Adopt a more effective approach to temporary and long-term residential care! Presenting the voices of staff, parents, and residents, Family-Centered Services in Residential Treatment: New Approaches for Group Care examines the changes and challenges of residential care from the old-fashioned orphanage to the modern group-care home. These thoughtful essays offer suggestions and methods to provide more effective services in temporary and long-term settings. Containing case studies, personal experiences, and professional insights about the potentials and limitations of residential care, this reliable resource will help you develop improved services for youths and their families. Family-Centered Services in Residential Treatment presents fresh evaluations of new and old techniques as well as ideas for meeting individual needs. By building connections among parents, youths, and staff, you can develop more successful treatment programs and encourage stronger family ties even when children are best served by long-term residential care.Family-Centered Services in Residential Treatment addresses the crucial questions of residential care, including: how can staff ease children's transitions into and out of residential care? what do parents of emotionally disturbed youth need from the staff and professionals in a residential care setting? what was right--and wrong--about the old-fashioned orphanage? Could such an institution work today? how does the transition to the teamwork approach affect staff members? when is residential care most beneficial to children? what kind of care is appropriate for AIDS orphans?Family-Centered Services in Residential Treatment will help psychologists, therapists, and social workers unite theory and practice to create a family-oriented environment for troubled clients.
This monograph articulates eight key elements of a family-centered approach to policy and practice for children needing specialized health and developmental services. An introductory section reviews the development of the first edition of the monograph in 1987 and its widespread dissemination and acceptance since that time. Each of the following eight chapters then addresses one of the following elements: (1) recognition that the family is the constant in the child's life, while the service systems and support personnel within those systems fluctuate; (2) facilitation of family/professional collaboration at all levels of hospital, home, and community care; (3) exchange of complete and unbiased information between families and professionals in a supportive manner; (4) respect for cultural diversity within and across all families including ethnic, racial, spiritual, social, economic, educational, and geographic diversity; (5) recognition of different methods of coping and promotion of programs providing developmental, educational, emotional, environmental, and financial supports to families; (6) encouragement of family-to-family support and networking; (7) provision of hospital, home, and community service and support systems that are flexible, accessible, and comprehensive in meeting family-identified needs; and (8) appreciation of families as families, recognizing their wide range of strengths, concerns, emotions, and aspirations beyond their need for specialized health and developmental services and support. Checklists for evaluating these elements are attached. (Contains 160 references.) (DB)
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.
With contributions ranging from academic and professional theorists and policy developers to independent social workers, this book explores the development of family-centered services, the processes by which these services are implemented, the problems the field now faces, and prospects for the future. Multi-faceted examinations of the field show how family-centered services and child well-being can be linked on a daily basis to better the lives of both parents and children.
Decades of research have demonstrated that the parent-child dyad and the environment of the familyâ€"which includes all primary caregiversâ€"are at the foundation of children's well- being and healthy development. From birth, children are learning and rely on parents and the other caregivers in their lives to protect and care for them. The impact of parents may never be greater than during the earliest years of life, when a child's brain is rapidly developing and when nearly all of her or his experiences are created and shaped by parents and the family environment. Parents help children build and refine their knowledge and skills, charting a trajectory for their health and well-being during childhood and beyond. The experience of parenting also impacts parents themselves. For instance, parenting can enrich and give focus to parents' lives; generate stress or calm; and create any number of emotions, including feelings of happiness, sadness, fulfillment, and anger. Parenting of young children today takes place in the context of significant ongoing developments. These include: a rapidly growing body of science on early childhood, increases in funding for programs and services for families, changing demographics of the U.S. population, and greater diversity of family structure. Additionally, parenting is increasingly being shaped by technology and increased access to information about parenting. Parenting Matters identifies parenting knowledge, attitudes, and practices associated with positive developmental outcomes in children ages 0-8; universal/preventive and targeted strategies used in a variety of settings that have been effective with parents of young children and that support the identified knowledge, attitudes, and practices; and barriers to and facilitators for parents' use of practices that lead to healthy child outcomes as well as their participation in effective programs and services. This report makes recommendations directed at an array of stakeholders, for promoting the wide-scale adoption of effective programs and services for parents and on areas that warrant further research to inform policy and practice. It is meant to serve as a roadmap for the future of parenting policy, research, and practice in the United States.
This comprehensive volume reviews current knowledge about multiple problem behaviors in adolescence, focusing on "what works" in prevention and treatment. Cutting-edge research is presented on the epidemiology, development, and social costs of four youth problems that frequently co-occur: serious antisocial behavior, drug and alcohol misuse, tobacco smoking, and risky sexual behavior. A framework for reducing these behaviors is outlined, drawing on both clinical and public health perspectives, and empirically supported prevention and treatment programs are identified. Also addressed are ways to promote the development, dissemination, and effective implementation of research-based intervention practices. Authored by an interdisciplinary panel of experts, this is a state-of-the-science sourcebook and text for anyone working with or studying adolescents at risk.
