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

More documents

Recommendations

Info

EBP in Foster Parent Training and SupportPopulation: Family-based foster care forat-risk children (aged 7-15)The FIAP program’s goal is to: a) stabilize placement in foster care and developviable permanency plans, and b) improve their behavior and emotional adjustmentof the children receiving FIAP services. These goals are achieved through fourmajor intervention components: strength-based assessment, life-domain planning,clinical case management, and follow-along supports and services.Findings: Somewhat better adjustment outcomes for children with EBD who wereserved by an individualized services approach than for an equivalent group ofchildren in standard practice foster care. Of the children in designated permanencyhome placements, the FIAP subsample showed significantly better emotional andbehavioral adjustment than the SP subsample. The children in the FIAP weresignificantly less likely than children in the SP group to run away, engage in seriouscriminal activity, or be incarcerated.Clark, H. B., Lee, B., Prange, M, E., &McDonald, B. A. (1996). Children lost withinthe foster care system: Can wraparoundservice strategies improve placementoutcomes? Journal of Child and FamilyStudies, 5, 39-54.Population: family-based foster care – highbehavioral/emotional disturbanceLimitations: This study used a small sample. Additionally, during the study, stateregulations and policies changed which limited the amount of time children couldremain in temporary care.Method: This study used an RCT to test the efficacy of the FIAP as compared tostandard practice foster care (SP). 132 children (aged 7-15 years) who weredetermined by caseworkers to be at-risk, due to substance use, or to situationalindicators such as failed placement or more restrictive placement in the past 6months were randomly assigned to receive wraparound services or to standardpractice conditions.Findings: The FIAP group experienced a decrease in placement changes(whereas standard practice placement changes increased) during the two and ahalf year time period. Additionally, the FIAP group had significantly fewer placementchanges than the SP group following placement (2.2 vs. 4.9 changes per year,respectively). For those children who ran away while in care, the FIAP group spentfewer days away from the foster home during runaway periods (38.7 vs. 110.9days, respectively). Children who experienced incarceration while in care were 1.6times more likely to have been incarcerated for more than half the time. FIAPchildren were significantly more likely to be place in a permanency home than theSP children (44.4% vs. 37.2%, respectively).Center for Advanced Studies in Child Welfare (CASCW)University of Minnesota School of Social WorkContact: Kristine N. Piescher, Ph.D. kpiesche@umn.edu 149
EBP in Foster Parent Training and SupportGeneral Wraparound ServicesBickman, L., Smith, C., Lambert, E. W., &Andrade, A. R. (2003). Evaluation of acongressionally mandated wraparounddemonstration. Journal of Child and FamilyStudies, 12, 135-156.Population: Military youth (aged 4-16) whowere referred for servicesMethod: This study utilized a controlled design to test the efficacy of thewraparound process in a sample of youth (aged 4-16) years who were dependentsof members of the military and were referred for services. The study compared asample of families who had been referred to a Department of Defense mandatedwraparound demonstration implementation (n=71) to a sample who were referred tothe demonstration and refused or were ineligible on some criteria (n=40). Criteriafor ineligibility for wraparound services included long-term residential treatment,persistent substance abuse, persistent, untreatable antisocial behavior andconviction of sexual perpetration or predatory behavior.Wraparound is a team-based planning process intended to provide individualizedand coordinated family-driven care. Wraparound is designed to meet the complexneeds of children who are involved with several child and family-serving systems(e.g. mental health, child welfare, juvenile justice, special education, etc.); who areat risk of placement in institutional settings; and who experience emotional,behavioral, or mental health difficulties. The Wraparound process requires thatfamilies, providers, and key members of the family’s social support networkcollaborate to build a creative plan that responds to the particular needs of the childand family. Team members then implement the plan and continue to meet regularlyto monitor progress and make adjustments to the plan as necessary. The teamcontinues its work until members reach a consensus that a formal Wraparoundprocess is no longer needed.Findings: Both groups showed some improvement, but there were no differencesbetween groups, on functioning, symptoms, life satisfaction, or serious events.Wraparound costs were greater, due to the use of expensive traditional servicesand addition of nontraditional services.Limitations: This study utilized a short time span. Also the authors questioned thefidelity of the demonstration project.Bruns, E. J., Rast, J., Peterson, C., Walker,J., & Bosworth, J. (2006). Spreadsheets,service providers, and the statehouse:Method: This study utilized a controlled design to evaluate the efficacy of thewraparound process. 97 children with severe emotional disorders who wereinvolved with child welfare services participated in the study. Children who wereCenter for Advanced Studies in Child Welfare (CASCW)University of Minnesota School of Social WorkContact: Kristine N. Piescher, Ph.D. kpiesche@umn.edu 150
Page 3:
EBP in Foster Parent Training and S
Page 7 and 8:
Page 9 and 10:
Page 11 and 12:
Page 13 and 14:
Page 15 and 16:
Page 17 and 18:
Page 19 and 20:
Page 21 and 22:
Page 23 and 24:
Page 25 and 26:
Page 27 and 28:
Page 29 and 30:
Page 31 and 32:
Page 33 and 34:
Page 35 and 36:
Page 37 and 38:
Page 39 and 40:
Page 41 and 42:
Page 43 and 44:
Page 45 and 46:
Page 47 and 48:
Page 49 and 50:
Page 51 and 52:
Page 53 and 54:
Page 55 and 56:
Page 57 and 58:
Page 59 and 60:
Page 61 and 62:
Page 63 and 64:
Page 65 and 66:
Page 67 and 68:
Page 69 and 70:
Page 71 and 72:
Page 73 and 74:
Page 75 and 76:
Page 77 and 78:
Page 79 and 80:
Page 81 and 82:
Page 83 and 84:
Page 85 and 86:
Page 87 and 88:
Page 89 and 90:
Page 91 and 92:
Page 93 and 94:
Page 95 and 96:
Page 97 and 98:
Page 99 and 100:
Page 101 and 102:
Page 103 and 104:
Page 105 and 106:
Page 107 and 108:
Page 109 and 110:
Page 111 and 112: EBP in Foster Parent Training and S
Page 161: EBP in Foster Parent Training and S
Page 167 and 168: Evidence-Based Practice in Foster P
Page 185: EBP in Foster Parent Training and S
show all

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

Create successful ePaper yourself

Delete template?

Save as template?