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

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EBP in Foster Parent Training and SupportPopulation: Family-based foster careTreatment Foster CareGalaway, B., Nutter, R. W., & Hudson, J.(1995). Relationship between dischargeoutcomes for treatment foster-care clientsand program characteristics. Journal ofEmotional & Behavioral Disorders, 3,46-54.Population: Treatment Foster Carethese subscales is promising. The CFAI-A shows promise for use in research andpractice, where it might be used to improve decisions about how to support monitor,and retain foster families and to match place, and maintain foster children in fosterhomes.Limitations: This study relied on a non-probability sample of licensed fostermothers, a cross-sectional design, and a small sample of kinship foster mothers.Method: This descriptive study utilized data collected from a survey of treatmentfoster-care programs to investigate relationships among type of discharge (plannedor unplanned), restrictiveness of post discharge living arrangements, andcharacteristics of the TFC program. Data were available for 1,521 youth dischargedfrom 210 treatment foster-care programs in the U.S. and Canada. Snowballsampling techniques were used, and programs were obtained from a list ofregistrants at the Third North American Treatment Foster Care Conference and alist maintained by the FFTA. Of the 1,521 former clients, 8% were less than 6 yearsold at discharge, 24% were in the age range of 6 to 11 years, 25% were aged 12 to14 years, and 43% were aged 15 to 17 years when discharged.Results: No meaningful associations were found between the programcharacteristics of caseload size, number of clients permitted per care providers’home, cost per client per year and the outcome variables of whether the dischargewas planned or unplanned and restrictiveness of post discharge livingarrangements. Meaningful differences were only found at the extremes: youth weremore likely to be discharged on a planned basis from high-cost, low-caseloadprograms than from low-cost, high-caseload programsLimitations: This study did not measure the level of individual clients’ functioningat admission and/or the reason for referral to TFC. Information was gathered fromTFC programs and not the actual clients. Additionally, the relationship betweenprogram-level data and actual care experiences by youth remain unknown. Finally,this study was descriptive in nature, without control groups, random assignment,pre-tests and post-tests, etc.Center for Advanced Studies in Child Welfare (CASCW)University of Minnesota School of Social WorkContact: Kristine N. Piescher, Ph.D. kpiesche@umn.edu 147
EBP in Foster Parent Training and SupportWraparoundFamily-Centered Intensive Case Management (FCICM) Efficacious PracticeEvans, M. E., Armstrong, M. I., &Method: This study utilized an RCT to evaluate the efficacy of the Family-CenteredKuppinger, A. D. (1996). Family-centered Intensive Case Management (FCICM) model in a sample of 42 children (aged 5-12)intensive case management: A step toward and families referred to services for serious emotional disorders. Families wereunderstanding individualized care. Journal randomly assigned to Family Based Treatment (FBT) or to Wraparound services,of Child and Family Studies, 5, 55-65. here called Family-Centered Intensive Case Management (FCICM).Population: Children (aged 5-12) referredto services for serious emotional disordersFBT is New York State’s version of treatment foster care and is based on thepremise that treatment parents need training and support to effectively care forchildren with SED.FCICM model acknowledges that families need a comprehensive array of servicesand supports to help them keep their children at home. It has an emphasis on thefamily’s central role in accomplishing treatment goals for the child.Findings: Children in FCICM showed a significant decrease in symptoms andproblem behaviors after receiving one year of services. CBCL scores, which wereassessed by parents, did not change for either group. The children in FCICM alsoimproved significantly on behavior, moods, emotions and role performance asmeasured by the CAFAS. Family outcomes did not differ across groups on theFACES III, although caseworkers did note greater improvement for FCICM familieson ability to understand children’s problems, willingness to access services, providestructure, making children feel loved and wanted, identifying appropriate disciplineand knowing when to call the treatment team.Limitations: At one year only 17 families provided complete data.Fostering Individualized Assistance Program (FIAP) Promising PracticeClark, H. B., Prange, M. E. (1994),Method: This study evaluated the efficacy of the Fostering IndividualizedImproving adjustment outcomes for foster Assistance Program (FIAP) using a controlled design. The program is driven bychildren with emotional and behavioral permanency and family-focused values and involved the wrapping of servicesdisorders: Early findings from a controlled around children, based on their individual needs and the needs of their families.study on individualized services. Journal of Participants included children (aged 7-15) in the state foster care system who wereEmotional and Behavioral Disorders, 2, living in a regular foster home or in an emergency foster shelter facility and having207-218.behavioral and emotional disturbances (or at risk of such). A total of 132 fosterchildren participated.Center for Advanced Studies in Child Welfare (CASCW)University of Minnesota School of Social WorkContact: Kristine N. Piescher, Ph.D. kpiesche@umn.edu 148
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