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‘There's More to be Done; “Sorry” is Just a Word’: Legacies of Out-of-Home Care in the 20th Century

  • Elizabeth Fernandez (a1), Jung-Sook Lee (a2), Wendy Foote (a3), Hazel Blunden (a2), Patricia McNamara (a2), Szilvia Kovacs (a2) and Paul-Auguste Cornefert (a2)...

Abstract

This research explored the experiences of care leavers, who lived in institutions (such as Children's Homes and orphanages) or other forms of out-of-home care between 1930 and 1989. Participants included representatives of three sub-cohorts: Forgotten Australians, members of the Stolen Generations and Child Migrants. Employing mixed methods, this research used three forms of data collection: surveys (n = 669), interviews (n = 92) and focus groups (n = 77). This research concentrated on participants’ experiences in care, leaving care, life outcomes after care (education, employment, health, wellbeing and relationships), coping strategies and resilience, current service needs and usage and participation in organisations as well as the Royal Commission into Institutional Responses to Child Sexual Abuse. Most participants experienced extreme neglect and abuse while in care. Leaving care, often after years of institutionalisation, was generally a frightening and demoralising process. Despite these challenges, a number of participants demonstrated remarkable resilience. For many, however, these experiences had negative consequences in adulthood including serious physical and mental health problems. This often made adult learning, paid employment and positive relationships virtually impossible. Most survivors carry high levels of trauma and complex unmet needs. Implications for policy, practice and services are drawn from key findings.

Copyright

Corresponding author

address for correspondence: Professor Elizabeth Fernandez, School of Social Sciences, UNSW, G56 Morven Brown Building, UNSW Australia, High Street, Randwick, NSW 2052, Australia. E-mail: e.fernandez@unsw.edu.au

