A method for supporting intake decisions in residential child and youth care: Initial experiences and a case description

Knorth, Erik J.; Bergh, P.M. Van den; Smit, Monika

doi:10.1007/bf02589439

Cited by 5 publications

(4 citation statements)

References 3 publications

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“…The Decisional Balance Sheet (DBS) provided the basic structure for the development of a clinical instrument to support placement decisions in child and youth care (Knorth, 1991(Knorth, , 1994Knorth, Van den Bergh, & Smit, 1997). Based on several small-scale studies, Knorth and Veerbeek (2007) conclude that the utility value of the DBS consists of three qualities:…”

Section: Clinical Dbs Methodology For Placement Decisionsmentioning

confidence: 99%

“…Critical thinking is characterized by critical self-reflection and thinking about alternative explanations, in addition to the advantages and disadvantages of the proposed intervention and possible alternatives. Several strategies can be used to stimulate critical thinking, including hypothesis testing, taking the opposing point of view (Munro, 1999), and scrutinizing evidence for strengths and weaknesses in a structured and systematic way (Duffy, 2011;Knorth et al, 1997). Through self-reflection, professionals critically investigate the factors underlying their decisions (e.g., their own attitudes, feelings, and assumptions in relation to their cases).…”

Section: Critical Thinkingmentioning

confidence: 99%

See 1 more Smart Citation

The Use and Usability of Decision-Making Theory in Child Welfare Policy and Practice

Bartelink

Yperen²,

Berge

et al. 2020

Decision-Making and Judgment in Child Welfare and Protection

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The aim of this chapter is to clarify how decision-making processes within the context of child welfare and child protection could be improved by decision-making theories (i.e., Decision-Making Ecology [DME] and decisional conflict model), with specific interest in methods intended to support practitioners based on these theories, in particular methods of structured decision-making and actuarial methods. Existing studies indicate that structured decision-making methods have a limited effect on the decision-making process, as well as on the reliability and validity of the judgments and choices made by professionals in cases of suspected child abuse and neglect. Actuarial methods may be more precise in making valid judgments but may ignore factors relevant to decisions concerning treatment and intervention. The DME framework reveals that other factors—in addition to rationally weighing information and arguing—influence the decision-making process and outcomes. Especially the influence of decision-maker factors seems to be ignored in structured decision-making methods. Although systematic methods and instruments do have some value, several additional options are available that take decision-maker factors more into account. This chapter discusses the potentials of critical thinking, team decision-making, systematic feedback, and shared decision-making.

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Section: Clinical Dbs Methodology For Placement Decisionsmentioning

confidence: 99%

Section: Critical Thinkingmentioning

confidence: 99%

The Use and Usability of Decision-Making Theory in Child Welfare Policy and Practice

Bartelink

Yperen²,

Berge

et al. 2020

Decision-Making and Judgment in Child Welfare and Protection

Self Cite

View full text Add to dashboard Cite

show abstract

“…Critical thinking about alternatives and related pros and cons could be another solution (Toulmin et al, 1984). Though intuitive processes might remain important because of the complexity of the decision-making task (Munro, 1999), critical thinking about alternative explanations and the pros and cons of both the proposed intervention and its alternatives could prevent tunnel vision and keep people receptive to new information (see also Gambrill, 2005;Knorth, Van den Bergh, & Smit, 1997;Toulmin et al, 1984). And lastly, individuals' vulnerability to intuitive reasoning and the use of heuristics can be counteracted by discussions with co-workers or clients where opinions about cases are challenged.…”

Section: Recommendationsmentioning

confidence: 99%

Reasons for placement decisions in a case of suspected child abuse: The role of reasoning, work experience and attitudes in decision-making

Bartelink

Knorth

López

et al. 2018

Child Abuse & Neglect

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Child welfare and child protection workers regularly make placement decisions in child abuse cases, but how they reach these decisions is not well understood. This study focuses on workers' rationales. The aim was to investigate the kinds of arguments provided in placement decisions and whether these arguments were predictors for the decision, in addition to the decision-makers' risk assessment, work experience and attitudes towards placement. The sample consisted of 214 professionals and 381 students from the Netherlands. The participants were presented with a vignette describing a case of alleged child abuse and were asked to determine whether the abuse was substantiated, to assess risks and to recommend an intervention. The participants' placement attitudes were assessed using a structured questionnaire. We found that the participants provided a wide range of arguments, but that core arguments - such as the suspected abuse, parenting and parent-child interaction - were often missing. Regression analyses showed that the higher the perceived danger to the child and the more positive the participants' attitudes towards placement, the more likely the participants would be to propose placing the child in care. Arguments related to the severity of the problems (i.e., suspected abuse, parenting and the child's development) as well as the parents' perceived cooperation also influenced placement decisions. The findings indicate trends in the decision-making process, in the sense that participants who decided to place the child out-of-home emphasized different arguments and had different attitudes towards out-of-home placement than those who did not. We discuss the implications of our findings.

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“…Family-centred practice (FCP) is a service model that focuses on the family system, rather than on only youth, in delivering youth care (Johnson, 1999). Rather than only considering the professionals' expertise in making treatment decisions (professional-centred practice), youth's and families' information, feelings and needs are taken into consideration (Knorth et al, 1997) in FCP. FCP has been suggested as a best practice for treating youth with emotional and behavioural difficulties in residential care (Walter & Petr, 2008).…”

Section: Introductionmentioning

confidence: 99%

Family‐centred practice and family outcomes in residential youth care: A systematic review

Tang,

de Haan,

Kuiper

et al. 2024

Child & Family Social Work

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Family‐centred practice (FCP) has been suggested as a best practice for treating youth with emotional and behavioural difficulties in residential care. In this preregistered systematic review, we examined how FCP is operationalized and measured in residential youth care and which family outcomes are associated with FCP. Our systematic search in six databases identified 5784 articles. We analysed included articles by coding the operationalizations of FCP in the interventions and study measures. Further, we descriptively summarized relations between FCP and family outcomes. Thirteen articles met our inclusion criteria. In these articles, FCP was operationalized by five types of youth worker actions in interventions and was measured as five types of family involvement. Ten articles examined pre–post differences in family‐centred interventions. Only four articles analysed relations between FCP and a family outcome. Studies found some support for a positive association between FCP and whole‐family functioning, but overall, the association between FCP and family outcomes remains unclear. Our findings demonstrate that more research is needed that specifically examines different aspects of FCP and how they relate to family outcomes in residential youth care. Such studies can benefit from the conceptual model proposed for FCP in residential youth care interventions.

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A method for supporting intake decisions in residential child and youth care: Initial experiences and a case description

Cited by 5 publications

References 3 publications

The Use and Usability of Decision-Making Theory in Child Welfare Policy and Practice

The Use and Usability of Decision-Making Theory in Child Welfare Policy and Practice

Reasons for placement decisions in a case of suspected child abuse: The role of reasoning, work experience and attitudes in decision-making

Family‐centred practice and family outcomes in residential youth care: A systematic review

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