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Children in Out-of-Home Care: Entry Into Intensive or Restrictive Mental Health and Residential Care Placements

Department of Social Work and Social Ecology at Loma Linda University

Laurel K. Leslie

Child and Adolescent Services Research Center

Michael S. Hurlburt

Child and Adolescent Services Research Center

Donald J. Slymen

Graduate School of Public Health, San Diego State University

John Landsverk

Child and Adolescent Services Research Center at Children's Hospital-San Diego

Inger Davis

San Diego State University

Sally G. Mathiesen

San Diego State University School of Social Work

Jinjin Zhang

Child and Adolescent Services Research Center, Children's Hospital, San Diego

Using longitudinal data from the National Survey on Child and Adolescent Well-Being (NSCAW), this study investigates entry into intensive or restrictive settings during a 36-month study period. Specifically, this analysis examines entry into treatment foster care, group homes, residential treatment, and inpatient psychiatric care for youth placed into out-of-home care (n = 981). It aims to determine at what point in their first out-of-home episodes and for what reasons youth entered such settings. As NSCAW used a national probability sampling design,this analysis provides national estimates about entry into intensive or restrictive settings for youth in out-of-home care. Twenty-five percent of youth (n = 280) experienced an intensive or restrictive setting during their first out-of-home care episode; 70% were in either group homes (33.2%) or residential treatment settings (37.0%).About half of the youth with such placements (48.9%) were placed into intensive or restrictive settings as a first placement during their first out-of-home episode.

Journal of Emotional and Behavioral Disorders, Vol. 14, No. 4, 196-208 (2006)
DOI: 10.1177/10634266060140040301


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