The Effects of a Kinship Caregiver Support Program: A Propensity Score Matching Approach

Abstract

This study examines the effects of the kinship navigation program at Michigan’s Kinship Care Resource Center (KCRC) on caregivers’ depression, self-care practices, and children’s behavioral issues. This study analyzed survey data of kinship caregivers in Michigan using propensity score matching and inverse probability weighting with regression. We found that children in the care of caregivers who used KCRC had fewer behavioral issues (β = −0.281, p = .024). The effect of KCRC on self-care practice among caregivers is significant at .01 level (β = 0.309, p =.055). This study contributes to the understanding of how navigation programs for kinship caregivers affect both children and caregivers’ outcomes. It suggests expanding these programs to encompass a broader spectrum of behavioral health services for children, which could ease the caregiving load. The research also provides novel data on kinship caregivers’ self-care practices, a previously underexamined issue due to the focus on children.

Keywords

effect of kinship navigation program kinship caregivers’ depression child behavioral issues self-care propensity score matching

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References

Arenella

Steffen

A. M.

(2020). Self-reassurance and self-efficacy for controlling upsetting thoughts predict depression, anxiety, and perceived stress in help-seeking female family caregivers. International Psychogeriatrics, 32(2), 229–240. https://doi.org/10.1017/S1041610219000565

Austin

P. C.

Stuart

E. A.

(2015). Moving towards best practice when using inverse probability of treatment weighting (IPTW) using the propensity score to estimate causal treatment effects in observational studies. Statistics in Medicine, 34(28), 3661–3679. https://doi.org/10.1002/sim.6607

Bellone

K. M.

Elliott

S. C.

Hynan

L. S.

Warren

Jarrett

R. B.

(2023). Mindful self-care for caregivers: A proof of concept study investigating a model for embedded caregiver support in a pediatric setting. Journal of Autism and Developmental Disorders, 53, 539–552. https://doi.org/10.1007/s10803-021-05113-6

Burke

Bouey

Madsen

Costello

Schmidt

Barkaskas

White

Alder

Murium

(2023). Kinship care: Evaluating policy and practice. Journal of Public Child Welfare, 17(3), 647–668. https://doi.org/10.1080/15548732.2022.2091721

Carter

Littlewood

Cooper

Spadola

Rosenthal

Bennett

R. L.

Pandey

(2023). Time for Me: Development and results of an RCT of a kinship navigator self-compassion and care toolkit for caregivers by caregivers. Children and Youth Services Review, 152, 107076. https://doi.org/10.1016/j.childyouth.2023.107076

Chesnaye

N. C.

Stel

V. S.

Tripepi

Dekker

F. W.

E. L.

Zoccali

Jager

K. J.

(2021). An introduction to inverse probability of treatment weighting in observational research. Clinical Kidney Journal, 15(1), 14–20. https://doi.org/10.1093/ckj/sfab158

Children in Kinship Care. (2024). KIDS COUNT data center. https://datacenter.kidscount.org/data/tables/10455-children-in-kinship-care?loc=1&loct=1

Child Trends. (2025). Child trends. https://www.childtrends.org/

Child Welfare Information Gateway. (2025). Child welfare information gateway. https://www.childwelfare.gov/

10.

Conger

R. D.

Conger

K. J.

Elder

G. H.

Lorenz

F. O.

Simons

R. L.

Whitbeck

L. B.

(1992). A family process model of economic hardship and adjustment of early adolescent boys. Child Development, 63(3), 526–541. https://doi.org/10.1111/j.1467-8624.1992.tb01644.x

11.

Day

Fowler

Wollen

Perlmutter

Delaplane

Alber

Krotke-Crandall

(2024). Kinship navigator: An assessment of service utilization, satisfaction and caregiver wellbeing in Washington State. Clinical Social Work Journal, 52, 117–135. https://doi.org/10.1007/s10615-023-00916-9

12.

Factor

R. S.

Rea

H. M.

Dahiya

A. V.

Laugeson

E. A.

Scarpa

(2023). Pilot Study Examining Caregiver–Child and Family Functioning in PEERS® for preschoolers. Journal of Child and Family Studies, 32(6), 1694–1707. https://doi.org/10.1007/s10826-022-02441-8

13.

Family First Prevention Services Act. (2019). [Legislation]. https://www.congress.gov/crs-product/IN10858

14.

Gunderson

Symons

Wolff

(2022). Fidelity and effectiveness of a caregiver mediated compliance training for children with autism spectrum disorder. Child & Family Behavior Therapy, 44(3), 147–164. https://doi.org/10.1080/07317107.2022.2079832

15.

Harding

Murray

Shakespeare-Finch

Frey

(2018). High stress experienced in the foster and kin carer role: Understanding the complexities of the carer and child in context. Children and Youth Services Review, 95, 316–326. https://doi.org/10.1016/j.childyouth.2018.11.004

16.

Harris

R. A.

Santos

H. P.

Jr. (2020). Maternal depression in Latinas and child socioemotional development: A systematic review. PLOS ONE, 15(3), Article e0230256. https://doi.org/10.1371/journal.pone.0230256

17.

Hawkins

C. A.

Bland

(2002). Program evaluation of the CREST project: Empirical support for kinship care as an effective approach to permanency planning. Child Welfare, 81(2), 271–292.

18.

Kiraly

Humphreys

Kertesz

(2021). Unrecognized: Kinship care by young aunts, siblings and other young people. Child & Family Social Work, 26(3), 338–347. https://doi.org/10.1111/cfs.12814

19.

Kinship Care Resource Center. (2025, June 27). About the Kinship Care Resource Center. https://kinship.msu.edu/about-msu-kcrc

20.