References

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Alliance for Forgotten Australians. (2016). Forgotten Australians: Supporting survivors of childhood institutional care in Australia. Retrieved from http://forgottenaustralians.org.au/assets/docs/Booklet/AFA_Booklet.pdf.
Andrews, G., & Slade, T. (2001). Interpreting scores on the Kessler psychological distress scale (K10). Australian and New Zealand Journal of Public Health, 25 (6), 494497.
Australian Bureau of Statistics [ABS]. (2007). National survey of mental health and wellbeing. Retrieved from http://www.abs.gov.au; accessed 05 May 2011.
Australian Government. (2009). National framework for protecting Australia's children 2009–2020. Canberra: Department of Social Services. Retrieved from https://www.dss.gov.au/our-responsibilities/families-and-children/publications-articles/protecting-children-is-everyones-business.
Australian Institute of Health and Welfare [AIHW]. (2016). Child Protection Australia 2014–15. Child Welfare Series no. 63. Cat. No. SWS 57. Canberra, ACT: Author.
Bazeley, P. (2009). Integrating data analysis in mixed methods research. Journal of Mixed Methods Research, 3 (3), 203207.
Bean, P., & Melville, J. (1989). Lost children of the empire. London: Unwin Hyman.
Besser, L., Stockell, P., & Worthington, E. [Reporters]. (2016). Broken Homes. Four Corners [Television program]. Australian Broadcasting Corporation. Retrieved from http://www.abc.net.au/4corners/stories/2016/11/14/4572365.htm.
Bowlby, J, Ainsworth, M., Boston, M., & Rosenbluth, D. (1956). The effects of mother-child separation: A follow-up study. British Journal of Medical Psychology, 29 (2), 11247.
Braun, V., & Clarke, V. (2006). Using thematic analysis in psychology. Qualitative Research in Psychology, 3 (2), 77101.
Cameron, C., Connelly, E., & Jackson, S. (2015). Educating children and young people in care: Learning placements and caring schools. London: Jessica Kingsley Publishers.
Care Leavers Australia Network [CLAN]. (2008). A terrible way to grow up: The experiences of institutional care and its outcomes for care leavers in Australia. Bankstown, Sydney, NSW: Author.
Commission of Inquiry. (1999). Commission of inquiry into abuse of children in Queensland institutions report [The Forde Inquiry]. Brisbane, QLD: Author. Retrieved from http://fordefoundation.org.au/u/lib/cms/forde-inquiry-report.pdf.
Corby, B., Doig, A., & Robert, V. (2001). Public inquiries into residential abuse of children. London: Jessica Kingsley Publishers.
Council of Australian Governments. (2009). Protecting children is everyone's business: National Framework for protecting Australia's children 2009–2020. Canberra: Commonwealth of Australia.
Courtney, M. E., Dworsky, A., Brown, A., Cary, C., Love, K., & Vorhies, V. (2011). Midwest evaluation of the adult functioning of former foster youth: Outcomes at age 26. Chicago, IL: Chapin Hall at the University of Chicago.
Creswell, J. W., & Plano, C. V. L. (2011). Designing and conducting mixed methods research. Los Angeles, CA: SAGE Publications.
Daly, K. (2015). Redressing institutional abuse of children. New York: Palgrave Macmillan.
Diabetes Australia. (2015). About diabetes. Retrieved from https://www.diabetesaustralia.com.au/about-diabetes.
Dickey, B. (1987). No charity there: A short history of social welfare in Australia. Sydney, NSW: Allen & Unwin.
Doyle, L., Brady, A. M., & Byrne, G. (2009). An overview of mixed methods research. Journal of Research in Nursing, 14 (2), 175185. doi: 10.1177/1744987108093962.
Duncalf, Z. (2010). Listen up! Adult care leavers speak out: The views of 310 care leavers aged 17–78. Manchester, UK: Care Leavers’ Association.
Edwards, C., & Read, P. (1989). The lost children: Thirteen Australians taken from their Aboriginal families tell of the struggle to find their natural parents. Moorebank, NSW: Doubleday.
Edwards, V. J., Holden, G. W., Felitti, V. J., & Anda, R. F. (2003). Relationship between multiple forms of childhood maltreatment and adult mental health in community respondents: Results from the adverse childhood experiences study. American Journal of Psychiatry, 160 (8), 14531460.
Felitti, V. J., Anda, R. F., Nordenberg, D., Williamson, D. F., Spitz, A. M., Edwards, V., . . . Marks, J. S. (1998). Relationship of childhood abuse and household dysfunction to many of the leading causes of death in adults. The Adverse Childhood Experiences (ACE) Study. American Journal of Preventive Medicine, 14 (4), 245258.
Ferguson, H. (2007). Abused and looked after children as ‘moral dirt’: Child abuse and institutional care in historical perspective. Journal of Social Policy, 36 (1), 123139.
Fernandez, E. (2008). Unravelling emotional, behavioural and educational outcomes in a longitudinal study of children in foster care. British Journal of Social Work, 38 (7), 12831301. doi: 10.1093/bjsw/bcm028.
