Perspective: Restoring rest-the critical role of sleep in foster care well-being

Perspective: Restoring rest-the critical role of sleep in foster care well-being

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In 2023, approximately 400,000 children were in foster care in the United States, a population disproportionately affected by trauma, instability, and systemic inequities.1 These children face chronic disruptions in sleep—an essential physiological process that underpins physical development, learning, emotional regulation, and overall health.24 Adverse childhood experiences, including abuse, neglect, and household dysfunction, are prevalent in this group and contribute to significant sleep disturbances through pathways of hyperarousal, stress dysregulation, and recurrent nightmares.3,4 Understanding the interplay among foster care, social determinants of health (SDOH), and sleep health disparities highlights opportunities for targeted interventions to improve outcomes.

Publication Date

10-2025

Publisher

Journal of Clinical Sleep Medicine

Keywords

Pediatrics, Child Welfare, Dallas, Integrated Care, Trauma-Informed

Disciplines

Clinical and Medical Social Work | Pediatrics | Primary Care | Sleep Medicine | Social Work | Trauma

Creative Commons License

Creative Commons Attribution-Noncommercial-No Derivative Works 3.0 License
This work is licensed under a Creative Commons Attribution-Noncommercial-No Derivative Works 3.0 License.

Perspective: Restoring rest-the critical role of sleep in foster care well-being

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