Evidence map›Paper›PMID 41739804›Full record

ArticlePloS one2026

Mapping the evidence on outcomes of childhood out-of-home care: A scoping review of reviews.

Richmond Opoku, Natasha Judd, Katie Cresswell, Michael Parker, Michaela James, Jonathan Scourfield, Karen Hughes, Jane Noyes, Dan Bristow, Evangelos Kontopantelis and 2 more

Abstract read
In one paragraph

Article in PloS one, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors.

Richmond OpokuThe Centre for Population Health (CPH), Medical School, Swansea University, Wales, United Kingdom.ORCID https://orcid.org/0000-0002-0190-8008
Natasha JuddPublic Health Collaborating Unit, School of Health Sciences, College of Medicine and Health, Bangor University, Wrexham, Wales, United Kingdom.
Katie CresswellPublic Health Collaborating Unit, School of Health Sciences, College of Medicine and Health, Bangor University, Wrexham, Wales, United Kingdom.
Michael ParkerThe Centre for Population Health (CPH), Medical School, Swansea University, Wales, United Kingdom.ORCID https://orcid.org/0000-0002-0350-6360
Michaela JamesThe Centre for Population Health (CPH), Medical School, Swansea University, Wales, United Kingdom.ORCID https://orcid.org/0000-0001-7047-0049
Jonathan ScourfieldChildren's Social Care Research and Development Centre (CASCADE), School of Social Sciences, Cardiff University, Cardiff,, United Kingdom.ORCID https://orcid.org/0000-0001-6218-8158
Karen HughesPublic Health Collaborating Unit, School of Health Sciences, College of Medicine and Health, Bangor University, Wrexham, Wales, United Kingdom.
Jane NoyesThe Centre for Population Health (CPH), Medical School, Swansea University, Wales, United Kingdom.
Dan BristowWales Centre for Public Policy, Cardiff University, Wales, United Kingdom.
Evangelos KontopantelisDivision of Informatics, Imaging and Data Sciences, The University of Manchester, Manchester, United Kingdom.ORCID https://orcid.org/0000-0001-6450-5815
Sinead BrophyThe Centre for Population Health (CPH), Medical School, Swansea University, Wales, United Kingdom.
Natasha KennedyThe Centre for Population Health (CPH), Medical School, Swansea University, Wales, United Kingdom.ORCID https://orcid.org/0000-0002-1500-7112

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundChildren placed in out-of-home care in high-income countries face complex challenges due to exposure to adverse childhood experiences and systemic disadvantages. While research on their outcomes has grown, the evidence base remains fragmented. An overview of review-level evidence was conducted to identify patterns, gaps, and priorities for future research and practice.

methodsA scoping review of reviews was conducted. Peer-reviewed review articles published between January 2013 and July 2024 were identified through searches in databases including EBSCOhost, ProQuest, Cochrane Database of Systematic Reviews, and Epistemonikos. Eligible reviews focused on childhood out-of-home care experience and reported outcomes for care-experienced individuals (assessed either in childhood or adulthood) and/or associated factors. Outcomes were categorised under the following domains: Health and Emotional Wellbeing (HEW), Physical and Legal Security (PLS), Education and Learning (EL), Living Standards and Social Wellness (LSSW), and Identity and Civic Participation (ICP). Factors were classified across multiple levels, including individual child-level, socio-relational-level, community-level, system-level, and other factors.

resultsA total of 77 reviews were included, spanning diverse methodologies and contexts. Research was concentrated in domains such as HEW and LSSW, with indicators such as mental and emotional health and attachment and behaviour functioning receiving substantial attention. Conversely, key gaps were identified, including the limited reporting of ICP outcomes (e.g., identity and self-respect). System-level factors, such as care quality and placement type, were most frequently reported across outcome domains and indicators. Individual child level and socio-relational-level factors were consistently highlighted, while community-level factors were largely underrepresented.

conclusionFuture research should target gaps in underexplored outcome domains like ICP and indicators such as bullying, mortality, and educational readiness. Community-level factors warrant more attention as they play a significant role in supporting transitions to independence and social integration.

Identifiers

PMID41739804
PMCPMC12935228

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.