Lee

Clarkson-Hendrix

Lee

(2016). Parenting stress of grandparents and other kin as informal kinship caregivers: A mixed methods study. Children and Youth Services Review, 69, 29–38. https://doi.org/10.1016/j.childyouth.2016.07.013

21.

Lin

C.-H.

(2014). Evaluating services for kinship care families: A systematic review. Children and Youth Services Review, 36, 32–41. https://doi.org/10.1016/j.childyouth.2013.10.026

22.

Lin

C.-H.

(2018). The relationships between child well-being, caregiving stress, and social engagement among informal and formal kinship care families. Children and Youth Services Review, 93, 203–216. https://doi.org/10.1016/j.childyouth.2018.07.016

23.

Littlewood

Cooper

Carter

Rosenthal

Ward

Navarro

Demarco

Pandey

(2023). Children’s home network kinship navigator program kin as teachers 2.0: Early childhood intervention for kin. Journal of Intergenerational Relationships, 21(4), 442–460. https://doi.org/10.1080/15350770.2022.2090479

24.

Littlewood

Cooper

Yelick

Pandey

(2021). The children’s home network kinship navigator program improves family protective factors. Children and Youth Services Review, 126, 106046. https://doi.org/10.1016/j.childyouth.2021.106046

25.

Littlewood

Swanke

J. R.

Strozier

Kondrat

(2012). Measuring social support among kinship caregivers: Validity and reliability of the Family Support Scale. Child Welfare, 91(6), 59–78.

26.

Masarik

A. S.

Conger

R. D.

(2017). Stress and child development: A review of the Family Stress Model. Current Opinion in Psychology, 13, 85–90. https://doi.org/10.1016/j.copsyc.2016.05.008

27.

McCubbin

H. I.

Joy

C. B.

Cauble

A. E.

Comeau

J. K.

Patterson

J. M.

Needle

R. H.

(1980). Family stress and coping: A decade review. Journal of Marriage and Family, 42(4), 855–871. https://doi.org/10.2307/351829

28.

Michigan Department of Health & Human Services. (2025). https://www.michigan.gov/mdhhs

29.

Monahan

D. J.

Smith

C. J.

Greene

V. L.

(2013). Kinship caregivers: Health and burden. Journal of Family Social Work, 16(5), 392–402. https://doi.org/10.1080/10522158.2013.832464

30.

Pasalich

D. S.

Moretti

M. M.

Hassall

Curcio

(2021). Pilot randomized controlled trial of an attachment- and trauma-focused intervention for kinship caregivers. Child Abuse & Neglect, 120, 105178. https://doi.org/10.1016/j.chiabu.2021.105178

31.

Radloff

L. S.

(1977). The CES-D Scale: A self-report depression scale for research in the general population. Applied Psychological Measurement, 1(3), 385–401. https://doi.org/10.1177/014662167700100306

32.

Rodriguez-JenKins

Furrer

C. J.

Cahn

George

(2021). Kinship navigator program development: Listening to family, youth, and advocate voice. Journal of Public Child Welfare, 15(5), 670–692. https://doi.org/10.1080/15548732.2020.1798324

33.

Rubin

Springer

S. H.

Zlotnik

Kang-Yi

C. D.

, COUNCIL ON FOSTER CARE, ADOPTION, AND KINSHIP CARE, Szilagyi

Forkey

Harmon

Jaudes

Jones

V. F.

Lee

Nalven

Sagor

Schulte

Zetley

L. W.

(2017). Needs of kinship care families and pediatric practice. Pediatrics, 139(4), Article e20170099. https://doi.org/10.1542/peds.2017-0099

34.

Shao

Sun

Sheneman

Brock

(2025). Children’s behavioural issues and kinship caregiver depression: The roles of self-care and formal support. Child & Family Social Work, 30, 284–292. https://doi.org/10.1111/cfs.13165

35.

Shiba

Kawahara

(2021). Using propensity scores for causal inference: Pitfalls and tips. Journal of Epidemiology, 31(8), 457–463. https://doi.org/10.2188/jea.JE20210145

36.

Strozier

A. L.

(2012). The effectiveness of support groups in increasing social support for kinship caregivers. Children and Youth Services Review, 34(5), 876–881. https://doi.org/10.1016/j.childyouth.2012.01.007

37.

Washington

Despard

(2024). Making a way out of no way: The importance of improving financial instability among African American kinship care families. Children and Youth Services Review, 158, 107409. https://doi.org/10.1016/j.childyouth.2023.107409

38.

Washington

Walton

Q. L.

Kaye

Hong

J. S.

Cook

(2024). Exploring self-care practices of African American informal kinship caregivers. Child & Family Social Work, 29(1), 12–23. https://doi.org/10.1111/cfs.13047

39.

Zhu

Ogbonnaya

Zhang

(2020). Parenting intervention outcomes for kinship caregivers and child: A systematic review. Child Abuse & Neglect, 106, 104524. https://doi.org/10.1016/j.chiabu.2020.104524

40.

Jedwab

Lee

K. A.

Levkoff

S. E.

(2023). The Negative Effects of Adverse Childhood Experiences (ACEs) on behavioral problems of children in kinship care: The protective role of kinship caregivers’ mental health. Journal of Emotional and Behavioral Disorders, 31(1), 41–53. https://doi.org/10.1177/10634266221076475

41.

Levkoff

S. E.

Jedwab

(2020). Material hardship and parenting stress among grandparent kinship providers during the COVID-19 pandemic: The mediating role of grandparents’ mental health. Child Abuse & Neglect, 110, 104700. https://doi.org/10.1016/j.chiabu.2020.104700