Consent and Participation: Ethical Issues in the Treatment of Children in Out-of-Home Care.

Molin, Ronald; Palmer, Sally

doi:10.1037/0002-9432.75.1.152

Cited by 19 publications

(7 citation statements)

References 17 publications

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“…The ethical analysis was carried out using an existing structured checklist modified for Swedish social services, for inclusion of ethical aspects in health technology (Munthe, Sandman, & Nykänen, 2015) as well as recognized issues in social work (Banks, 2012; Molin & Palmer, 2005). The checklist addresses the aims of foster care, examines possible goal conflicts, and focusses on the responsibility of society for children taken into social care.…”

Section: Methodsmentioning

confidence: 99%

Interventions in Foster Family Care: A Systematic Review

Bergström

Cederblad

Håkansson

et al. 2019

Research on Social Work Practice

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Objective: Foster family care is associated with adverse short- and long-term consequences for the child. A systematic review was conducted on interventions for foster children and foster careers. Method: A comprehensive search process was used to find eligible interventions evaluated in randomized controlled trials or quasi-experimental studies. The quality of studies was assessed with GRADE, and effects were synthesized using meta-analytic methods. Results: In all, 28 publications of 18 interventions, including 5,357 children, were identified. Only three specific interventions had sufficient confidence of evidence. No study had examined tools for foster parent selection nor had evaluated preservice programs related to outcomes. Discussion: These analyses provide new insights and hope into the field of systematic interventions in foster care. The overall results indicate that it is possible to improve eight outcomes but cannot point out which programs are superior. Ethically, social care organizations should systematically collect knowledge about effects and side effects.

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Section: Methodsmentioning

confidence: 99%

Interventions in Foster Family Care: A Systematic Review

Bergström

Cederblad

Håkansson

et al. 2019

Research on Social Work Practice

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“…These feelings of exclusion can have a strong negative effect on the treatment process (Molin, 1988). Minimizing participation by exclusion can also undermine parents' sense of responsibility for and importance to their children (Molin & Palmer, 2005). Vulnerable or hard-to-reach groups may be overlooked regarding participation (Head, 2011).…”

Section: Client Participationmentioning

confidence: 98%

“…Knorth et al (2002) found that only Levels 3 through 7 of the ladder were applied in Dutch child and youth care practice. More specifically for children in the out-of-home care system, Molin and Palmer (2005) referred to the danger of foster parents and birth parents being overlooked or excluded during their children's treatment. These feelings of exclusion can have a strong negative effect on the treatment process (Molin, 1988).…”

Section: Client Participationmentioning

confidence: 99%

Needs-led child and youth care: Main characteristics and evidence on outcomes

Metselaar

Yperen

Bergh

et al. 2015

Children and Youth Services Review

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a b s t r a c tNeeds-led child and youth care has three main characteristics: a continuous focus on clients' needs, client participation in the care process (including decision making), and practitioners' displays of needs-led attitudes and skills. The primary aim of this review was to establish whether there is evidence for using a needs-led approach when working with children and families in need. We performed a literature search to find reviews and outcome studies of child and youth care for school-aged children and their families which included the core characteristics of needs-led care, and related them to outcome measures. Only a few studies attributed positive outcomes of care to the attention given to clients' needs and goals. Most studies referred to participation in terms of clients' involvement or engagement. Higher levels of participation were associated with positive changes in child behaviors and parenting stress, client satisfaction, higher completion rates, safety for children, feelings of well-being and empowerment, and better service coordination. Significant professional attitudes and skills included listening to clients and working in active partnership with them. There is some proof for the relevance of core characteristics of needs-led child and youth care, although that evidence is limited by the lack of rigorous studies. This study indicates that needs-led child and youth care can make a difference. Future research should pay attention to the intertwinement of the characteristics of the needs-led approach in care.

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“…Residential placement of youth with serious behavior problems requires balancing the protection of others from the adolescent’s delinquent behavior while avoiding aggravation of the adolescent’s problems, something which may occur as a result of negative peer influence, abuse, and counterproductive restrictions of personal autonomy. Four ethical issues are actualized in relation to this (Bergström et al, 2019; Molin & Palmer, 2005; Munthe & Hartvigsson, 2015).…”

Section: Ethical Aspects On Services For Youth With Serious Behavior mentioning

confidence: 99%

Treatment Foster Care Oregon for Delinquent Adolescents: A Systematic Review and Meta-Analysis

Åström

Bergström

Håkansson

et al. 2019

Research on Social Work Practice

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Purpose: To examine the effects of Treatment Foster Care on youth with serious behavior problems. Method: Included studies are controlled trials with high or medium quality, published between 1990 and September 2017. The control group consists of youth with serious behavior problems in group care, and the follow-up time was at least 12 months. The review also examines ethical and economic aspects. Results: A total of eight controlled studies were included, consisting of 633 young people and 55 effect sizes. All studies examined the same model, Treatment Foster Care Oregon (TFCO). There is moderate certainty of evidence that TFCO reduces the risk of future criminal behavior and the number of days in locked settings. Furthermore, there is low certainty of evidence that TFCO reduces the risk of delinquent peer associations, drug use, and depression. Discussion: TFCO is to be preferred to group care for youth with serious behavior problems. Ethical and economic implications are discussed.

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Consent and Participation: Ethical Issues in the Treatment of Children in Out-of-Home Care.

Cited by 19 publications

References 17 publications

Interventions in Foster Family Care: A Systematic Review

Interventions in Foster Family Care: A Systematic Review

Needs-led child and youth care: Main characteristics and evidence on outcomes

Treatment Foster Care Oregon for Delinquent Adolescents: A Systematic Review and Meta-Analysis

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