Therapeutic Residential Care for Children and Youth: Developing Evidence-Based International Practice (Child Welfare Outcomes)

Therapeutic Residential Care For Children and Youth takes a fresh look at therapeutic residential care as a powerful intervention in working with the most troubled children who need intensive support. Featuring contributions from distinguished international contributors, it critically examines current research and innovative practice and addresses the key questions: how does it work, what are its critical "active ingredients" and does it represent value for money? The book covers a broad spectrum of established and emerging approaches pioneered around with world, with contributors from the USA, Canada, Scandinavia, Spain, Australia, Israel and the UK offering a mix of practice and research exemplars. The book also looks at the research relating to critical issues for child welfare service providers: the best time to refer children to residential care, how children can be helped to make the transition into care, the characteristics of children entering and exiting care, strategies for engaging families as partners, how the substantial cost of providing intensive is best measured against outcomes, and what research and development challenges will allow therapeutic residential care to be rigorously compared with its evidence-based community-centered alternatives. Importantly, the volume also outlines how to set up and implement intensive child welfare services, considering how transferable they are, how to measure success and value for money, and the training protocols and staffing needed to ensure that a programme is effective. This comprehensive volume will enable child welfare professionals, researchers and policymakers to develop a refined understanding of the potential of therapeutic residential care, and to identify the highest and best uses of this intensive and specialized intervention.

Therapeutic Residential Care For Children and Youth takes a fresh look at therapeutic residential care as a powerful intervention in working with the most troubled children who need intensive support.

Featuring contributions from distinguished international contributors, it critically examines current research and innovative practice and addresses the key questions: how does it work, what are its critical "active ingredients" and does it represent value for money? The book covers a broad spectrum of established and emerging approaches pioneered around with world, with contributors from the USA, Canada, Scandinavia, Spain, Australia, Israel and the UK offering a mix of practice and research exemplars. The book also looks at the research relating to critical issues for child welfare service providers: the best time to refer children to residential care, how children can be helped to make the transition into care, the characteristics of children entering and exiting care, strategies for engaging families as partners, how the substantial cost of providing intensive is best measured against outcomes, and what research and development challenges will allow therapeutic residential care to be rigorously compared with its evidence-based community-centered alternatives. Importantly, the volume also outlines how to set up and implement intensive child welfare services, considering how transferable they are, how to measure success and value for money, and the training protocols and staffing needed to ensure that a programme is effective.

This comprehensive volume will enable child welfare professionals, researchers and policymakers to develop a refined understanding of the potential of therapeutic residential care, and to identify the highest and best uses of this intensive and specialized intervention.

Today's child welfare services operate under a limited supply of resources which are being stretched by economic cuts and an increasing number of referrals to children's social care. This book provides a comprehensive costing approach which examines how finite resources can be most effectively used to provide support to the most vulnerable children and their families. Drawing upon the latest research and data, it outlines a methodology which has been applied to a range of child welfare services. The methodology breaks services down into component parts, creating a 'unit cost' for each type of case and task. This 'bottom-up' approach ensures that costing is consistent and allows for variations specific to each type of case and welfare organisation. By looking explicitly at the links between needs, costs and outcomes, this book gives social care commissioners and managers an indication of the most effective and efficient way to allocate and channel resources. As well as offering these implications for practice, this book will offer policymakers evidence of the effectiveness of early intervention and preventative measures. In providing a detailed assessment of children's needs, costs and outcomes across the full range of child welfare services and cases, this book will be of essential use to both social care professionals at the commissioning level and policymakers who wish to improve the effectiveness of child welfare services. Today's child welfare services operate under a limited supply of resources. This book explains how finite resources can be used most effectively, providing social work managers and policymakers with a comprehensive costing model to assess the links between needs, costs and outcomes across the full range of child welfare services. Definitive and wide-ranging, this international review of therapeutic residential child care covers the latest research on how it works, how much it costs compared with the outcomes it delivers and how to deliver this effective form of care for the most troubled children in public care. Introduction The conceptual framework The calculation of unit costs Additional services Understanding children's needs and outcomes Making use of cost calculations: building and supporting an evidence base Conclusion: implications for policy and practice.