Personal Resources, Well-Being, Internalizing and Externalizing Symptoms of Youth in Out-Of-Home Care

Background: Many youth living in out-of-home care have higher rates of mental health problems and more negative developmental outcomes than youth who live in their biological families. Aims: While previous studies have focused primarily on risk factors that increase the likelihood of behavioral problems, this study focuses on resources that contribute to positive development. Method: As part of the EMPOWERYOU research project, youth aged 11-18 years living in out-of-home care (n = 79, living in foster and adoptive families and residential groups) and living with their biological families (n = 71) participated in an online survey. Youth reported on their personal resources, internalizing and externalizing symptoms, and well-being. Results: Youth in out-of-home care reported significantly fewer personal resources, less well-being, and more internalizing and especially externalizing symptoms than youth growing up in their biological families. Path analysis results showed that high self-esteem and high self-control were associated with less externalizing symptoms. Lower empathy/perspective-taking and more self-esteem were associated with less internalizing symptoms. More optimism was associated with increased well-being. These relationships were independent of family placement as there was no moderating effect for placement type. Limitations: Potential limitations arise from focusing solely on self-report and using of a cross-sectional design. Conclusion: The results highlight the relevance of promoting the personal resources of youth in out-of-home care. Since the path analysis did not reveal moderation by family placement, possible interventions do not need to be specified for them, but (already existing) effective interventions can be used.