Article2001

Placement Disruption in Treatment Foster Care

Dana K. Smith · Elizabeth A. Stormshak · Patricia Chamberlain · Rachel Bridges Whaley

168 citations0/0 files storedJournal of Emotional and Behavioral Disorders

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Child Welfare and Adoption Child and Adolescent Psychosocial and Emotional Development Psychiatric care and mental health services

Abstract

Rates of placement disruption in traditional and treatment foster care are reviewed. Contextual factors, individual child and caregiver characteristics, and risk factors thought to influence rates of placement disruption are explored. A model for treatment foster care is described, and data are presented on disruption rates for this program. The results indicated that the likelihood of placement disruption is two times higher during the first 6 months (17.8%) compared to the second 6 months (9.2%) of treatment.Taken together across the first and second 6 months of treatment, 23 of 90 youth (25.5%) experienced a placement disruption. Findings indicate that age and gender play a role in disruption, with older girls at the greatest risk for placement disruption. Limitations of the study, future directions,and implications for treatment are discussed.

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References

2013Diagnostic and Statistical Manual of Mental Disorders 2022Diagnostic and Statistical Manual of Mental Disorders 1995Relational Aggression, Gender, and Social-Psychological Adjustment 1997A developmental investigation of social aggression among children.1974Beyond the Best Interests of the Child 1996Gender Differences in Children's Normative Beliefs about Aggression: How Do I Hurt Thee? Let Me Count the Ways 1974Beyond the Best Interests of the Child 1990Foster Children in a Life Course Perspective

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2005Leaving foster care—the influence of child and case characteristics on foster care exit rates 2003The oregon multidimensional treatment foster care model: Features, outcomes, and progress in dissemination 2016The Oregon Model of Behavior Family Therapy: From Intervention Design to Promoting Large-Scale System Change 2006Changes in Placement among Children in Foster Care: A Longitudinal Study of Child and Case Influences 2005Challenging foster caregiver–maltreated child relationships: The effectiveness of parent–child interaction therapy

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