worse outcomes compared to controls. Care-leavers had nearly twice the hospital admission rate of those who never had contact with the child protection system, almost three times more likely to have a mental health related contact, less likely to achieve a high school completion certificate and attend University, and more likely to have a juvenile community sentence or adult detention. A group of young people who had a period in care were identified as more likely to have ‘poorer outcomes’ compared to the rest of the Care group if they: were Aboriginal; female; born in a more disadvantaged area; and first entered care after the age of 10. Conclusion/Implications: Young people who have been in care are at high risk of a range of poor outcomes, even compared to other children who have experienced similar disadvantage. Regardless of the causes, it is incumbent upon the State as acting ‘parents’ to provide the best possible support to improve their outcomes.

Item Type:Articles
Additional Information:Conference Proceedings for International Population Data Linkage Conference 2018, Banff, AB, Canada, 12-14 Sep 2018.
Status:Published
Refereed:Yes
Glasgow Author(s) Enlighten ID:Bailey, Professor Nick and Mercer, Professor Stewart and Henderson, David and Mccowan, Professor Colin
Authors: Henderson, D., Bailey, N., McCowan, C., and Mercer, S.
College/School:College of Medical Veterinary and Life Sciences > Institute of Health and Wellbeing > General Practice and Primary Care
College of Medical Veterinary and Life Sciences > School of Medicine, Dentistry & Nursing
College of Social Sciences > School of Social and Political Sciences > Urban Studies
Journal Name:International Journal of Population Data Science
Publisher:Swansea University
ISSN:2399-4908
ISSN (Online):2399-4908
Published Online:28 August 2018
Copyright Holders:Copyright © 2018 The Authors
First Published:First published in International Journal of Population Data Science 3(4): 136
Publisher Policy:Reproduced under a Creative Commons License

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