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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.

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.

Suggested Citation

  • Chor, Ka Ho Brian & McClelland, Gary M. & Weiner, Dana A. & Jordan, Neil & Lyons, John S., 2012. "Predicting outcomes of children in residential treatment: A comparison of a decision support algorithm and a multidisciplinary team decision model," Children and Youth Services Review, Elsevier, vol. 34(12), pages 2345-2352.
  • Handle: RePEc:eee:cysrev:v:34:y:2012:i:12:p:2345-2352
    DOI: 10.1016/j.childyouth.2012.08.016
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    References listed on IDEAS

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    1. 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.
    2. 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.
    3. 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.
    4. 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.
    5. 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.
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    Cited by:

    1. Rosanbalm, Katie D. & Snyder, Elizabeth H. & Lawrence, C. Nicole & Coleman, Kanisha & Frey, Joseph J. & van den Ende, Johanna B. & Dodge, Kenneth A., 2016. "Child wellbeing assessment in child welfare: A review of four measures," Children and Youth Services Review, Elsevier, vol. 68(C), pages 1-16.
    2. Sim, Faye & Li, Dongdong & Chu, Chi Meng, 2016. "The moderating effect between strengths and placement on children's needs in out-of-home care: A follow-up study," Children and Youth Services Review, Elsevier, vol. 60(C), pages 101-108.
    3. Liu, Denise & Tan, Michelle Yan Ling & Lim, Amber Yann-Yu & Chu, Chi Meng & Tan, Li Jen & Quah, Saw Han, 2014. "Profiles of needs of children in out-of-home care in Singapore: School performance, behavioral and emotional needs as well as risk behaviors," Children and Youth Services Review, Elsevier, vol. 44(C), pages 225-232.
    4. Strijbosch, E.L.L. & Huijs, J.A.M. & Stams, G.J.J.M. & Wissink, I.B. & van der Helm, G.H.P. & de Swart, J.J.W. & van der Veen, Z., 2015. "The outcome of institutional youth care compared to non-institutional youth care for children of primary school age and early adolescence: A multi-level meta-analysis," Children and Youth Services Review, Elsevier, vol. 58(C), pages 208-218.
    5. repec:eee:cysrev:v:77:y:2017:i:c:p:1-9 is not listed on IDEAS

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