Everyone experiences stress and needs extra help at times. Often this involves informal support, but in certain circumstances, help comes in the form of therapy. Sometimes there is a negative impression about "needing" therapy. But when the going gets tough, sometimes the tough go to therapy. With a wide range of factors working against them,…

"Caring communities" is a great sounding line, but what does it really mean? There are many ways that communities which present themselves as caring make life easier or worse for those who live there. For centuries in Germany, there have been religious groups who claim to care for each member. By definition, this is circumscribed caring…

Group care programs, while ubiquitous, are not clearly differentiated despite differences in the population served, size, auspices, and program activities, to name a few. Words like group care, residential care and residential treatment are often used interchangeably in policy, research and practice. This paper introduces reporting standards that…

This article applies the tenets of Bernard's in "Counselor Edu Supervision" 19:60-68, (1979) discrimination model of clinical supervision to the supervision needs of those who provide direct care to adolescents in residential treatment due to abuse, neglect, behavioral, or emotional problems. The article focuses on three areas…

Much progress has been made in helping families improve their relationships and provide effective environments for their children. However, an ongoing challenge in implementing these practices is to actively engage families in interventions for youth. Most effective treatments for youth require some level of caregiver involvement. Research has…

Emphasis on neuropsychiatric frameworks of conceptualizing troubled youth is increasing. This focus leads to more biologically-based interventions. As such, the use of psychotropic medications is skyrocketing, while the utilization of psychosocial strategies is diminishing. Yet overall outcomes seem to be faltering. Admissions to outpatient,…

Nonhome-based long-term care sustainable living arrangements for elderly people with Alzheimer's is presented. Characteristics contributing to sustainability are discussed. The ultimate goal in sustainable design for older adult communities is a people-centered model of care in environments that improve their quality of life. Without sustainable…

This article describes older adults' experiences of a late-life residential relocation from a home to a long-term health care setting. Findings from 14 participants who engaged in a focus group and/or an individual interview supported 8 major themes. Thematic experiences were related to precipitating factors prior to the move, risks and protective…

Physical activity has been linked to positive health outcomes for frail seniors. However, our understanding of factors that influence the physical activity of residents in the long-term care (LTC) setting is limited. This article describes our work with focus groups, one component of a multi-component study that examined factors influencing the…

The National Quality Improvement Center on the Privatization of Child Welfare Services selected Illinois as a demonstration site in 2007 to evaluate performance-based contracting in residential treatment services. This article discusses the first two years of project implementation including developing residential treatment performance indicators,…

The perceptions of Looked After Children (LAC; n = 51), their Designated Teachers (DTs), and a sample of non-LAC (n = 99) were elicited. LAC held more positive self-perceptions than the non-LAC, and similarly positive ratings were given for the LAC by their DTs; but LAC held lower career aspirations than the non-LAC. LAC differed in their levels…

The popularity and success of positive behavioral interventions and supports (PBIS) in public schools across the United States has led professionals to advocate for its implementation in secure juvenile settings. Statewide implementation efforts have been mounted in several jurisdictions, and a number of secure facilities are applying it with…

For too many years the phrase "after care, an after thought" summed up the lack of attention given to preparing young people in care for adult life and to the development of leaving-care and aftercare services. That stance has changed in the United Kingdom, however, and indeed has shifted positively and dramatically over the last decade.…

This paper chronicles the exploration and development of a residential program of the child welfare authority of Renfrew County in Ontario, Canada. Recognizing that virtually its entire population of youth in care was failing to achieve positive outcomes in education, Renfrew County Family and Children Services embarked on a program development…

In 1995, the Indiana Association of Residential Child Care Agencies (IARCCA), an association of children and family services, responded to a request to demonstrate effectiveness of residential care. The organization developed a vision for evaluating outcomes that incorporated collaboration with others, use of data and projection toward the future.…