Monitoring and Managing Outcomes in Residential Treatment: Practice-Based Evidence in Search of Evidence-Based Practice

Autor/inn/en	Lyons, John S.; McCulloch, Jill Romansky
Titel	Monitoring and Managing Outcomes in Residential Treatment: Practice-Based Evidence in Search of Evidence-Based Practice
Quelle	In: Journal of the American Academy of Child and Adolescent Psychiatry, 45 (2006) 2, S.247 (5 Seiten) PDF als Volltext Verfügbarkeit
Sprache	englisch
Dokumenttyp	gedruckt; online; Zeitschriftenaufsatz
ISSN	0890-8567
Schlagwörter	Placement; Foster Care; Community Services; Emotional Disturbances; Psychiatric Hospitals; Children; Residential Programs; Therapy; Outcomes of Treatment; Illinois + Suchen Sie Ihr Suchwort? Betriebspraktikum; Praktikum; Pflegehilfe; Gemeindenahe Versorgung; Gefühlsstörung; Phsychiatric institution; Psychiatrische Einrichtung; Child; Kind; Kinder; Sozialer Wohnungsbau; Therapie
Abstract	This article discusses the response of Illinois Department of Children and Family Services (IDCFS) to the perceived problems with long-term residential treatment and psychiatric hospitalization. The IDCFS implemented a process of residential placement review and a system of residential facility gatekeepers to ensure more appropriate placement and to monitor progress in care. This is an example of evidence-based practice: the finding that a proportion of children in residential treatment were at sufficiently low risk that they likely could be served in the community incited systematic changes regarding residential treatment. As a result, far more children in Illinois are being served in the community. Savings from reduced use of residential treatment have been used to create an intensive community service called System of Care, which provides behavioral health and other services using wraparound philosophy to approximately 2,000 children in foster care annually. The authors conclude that expanding community services can reduce the demand for residential treatment, but reducing the availability of residential treatment without increasing intensive community-based options may increase both psychiatric hospitalization rates as well as the likelihood of detention and incarceration. (Contains 1 figure.) (ERIC).
Anmerkungen	Lippincott Williams & Wilkins. P.O. Box 1600, Hagerstown, MD 21741. Tel: 800-638-3030; Tel: 301-223-2300; Fax: 301-223-2400; Web site: http://www.lww.com/product/?0890-8567
Erfasst von	ERIC (Education Resources Information Center), Washington, DC
Update	2017/4/10