Therapeutic Residential Care For Children and Youth takes a fresh look at therapeutic residential care as a powerful intervention in working with the most troubled children who need intensive support. Featuring contributions from distinguished international contributors, it critically examines current research and innovative practice and addresses the key questions: how does it work, what are its critical “active ingredients” and does it represent value for money? The book covers a broad spectrum of established and emerging approaches pioneered around with world, with contributors from the USA, Canada, Scandinavia, Spain, Australia, Israel and the UK offering a mix of practice and research exemplars. The book also looks at the research relating to critical issues for child welfare service providers: the best time to refer children to residential care, how children can be helped to make the transition into care, the characteristics of children entering and exiting care, strategies for engaging families as partners, how the substantial cost of providing intensive is best measured against outcomes, and what research and development challenges will allow therapeutic residential care to be rigorously compared with its evidence-based community-centered alternatives. Importantly, the volume also outlines how to set up and implement intensive child welfare services, considering how transferable they are, how to measure success and value for money, and the training protocols and staffing needed to ensure that a programme is effective. This comprehensive volume will enable child welfare professionals, researchers and policymakers to develop a refined understanding of the potential of therapeutic residential care, and to identify the highest and best uses of this intensive and specialized intervention.

Children and young people in care who have been traumatized need a therapeutic environment where they can heal and which meets their emotional and developmental needs. This book provides a model of care for traumatized children and young people, based on theory and practice experience pioneered at the Lighthouse Foundation, Australia. The authors explain the impact of trauma on child development, drawing on psychodynamic, attachment and neurobiological trauma theories. The practical aspects of undertaking therapeutic care are then outlined, covering everything from forming therapeutic relationships to the importance of the home environment and daily routines. The book considers the totality of the child's experience at the individual, group, organization and community levels and argues that attention to all of these is essential if the child is to achieve wellness. Case material from both children and carers are used throughout to illustrate both the impact of trauma and how children have been helped to recovery through therapeutic care. This book will provide anyone caring for traumatized children and young people in a residential setting with both the understanding and the practical knowledge to help children recover. It will be essential reading for managers and decision-makers responsible for looked after children, child care workers such as residential and foster carers, youth workers, social workers, mental health workers and child welfare academics.

The CARE practice model provides a framework for residential care based on a theory of how children develop, motivating both children and staff to adhere to routines, structures, and processes, minimizing the potential for interpersonal conflict. The core principles of the model have a strong relationship to positive child outcomes, and can be incorporated into a wide variety of programs and treatment models.

Now more than ever there is a need to ensure that best practices are being used in residential programs. As the focus on costs and outcomes increase, residential programs must clearly demonstrate that the interventions provided are efficient and effective. Readers will learn how to: Create strength-based, empowering and healing environments; Better engage and partner with children, adolescents and families, in meaningful ways; Support those who have experienced trauma and loss, and to prevent and eliminate the use of restraint and seclusion; Respect and include cultural indices in practices; Train, mentor, supervise, support and empower staff about how to deliver promising and best practices, and evidence-informed and evidence-based interventions; and Track long-term outcomes, and create funding strategies to better support sustained positive outcomes. This book encourages readers to think strategically about how agencies, communities and systems can identify and implement actions that lead to positive change and how to work more collaboratively to improve the lives of children and adolescents who have experienced emotional and behavioral life challenges and their families.

This innovative book brings together a wide range of therapeutic approaches, techniques and models to outline recent developments in the practice of supporting children in out-of-home care. It sheds light on the significance of schools, sports and peer relationships in the lives of traumatized children. It also draws particular attention to the vital importance of taking into account children's cultural heritage, and to the growing prevalence of relative care. Each chapter is set out by acclaimed and world-renowned contributors' specific approach, such as Dan Hughes and his work on conceptual maps and Cathy Malchiodi and her research on creative interventions, and gives practical ways to support children and carers. It also includes contributions from Bruce Perry, Allan Schore and Martin Teicher. This comprehensive volume will open new avenues for understanding how the relationship between child and carer can create opportunities for change and healing.

Tackling the difficult issues facing those who work with traumatized and sometimes dangerous young people and their families, this new volume shows how professionals can bring about positive change and growth through the creation of "holding" and healing therapeutic environments. This collection of papers written by established and respected experts with extensive practice and research experience builds a powerful picture of the theory and practice of therapeutic community work with young people. A wide variety of therapeutic community approaches is considered alongside an analysis of the implications of this model for mainstream residential practice. Social work, health care and education professionals will find the text invaluable for its presentation of a well-founded analysis of their work with these most damaged and desperate children and young people.

"Implementing Therapeutic Residential Care with Children and Adolescents presents a foundation framework for well-functioning residential care, and outlines the process of therapeutic care program implementation. It is written for anyone involved in seeking to provide or support good residential practice, one that works in the best interests of children and adolescents in the contexts of their families and communities. The framework of the book is geared towards those working at various levels in the child welfare system, from direct care to policy formulation, and incorporates quantitative outcome measures and qualitative data gathered over three years and across eight intervention sites. Specific examples and illustrations connect the conceptual ideas and considerations with day-to-day activities for staff, and it examines the adult mindset development in relation to how agencies can promote a "child's best interest" culture. This book is also an ideal resource for learning strategies to engage politicians, policy makers, and the media."--Provided by publisher.