Fernandez, E. (2016). Case management in child protection: Challenges, complexities and possibilities. In Moore, E. (Ed.), Case management inclusive community practice. South Melbourne, VIC: Oxford University Press.
Fernandez, E., & Lee, J.-S. (In press). Experiences and outcomes of adults who endured maltreatment as children in care in Australia in the twentieth century. In Rus, A. V., Parris, S. R., & Stativa, E. (Eds.), Child abuse and neglect in orphanages – history, research, and implications. New York: Springer International Publishing.
Fernandez, E., Lee, J.-S., Blunden, H., McNamara, P., Kovacs, S., & Cornefert, P.-A. (2016). No child should grow up like this: Identifying long term outcomes of Forgotten Australians, Child Migrants and the Stolen Generations. Kensington, NSW: University of New South Wales.
Find and Connect. (2016). Siblings in care. Retrieved from https://www.findandconnect.gov.au/guide/vic/E000459.
Frederico, M., Long, M., McNamara, P., McPherson, L., & Rose, R. (2016). Improving outcomes for children in out-of-home care: The role of therapeutic foster care. Child & Family Social Work, 22 (2), 1064–1074. doi: 10.1111/cfs.12326.
Fries, A., & Pollak, S. (2004). Emotion understanding in postinstitutionalized Eastern European children. Development and Psychopathology, 16 (2), 355369.
Gilligan, R. (2007). Adversity, resilience and the educational progress of young people in public care. Emotional and Behavioural Difficulties, 12 (2), 135145. doi: 10.1080/13632750701315631.
Government of the Republic of Ireland. (2009). Final report of the commission to inquire into child abuse [The Ryan report]. Retrieved from http://www.childabusecommission.ie/publications/index.html.
Gunnar, M. R. (2001). Effects of early deprivation: Findings from orphanage reared infants and children. In Nelson, C. A. & Luciana, M. (Eds.), Handbook of developmental cognitive neuroscience (pp. 617629). Cambridge, MA: MIT Press.
Haebich, A. (2000). Broken circles: Fragmenting Aboriginal families 1800–2000. Perth, WA: Freemantle Arts Centre Press.
Harrison, E. J. (2008). Forgotten Australians: Supporting survivors of childhood institutional care in Australia. Barton, ACT: Alliance for Forgotten Australians.
Harvey, A., McNamara, P., & Andrewartha, L. (2016). Towards a national policy framework for care leavers in Australia higher education. In Mendes, P. & Snow, P. (Eds.), Young people transitioning from out of home care: International research policy and practice (pp. 93114). London: Palgrave Macmillan.
Hil, R., & Branigan, E. (Eds.). (2011). Surviving care: Achieving justice and healing for the Forgotten Australians. Robina, QLD: Bond University.
Hill, D. (2007). The forgotten children. Sydney, NSW: Random House Australia.
Human Rights and Equal Opportunity Commission [HREOC]. (1997). Bringing them Home: Report of the national inquiry into the separation of Aboriginal and Torres Strait Islander children from their families. Sydney, NSW: Author.
Humphreys, C., & Kertesz, M. (2012). Personal identity records to support young people in care. Adoption and Fostering, 36 (1), 2739.
Humphreys, M. (1996). Empty cradles. London: Corgi.
IBM Corp. (2015). IBM SPSS statistics for windows (Version 23). Armonk, NY: IBM Corp.
Johnson, R. B., & Onwuegbuzie, A. J. (2004). Mixed methods research: A research paradigm whose time has come. Educational Researcher, 33 (7), 1426.
Kaplan, S. J., Pelcovitz, D., Salzinger, S., Weiner, M., Mandel, F. S., Lesser, M. L., & Labruna, V. E. (1998). Adolescent physical abuse: Risk for adolescent psychiatric disorders. American Journal of Psychiatry, 155 (7), 954959.
Kessler, R. C., Andrews, G., Colpe, L. J., Hiripi, E., Mroczek, D. K., Normand, S. L., & Zaslavsky, A. M. (2002). Short screening scales to monitor population prevalences and trends in non-specific psychological distress. Psychological Medicine, 32 (6), 959976.
Korff, J. (2017). Mental health and Aboriginal people. Creative Spirits. Retrieved from https://www.creativespirits.info/aboriginalculture/health/mental-health-and-aboriginal-people#axzz4m0HUAldh; accessed 07 Aug. 2017.
Law Commission of Canada (2000). Restoring dignity: Responding to child abuse in Canadian institutions. Ottawa: Law Commission of Canada.
Liddell, M. (1993). Child welfare and care in Australia: Understanding the past to influence the future. In Goddard, C. & Carew, R. (Eds.), Responding to children: Child welfare practice (pp. 2862). Melbourne, VIC: Longman Cheshire.
Lindsey, D. (1994). The welfare of children. New York: Oxford University Press.
McComsey, T. (2010). ‘In the best interests of the child’: Intergenerational legacies of past aboriginal child removal policies in Australia. In Thelen, T. & Haukanes, H. (Eds.), Parenting after the century of the children: Travelling Ideals, institutional negotiations and individual responses (pp. 123140). Farnham, Surrey, UK: Ashgate.
