Children and youth with high behavioral health needs can receive care in a psychiatric residential treatment facility (PRTF). Overutilization of PRTFs is concerning because they are highly restrictive and costly residential care settings. Intensive Alternative Family Treatment (IAFT®) is an intensive therapeutic foster care program combined with…

Wraparound is a care coordination model that has shown effectiveness for serving children and youth with significant emotional and behavioral health needs and their families. The current study evaluates a statewide wraparound demonstration with the goals of reducing the use of residential care and increasing access to outpatient mental health…

Using an integrated administrative data set, out-of-home residential placements (i.e., child welfare, juvenile justice, mental health) were examined in a sample of early adolescents in a large urban school district. Out-of-home placements were tracked across Grades 7 to 9 in a population of 58,000 youth. This included 10,911 students identified…

The purpose of this study was to examine the relationships among students' disruptive and violent behavior and staff's use of proactive and reactive strategies in a secure residential treatment center serving delinquent adolescent males. One hundred hours of observational data were collected, and linear regression models were used to explore the…

A study investigated whether youth (n=99) discharged from a short-term residential facility and reunited with their parents had a subsequent placement. The number of self-reported personal problems at intake significantly predicted a shorter time to subsequent placement disruption. The number of prior formal placements also tended to predict…

A total of 79 boys with behavior disorders were assigned to Multidimensional Treatment Foster Care (MTFC) or Group Care. Data at 1 year post-discharge showed that boys in MTFC had significantly fewer arrests, engaged in fewer delinquent activities, spent fewer days incarcerated, and ran away from their placements less often. (Contains references.)…

A study of 83 children (ages 10-18) with behavior disorders in seven types of programs (parent training programs, outpatient clinic, family preservation programs, treatment foster care, residential group home, acute-care shelter, and inpatient psychiatric hospital) found a high level of correspondence between program restrictiveness and severity…

A study investigated Child Behavior Checklist (CBCL) scores for 362 children (ages 4-18) served in long-term family foster care by the Casey Family Program. Findings indicate that substantial proportions of children entering Casey scored in the borderline clinical or clinical range on some problem behavior scales. (Contains extensive references.)…

This study of risk characteristics of 100 Illinois children/adolescents with emotional/behavior disorders admitted to programs to prevent the need for residential placements found that most of the children were in single parent families; almost 85% had average or above average intelligence; and almost half were exposed to divorce, poverty,…

A study examined the long-term (3 year) treatment outcomes of all adolescents (n=2,481) who received services in Vermont's statewide systems of care. Recipients of services had substantially elevated rates of incarceration and hospitalization but maternity rates in the treatment groups were not different from other young women. (Contains…

This article describes two studies that evaluated training intended to improve the family friendliness of five components of the admission treatment team process at an inpatient child and adolescent psychiatric hospital. While role-play training did not improve family friendliness, mindfulness training enhanced the family friendliness of all five…

This study compiled descriptive data over 7 years on 812 school-age children with serious emotional disturbance (SED), including demographic and family characteristics, level of psychological and adaptive functioning, services received in either residential mental health treatment facilities or community-based special education programs, and…