Transition from care experiences of youth aged 13 to 23 living with fetal alcohol spectrum disorder in Canada: A scoping review
Notice bibliographique
Résumé
Fetal alcohol spectrum disorder (FASD) is a full body, lifespan diagnosis resulting from prenatal alcohol exposure that affects people differently. Children and youth living with FASD are an important sub-population within child welfare services. Yet, knowledge about youths’ transition from care is limited. Policy may be implemented before understanding evidence for supportive programming like ensuring early and consistent prenatal care, remedial education, etc. In 2023, Ontario mandated child welfare transition planning begin at age 13. While youth are valued decision-maker participants, research on the lived experience of child welfare involved youth living with FASD is a gap. To map the extant research on the experiences of child welfare-involved youth living with FASD in Canada preparing to leave care. This literature scope may help to minimize or address risks, and identify strengths, during this transition. Peer-reviewed Canadian articles in English about child welfare-involved youth with a confirmed history of prenatal alcohol exposure, FASD diagnosis, or both were eligible for inclusion. Child welfare-involved youth from early adolescence to adulthood represent the age captured in included studies. A systematic scoping review using JBI guidelines was conducted, and four databases (Embase, Medline, PsycINFO, and Social Work Abstracts) searched using a librarian supported search strategy. Reviewers independently completed title/abstract, full-text screening, and data extraction. PRISMA-Scr, descriptive and narrative analysis were used to understand risks and protective factors. Six studies met inclusion criteria. A substantial minority of youth experienced comorbidities. Contextual factors were inconsistently described, and several outcomes minimally reported on. Positive outcomes, protective factors, resilience pathways, and youth voices were absent. Four main themes highlighting the complexities of living and planning for youth with FASD were identified. Related policy, research, and child welfare practice implications are discussed. While this subpopulation must leave care by early adulthood, their experience is missing from the literature. We recommend investing in foundational research on pathways of exiting care, updating policy and practice to ensure youth voices are integrated, and optimizing, standardizing, and tracking protective factors throughout child welfare engagement. • Six studies, all secondary data analysis, met inclusion criteria. • A substantial minority of youth experienced comorbidities. • Contextual factors like abuse and health status were inconsistently described. • Educational, housing, self-care, and relationship outcomes were minimally reported. • The voices of youth, and factors supporting resiliency, was missing from the data.
Récupéré en direct depuis OpenAlex et désinversé. Les résumés ne sont pas conservés dans cette base de données : les index inversés représentent 8,6 Go des 9,3 Go de texte de la base, et le serveur dispose de 13 Go libres.
Comment cette classification a été obtenuedéplier
Prédiction machine sur la base complète
Imitation des enseignantsNi prévalence calibrée, ni vérité terrain. Validation humaine à venir. Le volet Gemma est une étiquette directe du modèle pour chaque travail de la base, lue sur la notice réduite au titre. Le volet Codex est un classifieur appris des 10 348 étiquettes directes de Codex et calibré sur les taux pondérés de l'échantillon; les champs sans appui suffisant ne portent aucun appel Codex. Le mode candidate est l'union des deux volets; le consensus est leur intersection. Ces sorties portent le statut machine_predicted_unvalidated et ne sont pas des étiquettes humaines.
Scores du classifieur distillé par catégorie (deux têtes)
| Catégorie | Codex | Gemma |
|---|---|---|
| Métarecherche | 0,010 | 0,050 |
| Méta-épidémiologie (sens strict) | 0,001 | 0,001 |
| Méta-épidémiologie (sens large) | 0,004 | 0,004 |
| Bibliométrie | 0,017 | 0,034 |
| Études des sciences et des technologies | 0,005 | 0,002 |
| Communication savante | 0,007 | 0,003 |
| Science ouverte | 0,003 | 0,003 |
| Intégrité de la recherche | 0,002 | 0,002 |
| Charge utile insuffisante (le modèle a refusé de juger) | 0,004 | 0,000 |
Scores machine (provisoires)
Les deux têtes enseignantes du modèle étudiant, lues sur ce travail. Un score ordonne la base pour la relecture; il n'affirme jamais une catégorie, et le statut de validation accompagne chaque rangée tel quel.
Scores de référence d'un modèle non mature (critères de maturité non atteints, 7 itérations). Un score ordonne; il n'affirme jamais une catégorie.
score_only:v0-immature-baseline · tel quel depuis la passe de notation : score_only signifie que le nombre peut ordonner les travaux, et qu'aucune étiquette de catégorie n'en découleClassification
machine, non validéePrédiction automatique; un appel candidat d’une seule source (Gemma direct ou Codex distillé), pas un consensus.
Le détail, modèle par modèle et score par score, se trouve en fin de page sous « Comment cette classification a été obtenue ».