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The CARE practice model provides a framework for residential care based on a theory of how children develop, motivating both children and staff to adhere to routines, structures, and processes, minimizing the potential for interpersonal conflict. The core principles of the model have a strong relationship to positive child outcomes, and can be incorporated into a wide variety of programs and treatment models.
Residential treatment for children and youth (RTCY) programs not only need to be explored for the efficacy of the programs, but also in the actual assessment of various aspects of those programs. Assessment in Residential Care for Children and Youth provides practical information on the placement of children in residential care programs, the efficacy of those programs, staff issues, and outcomes for youths in the programs. Respected authorities examine issues on assessment upon entering residential care, treatment issues during care, and programmatic concerns from a larger systems perspective. Unlike other resources on this topic, this book uniquely focuses solely on assessment. The book comprehensively offers strategies and practical assessment tools addressing the full spectrum of issues from the child’s or youth’s entrance in residential care to their exit, such as placement, treatment, and outcomes. This valuable text is extensively referenced and includes helpful figures and tables to clearly present data. Topics discussed include: assessment processes and tools to enhance therapeutic childcare interventions the unique needs of GBL youth in residential care settings a strengths-based assessment tool developed specifically for use in juvenile justice programs staff satisfaction rates as compared to client satisfaction development of the Staff Implementation Observation Form that assesses staff competence delivering an intervention to youth in group home care with behavioral disorders differences in two residential care giving models in providing continuity of care for youth in residential placement an assessment technique that uses the point of view of children. This book is a valuable resource for Residential Administrators, program directors and coordinators, counselors, and staff who have a role in assessing residential treatment programs for children and youth at any level. This book was published as a special issue of Residential Treatment for Children and Youth.
Therapeutic Residential Care For Children and Youth takes a fresh look at therapeutic residential care as a powerful intervention in working with the most troubled children who need intensive support. Featuring contributions from distinguished international contributors, it critically examines current research and innovative practice and addresses the key questions: how does it work, what are its critical “active ingredients” and does it represent value for money? The book covers a broad spectrum of established and emerging approaches pioneered around with world, with contributors from the USA, Canada, Scandinavia, Spain, Australia, Israel and the UK offering a mix of practice and research exemplars. The book also looks at the research relating to critical issues for child welfare service providers: the best time to refer children to residential care, how children can be helped to make the transition into care, the characteristics of children entering and exiting care, strategies for engaging families as partners, how the substantial cost of providing intensive is best measured against outcomes, and what research and development challenges will allow therapeutic residential care to be rigorously compared with its evidence-based community-centered alternatives. Importantly, the volume also outlines how to set up and implement intensive child welfare services, considering how transferable they are, how to measure success and value for money, and the training protocols and staffing needed to ensure that a programme is effective. This comprehensive volume will enable child welfare professionals, researchers and policymakers to develop a refined understanding of the potential of therapeutic residential care, and to identify the highest and best uses of this intensive and specialized intervention.
The interRAI ChYMH-DD is intended to be used with children and youth with developmental disabilities in mental health settings to support comprehensive care planning, outcome measurement, quality indicators, and case mix classification to estimate relative resource intensity. It employs specific observation periods in order to provide reliable and valid measures of clinical characteristics that reflect the child's or youth's strengths, preferences, and needs. In keeping with other interRAI instruments, the basic time frame for assessment was set at 3 days unless otherwise indicated. Triggers for numerous Collaborative Action Plans to support care planning decisions are also embedded in the instrument. There are two versions of the ChYMH-DD assessment form. Typically, the In-patient form would be used for a child or youth who currently resides in a residential facility or psychiatric facility/unit, and the Community-Based form for a child or youth who resides in a community setting.
Use a strengths perspective for working with your younger clients! Mental Health Practice with Children and Youth: A Strengths and Well-Being Model presents new insights into successfully working with children by concentrating on their capabilities and resilience. This book explores the continuum of children’s needs and challenges from early childhood through adolescence. This text also supports child-centered and strengths-oriented approaches to intervention with children and introduces specific strategies for maximizing pro-social behaviors, self-concept, learning, and positive peer relationships in children at home, at school, and in the community. Mental Health Practice with Children and Youth shows how children’s rights have slowly evolved over many years, from children’s status as property in the 1600s to the twentieth-century innovations that give a child a specific legal status with a certain amount of freedom and self-determination. By emphasizing the self-concept and self-esteem guidelines outlined by this book, social workers, mental health specialists, and childcare professionals can help children transition into healthy adults, despite hardships, disabilities, or parent negligence. Chapters highlighting interview and assessment techniques as well as media-directed, creative child therapies will enhance your counseling and intervention practices. Mental Health Practice with Children and Youth provides you with insight on: the relationships between children and family environmentfrom two-parent families to foster families child socialization and peer relationshipsin school and around the community adolescencegender roles, ethnic and racial diversity, sexual orientation, and adult transitioning educational needsteacher expectations, special education, diversity, home schooling and more! The strengths perspective is not always included in traditional child welfare and children’s practice texts, and this textbook fills that gap for working with younger clients. Children in child welfare, educational, mental health, family service, and recreational settings will all benefit from the inclusion of Mental Health Practice with Children and Youth: A Strengths and Well-Being Model in your work. Augmented with case scenarios and studies, empirical findings, and questions for discussion in every chapter, this book will help child service professionals as well as university faculty and students.
Is residential care 'inherently harmful'? This book argues that this conventional wisdom is wrong and is, itself, harmful to a significant number of children and youth. The presumptive view is based largely on overgeneralizations from research with infants and very young children raised in extremely deprived environments. A careful analysis of the available research supports the use of high-quality residential care as a treatment of choice with certain groups of needy children and youth, not a last resort intervention. The nature of high-quality care is explored through child development theory and research and two empirically supported models of care are described in detail. It will be of interest to all scholars and students of child development, child welfare, youth work, social work and education as well as professionals working within these fields.
