Improving the Lives of Children in Foster Care: The Impact of Supervised Visitation*

AuthorLenore M. McWey,Ann K. Mullis
DOIhttp://doi.org/10.1111/j.0022-2445.2004.0005.x
Published date01 April 2004
Date01 April 2004
Improving the Lives of Children in Foster Care:
The Impact of Supervised Visitation*
Lenore M. McWey** and Ann K. Mullis
Our purpose was to test a model explaining the quality of attachment of 123 children in foster care receiving supervised
visitation with their biological parents. The results indicated that for families in which reunification is a goal, children who have
more consistent and frequent contact with their biological parents have stronger attachments than children who have less
contact. In addition, relationships between attachment and indicators of adjustment were examined. Children with higher levels
of attachment had fewer behavioral problems, were less likely to take psychiatric medication, and were less likely to be termed
‘‘developmentally delayed’’ than were children with negative levels of attachment. Implications of these findings for case
workers and other family service providers are discussed.
The U.S. Department of Health and Human Services
(2002)reported that there were 3 million referrals to
Child Protective Services agencies for an estimated 5
million children in 2000. Also in 2000, approximately 879,000
children were the victims of abuse or neglect in the United
States. Almost two-thirds of child victims suffered neglect,
19% were physically abused, 10% were sexually abused, and
8% were psychologically maltreated (National Clearinghouse on
Child Abuse and Neglect Information, 2001). Because of mal-
treatment and abandonment, at the end of 1999, there were
568,000 children in foster care (National Clearinghouse on
Child Abuse and Neglect Information), and infants and children
younger than 6 comprised the largest age group of children in
foster care.
In an effort to improve the instability faced by children in
the foster care system, the Adoption and Safe Families Act
(PL 105–89)of 1997 was passed. The act requires a reduction
in a child’s length of stay in state custody. Parents have 1 year to
regain custody of their children unless extenuating circumstances
are present, such as state agencies failing to provide reunification
services for the family, or if termination of parental rights may
not be in the best interests of the child. The act also mandates
that concurrent planning be established earlier and that per-
manency hearings for the children occur at 12 months instead
of 18 months. Under this new legislation, decisions about a
child’s well-being are to be made swiftly so permanency may
be established for the child sooner.
When reunification of children in foster care and their
biological parents is a goal, case plans may require that the
parent maintain consistent visitation with his or her child. Visit-
ation typically occurs at the offices of case workers or at foster
families’ homes (Davis, Lansverk, Newton, & Ganger, 1996).
Neither of these visitation settings is ideal. Having a parent visit
at a case worker’s office may exacerbate tension and stress felt
by the family, whereas visiting at foster families’ homes may
cause tension between foster parents and biological parents and
intensify feelings of anxiety over allegiances for the children.
Supervised Family Visitation Centers (FVC)provide an alter-
native setting where children can visit with their parents in a safe
environment and where objective observers can monitor visits.
FVC supervisors often are trained observers who can serve as a
rich source of information about parent-child interaction in times
when permanency decisions are required more rapidly.
The relationship between children in foster care and their
biological parents might have a direct impact on the current
well-being of children in care. Using social attachment theory
to understand indicators of a child’s adjustment might provide
insight into the foster care experience and might be a means of
developing effective services and interventions aimed at
assisting children and families. We conducted a study to test a
model rooted in attachment theory to explain the quality of
attachment of children in foster care with their biological
parents, and indicators of adjustment were examined.
The Impact of Visitation
Although there are cases in which parental visitation might
be injurious to the child, visitation is a common requirement in
case plans of parents seeking to regain custody of their children.
Many scholars have indicated that a child’s contact with his or
her biological parents while in foster care is beneficial for the
continued physical and emotional growth of the child (e.g.,
Ainsworth, 1989; Hess, 1982), better overall adjustment of the
child (Colon, 1978; Hess, 1988), the child’s emotional well-
being (Hess, 1988; Oyserman & Benbenishty, 1992), and length
of time in foster care (Grigsby, 1994; Oyserman & Benbenishty).
Additionally, for families in which reunification is a goal,
continuing the parent-child attachment through visitation might
lead to a sense of security for the child while in foster care and
also might strengthen the child’s bonds to foster parents or other
care takers (Hess, 1988; Littner, 1975). Claims (Littner)are that
if children do not have an opportunity to visit with their families,
the child could form an exaggerated view of the parent, which in
turn might affect the child’s self-esteem. Littner asserted, ‘‘For
better or worse, they are his roots to the past, his support and
foundation. When he is separated from them, he feels that he has
lost a part of himself’’ (p. 177). Roberts (2002)suggested that
severing ties between children in foster care and their biological
parents does not erase their emotional connection and, in fact,
could causethe children to feel as if they are betrayingtheir parents.
*This project was funded by the American Association of University Women
Educational Foundation American Fellowship. Support for this project was also received
from the College of Human Sciences at Florida State University. The authors would like to
thank Tammy Henderson for her insightful comments and acknowledge Mary Hicks, Coco
Readdick, Wayne Hill, Albert Oosterhof, and the staff at the Family Visitation Center for
their contributions to this endeavor. The authors also would like to extend appreciation to the
reviewers for their comments and suggestions.
**Address correspondenceto Dr. Lenore McWey, Virginia Tech, Marriageand Family
TherapyProgram, 840 University CityBlvd. Suite 1, Blacksburg, VA 24060(lmcwey@vt.edu).
Key Words: attachment theory,child adjustment,Family,foster care,reunifica tion,
visitation.
(Family Relations, 2004, 53, 293–300)
2004, Vol. 53, No. 3 293

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