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Predictors of Placement Outcomes in Treatment Foster Care: Implications for Foster Parent Selection and Service Delivery

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Abstract

Treatment foster care (TFC) is a normalizing environment in which to treat those children whose particular needs are not addressed in traditional foster care and for whom an institutional setting is a restrictive and unnecessary alternative. However, when the foster care placements of these emotionally and behaviorally disturbed children fail, as they often do, the children are shifted from one home to another without the opportunity to experience permanence or emotional attachment, resulting in poor adjustment to foster care. Placement stability, which depends in part upon effective matching of foster children with potential foster families, is critical for achieving positive outcomes in TFC. Yet, there is a dearth of information to guide placement agencies in making decisions about matching foster children with families. Moreover, once a successful match has been made, it is equally vital that service delivery be of high quality so that permanence is maintained. We review research on the predictors of positive outcomes in foster care, focusing on studies involving emotionally or behaviorally disturbed children, and provide recommendations for selecting foster parents and for ensuring high quality foster care services and placement stability.

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REFERENCES

  • Adoption Assistance and Child Welfare Act (1980). U.S. Public Law 96-272.

  • Adoption and Safe Families Act (1997). U.S. Public Law 105-189.

  • Baker, J. N. (1989). Therapeutic foster parent: Professionally or emotionally involved parent? Child and Youth Services Review, 12 149-157.

    Google Scholar 

  • Bates, B. C., English, D. J., & Kouidou-Giles, S. (1997). Residential treatment and its alternatives: A review of the literature. Child and Youth Care Forum, 26 7-51.

    Google Scholar 

  • Baumrind, D., & Black, A. E. (1967). Socialization practices associated with dimensions of competence in preschool boys and girls. Child Development, 38 291-327.

    Google Scholar 

  • Brawley, E. A., & Martinez-Brawley, E. E. (1988). Social programme evaluation in the USA: Trends and issues. British Journal of Social Work, 18 391-413.

    Google Scholar 

  • Britner, P. A., & Reagan-Cirincione, P. (2000). Final report: Review and establishment of performance measures for contracted services. Connecticut Department of Children and Families.

  • Bryant, B. (1981). Special foster care: A history and rationale. Journal of Clinical Child Psychology, 10 8-20.

    Google Scholar 

  • Bryant, B., & Snodgrass, R. D. (1992). Foster family care applications with special populations: People Places. Community Alternatives: International Journal of Family Care, 4 1-25.

    Google Scholar 

  • Bush, M., & Gordon, A. C. (1982, July). The case for involving children in child welfare decisions. Social Work, 309-314.

  • Chamberlain, P., Moreland, S., & Reid, K. (1992). Enhanced services for foster parents: Effects on retention rates and outcomes for children. Child Welfare, 71 387-401.

    Google Scholar 

  • Chamberlain, P., & Reid, J. B. (1994). Differences in risk factors and adjustment for male and female delinquents in treatment foster care. Journal of Child and Family Studies, 3 23-39.

    Google Scholar 

  • Clark, H. B., Prange, M., Lee, B., Boyd, L. A., McDonald, B., & Stewart, E. (1994). Improving adjustment outcomes for foster children with emotional and behavioral disorders: Early findings from a controlled study on individual services. Journal of Emotional and Behavioral Disorders, 2 207-218.

    Google Scholar 

  • Colton, M. J. (1988). Dimensions of substitute child care: A comparative study of foster and residential care practices. Brookfield, VT: Avebury.

    Google Scholar 

  • Cooper, C. S., Peterson, N. L., & Meier, J. H. (1987). Variables associated with disrupted placement in a select sample of abused and neglected children. Child Abuse and Neglect, 11 75-86.

    Google Scholar 

  • Courtney, M. E. (1998). Correlates of social worker decisions to seek treatment-oriented out-of-home care. Children and Youth Services Review, 20 281-304.

    Google Scholar 

  • Daly, D., & Dowd, T. (1992). Characteristics of effective, harm-free environments for children in out-of-home care. Child Welfare, 71 487-496.

