The Strategic Dialogue: Rendering the Diagnostic Interview a Real Therapeutic Intervention

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Four weeks in-home service, two families per caseworker, intensive caseworker involvement, structural family therapy approach focus on alternatives to out-of-home placement. Families served for an average of 5 weeks with 14 hours of face-to-face contact offered to families with adolescents aged approved for placement by Hennepin County, Minnesota, child protective services managers. Out-of-home placement history, postservice placement tracking, client treatment record, social worker perceptions. An overall comparison of placement episodes for home-based service and comparison group clients showed no differences in the number of placement episodes of any length of stay.

However, the two groups differed significantly on all other placement activity measures.

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Home-based service clients spent 1, fewer days in placement and had shorter average lengths of stay than did comparison group clients. Families First, a family systems therapy provided for weeks with therapists on call 24 hours per day. Therapists provided advocacy and support in meeting basic needs and coordinating other services, and they provided parenting skills, mood management, communication skills training, and individual and family counseling to families of children in three California counties referred to child protective services for abuse or neglect.

Both experimental and comparison groups showed reduction in stress over time.

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The experimental group showed greater improvement in communication skills than the comparison group. Costs of in-home therapy were significantly lower than the costs of out-of-home foster care. Families First Program provided weeks of intensive services such as parenting skills training, financial management, transportation, and job skills training to families with children at risk of imminent placement in Michigan.

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When compared with similar families who did not receive services, children were consistently placed out-of-home at a much lower rate at 3-, 6-, and months postintervention. Home-based family services intervention provided by the DePelchin Children's Center, designed to solve family problems and reduce recurrence of abuse and neglect, offered to families with a child at risk for removal but not in immediate danger. Children were removed from their homes in 6 Twenty-one Standard services were less expensive than the two experimental interventions.

Treatment group received services from the state DHS or a private contracted agency. Control group received standard protective services. By the end of the 1-year follow-up, In the control group, There was no statistically significant difference between the groups in the number of placements experienced or cumulative time in placement. Counseling, homemakers' services, day care, medical, legal, and other family support services provided to families with children at risk of placement.

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Placement rates, reports of abuse and neglect, interviews with 27 subjects, Polansky's Childhood Level of Living Scale. Homebuilders program, providing 36 hours of in-person and telephone contact in weeks for families in Utah and Washington with one or more child at risk of imminent placement. The treatment success rates of the Homebuilders program matched or exceeded those of other Intensive Family Preservation Services or family-centered programs using comparable intake criteria.

Twelve-month follow-up data indicate treatment success rates decline over time. Families First Program, providing short-term in-home services to families referred for child abuse or neglect. Services include both therapeutic and concrete services. Achievement rating by case workers, placement rates, subsequent reports of maltreatment, family and child functioning. Results offer little evidence that Family First resulted in lower placement rates. Experimental group experienced placement of children at a rate slightly higher than the control families.

Results also find no evidence that Family First decreased risk of subsequent harm to children or improved case-closing rates when compared with standard services. Social learning program including training in parenting skills, parent sensitization to child needs, and coping skills training offered to client families of the Cascade County, Oregon, Social Services Child Protective Service Unit. Included families with children aged who were considered at risk for placement because of abuse. In-home family-based services provided for at least 90 days, with three visits per week per family by caseworker, oriented toward the provision of concrete services and focused on skills training.

Total number of days the child spent in the home during the treatment and follow-up periods. Impacts endured for upward of 12 months following the cessation of direct intervention services.

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Intensive family support services over a day period provided to families referred to child protective services in Lucas County, Ohio, judged to be at least a moderate risk for placement. When compared 6 months after case determination, families in the experimental group had fewer cases opened. The cases that were opened more often opened to the child's own home and were opened for shorter periods of time. Caregivers from the experimental group seemed more likely to use the array of services available, viewed the agency as more responsive and supportive, appeared more willing to express their needs, and utilized services more often than comparison families.

Families First Program in Davis, California, provided home-based, intensive services to families in which at least one abused or neglected child was at risk for placement. One-year follow-up data indicate in-home treatment was successful at reducing out-of-home placement and lowering placement costs compared with comparison group. No significant differences in placement rates between the project group and the comparison group.

Enhanced stipends, training, and support provided to foster parents of 72 children in three Oregon counties. During the 2-year project, 12 of the 72 participating families Bayley Scales Infant Development, Barnard Feeding and Teaching Scales, anthropometric development measures, reunification with families. At Time Two end of Center residence , experimental children had gained more height for age, scored lower on the psychomotor scale, and stayed relatively equal to the comparison children on the motor scale.

By Time Three, physical measurements were the same for the groups, the experimental group maintained its standing with the Bayley scales, scored lower on the interactions scale, but surpassed the comparison children.

Foster children committed 0. Foster children were more likely than their comparison cohort to have committed a criminal assault. Comparison group of victims of child maltreatment who were left in the family home.

Foster care of children in San Mateo, California, removed from home because of abuse and or neglect. Pre- and postintervention physical exams of children; interviews with caretakers, children, social workers; Wechsler Primary Scale of Intelligence; Wechsler Intelligence Scale for Children; school records of academic performance; teacher ratings of children; Child Behavioral Scale developed for project; Social Competence Instrument developed for project; reports of abuse and neglect; foster placement rates.

Foster children received somewhat better physical care and missed less school than children left at home. The foster children demonstrated higher scores in overall socioemotional well-being.


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Fostering Individualized Assistance Program FIAP provides assessments, planning, case management, and support services to children in foster care because of abuse and neglect. FIAP compared with standard practice. Child Behavior Checklist, Youth Self-Report, days in out-of-home placement, juvenile crime court records. Both FIAP and standard practice subjects improved in emotional and behavioral adjustment measures. There was a significant improvement in the behavioral adjustment of the FIAP children in permanency placements in contrast to the standard practice group.

The FIAP group had less runaways than the standard practice group. The FIAP youth spent less time in incarceration than the standard practice group. Randomly assigned comparison group received standard foster care system services. Weekly visits by trained home visitors and nurse or social worker, child care, day camp, respite care, goods and services, referrals to other community services provided to families with young children who were reported as abused or neglected by school personnel.

Cases were resolved as unfounded by protective services. Subsequent child abuse and neglect reports, number of families' unmet needs, improved social support, improved parent-child interaction, reduction in parental stress. The experimental group did report fewer family problems and lower stress but did not report greater social support. Overall, the treatment group did not show improvements in parent-child relations compared with control groups.

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Intensive services including individual, group, or family counseling; financial services; medical services; help with housing; psychological evaluation and treatment; education in home management and nutrition; tutoring and remedial education; vocational counseling; homemaker services; and day care offered to families served by a New York City program with at least one at-risk child under 14 who was not an active case under child protective services. Child Welfare Information Services foster care history data, State Central Registrar of substantiated complaints of child maltreatment, Special Services for Children information on clients served, agency case records, in-person interviews.

Control children entered foster care sooner than experimental children. Shelters can reduce the risk of new violence for a woman who is taking control of her life in other ways. Otherwise, shelters may have no impact or may even trigger retaliation from abusive spouses. Service of trained advocates for 10 weeks after shelter exit, hours per week provided to residents of a domestic violence shelter in a midwestern city.

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