Program and practice elements for placement prevention

A review of interventions and their effectiveness in promoting home-based care

Bethany R. Lee, Chad Ebesutani, Karen M. Kolivoski, Kimberly D. Becker, Michael A. Lindsey, Nicole Evangelista Brandt, Nicole Cammack, Frederick H. Strieder, Bruce F. Chorpita, Richard P. Barth

Research output: Contribution to journalArticle

Abstract

Preventing unnecessary out-of-home placement for youth with behavioral and emotional needs is a goal of several public child-serving services, including child welfare, juvenile justice, and child mental health. Although a small number of manualized interventions have been created to promote family driven and community-based services and have empirical support, other less established programs have been initiated by local jurisdictions to prevent out-of-home placement. To synthesize what is known about efforts to prevent placement, this article describes the common program and practice elements of interventions described in 37 studies (published in 51 articles) that measured placement prevention outcomes for youth at risk for out-of-home care because of behavioral or mental health needs. The most common program elements across published interventions were program monitoring, case management, and accessibility promotion. The most common clinical practice elements for working with youth were assessment and individual therapy; for caregivers, problem solving skills were most frequently included; and family therapy was most common for the family unit. Effect size estimates for placement-related outcomes (decreased out-of-home placement, decreased hospitalization, decreased incarceration, and decreased costs) were calculated to estimate the treatment effectiveness of the interventions in which the program components and clinical practices are embedded.

Original languageEnglish (US)
Pages (from-to)244-256
Number of pages13
JournalAmerican Journal of Orthopsychiatry
Volume84
Issue number3
DOIs
StatePublished - 2014

Fingerprint

Home Care Services
Mental Health
Family Therapy
Social Welfare
Social Justice
Case Management
Child Welfare
Caregivers
Hospitalization
Costs and Cost Analysis
Practice (Psychology)
Placement
Therapeutics

Keywords

  • Common elements
  • Evidence-based treatment
  • Out-of-home care
  • Placement prevention

ASJC Scopus subject areas

  • Developmental and Educational Psychology
  • Arts and Humanities (miscellaneous)
  • Psychology (miscellaneous)
  • Psychiatry and Mental health

Cite this

Program and practice elements for placement prevention : A review of interventions and their effectiveness in promoting home-based care. / Lee, Bethany R.; Ebesutani, Chad; Kolivoski, Karen M.; Becker, Kimberly D.; Lindsey, Michael A.; Brandt, Nicole Evangelista; Cammack, Nicole; Strieder, Frederick H.; Chorpita, Bruce F.; Barth, Richard P.

In: American Journal of Orthopsychiatry, Vol. 84, No. 3, 2014, p. 244-256.

Research output: Contribution to journalArticle

Lee, BR, Ebesutani, C, Kolivoski, KM, Becker, KD, Lindsey, MA, Brandt, NE, Cammack, N, Strieder, FH, Chorpita, BF & Barth, RP 2014, 'Program and practice elements for placement prevention: A review of interventions and their effectiveness in promoting home-based care', American Journal of Orthopsychiatry, vol. 84, no. 3, pp. 244-256. https://doi.org/10.1037/h0099811
Lee, Bethany R. ; Ebesutani, Chad ; Kolivoski, Karen M. ; Becker, Kimberly D. ; Lindsey, Michael A. ; Brandt, Nicole Evangelista ; Cammack, Nicole ; Strieder, Frederick H. ; Chorpita, Bruce F. ; Barth, Richard P. / Program and practice elements for placement prevention : A review of interventions and their effectiveness in promoting home-based care. In: American Journal of Orthopsychiatry. 2014 ; Vol. 84, No. 3. pp. 244-256.
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