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.

First published in 1999, this timely and challenging volume assesses children’s residential services in the UK in the wake of the Residential Provision and the Children Act, 1989, using extensive interviews with providers of residential therapeutic services. A difficult task in any circumstances, issues discussed, with telling and convincing detail, include the financial difficulties of these services, staff morale, which children have need of residential services, the effects of policy reform, rates of emotional and behavioural disorders, the costs of services and long-term therapeutic units. This exemplary study is comparable to Sir William Utting’s 1997 report, People Like Us, adding new dimensions and insights to the current debate. It should be widely read and discussed by policy makers and practitioners concerned with child care and protection.

Draws on recent research to address key issues in residential child care policy and practice in the UK, offering guidance for developing best practice and improved outcomes for children and young people.

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.

Pediatric Disorders of Regulation in Affect and Behavior, second edition is a skills-based book for mental health professionals working with children experiencing disorders of self-regulation. These children are highly sensitive to stimulation from the environment, emotionally reactive, and have difficulty maintaining an organized and calm state of being. Children with these struggles often have difficulty adapting to changing demands at home and school. The child may additionally struggle with bipolar or mood disorder, anxiety, depression, obsessive–compulsive disorder, Asperger's syndrome, eating or sleep disorders, and/or attention-deficit disorder. This book will help professionals integrate treatment strategies that address the individual's regulatory, sensory integration, and mental health problems. The book is organized with each chapter discussing a different form of dysregulation in eating, sleep, mood regulation, anxiety, attention, and behavioral control. Chapters begin with developmental and neurobiological underpinnings of the problem, include clinical observations, and close with diagnosis and treatment strategies. Recommended treatments integrate aspects of dialectical behavioral therapy, mind–body therapies and sensory integration techniques, and interpersonal therapy. Checklists for diagnosis and treatment planning are included at the conclusion of each chapter with an appendix of 20 skill sheets for use in treatment. - Practical skill-based treatment book for mental health and occupational therapists - Addresses eating, sleep, mood, attention, and behavioral control - Presents integrated treatment using sensory integration, DBT, interpersonal therapy, and more - Includes checklists and skill sheets for use in treatment

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.

Is residential care 'inherently harmful'? This book argues that this conventional wisdom is wrong and is, itself, harmful to a significant number of children and youth. The presumptive view is based largely on overgeneralizations from research with infants and very young children raised in extremely deprived environments. A careful analysis of the available research supports the use of high-quality residential care as a treatment of choice with certain groups of needy children and youth, not a last resort intervention. The nature of high-quality care is explored through child development theory and research and two empirically supported models of care are described in detail. It will be of interest to all scholars and students of child development, child welfare, youth work, social work and education as well as professionals working within these fields.

"This volume addresses the question of how societies with developed welfare and social service systems are assessing current needs and future directions in their residential child and youth care sectors. This includes dealing with the historical concerns raised about the placement of children and youth in residential care settings as well as identifying innovative strategies, which offer new pathways for the integration of this often neglected area of service with families and communities. This review builds on an emergent and growing literature of cross-national child welfare policies and practices including child protection arrangements (Gilbert et al., 2011) and meeting the needs of migrant children (Skivenes et al., 2014). Our contributors share a common child welfare goal of seeking to ensure healthy growth and development for children served in order to achieve desired social outcomes for the community at large. Each of the sixteen countries selected for inclusion will be viewed through a common template including the policy context (historical developments, key trends and policy initiatives), promising programmatic innovations, and information obtained from a matrix developed in an earlier research effort (Erasmus+ Project) by Sigrid James and colleagues from five European countries (James et al., 2021). The Erasmus+ project, along with the matrix and rationale for its use, is described in detail in Chapter 3"--

For centuries, societies have relied upon residential care settings to provide homes for children, and for much of that period a debate has raged over whether such settings are appropriate places for children to be raised. In recent years this debate has taken on an international dimension as human rights policies have called into question the legitimacy of residential care of children. Unfortunately, the ideological fervor that usually accompanies such discussions prevents a more nuanced understanding of the reasons that countries continue to make use of residential care. Residential Care of Children: Comparative Perspectives fills major gaps in knowledge about residential care and is intended to inform debates within and between nations about the appropriate use of such institutions. Eleven country-specific chapters, written by child welfare experts from around the world, provide an in-depth understanding of the historical development of residential care, the current state of affairs, and predictions for the future. Chapters describe how residential care is defined in each country, how it has evolved over time, factors that have contributed to the observed pattern of development of residential care, and potential concerns for the future. An integrative chapter presents a critical cross-national perspective, identifying common themes and analyzing underlying factors. Seeking to explain rather than cast judgment, Residential Care of Children: Comparative Perspectives will be fruitful reading for policymakers, program administrators, advocates, practitioners, and scholars interested in creating better services for vulnerable children and youth.