    Google Scholar 

  • Dando, I., & Minty, B. (1987). What makes good foster parents? British Journal of Social Work, 17 383-400.

    Google Scholar 

  • Dawson, R. (1989). Improving the quality and status of treatment foster care: The concept of certification for providers. Community Alternatives: International Journal of Family Care, 1 11-21.

    Google Scholar 

  • Doelling, J. L., & Johnson, J. H. (1990). Predicting success in foster placement: The contribution of parent-child temperament characteristics. American Journal of Orthopsychiatry, 60, 585-593.

    Google Scholar 

  • Fanshel, D. (1979). Parental visiting of children in foster care: Key to discharge. Social Service Review, 44 493-514.

    Google Scholar 

  • Fanshel, D., Finch, S. J., & Grundy, J. F. (1990). Foster children in a life course perspective. New York: Columbia University Press.

    Google Scholar 

  • Fanshel, D., & Shinn, E. B. (1978). Children in foster care: A longitudinal analysis. New York: Columbia University Press.

    Google Scholar 

  • Fernandez, E. (1996). Significant harm: Unraveling child protection decisions and substitute care careers of children. Sydney, Australia: Avebury.

    Google Scholar 

  • Festinger,T. (1983). No one ever asked us...Apostscript to foster care. NewYork: Columbia University Press.

    Google Scholar 

  • Fine, P. (1993). A developmental network approach to therapeutic foster care. Washington, DC: Child Welfare League of America.

    Google Scholar 

  • Fisher, P. A., Ellis, H., & Chamberlain, P. (1999). Early intervention foster care: A model for preventing risk in young children who have been maltreated. Children's Services: Social Policy, Research, and Practice, 2 159-182.

    Google Scholar 

  • Forsythe, P. W. (1989). Family preservation in foster care: Fit or fiction? Child and Youth Services Review, 12 63-73.

    Google Scholar 

  • Gabor, P., & Kammerer, K. (1983). A meeting point: Developing treatment oriented foster care. Journal of Child Care, 1 87-97.

    Google Scholar 

  • Galaway, B., Nutter, R. W., & Hudson, J. (1995). Relationship between discharge outcomes for treatment foster-care clients and program characteristics. Journal of Emotional and Behavioral Disorders, 3 46-54.

    Google Scholar 

  • Gean, M., Gilmore, J., & Dowler, J. (1985). Infants and toddlers in supervised custody: A pilot study of visitation. Journal of American Academy of Child Psychiatry, 24 608-612.

    Google Scholar 

  • Gray, M. R., & Steinberg, L. (1999). Unpacking authoritative parenting: Reassessing a multidimensional construct. Journal of Marriage and the Family, 61 574-587.

    Google Scholar 

  • Gruber, A. R. (1978). Children in foster care: Destitute, neglected...betrayed. New York: Human Sciences Press.

    Google Scholar 

  • Halfon, N. G., Mendonca, A., & Berkowitz, G. (1995). Health status of children in foster care: The experience of the center for the vulnerable child. Archives of Pediatric Adolescent Medicine, 149 386-392.

    Google Scholar 

  • Hochstadt, N. J., Jaudes, P. K., Zimo, D. A., & Schachter, J. (1987). The medical and psychosocial needs of children entering foster care. Child Abuse and Neglect, 11 53-62.

    Google Scholar 

  • Hudson, J., Nutter, R.W., & Galaway, B. (1994). Treatment foster care programs:Areviewof evaluation research and suggested directions. Social Work Research, 18 198-210.

    Google Scholar 

  • Iglehart, A. P. (1993). Adolescents in foster care: Predicting behavioral maladjustment. Child and Adolescent Social Work Journal, 10 521-532.

    Google Scholar 

  • Jivanjee, P. (1999a). Parent perspectives on family involvement in therapeutic foster care. Journal of Child and Family Studies, 8 451-461.

