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…

Purpose: To identify differences in perspectives that may complicate the process of joint decision making at the end of life, this study determined the agreement of family and staff perspectives about end-of-life experiences in nursing homes and residential care/assisted living communities and whether family and staff roles, involvement in care,…

This article presents a model of collaboration between a state child welfare licensing division and a public university to develop and administer online examinations for persons seeking licensure as administrators of residential child care facilities or child placing agencies. The exams assess knowledge of state standards and various practice…

Charles Hall Youth Services (CHYS), a residential foster-care provider in Bismarck, North Dakota, desired to move from an adult-centered, punitive program model to a strength-based model with an emphasis on teaching critical life skills and behaviors to young clients. Through a partnership with the Teel Institute of Kansas City, Missouri, the…

This paper discusses how the internal worlds of adolescents who are looked after in residential care homes impact upon workers and generate complex dynamics within teams. This is especially so regarding internal parental objects and couplings, which inevitably include those of abandoning, abusive and ambivalent parental figures. Versions of these…

Background: Past research has determined that fear of violence is often "irrational" in relation to the actual level of risk presented. This has been found to exacerbate the negative effects of exposure to work-related violence. Aims: This study investigates fear of assault in relation to exposure to challenging behaviour. The extent to which a…

Purpose: The purpose of this article is to explore how medical care is delivered to older people in assisted living (AL) settings and to suggest ways for improving it. Design and Methods: We present a review of the limited research available on health care for older AL residents and on building testable models of better ways to organize primary…

A description of the rationale for responding to welfare reform is followed by an overview of orphanages and child and youth care workers. A therapeutic parent model of reform is presented, and welfare reform proposals are evaluated in the model's context. (SLD)

The findings of a 1978 project of the Massachusetts Developmental Disabilities Council on the need for respite care services and the various models for delivery of respite care are reported. Methodology included review of respite care regulations in 12 states, site visits and a survey of Massachusetts programs, and a survey of 339 families with…