Care for children in residential settings is popularly characterised as the last resort for children who have had multiple failed placements and often high levels of need, requiring therapeutic help. It is often assumed that children will leave residential care for independent living. Using administrative data for a six-year period (2008-2014) for…

This study used an ethological approach to explore the baby-caregiver dyadic exchanges (Attempted interactions, Triggers, Interactions) of nineteen infants during their first weeks in Residential Care (RC), or a Foster Family (FF) or an Infant-Mother Centre (IMC). Direct observations were conducted at feeding time. Observed behaviours were: baby…

Exposure to early psychosocial deprivation as a result of institutional care disrupts typical brain development. The Bucharest Early Intervention Project (BEIP) is the first longitudinal study to investigate the neurodevelopment of institutionalized infants randomized to a foster care (FCG) intervention versus care as usual (CAUG). Here, we…

The establishment of the Central Observation Institute in Mol in 1913 marks the introduction of scientific expertise in Belgium's youth delinquency policy. The child at risk was subjected to a series of observations, resulting in an observation report ('waarnemingsverslag') that contained the psychological, moral and physical characteristics of…

Although newly passed federal regulations mandate the provision of family-based aftercare supports for adolescents served in therapeutic residential care, very little research has been conducted to determine best practice. This efficacy and replication study compares the outcomes of youths and caregivers randomly assigned to On the Way Home (OTWH;…

Background: Until now, the relations between the working alliance and trauma-related symptoms have received little or no study in residential-care settings. However, considering the high prevalence of past experiences of interpersonal trauma among young people in residential centers, it is essential to examine this issue more closely. Objective:…

In this essay, we comment on the dominant practice in high-resource societies of placing children without biological parental care (CwoBPC) into substitution families, and the promotion of this solution as evidence-based and state of the art. As the Russian Federation has formulated and is now addressing in matching legislation, it possibly…

Background: There is a need to examine behavioral and mental health outcomes for children in out-of-home care across settings. Objective: Using a participatory research approach, researchers and agency personnel aimed to implement a program of scientific outcomes research in residential care settings. Data were used to examine children's…

In 1992, Ireland committed to the right of children to participate in decision-making that impacts on their lives. The extent to which this right is upheld for young people in the care of the State who live in residential childcare centres is unknown. A small qualitative case study was carried out in four such centres in the West of Ireland in…

Background: Concern has been expressed repeatedly about the cost and quality of residential placements for adults with learning disabilities and additional needs. This study sought to identify characteristics of the highest cost placements in the South-East of England. Method: Lead learning disability commissioners in the South-East of England…

The prevalence of weight problems among youth in general and youth in out-of-home care has been well documented; however, the prevalence of obesity/overweight among youth with high-incidence disabilities in more restrictive settings, such as residential care, has not been assessed. The purpose of the present study was to evaluate the prevalence of…

This study provides national estimates for length of stay in residential care and examines within-group variability along salient predictors. Using data from the National Study on Child and Adolescent Well-Being, the sample included 254 youth with episodes in residential care. Descriptive analyses provided estimates for length of stay over the…

Though research has focused on clinical characteristics and behavioral problems of youth in out-of-home mental health placement settings, few studies have examined how adolescents and emerging adults (Arnett, 2000) experience and make sense of treatment. In this study, semistructured interviews regarding the experience of mental health placement…

This study examined classifications of attachment in 42-month-old Romanian children (N = 169). Institutionalized since birth, children were assessed comprehensively, randomly assigned to care as usual (CAU) or to foster care, and compared to family-reared children. Attachment classifications for children in foster care were markedly different from…

Background: People with severe challenging behaviour are vulnerable to exclusion from local services and removal to out-of-area placements if locally available supported accommodation is insufficient to meet their needs. There are concerns about the high costs and potentially poorer outcomes of out-of-area placements but relatively little is known…