Delivering a Therapeutic Wraparound Service for Troubled Adolescents in Care

Street, Eddy; Hill, Jael; Welham, Jennie

doi:10.1177/030857590903300204

Cited by 5 publications

(4 citation statements)

References 5 publications

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“…Service examples are usually descriptive, with some supporting data on activity patters and outcomes, but not so far based on evaluation designs (Callaghan, Young, Pace, & Vostanis, 2004;McAuley & Young, 2006;Street & Davies, 2002). Most services are located within statutory mental health or social care organizations, while some are hosted by non-statutory agencies that operate on the interface with specialist services (Street, Hill, & Weltham, 2009;Taylor et al, 2006). There is increasing attention to early interventions for children at risk or those entering care (Milburn, Lynch, & Jackson, 2008), and to consultation and training for carers and supporting staff (Golding, 2004;Minnis & Del Priore, 2001).…”

Section: What Do We Know About Mental Health Service Provision?mentioning

confidence: 99%

Mental health services for children in public care and other vulnerable groups: Implications for international collaboration

Vostanis

2010

Clin Child Psychol Psychiatry

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Children in public care and other vulnerable young groups (homeless, adopted, refugees) are increasingly becoming the focus of policy and service planning. There is strong evidence that all these client populations have high rates of mental health problems which are closely associated with other needs. We also have good knowledge on the factors that predispose individuals to and maintain mental health problems, as well as on the reasons for their not easily accessing and engaging with services. There is less evidence on the effectiveness of interventions or service models, although some interesting patterns are beginning to emerge. These include the need for inter-agency commissioning, clear care pathways, designated provision, applied therapeutic interventions, training for carers and frontline practitioners, and multi modal programmes. This paper discusses these issues, as well as ways forward, both for systems with relatively well developed child mental health services and for low-income countries. Service quality can be greatly strengthened by international collaboration on policy, practice and research networks, training and research.

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Section: What Do We Know About Mental Health Service Provision?mentioning

confidence: 99%

Mental health services for children in public care and other vulnerable groups: Implications for international collaboration

Vostanis

2010

Clin Child Psychol Psychiatry

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“…The clinical approach taken by the service is possible largely on account of its resources and structure: funding is allocated for posts at senior grades, 24/7 service presence, high levels of planned supervision and support for staff, and 24/7 availability of clinical and managerial support. A more detailed description of the service has been published following an evaluative review in 2008 (Street et al, 2009).…”

Section: The Context Of Mistmentioning

confidence: 99%

Embracing Risk: Lessons Learned in a Young Person's Wraparound Service in Wales

Hill

2011

Adoption & Fostering

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Jael Hill describes the work of a specialist wraparound service for looked after children who present significant risks to themselves and others and/or are vulnerable to being harmed. She explores the nature of risk as a process which acquires form and meaning in working contexts and proposes that there can be significant costs to young people when risk-averse responses dominate, and that children are likely to benefit from services which expect, tolerate, understand and skilfully work with risks. The article describes approaches to working directly with young people, discusses ways of supporting workers to accept and cope with risky behaviours and looks at safely holding the emotions that drive some professionals and agencies hoping to eliminate risky behaviours.

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“…For example, the less difficult young people could be removed from local residential care altogether and their places filled by those currently living in external placements, with extra resources provided. The current developments in therapeutic and specialist foster care, intensive home support and multi-agency approaches should also provide some alternatives to externally purchased placements with a 'wraparound' approach (Street et al, 2009). Further developments in services for adolescent care leavers could be strengthened to reduce lengths of stay and risks of social isolation inherent in some residential placements.…”

Section: Summary Of Policy and Practice Implicationsmentioning

confidence: 99%

Looked‐after children placed in externally purchased residential care

Bullock

2009

Journal of Children's Services

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In the desire to improve outcomes for children in care, the issue of those individuals placed by local authorities in residential establishments run by external agencies has become especially salient. In addition to questions of quality and value for money, there are concerns about children becoming detached from local services, especially as many of the placements selected are outside the local authorities' geographical boundaries. This study looks at 262 children so placed in eight English local authorities. It was found that although there were common presenting problems, such as a need for specialist therapy or to reduce difficult behaviour, the children's circumstances varied and four distinct groups of children with common needs were identified. The use of such placements also varied across the authorities and did not mirror their numbers of children in care. The factors associated with the use of externally purchased residential placements and differences between those placed internally and externally are explored. A framework for developing new approaches for difficult adolescents and suggestions about fruitful service development are offered.

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Delivering a Therapeutic Wraparound Service for Troubled Adolescents in Care

Cited by 5 publications

References 5 publications

Mental health services for children in public care and other vulnerable groups: Implications for international collaboration

Mental health services for children in public care and other vulnerable groups: Implications for international collaboration

Embracing Risk: Lessons Learned in a Young Person's Wraparound Service in Wales

Looked‐after children placed in externally purchased residential care

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