Treatment Foster Care Oregon for seriously delinquent adolescents

A systematic review and assessment including economic and ethical aspects

Approximately 2,000 adolescents are annually placed in residential care in Sweden due to their behavior problems. Those adolescents also have substantially increased risks of mental and physiological problems at time of care entry, while in care and in adulthood. An alternative to residential care is Treatment Foster Care Oregon, TFCO (previously called Multidimensional Treatment Foster Care). TFCO has been available in Sweden since the beginning of the 2000s. This report reviews and synthesizes the evidence regarding TFCO for seriously delinquent adolescents.

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SBU Assessment

Presents a comprehensive, systematic assessment of available scientific evidence for effects on health, social welfare or disability. Full assessments include economic, social and ethical impact analyses. Assessment teams include professional practitioners and academics. Before publication the report is reviewed by external experts, and scientific conclusions approved by the SBU Board of Directors.

Conclusions

There is moderate certainty of evidence that placing seriously delinquent adolescents in TFCO reduces the risk for future criminal behaviour and consequently lowers the number of days in locked settings compared to when adolescents are placed in residential care. TFCO may also reduce the risk of delinquent peer associations and drug use, while improving the individuals’ psychological health compared to individuals receiving residential care.

TFCO costs are lower when compared to the fees set by secure residential care, but slightly higher than the rates of residential homes, assuming that the care times for the different settings are the same. Considering the long-term effects, TFCO is more cost-effective than both types of residential care mentioned above.

Approximately 30–40 adolescents in Sweden annually receive TFCO. If more people are to receive this treatment, additional TFCO teams need to be established, which would require increase in funding that would allow for more efficient training and certification.

The alternative to TFCO is institutional care, normally supplemented with various interventions. The evidence of their benefits and harm is inadequate because of lack of effectiveness trials. From an ethical point of view, it is important to have reliable knowledge of the pros and cons of all other supplementary treatments used.

Summary

Background and purpose

Seriously delinquent adolescents have an increased risk for criminal behaviour, substance abuse, physical and mental illness and premature death. The traditional care for these individuals has been residential care – either secure residential care or residential homes. The purpose of this report is to review and synthesize the scientific evidence for family homes with enhanced support, the so-called Treatment Foster Care, compared to residential care and residential homes. After an evaluation of the results of the literature search only one version of Treatment Foster Care for the target group, Treatment Foster Care Oregon (TFCO), was considered valid to be used in this report.

Method

The systematic literature review was conducted in accordance with SBU’s methodology (www.sbu.se/en/method). Included studies are controlled trials with high or medium quality, published between 1990 and 2007. The control group should consist of residential care and the follow-up time from inclusion had to be at least 12 months. Trials were excluded if the comparison group consisted of foster care and if children were younger than 12 years of age or older than 17. The systematic review also includes economic aspects. Furthermore, the report contains an inventory of the interventions used in residential care in Sweden and expressed experiences by some young people that have received TFCO or residential care. Ethical aspects are discussed based on the results.

Results

Effects of TFCO

A total of 5,893 abstracts were reviewed, and of these, 18 articles from eight studies matched the inclusion and exclusion criteria. Of the eight studies, five were from the United States, two from the UK and one from Sweden. Meta-analysis indicates that TFCO probably reduces future criminality according to police or court records (d=0.393), self-report (d=0.242) and days in locked settings (d=0.665) compared to when adolescents are placed in residential care. It is also possible that TFCO leads to less delinquent peer associations (d=0.415), less drug use (d=0.472) and increased mental health when compared with residential care (d=0.348). The evidence was considered insufficient to evaluate the effect of alcohol use, psychotic symptoms, sexual risk behavior and teenage pregnancies. No studies were identified that included measures on physical health, quality of life, occupational employment or possible harmful or unwanted effects of the care received.

