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Evidence-Based Practice in Foster Parent Training and Support ...

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EBP <strong>in</strong> <strong>Foster</strong> <strong>Parent</strong> Tra<strong>in</strong><strong>in</strong>g <strong>and</strong> <strong>Support</strong>punishment than the no-contact comparison group. The authors conclude that thePPC group may have had a positive effect on other members of their gangs.Re-Education of Children with Emotional Disturbance (Re-ED) Emerg<strong>in</strong>g <strong>Practice</strong>Fields, E., Farmer, E. M. Z., Apperson, J.,Mustillo, S., & Simmers, D. (2006).Treatment <strong>and</strong> posttreatment effects of aresidential treatment us<strong>in</strong>g a Re-educationmodel. Behavioral Disorders, 31, 312-322.Method: This exploratory study utilized a pre-test/post-test design to exam<strong>in</strong>e theoutcomes of the Re-ED model. 98 youth (aged 7-13) who were admitted to a statesponsoredresidential treatment facility participated <strong>in</strong> the study. Participants werechildren with at least one psychiatric diagnosis, most with ADHD, externaliz<strong>in</strong>gdisorders, <strong>and</strong> or mood disorders.Population: Youth (aged 7-13) who had atleast one psychiatric diagnosis <strong>and</strong> whowere admitted to a residential treatmentfacilityRe-ED is an ecological competence approach to help<strong>in</strong>g the range of troubled <strong>and</strong>troubl<strong>in</strong>g youth enter<strong>in</strong>g child serv<strong>in</strong>g systems, with their families. Re-ED is basedon 1) replac<strong>in</strong>g pathology with a wellness view, 2) us<strong>in</strong>g an ecological orientation,3) focus<strong>in</strong>g on competence <strong>and</strong> learn<strong>in</strong>g, 4) teach<strong>in</strong>g <strong>and</strong> counsel<strong>in</strong>g roles, 5)build<strong>in</strong>g relationships, <strong>and</strong> 6) encourag<strong>in</strong>g a culture of question<strong>in</strong>g <strong>and</strong> <strong>in</strong>formationbaseddecision-mak<strong>in</strong>g.F<strong>in</strong>d<strong>in</strong>gs: Youth showed significant improvement <strong>in</strong> child behavior <strong>and</strong> personalstrengths, as measured by the Child Behavior Checklist (CBCL) <strong>and</strong> Behavioral<strong>and</strong> Emotional Rat<strong>in</strong>g Scale (BERS), respectively. Scores deteriorated somewhatover 6 months, but cont<strong>in</strong>ued to be significantly better than pre-<strong>in</strong>tervention. Themajority of children reached <strong>and</strong> ma<strong>in</strong>ta<strong>in</strong>ed scores with<strong>in</strong> the normal range on theBERS <strong>and</strong> about half did so on the CBCL. For the BERS, youth who were younger,male, <strong>and</strong> from higher SES families improved most by discharge, but thesevariables were not related to scores taken later. Length of stay <strong>in</strong> the programpredicted higher later BERS scores. The authors note that children with a shorterstay <strong>in</strong> the program were less likely to consistently receive recommended servicesafter discharge.Hooper, S. R., Murphy, J., Devaney, A., &Hultman, T. (2000). Ecological outcomes ofadolescents <strong>in</strong> a psychoeducationalresidential treatment facility. AmericanJournal of Orthopsychiatry, 70, 491-500.Limitations: Conclusions from this study are limited by the lack of a comparisongroup <strong>and</strong> r<strong>and</strong>om assignment to treatment groups.Method: This exploratory study used a pre-test/post-test design to <strong>in</strong>vestigate theefficacy of the Re-ED program. 111 youth (aged 13-16) who were admitted to astate-run re-education residential treatment program participated <strong>in</strong> the study.F<strong>in</strong>d<strong>in</strong>gs: An average of 58% of youth were function<strong>in</strong>g adequately <strong>in</strong> all threedoma<strong>in</strong>s (legal, school, <strong>and</strong> level of care) across the 2 year time span of the study,Center for Advanced Studies <strong>in</strong> Child Welfare (CASCW)University of M<strong>in</strong>nesota School of Social WorkContact: Krist<strong>in</strong>e N. Piescher, Ph.D. kpiesche@umn.edu 136

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