Skip to main content
Log in

Maintaining placement for troubled and disruptive adolescents in voluntary residential care: The role of reduced youth-to-staff ratio

  • Regular Papers
  • Published:
Journal of Child and Family Studies Aims and scope Submit manuscript

Abstract

We evaluated a program to protect the placements of 23 highly troublesome youth in voluntary residential care by reducing youth-to-staff ratios. Specifically, the youth were moved from regular program homes (with eight youth) to reduced ratio homes (with only four youth) instead of being terminated from the program. We provide evidence supporting the assertion that youth in the study sample were highly troublesome and at high risk for program failure and more restrictive placements. Placement in the reduced ratio homes protected the trouble youths' placement, resulting in an additional mean length of stay of 950 day without an increase in program restrictiveness. Further, the reduced ratio homes increased the chances of success in the program for the study sample to a level equivalent to that for the much less troubled comparison sample. Cost estimates are also provided.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Similar content being viewed by others

References

  • Achenbach, T. M. (1991).Manual for the Child Behavior Checklist/4–18 and 1991 Profile. Burlington, VT: University of Vermont Department of Psychiatry.

    Google Scholar 

  • Coughlin, D., & Shanahan, D. (1991).Boys Town Family Home Program: Training manual. Boys Town, NE: Boys Town Press.

    Google Scholar 

  • Daly, D. L., & Friman, P. C. (1994).The relationship between length of stay and outcome in residential Placement: A longitudinal investigation. Paper presented at the 20th Annual Meeting of the Association for Behavior Analysis, Atlanta, GA.

  • Fanshel, D., Finch, S. J., & Grundy, J. F. (1990).Foster children in life course Perspective. New York: Columbia University Press.

    Google Scholar 

  • Friman, P. C., Evans, J., Larzelere, R., Williams, G., & Daly, D. (1993). Correspondence between child dysfunction and program intrusion: Evidence of a continuum of care across five child mental health programs.Journal of Community Psychology, 21, 227–234.

    Google Scholar 

  • Friman, P. C., Osgood, D. W., Smith, G., Shanahan, D., Thompson, R. W., Larzelere, R. & Daly, D. L. (1996). A longitudinal evaluation of prevalent negative beliefs bout residential placement for troubled adolescents.Journal of Abnormal Child Psychology, 24, 299–324.

    Google Scholar 

  • Hartwig, F., & Dearing, B. E. (1979).Exploratory data analysis. Newbury Park, CA: Sage.

    Google Scholar 

  • Kinney, J., Haapala, D., & Booth, C. (1991).Keeping families together. New York: Aldine De Gruyter.

    Google Scholar 

  • Kirk, R. E. (1982).Experimental design: Procedures for the behavioral sciences. Monterey, CA: Brooks/Cole.

    Google Scholar 

  • Larzelere, R. E., Collins, L. E., Collins, R. A., & Graham, K. (1992).Survival analysis: Statistical analysis of pre-post differences, treatment process, and risk periods in clinical research. Paper presented at the 26th Annual Convention of the Association for Advancement of Behavior Therapy, Boston, MA.

  • Lewis, M., Lewis, D. O., Shanok, S. S., Kaltskin, E., & Osborne, J. (1980). The undoing of residential treatment: A followup study of 51 adolescents.Journal of the American Academy of Child and Adolescent Psychiatry, 19, 160–171.

    Google Scholar 

  • Milazzo-Sayre, L. J., Benson, P. R., Rosenstein, M. J., & Mandercheid, R. W. (1986).Use of inpatient psychiatric services by children and youth under age 18. United States. 1980 (NIMH Statistical Note No. 175, Department of Health and Human Services Publication No. ADM 86-1451). Washington, DC: U.S. Government Printing Office.

    Google Scholar 

  • Moore, K. J., Osgood, D. W., Larzelere, R. E., & Chamberlain, P. (1994). Pooled time-series: Its use in the evaluation of naturally occurring clinical events on problem behavior in a foster care setting.Journal of Consulting and Clinical Psychology, 62, 718–728.

    Google Scholar 

  • Mundy, P., Robertson, J., Greenblatt, M., & Robertson, M. (1989). Residential instability in adolescent inpatients.Journal of the American Academy of Child and Adolescent Psychiatry, 28, 176–181.

    Google Scholar 

  • Phillips, E. L., Phillips, E. A., Fixsen, D. L., & Wolf, M. M. (1974).The teaching-family handbook. Lawrence, KS: University of Kansas Press.

    Google Scholar 

  • Schwartz, I. M. (1988). Hospitalization of adolescents for psychiatric and substance abuse treatment.Journal of Adolescent Health Care, 10, 873–478.

    Google Scholar 

  • Schwartz, I. M. (1989).Injustice for juveniles. Lexington, MA: Lexington Books.

    Google Scholar 

  • Schwartz, I. M., Barton, W. H., & Orlando, F. (1991, Spring). Keeping kids out of secure detention.Public Welfare, pp. 20–26.

  • Teaching Family Association. (1992).Roster of affiliated sites. Morganton, NC: Teaching Family Association Certification Committee.

    Google Scholar 

  • Weithorn, L. A. (1988). Mental hospitalization of troublesome youth: An analysis of skyrocketing admission rates.Stanford Law Review, 40, 773–838.

    Google Scholar 

  • Wells, K., & Whittington, D. (1990). Prior services used by youths referred to mental health facilities: A closer look.Children and Youth Services Review, 12, 243–256.

    Google Scholar 

  • Williams, R. A., Crabb, H., Batts, P., Hollis, H. M., & Feibelman, N. D. (1990). Events precipitating psychiatric hospitalization for children.The Psychiatric Hospital, 21, 103–106.

    Google Scholar 

  • Wolf, M. M., Phillips, E. L., Fixsen, D. L., Braukman, C. J., Kirigin, K. A., Willner, A. G., & Schumaker, J. B. (1976). Achievement place: The teaching-family model.Child Care Quaterly, 5, 92–103.

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Rights and permissions

Reprints and permissions

About this article

Cite this article

Friman, P.C., Toner, C., Soper, S. et al. Maintaining placement for troubled and disruptive adolescents in voluntary residential care: The role of reduced youth-to-staff ratio. J Child Fam Stud 5, 337–347 (1996). https://doi.org/10.1007/BF02234667

Download citation

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF02234667

Key Words

Navigation