Promoting the participation of children and young people in care.
OBJECTIVE
There are particular reasons why it is important for children and young people in care to have some say in the decisions that are made about their lives. The aim of this paper is to outline these and to review the developments and the research concerning the participation of children in care in processes and decisions that affect them.


METHODS
This paper reviews the research literature from the UK, North America, Australia and New Zealand. It explores the perceptions of children and young people in care concerning the extent to which they have been able to participate in decisions that affect them, the reasons they want to do so, and what is required to make it effective.


RESULTS
Children and young people in care clearly wish to have some say in the way decisions are made about their lives and generally do not believe that they have adequate appropriate opportunities to do so.


CONCLUSIONS
Genuine and effective participation depends on several conditions: opportunity and choice in ways to participate, access to relevant information, the availability of a trusted advocate, proper resourcing, and supportive policy and legislation. Feedback from children and young people is also required to indicate whether it is happening.
D000293:Adolescent; D002648:Child; D002669:Child Welfare; D006293:Health Promotion; D006801:Humans; D010344:Patient Advocacy; D010358:Patient Participation / Q000331:legislation & jurisprudence*; D017060:Patient Satisfaction