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This study examines the relative importance of emotional maltreatment to predicting a child’s mental health problem among 150 young children (age 0–7;  M = 3.89, SD = 1.81 ) in foster care who were legally separated from their biological parents and freed for adoption by Israeli courts. 51.3% of the children were assessed with mental health problems. The study found that mental health was mostly associated with emotional maltreatment of the child. Children with a mental health diagnosis experienced more out-of-home placements, domestic violence and poverty, and had more reports of abuse and neglect compared to children without such diagnosis. The findings from a hierarchical logistic regression indicated that, after controlling for family poverty, the factors that predicted a child’s mental health problems were: the number of out-of-home placements; number of maltreatment reports; domestic violence; and the child’s age. Emotional maltreatment was not a significant factor. Early family intervention and less exposure to additional trauma were discussed as explanations of the findings.

journal of public child welfare

Association between child’s mental health and emotional maltreatment among children in out-of-home placement in Israel: importance of the child’s age, poverty, domestic violence and number of maltreatment reports