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What Linked Data Can Tell Us About the Increasing Numbers of Children Entering Public Care

Nell Warner Orcid Logo, Donald Forrester Orcid Logo, Jonathan Scourfield, Rebecca Cannings‐John Orcid Logo, Ann John Orcid Logo

Child & Family Social Work

Swansea University Author: Ann John Orcid Logo

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DOI (Published version): 10.1111/cfs.70026

Abstract

The number of children in public care in Wales, UK, rose from the mid-1990s to 2021. It is unclear if this change was related to increases in risk factors in parents, changes in the impact of risk factors, or changing policies and practices. Administrative data from children's social care were...

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Published in: Child & Family Social Work
ISSN: 1356-7500 1365-2206
Published: Wiley 2025
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URI: https://cronfa.swan.ac.uk/Record/cronfa69954
first_indexed 2025-07-14T16:01:44Z
last_indexed 2025-09-05T06:12:15Z
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spelling 2025-09-04T10:38:17.8050866 v2 69954 2025-07-14 What Linked Data Can Tell Us About the Increasing Numbers of Children Entering Public Care ed8a9c37bd7b7235b762d941ef18ee55 0000-0002-5657-6995 Ann John Ann John true false 2025-07-14 MEDS The number of children in public care in Wales, UK, rose from the mid-1990s to 2021. It is unclear if this change was related to increases in risk factors in parents, changes in the impact of risk factors, or changing policies and practices. Administrative data from children's social care were linked to administrative health care data to create three cohorts of households with children, covering 4-year periods between 2008 and 2020. Households that had at least one child aged 3–17 enter care in each cohort were identified, as were health-related risk factors in adults in households: mental health, substance misuse and neurodivergence. Across each of the cohorts, the prevalence, attributable fractions and excess cases were calculated for each health-related risk factor. Logistic regression models explored the impact of health-related risk factors on the likelihood of care. Depression and anxiety showed the greatest increase in prevalence, and these account for some of the increase in later cohorts. The impact of depression on the odds of care also increased. For several other health-related risk factors, for example, parental drug use and severe mental health issues, there was no increase over time in either prevalence or impact on care entry. Journal Article Child &amp; Family Social Work 0 Wiley 1356-7500 1365-2206 anxiety, children looked after, depression, out-of-home care, substance misuse 28 7 2025 2025-07-28 10.1111/cfs.70026 COLLEGE NANME Medical School COLLEGE CODE MEDS Swansea University Another institution paid the OA fee This work was supported by the Health and Care Research Wales (SCG-19-1667) and MQ Mental Health Research Charity (Grant Reference MQBF/3 ADP). 2025-09-04T10:38:17.8050866 2025-07-14T09:44:55.8335158 Faculty of Medicine, Health and Life Sciences Swansea University Medical School - Health Data Science Nell Warner 0000-0002-6347-7354 1 Donald Forrester 0000-0002-2293-5718 2 Jonathan Scourfield 3 Rebecca Cannings‐John 0000-0001-5235-6517 4 Ann John 0000-0002-5657-6995 5 69954__34861__5bab8a7a847a49f6a34cb464e8073966.pdf 69954.VOR.pdf 2025-07-29T14:06:06.3047045 Output 614312 application/pdf Version of Record true © 2025 The Author(s). This is an open access article under the terms of the Creative Commons Attribution License (CC BY). true eng http://creativecommons.org/licenses/by/4.0/
title What Linked Data Can Tell Us About the Increasing Numbers of Children Entering Public Care
spellingShingle What Linked Data Can Tell Us About the Increasing Numbers of Children Entering Public Care
Ann John
title_short What Linked Data Can Tell Us About the Increasing Numbers of Children Entering Public Care
title_full What Linked Data Can Tell Us About the Increasing Numbers of Children Entering Public Care
title_fullStr What Linked Data Can Tell Us About the Increasing Numbers of Children Entering Public Care
title_full_unstemmed What Linked Data Can Tell Us About the Increasing Numbers of Children Entering Public Care
title_sort What Linked Data Can Tell Us About the Increasing Numbers of Children Entering Public Care
author_id_str_mv ed8a9c37bd7b7235b762d941ef18ee55
author_id_fullname_str_mv ed8a9c37bd7b7235b762d941ef18ee55_***_Ann John
author Ann John
author2 Nell Warner
Donald Forrester
Jonathan Scourfield
Rebecca Cannings‐John
Ann John
format Journal article
container_title Child &amp; Family Social Work
container_volume 0
publishDate 2025
institution Swansea University
issn 1356-7500
1365-2206
doi_str_mv 10.1111/cfs.70026
publisher Wiley
college_str Faculty of Medicine, Health and Life Sciences
hierarchytype
hierarchy_top_id facultyofmedicinehealthandlifesciences
hierarchy_top_title Faculty of Medicine, Health and Life Sciences
hierarchy_parent_id facultyofmedicinehealthandlifesciences
hierarchy_parent_title Faculty of Medicine, Health and Life Sciences
department_str Swansea University Medical School - Health Data Science{{{_:::_}}}Faculty of Medicine, Health and Life Sciences{{{_:::_}}}Swansea University Medical School - Health Data Science
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description The number of children in public care in Wales, UK, rose from the mid-1990s to 2021. It is unclear if this change was related to increases in risk factors in parents, changes in the impact of risk factors, or changing policies and practices. Administrative data from children's social care were linked to administrative health care data to create three cohorts of households with children, covering 4-year periods between 2008 and 2020. Households that had at least one child aged 3–17 enter care in each cohort were identified, as were health-related risk factors in adults in households: mental health, substance misuse and neurodivergence. Across each of the cohorts, the prevalence, attributable fractions and excess cases were calculated for each health-related risk factor. Logistic regression models explored the impact of health-related risk factors on the likelihood of care. Depression and anxiety showed the greatest increase in prevalence, and these account for some of the increase in later cohorts. The impact of depression on the odds of care also increased. For several other health-related risk factors, for example, parental drug use and severe mental health issues, there was no increase over time in either prevalence or impact on care entry.
published_date 2025-07-28T05:29:34Z
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