Differences in Outcome Trajectories of Children in Residential Treatment

Helgerson, Jena; Martinovich, Zoran; Durkin, Elizabeth; Lyons, John S.

doi:10.1300/j007v22n04_05

Cited by 14 publications

(9 citation statements)

References 22 publications

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“…However, given the heterogeneity of RCS along multiple dimensions, conducting outcome studies in one setting or a few very similar settings is appropriate unless the variability of organizational characteristics across RCS can be measured and their effects on implementation and outcome determined (Helgerson, Martiovich, Durkin, & Lyons, 2005). …”

Section: Discussionmentioning

confidence: 99%

Effectiveness and implementation of evidence-based practices in residential care settings

James

Alemi

Zepeda

2013

Children and Youth Services Review

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Purpose Prompted by calls to implement evidence-based practices (EBPs) into residential care settings (RCS), this review addresses three questions: (1) Which EBPs have been tested with children and youth within the context of RCS? (2) What is the evidence for their effectiveness within such settings? (3) What implementation issues arise when transporting EBPs into RCS? Methods Evidence-based psychosocial interventions and respective outcome studies, published from 1990–2012, were identified through a multi-phase search process, involving the review of four major clearinghouse websites and relevant electronic databases. To be included, effectiveness had to have been previously established through a comparison group design regardless of the setting, and interventions tested subsequently with youth in RCS. All outcome studies were evaluated for quality and bias using a structured appraisal tool. Results Ten interventions matching a priori criteria were identified: Adolescent Community Reinforcement Approach, Aggression Replacement Training, Dialectical Behavioral Therapy, Ecologically-Based Family Therapy, Eye Movement and Desensitization Therapy, Functional Family Therapy, Multimodal Substance Abuse Prevention, Residential Student Assistance Program, Solution-Focused Brief Therapy, and Trauma Intervention Program for Adjudicated and At-Risk Youth. Interventions were tested in 13 studies, which were conducted in different types of RCS, using a variety of study methods. Outcomes were generally positive, establishing the relative effectiveness of the interventions with youth in RCS across a range of psychosocial outcomes. However, concerns about methodological bias and confounding factors remain. Most studies addressed implementation issues, reporting on treatment adaptations, training and supervision, treatment fidelity and implementation barriers. Conclusion The review unearthed a small but important body of knowledge that demonstrates that EBPs can be implemented in RCS with encouraging results.

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Section: Discussionmentioning

confidence: 99%

Effectiveness and implementation of evidence-based practices in residential care settings

James

Alemi

Zepeda

2013

Children and Youth Services Review

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“…Unfortunately, lack of information about program characteristics (as in the case of the NSCAW [NSCAW Research Group, 2002] study), lack of specificity about residential care models, heterogeneity between and within programs, and small sample sizes are significant obstacles to gathering data in this area. One notable exception is Helgerson and colleagues’ (Helgerson, Martinovich, Durkin, & Lyons 2005) analysis, which used multilevel modeling to determine how much variability in outcomes can be explained by program level components. While not measuring specific elements of each program, they did find that the rate of improvement varied across 62 different facilities, suggesting program-level effects.…”

Section: Discussionmentioning

confidence: 99%

Residential Care for Youth in the Child Welfare System: Stop-Gap Option or Not?

James

Zhang

Landsverk

2012

Residential Treatment For Children & Youth

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This study provides national estimates for length of stay in residential care and examines within-group variability along salient predictors. Using data from the National Study on Child and Adolescent Well-Being, the sample included 254 youth with episodes in residential care. Descriptive analyses provided estimates for length of stay over the three-year study period. Negative binomial regression was used to examine the effect of predictor variables on length of stay. Results indicate that a minority of youth experienced short stays in residential care. Chronic health problems and a greater number of placements were associated with longer stays. Implications for practice and research are discussed.

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“…These assessments might have occurred at irregular intervals and varying frequencies. For these reasons, hierarchical linear modeling (HLM) (Singer and Willet 2003; Tabachnick and Fidell 2007) was used to examine children’s outcomes, as had been applied in other longitudinal outcome studies of youth in the Illinois child welfare system (Helgerson et al 2007; Lyons et al 2009). Time in year was log-transformed to characterize early adjustment followed by more gradual stabilization (Singer and Willet 2003).…”

Section: Methodsmentioning

confidence: 99%

Out-of-Home Placement Decision-Making and Outcomes in Child Welfare: A Longitudinal Study

Chor

McClelland

Weiner

et al. 2014

Adm Policy Ment Health

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After children enter the child welfare system, subsequent out-of-home placement decisions and their impact on children’s well-being are complex and under-researched. This study examined two placement decision-making models: a multidisciplinary team approach, and a decision support algorithm using a standardized assessment. Based on 3,911 placement records in the Illinois child welfare system over 4 years, concordant (agreement) and discordant (disagreement) decisions between the two models were compared. Concordant decisions consistently predicted improvement in children’s well-being regardless of placement type. Discordant decisions showed greater variability. In general, placing children in settings less restrictive than the algorithm suggested (“under-placing”) was associated with less severe baseline functioning but also less improvement over time than placing children according to the algorithm. “Over-placing” children in settings more restrictive than the algorithm recommended was associated with more severe baseline functioning but fewer significant results in rate of improvement than predicted by concordant decisions. The importance of placement decision-making on policy, restrictiveness of placement, and delivery of treatments and services in child welfare are discussed.

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Differences in Outcome Trajectories of Children in Residential Treatment

Cited by 14 publications

References 22 publications

Effectiveness and implementation of evidence-based practices in residential care settings

Effectiveness and implementation of evidence-based practices in residential care settings

Residential Care for Youth in the Child Welfare System: Stop-Gap Option or Not?

Out-of-Home Placement Decision-Making and Outcomes in Child Welfare: A Longitudinal Study

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