    Google Scholar 

  • Jivanjee, P. (1999b). Professional and provider perspectives on family involvement in therapeutic foster care. Journal of Child and Family Studies, 8 329-341.

    Google Scholar 

  • Johnson, P. R., Yoken, C., & Voss, R. (1995). Family foster care placement: The child's perspective. Child Welfare, 74 959-974.

    Google Scholar 

  • Kagan, R. M., & Reid, W. J. (1986). Critical factors in the adoption of emotionally disturbed youth. Child Welfare, 65 63-73.

    Google Scholar 

  • Kaplan, C. P. (1988). The biological children of foster parents in the foster family. Child and Adolescent Social Work, 5 281-299.

    Google Scholar 

  • Kates, W. G., Johnson, R. L., Rader, M. W., & Streider, F. H. (1991). Whose child is this? Assessment and treatment of children in foster care. American J. of Orthopsychiatry, 61 584-591.

    Google Scholar 

  • Keane, A. (1983). Behaviour problems among long-term foster children. Adoption and Fostering, 7 53-62.

    Google Scholar 

  • Kools, S. M. (1997). Adolescent identity development in foster care. Family Relations, 46 263-271.

    Google Scholar 

  • Lawder, E. A., Poulin, J. E., & Andrews, R. G. (1986). A study of 185 foster children 5 years after placement. Child Welfare, 65 241-251.

    Google Scholar 

  • McDonald, T. P., Allen, R. I., Westerfelt, A., & Piliavin, I. (1996). Assessing the long-term effects of foster care: A research synthesis. Washington, DC: CWLA Press.

    Google Scholar 

  • McMillen, J. C., & Groze, V. (1994). Using placement genograms in child welfare practice. Child Welfare, 73 307-318.

    Google Scholar 

  • Meadowcroft, P. (1989). Treating emotionally disturbed children and adolescents in foster homes. Child and Youth Services, 12 23-43.

    Google Scholar 

  • Milner, J. (1987). An ecological perspective on duration of foster care. Child Welfare, 66 113-123.

    Google Scholar 

  • Nelson, K. A. (1985). On the frontier of adoption: A study of special-needs adoptive families. New York: Child Welfare League of America.

    Google Scholar 

  • Poland, D. C., & Groze, V. (1993). Effects of foster care placement on biological children in the home. Child and Adolescent Social Work Journal, 10 153-164.

    Google Scholar 

  • Proch, K., & Taber, M. (1985). Placement disruption: A review of research. Children and Youth Services Review, 7 309-320.

    Google Scholar 

  • Ray, J., & Horner, W. C. (1990). Correlates of effective therapeutic foster parenting. Residential Treatment for Children and Youth, 7 57-69.

    Google Scholar 

  • Reddy, L. A., & Pfeiffer, S. I. (1997). Effectiveness of treatment foster care with children and adolescents: A review of outcome studies. Journal of the American Academy of Child and Adolescent Psychiatry, 36 581-588.

    Google Scholar 

  • Rice, D. L., & McFadden, E. J. (1988). A forum for foster children. Child Welfare, 67 231-243.

    Google Scholar 

  • Rodwell, M. K., & Biggerstaff, M. A. (1993). Strategies for recruitment and retention of foster families. Children and Youth Services Review, 15 403-419.

    Google Scholar 

  • Rosenfeld, A. A., Pilowsky, D. J., Fine, P., Thorpe, M., Fein, E., Simms, M. D., Halfon, N., Irwin, M., Alafro, J., Saletsky, R., & Nickman, S. (1997). Foster care: An update. Journal of the American Academy of Child and Adolescent Psychiatry, 36 448-457.

    Google Scholar 

  • Rubenstein, J. S., Armentrout, J. A., Levin, S., & Herald, D. (1978). The parent-therapist program: Alternate care for emotionally disturbed children. American Journal of Orthopsychiatry, 48 654-662.

    Google Scholar 

  • Ruff, H. A., Blank, S., & Barnett, H. L. (1990). Early intervention in the context of foster care. Journal of Developmental and Behavioral Pediatrics, 11 265-268.