McDowall, J. J. (2013). Experiencing out of home care in Australia: The views of children and young people (CREATE Report Card 2013). Sydney, NSW: CREATE Foundation.
McDowall, J. J. (2016). Go your own way: Resource guide for young people transitioning from care in Australia. Sydney, NSW: CREATE Foundation.
McFarlane, K. (2008). From care to crime: Children in state care and the development of criminality. In Cunneen, C. & Salter, M. (Eds.), Proceedings of the 2nd Australian and New Zealand Critical Criminology Conference 19–20 June, Sydney, NSW: The Crime and Justice Research Network.
McKenzie, R. B. (2003). The impact of orphanages on the alumni's lives and assessments of their childhoods. Children and Youth Services Review, 25, 703753.
McNamara, P. (2015). A new era in the development of therapeutic residential care in the State of Victoria. In Whittaker, J. K., del valle, J., & Holmes, L. (Eds.), Therapeutic residential care with children and youth: Identifying promising pathways to evidence-based international practice (pp. 126139). London and Philadelphia: Jessica Kingsley Publishers.
Mendes, P. (2005). Remembering the Forgotten Australians: The care leavers of Australia Network and the Senate Inquiry into institutional and out-of-home care. Children Australia, 30 (1), 410.
Mendes, P., & Snow, P. (Eds). (2016). Young people transitioning from out-of-home care: International research, policy and practice. London: Palgrave Macmillan.
Minister for Social Services & Attorney-General. (2016). Developing a national approach to redress for survivors of institutional child sexual abuse. Retrieved from https://www.attorneygeneral.gov.au/Mediareleases/Pages/2016/FirstQuarter/29-January-2016-Developing-a-National-Approach-to-Redress-for-Survivors-of-Institutional-Child-Sexual-Abuse.aspx.
Moore, S. E., Scott, J. G., Ferrari, A. J., Mills, R., Dunne, M. P., Erskine, H. E., . . . Norman, R. E. (2015). Burden attributable to child maltreatment in Australia. Child Abuse & Neglect, 48, 208220.
Moore, T., McArthur, M., Roche, S., Death, J., & Tilbury, C. (2016). Safe and sound: Exploring the safety of young people in residential care. Melbourne, VIC: Institute of Child Protection Studies, Australian Catholic University.
Mullen, P., Martin, J., Anderson, J., & Romans, S. (1996). The long-term impact of the physical, emotional, and sexual abuse of children: A community study. Child Abuse & Neglect, 20, 721.
Murray, A. (2008). The Forgotten Australians: Identity, records and their search for the past. The Newcritic, 8, 115. Retrieved from http://www.ias.uwa.edu.au/newcritic/eight/?a=87519.
Murray, S., & Humphreys, C. (2014). ‘My life's been a total disaster but I feel privileged’: Care leavers’ access to personal records and their implications for social work practice. Child and Family Social Work, 19 (2), 215224.
Musgrove, N. (2013). The scars remain: A long history of Forgotten Australians and children's institutions. Australian Scholarly Publishing.
New South Wales Government. (2016). Their futures matter: A new approach. Reform directions from the independent review of out of home care in New South Wales. Retrieved from https://www.facs.nsw.gov.au/__data/assets/file/0005/387293/FACS_OOHC_Review_161116.pdf.
Norman, R. E., Byambaa, M., De, R., Butchart, A., Scott, J., & Vos, T. (2012). The long-term health consequences of child physical abuse, emotional abuse, and neglect: A systematic review and meta-analysis. PLOS Medicine, 9 (11). Retrieved from http://dx.doi.org/10.1371/journal.pmed.1001349.
Ombudsman Tasmania. (2006). Review of claims of abuse from adults in state care as children: Final report – Phase 2. Hobart, TAS: Author.
Parry, N. (2007). ‘Such a longing’: Black and white children in New South Wales and Tasmania, 1880–1940. Sydney, NSW: The University of New South Wales.
Pecora, P., Kessler, R., O'Brien, K., Roller, C., Williams, J., & Hiripi, E. (2006). Educational and employment outcomes of adults formerly placed in foster care: Results from the northwest foster care alumni study. Children & Youth Services Review, 28, 14591481.
Pelton, L. H. (2015). The continuing role of material factors in child maltreatment and placement. Child Abuse & Neglect, 41, 3039.
Penglase, J. (2005). Orphans of the living: Growing up in ‘care’ in twentieth-century Australia. Fremantle, WA: Fremantle Arts Centre Press.
Perry, C. J., Sigal, J. J., Boucher, S., & Pare, N. (2006). Seven institutionalised children and their adaptations to adulthood: The children of Dupessis. Psychiatry: Interpersonal and Biological Processes, 69, 283301.
Read, P. (1982). The stolen generations: The removal of Aboriginal children in NSW from 1883–1969. Occasional paper No. 1. NSW Ministry for Aboriginal Affairs.
Royal Commission into Institutional Responses to Child Sexual Abuse. (2016). Creating child safe institutions. Sydney: Author.
