Specialized foster care and group home care: Similarities and differences in the characteristics of children in care

Berrick, Jill Duerr; Courtney, Mark E.; Barth, Richard P.

doi:10.1016/0190-7409(93)90026-6

Cited by 45 publications

(23 citation statements)

References 12 publications

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“…Youth in treatment group care have higher baseline (pre-treatment) rates of involuntary examinations, criminal justice encounters, and other out-ofhome treatment episodes. Such results are similar to Baker, et al (2007), Berrick et al (1993), and Lee and Thompson (2008). The considerable pre-treatment differences between youth in the two treatment settings led to the use of propensity score matching to compare outcomes for similar youth.…”

Section: Discussionsupporting

confidence: 87%

“…In general, youth served in treatment foster care were less disturbed (Berrick et al 1993), less likely to be treated with psychotropic medications (Breland-Noble et al 2004), and more likely to be receiving community-based services prior to placement (Breland-Noble et al 2005). Youth in treatment group care had greater behavioral and mental health disorders (Berrick et al 1993;Lee and Thompson 2008), and were likely to receive more restrictive services postdischarge than treatment foster care youth (Breland-Noble et al 2005).…”

Section: Introductionmentioning

confidence: 96%

“…1 Youth in treatment group care tend to have more serious emotional and behavioral disorders than youth placed into treatment foster care (Baker et al 2007;Berrick et al 1993;Lee and Thompson 2008;McCrae et al 2010). There is less agreement on whether youth have better outcomes after treatment foster care or treatment group care.…”

Section: Introductionmentioning

confidence: 97%

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Comparing Outcomes for Youth Served in Treatment Foster Care and Treatment Group Care

2011

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Section: Discussionsupporting

confidence: 87%

Section: Introductionmentioning

confidence: 96%

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Comparing Outcomes for Youth Served in Treatment Foster Care and Treatment Group Care

2011

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“…Although TFC is often considered as a substitute for group care, the population of youths served in TFC and group care show some differences on average. Studies that have descriptively compared TFC and group care have found that TFC youths are less disturbed (Berrick, Courtney & Barth, 1993), less likely to be taking psychotropic medications (Breland-Noble et al, 2004), and more likely to receive community-based supplementary services (Breland-Noble, Farmer, Dubs, Potter & Burns, 2005) than group care youth.However, it is not clear whether aggregate differences in youth populations served by TFC and group care are intentional or accidental. While policy and practice trends suggest that less troubled youth should be placed in less-restrictive settings, not enough evidence is available to anticipate which youth are best served in which environments.…”

mentioning

confidence: 99%

Comparing outcomes for youth in treatment foster care and family-style group care

Lee

Thompson

2008

Children and Youth Services Review

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Group care programs are often criticized for producing poor outcomes, especially in light of community-based alternatives like treatment foster care that have a stronger evidence base. In this study, data from Girls and Boys Town were used to compare outcomes of youth in treatment foster care (n=112) and group care (n=716) using propensity score matching, a method that can minimize selection bias in nonrandomized designs. Eighteen background covariates were used to develop propensity scores for the likelihood of receiving treatment foster care rather than group care. Several matching methods generated balanced samples on which the outcomes were compared. Results found that group care youth were more likely to be favorably discharged, more likely to return home, and less likely to experience subsequent placement in the first six months after discharge. Legal involvement and residing in a home-like environment at follow-up did not differ. Positive outcomes for group care youth suggest that family-style group care programs may promote effectiveness. Keywordstreatment foster care; family-style group care; propensity score matching Prevailing wisdom in systems of care for youth promotes a philosophy of least restrictive and community-based care (Stroul & Friedman, 1986). A growing body of evidence suggests that specialized foster care settings like treatment foster care (Chamberlain & Reid, 1991;Fisher & Chamberlain, 2000) are more effective and cost-efficient than group care (Chamberlain & Reid, 1998;Eddy & Chamberlain, 2000; U.S. Department of Health and Human Services [USDHHS], 1999). In a continuum of care, group care often serves youth whose needs surpass the capacity of traditional family foster care, but are not acute enough to warrant inpatient hospitalization (CWLA, 2004). With the emergence of treatment foster care as a possible alternative to group placements, questions about the continued broad use of group care are increasing (Barth, 2005).Despite widespread questions about youth safety during care (Barth, 2002) and equivocal outcomes following care (Hair, 2005;Wells, 1991), group care programs are prevalent. In this article, the term group care will be used interchangeably with residential care to label programs Publisher's Disclaimer: This is a PDF file of an unedited manuscript that has been accepted for publication. As a service to our customers we are providing this early version of the manuscript. The manuscript will undergo copyediting, typesetting, and review of the resulting proof before it is published in its final citable form. Please note that during the production process errors may be discovered which could affect the content, and all legal disclaimers that apply to the journal pertain. NIH Public Access Author ManuscriptChild Youth Serv Rev. Author manuscript; available in PMC 2009 January 1. Published in final edited form as:Child Youth Serv Rev. 2008 ; 30(7): 746-757. NIH-PA Author ManuscriptNIH-PA Author Manuscript NIH-PA Author Manuscript that provide services 24-hours a day to...

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“…Nevertheless, these studies have revealed significant health needs in multiple areas including sexual abuse, HIV risk behaviors, alcohol and other substance abuse, mental health concerns, and suicide (Elze, Auslander, McMillen, Edmond, & Thompson, 2001;Ensign & Gittelsohn, 1998;Ensign & Santelli, 1998;Rew, Taylor-Seehafer, & Fitzgerald, 2001;Ringwalt et al, 1998;Rotheram-Borus, Parra et al, 1996). The few studies that examined youth in residential care settings as a distinct group have also found high rates of substance abuse (Ringwalt et al, 1998;Slesnick & Meade, 2001), HIV risk taking behaviors (Elze et al, 2001;Slonim-Nevo, Ozawa, & Auslander, 1991), mental health needs (Berrick, Courtney, & Barth, 1993;Breland-Noble, Farmer, Dubs, Potter, & Burns, 2005;Li, Johnson, & Leopard, 2001;Pumariega, Johnson, & Sheridan, 1995), and suicidal ideation and attempts (Handwerk, Larzelere, Friman, & Mitchell, 1998).…”

Section: Introductionmentioning

confidence: 92%

Race–gender Differences in Risk and Protective Factors among Youth in Residential Group Homes

Strack

Anderson

Graham

et al. 2007

Child Adolesc Soc Work J

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Analysis reported here examined youth in residential group home placements in order to better understand how sexual behaviors, drug use, and environmental experiences differ by race and gender subgroups. Data were collected from 336 youth aged 14-21 residing in one of 41 group homes in Maryland. Chi square and logistic regression analyses were done to determine differences on study variables among the race-gender groupings. Results demonstrate not only significant health concerns overall but notable differences were also found between race-gender subgroups. Findings suggest that found racegender subgroup differences might be informative for tailoring programming for youth of residential group home settings.

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Specialized foster care and group home care: Similarities and differences in the characteristics of children in care

Cited by 45 publications

References 12 publications

Comparing Outcomes for Youth Served in Treatment Foster Care and Treatment Group Care

Comparing Outcomes for Youth Served in Treatment Foster Care and Treatment Group Care

Comparing outcomes for youth in treatment foster care and family-style group care

Race–gender Differences in Risk and Protective Factors among Youth in Residential Group Homes

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