Learn what children living in group homes need most! Pain, Normality, and the Struggle for Congruence: Reinterpreting Residential Care for Children and Youth presents the results of a 14-month study of 10 staffed group homes in British Columbia. The book uses grounded theory to construct a theoretical model that speaks to the primary challenge care workers face each day—responding to pain and pain-based behavior in residents. It combines participant observations, transcribed interviews, and document analysis to develop a core theme of congruence, several major psychosocial processes, and 11 interactional dynamics identified as being fundamental to group home life. The study brings to light several neglected aspects of residential care and proposes new directions in policy development, education, practice, and research to create an integrated and accessible framework for understanding group home life for youths. Pain, Normality, and the Struggle for Congruence: Reinterpreting Residential Care for Children and Youth is a full and rigorous examination of the theoretical and empirical underpinnings of residential group care. The study—conducted during a time of heightened sensitivity to the rights of children and increased emphasis on accountability and outcome measurement—reveals a core theme of congruence, focusing on consistency, reciprocity, and coherence. The book examines the major elements of this theme, including: creating an extra-familial living environment developing a sense of normality listening and responding with respect establishing a structure, routine, and expectations offering emotional and developmental support respecting personal space and time discovering potential communicating a framework for understanding and much more! Pain, Normality, and the Struggle for Congruence: Reinterpreting Residential Care for Children and Youth provides professionals concerned with the development and treatment of children and young people with a unique understanding of group home life and work. From the Foreword, by Dr. Barney Glaser: I am honored and delighted to be asked by Jim Anglin to write the foreword to this grounded theory text... The purpose of this grounded theory is to construct a theoretical framework that would explain and account for well-functioning staffed group homes for young people, that in turn could serve as a basis for improved practice, policy development, education and training, research, and evaluation. THE READER WILL SEE THAT ANGLIN HAS ACHIEVED HIS GOAL WITH ADMIRABLE SUCCESS. . . . HIS GROUNDED THEORY TRULY MAKES A SCHOLARLY CONTRIBUTION TO THE LITERATURE.
Pediatric Disorders of Regulation in Affect and Behavior, second edition is a skills-based book for mental health professionals working with children experiencing disorders of self-regulation. These children are highly sensitive to stimulation from the environment, emotionally reactive, and have difficulty maintaining an organized and calm state of being. Children with these struggles often have difficulty adapting to changing demands at home and school. The child may additionally struggle with bipolar or mood disorder, anxiety, depression, obsessive–compulsive disorder, Asperger's syndrome, eating or sleep disorders, and/or attention-deficit disorder. This book will help professionals integrate treatment strategies that address the individual's regulatory, sensory integration, and mental health problems. The book is organized with each chapter discussing a different form of dysregulation in eating, sleep, mood regulation, anxiety, attention, and behavioral control. Chapters begin with developmental and neurobiological underpinnings of the problem, include clinical observations, and close with diagnosis and treatment strategies. Recommended treatments integrate aspects of dialectical behavioral therapy, mind–body therapies and sensory integration techniques, and interpersonal therapy. Checklists for diagnosis and treatment planning are included at the conclusion of each chapter with an appendix of 20 skill sheets for use in treatment. - Practical skill-based treatment book for mental health and occupational therapists - Addresses eating, sleep, mood, attention, and behavioral control - Presents integrated treatment using sensory integration, DBT, interpersonal therapy, and more - Includes checklists and skill sheets for use in treatment
Researchers, practitioners, journalists and politicians increasingly recognise that foster care throughout the world is in a state of crisis. There are more and more children needing care and, as residential alternatives dry up, more of these children are being assigned to foster families. This book reports the major findings of a two-year longitudinal study of 235 such children who entered the foster care system in Southern Australia between 1998 and 1999. As well as examining the changing policy context of children's services, the book documents the psychosocial outcomes for these children, their feedback on their experiences of care, and the views of their social workers and carers. In the process, the book examines some cherished beliefs about foster care policy and sheds new light on them. The research reveals that while most children do quite well in foster care up to the two-year point, there is a worrying amount of placement instability at a time when the concentration of emotionally troubled children in care is increasing throughout the western world. Although, surprisingly, placement instability does not appear to produce psychosocial impairment for a period of up to eight months in care, it has an extreme effect on children who are moved from placement to placement because no carer will tolerate their behaviour. These children are consigned to a life of distribution and emotional upheaval because of the lack of alternative forms of care. Another unexpected finding of the research is that increasing the rate of parental contact achieves little or nothing in relation to the likelihood of family reunification. As child welfare increasingly enters a world of research-based practice, Children in Foster Care provides some much needed hard evidence of how foster care policy and practice can be improved.
The Handbook of Research on Emotional and Behavioral Disorders explores the factors necessary for successful implementation of interventions that foster productive relationships and ecologies to establish, reinforce, and sustain adaptive patterns of emotional and behavioral functioning across childhood and into adulthood. Although there has been a concerted focus on developing evidence-based programs and practices to support the needs of children and youth with emotional and behavioral disorders, there has been less emphasis on the developmental, social, and environmental factors that impact the implementation and effectiveness of these approaches. Chapters from leading experts tackle this complexity by drawing on a range of disciplines and perspectives including special education; mental health services; school, clinical, and community psychology; social work; developmental psychology and psychopathology; and prevention science. An essential resource for scholars and students interested in emotional and behavioral disorders, this volume crafts an essential framework to promote developmentally meaningful strategies for children and youth with even the most adverse experiences and intensive support needs.