Challenges in Transitional Phases of Foster Care for Older Adults: Perspectives of Foster Caregivers

AIM: To examine the challenges associated with transition processes in adult foster care for older adults from the perspective of foster caregivers. DESIGN: A qualitative design with semi-structured interviews was used to explore foster caregivers' experiences of care transitions and the meanings associated with these situations. ETHICAL CONSIDERATIONS: Permissions were obtained from a Finnish city, and ethical review was not required according to national guidelines. Participation was voluntary, informed consent was obtained, and confidentiality was ensured. METHODS: Data were collected through five semi-structured interviews with foster caregivers recruited via the Family Care Association. Interviews were conducted remotely, audio-recorded, transcribed verbatim, and analysed using inductive thematic analysis. RESULTS: The findings identified challenges across transition phases. In early stages, some older adults were placed in foster care despite having physical or cognitive impairments exceeding the model's capacity, complicating daily coping. Financial insecurity influenced decision-making and could contribute to the continuation of care beyond appropriate limits. In later stages, strong attachment relationships developed over time, making the ending of care emotionally demanding and affecting the entire foster care community. LIMITATIONS: The small sample size and single-country context may limit transferability, and the perspectives of older adults were not included. CONCLUSION: Transition processes in adult foster care involve tensions between residents' needs, care model limitations, structural conditions, and emotional demands. Clearer placement practices and stronger support structures are essential to improve care quality and caregiver wellbeing.