197462 Mediation versus Litigation: The impact on children's length of stay in foster care

Wednesday, November 11, 2009

Marti Coulter, DrPH , Community and Family Health, University of South Florida College of Public Health, Tampa, FL
Carla L. VandeWeerd, PhD , Department of Community and Family Health, University of South Florida, College of Public Health, Tampa, FL
Lianne Fuino Estefan, MPH , Community and Family Health, University of South Florida College of Public Health, Tampa, FL
Problem: Negative health outcomes for children have been linked to length of stay in foster care and multiple foster care placements. The use of dependency mediation as an alternative to traditional dependency litigation may improve child outcomes through the reduction of length of stay in foster care. Purpose: This study compares the use of dependency mediation versus dependency litigation in rural and urban counties in Florida. Method: Data were collected via in-person survey (N=950) from parents and their attorneys, foster parents, protective service personnel, dependency mediators, and guardians ad litem and their attorneys. Data collection included courtroom observations of litigated cases (N=100), retrospective case review (N=395), and a statewide survey of all dependency mediators (N=39) from January to December 2008. Outcomes evaluated included cost of program, time to permanency, participant satisfaction, and nature and quality of mediation and litigation procedures.Results: Preliminary results from the statewide mediator survey indicate variations in procedures across mediation locations. Reported benefits of mediation include parental empowerment and involvement in development of case plan. Negative assessments were related to perceived power and control issues between mediation parties and court personnel, and limited time and financial resources for mediation activities. Differences between mediation and litigation will be assessed using bivariate and multivariate analysis, and cost effectiveness assessments. Implications for Public Health: Children in foster care are among those at highest risk for negative health outcomes. Improvement of protective service processes may result in significant reduction of health problems for this group of children.

Learning Objectives:
Compare the use of mediation and litigation in child dependency cases. Assess the impact of mediation and litigation on length of stay in foster care.

Keywords: Children and Adolescents, Welfare

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I am Professor of Public Health at the University of South Florida and Director of the James and Jennifer Harrell Center for the Study of Family Violence. My research expertise is focused in the areas of Maternal and Child Health and Family Violence with particular interest in child maltreatment and intimate partner violence.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.