Rubin, K. H., Dwyer, K. M., Booth-LaForce, C., Kim, A. H., & Burgess, K. B. (2004). Attachment, friendship, and psychosocial functioning in early adolescence. The Journal of Early Adolescence, 24 (4), 326356.
Rutter, M., Quinton, D., & Hill, J. (1990). Adult outcomes of institution-reared children: Males and females compared. In Robins, L. & Rutter, M. (Eds.), Straight and devious pathways from childhood to adulthood (pp. 135157). New York: Cambridge University Press.
Sandelowski, M. (2000). Combining qualitative and quantitative sampling, data collection, and analysis techniques in mixed-method studies. Research in Nursing and Health, 23 (3), 246255. doi: 10.1002/1098-240x(200006)23:3<246::aid-nur9>3.0.co;2-h.
Santrock, J. W. (2010). A topical approach to lifespan development (5th ed.). New York: McGraw Hill.
Scott, D., & Swain, S. (2002). Confronting cruelty: Historical perspectives on child protection in Australia. Carlton, VIC: Melbourne University Press.
Sebba, J. C., Berridge, D., Luke, N., Fletcher, J., Bell, K., Strand, S., . . . O'Higgins, A. (2015). The educational progress of looked after children in England: Linking care and educational data. Oxford: Rees Centre & Bristol University. Retrieved from http://reescentre.education.ox.ac.uk/wordpress/wp-content/uploads/2015/11/EducationalProgressLookedAfterChildrenOverviewReport_Nov2015.pdf.
Sen, R., Kendrick, A., Milligan, I., & Hawthorn, M. (2008). Lessons learnt? Abuse in residential child care in Scotland. Child & Family Social Work, 13, 411422.
Senate Community Affairs References Committee. (2001). Lost innocents: Righting the record. Report on child migration. Canberra, ACT: Commonwealth of Australia.
Senate Community Affairs References Committee. (2004). Forgotten Australians: A report on Australians who experienced institutional or out-of-home care as children. Canberra, ACT: Commonwealth of Australia.
Shaw, J., & Tanamas, S. (2012). Diabetes: The silent pandemic and its impact on Australia. Canberra, ACT: Diabetes Australia.
Sigal, J. J., Rossignol, M., & Perry, C. J. (1999). Some psychological and physical consequences in middle-aged adults of underfunded institutional care in childhood. Journal of Nervous and Mental Disease, 187, 5759.
Sinclair, I., Baker, C., Wilson, K., & Gibbs, I. (2005). Foster children: Where they go and how they get on. London: Jessica Kingsley Publishers.
Sköld, J. (2013). Historical abuse –A contemporary issue: Compiling inquiries into abuse and neglect of children in out-of-home care worldwide. Journal of Scandinavian Studies in Criminology and Crime Prevention, 14 (1), 523. doi: 10.1080/14043858.2013.771907
Swain, S. (2007). Traces in the archives: Evidence of institutional abuse in surviving child welfare records. Children Australia, 32 (1), 2431.
The University of Adelaide (2017). Australia failing on child labour commitment. News & events. The University of Adelaide. Retrieved from https://www.adelaide.edu.au/news/news61881.html; accessed 07 June 2013.
Tierney, L. (1963). Children who need help: Child welfare policy and administration in Victoria. Carlton, VIC: Melbourne University.
United Nations. (1989). Convention on the rights of the child, 20 November 1989. Treaty Series, vol. 1577. Retrieved from http://www.refworld.org/docid/3ae6b38f0.html.
van Krieken, R. (1991). Children and state: Social control and the formation of Australian child welfare. Sydney, NSW: Allen and Unwin.
Whittaker, J. K., del valle, J., & Holmes, L. (Eds.). Therapeutic residential care with children and youth: Identifying promising pathways to evidence-based international practice. London and Philadelphia: Jessica Kingsley Publishers.
Widom, C. (2000). Childhood victimization: Early adversity, later psychopathology. National Institute of Justice Journal. Retrieved from http://www.communitycare.co.uk/Articles/2007/10/31/106309/research-childrenwith-antisocial-personality-disorder.htm.
Winnicott, D. W. (1965). The maturational process and the facilitating environment. New York: International Universities Press.
Wooden, M. (2009). Use of the kessler psychological distress scale in the HILDA survey. HILDA Project Discussion Paper Series, No. 2/09. Melbourne, VIC: Melbourne Institute of Applied Economics and Social Research.
Zimet, G. D., Dahlem, N. W., Zimet, S. G., & Farley, G. K. (1988). The multidimensional scale of perceived social support. Journal of Personality Assessment, 52 (1), 3041. doi: 10.1207/s15327752jpa5201_2.

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‘There's More to be Done; “Sorry” is Just a Word’: Legacies of Out-of-Home Care in the 20th Century

  • Elizabeth Fernandez (a1), Jung-Sook Lee (a2), Wendy Foote (a3), Hazel Blunden (a2), Patricia McNamara (a2), Szilvia Kovacs (a2) and Paul-Auguste Cornefert (a2)...

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