An interdisciplinary framework for sustainable helping through cross-system collaboration This hands-on resource provides clear, practical guidance for supportive service professionals working in a home-based environment. Drawing on best practices from a range of disciplines, this book provides a clear map for dealing with the complex and often ambiguous situations that arise with individuals and families, with applications extending to supervision and organizational change. Readers gain the advice and insight of real-world frontline helpers, as well as those who receive care, highlighting new ways to approach the work and re-think previous conceptualizations of problems and strengths. Helping efforts are organized around a shared, forward-thinking vision that anticipates obstacles and draws on existing and potential supports in developing a collaborative plan of action. The book begins with stories that illustrate core concepts and context, presenting a number of useful ideas that can reorient behavioral services while outlining a principle-based practice framework to help workers stay grounded and focused. Problems are addressed, and strength-based work is expanded into richer conversations about strengths in the context of intention and purpose, value and belief, hopes, dreams, and commitments. Topics include: Contextual guidance with helping maps Engaging people and re-thinking problems and strengths Dilemmas in home and community services Sustainable helping through collaboration and support A strong collaboration between natural networks, communities, and trained professionals across systems creates an effective helping endeavor. Ensuring sustainability may involve promoting systems change, and building institutional supports for specific supervisory, management, and organizational practices. Collaborative Helping provides a framework for organizing these efforts into a coherent whole, serving the needs of supportive services workers across sectors.
Bridging the Family Care Gap explores expected future shortages of family caregivers of older persons and identifies potential solutions. The book examines the sustainability and availability of care management models and whether they can be effectively scaled up to meet community needs. It identifies newly emerging policy initiatives at local, state, and federal levels. The book addresses the state of family caregiving science, dissemination and implementation of promising programs and supports, technological innovations, and other strategies to offset the family care gap. This edited volume also explores lay healthcare workers as guides, interpreters, and advocates in healthcare systems that provide continuity of contact for family caregivers. Details threats to family caregiving-sociodemographic, chronic disease, and socioeconomic challenges Presents solutions to the caregiving gap in a systematic, synthesized manner Addresses the intersection of family caregiving and technology Discusses chronic disease management to offset and reduce the need for family caregiving Describes models of caregiver support in work settings Reimagines the delivery of long-term services and supports with novel initiatives
Family caregiving affects millions of Americans every day, in all walks of life. At least 17.7 million individuals in the United States are caregivers of an older adult with a health or functional limitation. The nation's family caregivers provide the lion's share of long-term care for our older adult population. They are also central to older adults' access to and receipt of health care and community-based social services. Yet the need to recognize and support caregivers is among the least appreciated challenges facing the aging U.S. population. Families Caring for an Aging America examines the prevalence and nature of family caregiving of older adults and the available evidence on the effectiveness of programs, supports, and other interventions designed to support family caregivers. This report also assesses and recommends policies to address the needs of family caregivers and to minimize the barriers that they encounter in trying to meet the needs of older adults.
With advances in technology and medical science, children with previously untreatable and often fatal conditions, such as congenital heart disease, extreme prematurity and pediatric malignancy, are living longer. While this is a tremendous achievement, pediatric providers are now more commonly facing challenges in these medical complex children both as a consequence of their underlying disease and the delivery of medical care. The term healthcare-associated infections (HAIs) encompass both infections that occur in the hospital and those that occur as a consequence of healthcare exposure and medical complexity in the outpatient setting. HAIs are associated with substantial morbidity and mortality for the individual patient as well as seriously taxing the healthcare system as a whole. In studies from the early 2000s, over 11% of all children in pediatric intensive care units develop HAIs and this figure increases substantially if neonatal intensive care units are considered. While progress has been made in decreasing the rates of HAI in the hospital, these infections remain a major burden on the medical system. In a study published in 2013, the annual estimated costs of the five most common HAIs in the United States totaled $9.8 billion. An estimated 648,000 patients developed HAIs in hospitals within the US in 2011 and children with healthcare-associated bloodstream infection have a greater than three-fold increased risk of death. While a number of texts discuss HAIs in the broader context of infectious diseases or pediatric infectious diseases (such as Mandell’s Principles and Practice of Infectious Diseases or Long and Pickering’s Principles and Practice of Pediatric Infectious Diseases) no single text specifically focuses on the epidemiology, diagnosis and management of HAI in children. Many infectious diseases texts are organized based on the microbiology of infection and from this starting point then discussing the clinical syndromes associated with the organism of interest. For instance, a chapter on Staphylococcus aureus may contain a brief discussion of the role of S. aureus in surgical site infections in the wider context of all staphylococcal disease. For clinicians caring for children at the bedside, however, the clinical syndrome is typically appreciated and intervention necessary prior to organism identification. We propose a text that details both the general principles involved in HAIs and infection prevention but also provides a problem oriented approach. Such a text would be of interest to intensivists, neonatologists, hospitalists, oncologists, infection preventionists and infectious diseases specialists. The proposed text will be divided into three principle sections: 1) Basic Principles of Infection Control and Prevention, 2) Major Infectious Syndromes and 3) Infections in Vulnerable Hosts. Chapters in the Major Infectious Syndromes section will include discussion of the epidemiology, microbiology, clinical features, diagnosis, medical management (or surgical management as appropriate) and prevention of the disease entity of interest. Chapters will seek to be evidenced based as much as possible drawing from the published medical literature as well as from clinical practice guidelines (such as those from the Infectious Diseases Society of America) when applicable. We intend to include tables, figures and algorithms as appropriate to assist clinicians in the evaluation and management of these often complex patients. Finally, we intend to invite authors to participate in this project from across a number of medical specialties including infectious diseases, infection control, critical care, oncology and surgery to provide a multidisciplinary understanding of disease. It is our intent to have many chapters be co-written by individuals in different subspecialties; for instance, a chapter on ventilator-associated pneumonia may be co-written by both infectious disease and critical care medicine specialists. Such a unique text has the potential to provide important guidance for clinicians caring for these often fragile children.
