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Predicting outcomes of children in residential treatment: A comparison of a decision support algorithm and a multidisciplinary team decision model

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  • Chor, Ka Ho Brian
  • McClelland, Gary M.
  • Weiner, Dana A.
  • Jordan, Neil
  • Lyons, John S.
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    Abstract

    Residential treatment is the most intensive and costly component of all child welfare systems per episode of care. At the same time, decisions to place in residential treatment centers are prioritized by the practice of least restrictive setting and best interest for children. There are, however, no standard evidence-based criteria for placing children in residential treatment. Clinical judgment, staffing dynamics, and other system factors are part of the decision-making process. Thus, some residential placements may be unnecessary and may be even harmful. The present study compares two models of decision-making, a multidisciplinary team approach and an objective decision support algorithm, and assesses outcomes when the two models either concur or not. Concordant decisions predicted greater clinical improvement than discordant decisions, but no differences were found in length of stay in placement. Policy implications for the decision-making process in child welfare are discussed.

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    Bibliographic Info

    Article provided by Elsevier in its journal Children and Youth Services Review.

    Volume (Year): 34 (2012)
    Issue (Month): 12 ()
    Pages: 2345-2352

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    Handle: RePEc:eee:cysrev:v:34:y:2012:i:12:p:2345-2352

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    Web page: http://www.elsevier.com/locate/childyouth

    Related research

    Keywords: Residential treatment; Decision support algorithm; Multidisciplinary decision-making; Child welfare; Out-of-home placements;

    References

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    1. Courtney, Mark E., 1998. "Correlates of social worker decisions to seek treatment-oriented out-of-home care," Children and Youth Services Review, Elsevier, vol. 20(4), pages 281-304, May.
    2. Schwab, A. James & Bruce, Michael E. & McRoy, Ruth G., 1984. "Matching children with placements," Children and Youth Services Review, Elsevier, vol. 6(2), pages 125-133.
    3. Hyde, Justeen & Kammerer, Nina, 2009. "Adolescents' perspectives on placement moves and congregate settings: Complex and cumulative instabilities in out-of-home care," Children and Youth Services Review, Elsevier, vol. 31(2), pages 265-273, February.
    4. Blakey, Joan M. & Leathers, Sonya J. & Lawler, Michelle & Washington, Tyreasa & Natschke, Chiralaine & Strand, Tonya & Walton, Quenette, 2012. "A review of how states are addressing placement stability," Children and Youth Services Review, Elsevier, vol. 34(2), pages 369-378.
    5. Weiner, Dana A. & Schneider, Alison & Lyons, John S., 2009. "Evidence-based treatments for trauma among culturally diverse foster care youth: Treatment retention and outcomes," Children and Youth Services Review, Elsevier, vol. 31(11), pages 1199-1205, November.
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