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Beyond the continuum: New perspectives on the future of out-of-home care in Australia

Published online by Cambridge University Press:  29 February 2016

Abstract

In almost all current debates concerning services for young people in out-of-home care it has been customary to define services in terms of the so-called ‘continuum of care’, a hypothetical typology of placement options that differ in varying degrees from conventional family life. According to this philosophy, children should always be placed into family foster care rather than congregate care because foster placements are more normalised, nurturing, and place fewer limits on children’s individuality and freedom of choice. In this paper, we argue that this approach is limited because it fails to consider the diversity of actual services and structures possible at different points in the hypothetical continuum. In our view, future policies may be better served by a dimensional approach that views placement options as a configuration of factors including: the physical and living environment, service type, and staffing characteristics. In this system, the quality and suitability of placement options is no longer defined by names or labels (eg, family, group or residential), but by the actual nature of the placement provided. Appropriate combinations of these elements, rather than a choice between fixed categories, may assist in the development of innovative options better able to meet the needs of young people not suitable for existing care arrangements.

Type
Research Article
Copyright
Copyright © Cambridge University Press 2005

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References

Ainsworth, F. & Small, R. (1995) ‘Family centered group care practice: Concept and implementation’, Journal of Child and Youth Care Work, 10, 914.Google Scholar
Armstrong, M.I. & Evans, M.E. (1992) ‘Three intensive community-based programs for children and youth with serious emotional disturbance and their families’, Journal of Child and Family Studies, 1, 6174.Google Scholar
Australian Senate (2005) Protecting vulnerable children: Second report into the inquiry into children in institutional or out-of-home care, Canberra, Community Affairs References Committee.Google Scholar
Barber, J.G. (2001) ‘The slow demise of foster care in South Australia’, Journal of Social Policy, 30, 115.CrossRefGoogle Scholar
Barber, J.G. & Delfabbro, P.H. (2004) Children in foster care, London: Taylor & Francis.Google Scholar
Bryant, B. (2004) Treatment foster care: A cost-effective strategy for treatment of children with emotional, behavioural or medical needs, Foster Family-based Treatment Association.Google Scholar
Colton, M. (1988) Dimensions of substitute child care, Brookfield, VT: Gower.Google Scholar
Colton, M. (1990) ‘Specialist foster family and residential child care practices’, Community Alternatives, 2, 120.Google Scholar
Colton, M., Roberts, S. & Williams, M. (2002) (Eds), ‘Residential Care: Last Resort or Positive Choice. Lessons from Around Europe’, International Journal of Child and Family Welfare, Special Issue, 5.Google Scholar
Delfabbro, P.H. & Barber, J.G. (2004a) ‘Before it’s too late: Enhancing the early detection and prevention of long-term placement disruption’, Children Australia, 28, 1418.Google Scholar
Delfabbro, P.H. & Barber, J.G. (2004b). Estimating the economic cost of child abuse and behavioural problems in substitute care. Journal of Socio-economics, 33, 189200.Google Scholar
Delfabbro, P.H., Barber, J.G., & Cooper, L. (2000) ‘Placement disruption and dislocation in South Australian substitute care’, Children Australia, 25, 1620.Google Scholar
Delfabbro, P.H. & Osborn, A. (submitted) ‘A review of treatment modalities in out-of-home care services for children and young people’.Google Scholar
FFTA (2004), see Foster Family-based Treatment Association.Google Scholar
Foster Family-based Treatment Association (2004) Program standards for treatment foster care, Hackensack, NJ: FFTA.Google Scholar
Gilbertson, R. (2002) Placement breakdown among disruptive adolescents in foster care, Thesis (Ph.D.) Flinders University, School of Social Administration and Social Work.Google Scholar
Gottlieb, S.J., Reid, S., Fortune, A.E. & Walters, D.C. (1990) ‘Child/adolescent psychiatric inpatient admissions—Is the ‘least restrictive treatment’ philosophy a reality?’, Residential Treatment for Children and Youth, 1, 2939.CrossRefGoogle Scholar
Handwerk, M. L., Friman, P. C., Mott, M. A., & Stairs, J. M. (1998) ‘The relationship between program restrictiveness and youth behavior problems’, Journal of Emotional and Behavioral Disorders, 6, 170179.Google Scholar
Hawkins, R.P., Almeida, M.C., Fabry, B. & Reitz, A.L. (1992) ‘A scale to measure restrictiveness of living environments for troubled children and youths’, Hospital and Community Psychiatry, 43, 5458.Google ScholarPubMed
Herrick, M.A., Williams, J. & Pecora, P.J. (2004) ‘Measuring placement and living situation change in foster care’, paper presented at the National Conference of the Foster Family-based Treatment Association, Nashville, Tennessee.Google Scholar
Hudson, J., Nutter, R. & Galaway, B. (1992) ‘A survey of North American specialist foster family care programs’, Social Service Review, 66, 5063.Google Scholar
Layton, R. (2003) Our best investment: A state plan to protect and advance the interests of children, Adelaide, South Australian Department of Human Services.Google Scholar
Queensland Crime and Misconduct Commission (2004) Protecting children: An inquiry into abuse of children in foster care, Brisbane, Australia.Google Scholar
Stroul, B. & Friedman, R. (1986) A system of care for severely emotionally disturbed children and youth, Washington, DC: Georgetown University Child Development Center, CASSP Technical Assistance Center.Google Scholar
Tuma, J.M. (1989) ‘Mental health services for children’, American Psychologist, 44, 188199.CrossRefGoogle ScholarPubMed
Victorian Department of Human Services (2003) Public parenting: A review of home-based care in Victoria, Melbourne, Victoria.Google Scholar