    Google Scholar 

  • Salahu-Din, S. N., & Bollman, S. R. (1994). Identity development and self-esteem of young adolescents in foster care. Child and Adolescent Social Work Journal, 11 123-135.

    Google Scholar 

  • Sanderson, H. W., & Crawley, M. (1982). Characteristics of successful family-care parents. American Journal of Mental Deficiency, 86 519-525.

    Google Scholar 

  • Seaburg, J., & Tolley, E. (1986). Predictors of the length of stay in foster care. Social Work Research and Abstracts, 22 11-17.

    Google Scholar 

  • Smith, M. C. (1994). Child-rearing practices associated with better developmental outcomes in preschool-age foster children. Child Study Journal, 24 299-323.

    Google Scholar 

  • Smith, P. M. (1986). Evaluation of Kent placements. Adoption and Fostering, 10 29-33.

    Google Scholar 

  • Soliday, E. (1998). Services and supports for foster caregivers: Research and recommendations. Children's Services: Social Policy, Research, and Practice, 1 19-38.

    Google Scholar 

  • Soliday, E., McCluskey-Fawcett, K., & Meck, N. (1994). Foster mothers' stress, coping, and social support in parenting drug-exposed and other at-risk toddlers. Children's Health Care, 23 15-32.

    Google Scholar 

  • Staff, I., & Fein, E. (1995). Stability and change: Initial findings in a study of treatment foster care placements. Children and Youth Services Review, 17 379-389.

    Google Scholar 

  • Steinhauer, P. D., Johnston, M., Snowden, M., Santa-Barbara, J., Kane, B., Barker, P., & Hornick, J. P. (1988). The foster care research project: Summary and analysis. Canadian Journal of Psychiatry, 33, 509-516.

    Google Scholar 

  • Stone, N. M., & Stone, S. F. (1983). The prediction of successful foster placement. Social Casework: The Journal of Contemporary Social Work, 64 11-17.

    Google Scholar 

  • Stovall, K. C., & Dozier, M. (1998). Infants in foster care: An attachment theory perspective. Adoption Quarterly, 2 55-88.

    Google Scholar 

  • Taber, M. A., & Proch, K. (1987). Placement stability for adolescents in foster care: Findings from a program experiment. Child Welfare, 66 433-445.

    Google Scholar 

  • Thomas, A., & Chess, S. (1977). Evolution of behavior disorders into adolescence. Annual Progress in Child Psychiatry and Child Development, 489-497.

  • Twigg, R. C. (1994). The unknown soldiers of foster care: Foster care as loss for the foster parents' own children. Smith College Studies in Social Work, 64 297-312.

    Google Scholar 

  • United States General Accounting Office (1999). Foster care: States' early experiences implementing the Adoption and Safe Families Act. Report to the Chairman, Subcommittee on Human Resources, Committee on Ways and Means, House of Representatives. Washington, DC: Author.

    Google Scholar 

  • Valdez, G. M., & McNamara, J. R. (1994). Matching to prevent adoption disruption. Child and Adolescent Social Work Journal, 11 391-403.

    Google Scholar 

  • Wells, K., & D'Angelo, L. (1994). Specialized foster care: Voices from the field. Social Service Review, 68 127-144.

    Google Scholar 

  • Windle, M., & Lerner, R. M. (1989). Reassessing the dimensions of temperamental individuality across the life span: The Revised Dimensions of Temperament Survey (DOTS-R). Journal of Adolescent Research, 1 213-230.

    Google Scholar 

  • Wolkind, S. (1978). Fostering the disturbed child. Journal of Child Psychology and Psychiatry and Allied Disciplines, 19 393-397.

    Google Scholar 

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Redding, R.E., Fried, C. & Britner, P.A. Predictors of Placement Outcomes in Treatment Foster Care: Implications for Foster Parent Selection and Service Delivery. Journal of Child and Family Studies 9, 425–447 (2000). https://doi.org/10.1023/A:1009418809133

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