Predicting outcomes of children in residential treatment: A comparison of a decision support algorithm and a multidisciplinary team decision model
AbstractResidential 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.
Download InfoIf you experience problems downloading a file, check if you have the proper application to view it first. In case of further problems read the IDEAS help page. Note that these files are not on the IDEAS site. Please be patient as the files may be large.
As the access to this document is restricted, you may want to look for a different version under "Related research" (further below) or search for a different version of it.
Bibliographic InfoArticle provided by Elsevier in its journal Children and Youth Services Review.
Volume (Year): 34 (2012)
Issue (Month): 12 ()
Contact details of provider:
Web page: http://www.elsevier.com/locate/childyouth
Residential treatment; Decision support algorithm; Multidisciplinary decision-making; Child welfare; Out-of-home placements;
Please report citation or reference errors to , or , if you are the registered author of the cited work, log in to your RePEc Author Service profile, click on "citations" and make appropriate adjustments.:
- 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.
- 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.
- 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.
- 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.
- 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.
For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: (Zhang, Lei).
If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.
If references are entirely missing, you can add them using this form.
If the full references list an item that is present in RePEc, but the system did not link to it, you can help with this form.
If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your profile, as there may be some citations waiting for confirmation.
Please note that corrections may take a couple of weeks to filter through the various RePEc services.