Economic aspects

A total of 314 abstracts were examined and one, a Danish report, met the criteria for relevance and qual­ity. The report presented a model-based cost-income analysis that shows that TFCO is cost-saving compared to residential care with nearly SEK 900,000 per youth in a lifetime perspective. A compilation of Swedish costs for placements shows that TFCO is less expensive than costs incurred in secure residential care but slightly more expensive than residential homes when care times are of the same length.

Interventions used in residential care

Since institutional care often include some type of treatment program, it was deemed important to identify those. A random sample of residential institutions for adolescents with behavioral problems were contacted (answers from 53/67). Altogether, 33 branded treatment programs were used and eight more theor­etical approaches. Only for two of them was there strong evidence of its efficacy for the target group. The results also indicate problems in addition to the lack of effectiveness trials. For example, one in four institutions state that they used specific treatment programs although the staff lacked adequate training, and in most cases the staff worked without continual supervision. The institutions used 18 standard assessment methods, four of which are particularly relevant to the target group.

Perspectives from young people that have experienced TFCO and residential care

Fifteen individuals that have received either TFCO or residential care had similar views on what they considered important while in care: close adult relation­ships, treatment for the family of origin, and reduced contact with other delinquent adolescents. However, only those that had received TFCO acknowledged receiving those components while in care.

Ethical considerations

When society takes responsibility for the custody of adolescents, there is an obligation to act in their best interests. It is an ethical problem that treatment methods used in institutional care do not incorporate high standards concerning evidence of their effectiveness. Thus, it is unclear whether institutional care benefits adolescents and meets basic ethical requirements for social responsibility. TFCO has been used in Sweden since the beginning of the 2000s. The observation that only few adolescents receive this treatment annually may be considered an ethical shortcoming.

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Published: Report no: 279 https://www.sbu.se/279e
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Project group

Experts

  • Martin Bergström, Ph.D. Associate Professor, School of Social Work, Faculty of Social Sciences, Lund University
  • Christian Munthe, Professor of Practical Philosophy, Department of Philosophy, Linguistics & Theory of Science, Centre for antibiotic resistance research (CARe), Centre for ethics, law and mental health (CELAM), University of Gothenburg
  • Ingegerd Wirtberg, Ph.D. Senior Lecturer, Cert Psychotherapist, Department of Psychology, Lund University

SBU

  • Knut Sundell (Project Manager)
  • Therese Åström (Assistant Project Manager)
  • Kickan Håkanson (Project Administrator)
  • Johanna Wiss (Health Economist)
  • Ann Kristine Jonsson (Information Specialist)

References

  1. Vinnerljung B, Hjern A, Ringbeck Weitoft G, Franzén E, Estrada F. Children and young people at risk. Int J Soc Welf 2007;16:163-202.
  2. Lundström T, Vinnerljung B. Omhändertaganden av barn under 1990-talet. Väldfärdstjänster i omvandling: antologi från Kommittén Välfärdsbokslut, SoU 2001:289-336.
  3. Boende utanför det egna hemmet – placeringsformer för barn och unga – delbetänkande SoU 2014:3.
  4. SBU. Program för ungdomar med antisocial problematik inom institutionsvård. En systematisk litteraturöversikt. Stockholm: Statens beredning för medicinsk och social utvärdering (SBU); 2016. SBU-rapport nr 252. ISBN 978-91-85413-00-0.
  5. SBU. Placering i släktinghem respektive vanliga familjehem – Vad gynnar barnen? SBU Kommenterar www.sbu.se/2016_07.
  6. SBU. Insatser för bättre psykisk och fysisk hälsa hos familjehemsplacerade barn. Stockholm: Statens beredning för medicinsk och social utvärdering (SBU); 2017. SBU-rapport nr 265. ISBN 978-91-88437-07-5.
  7. Mattsson T. Rätten till familj inom barn- och ungdomsvården. Liber 2010, upplaga 1. ISBN 978-91-47-09501-8.
  8. Statistik om socialtjänstinsatser till barn och unga 2015 och 2016. Socialstyrelsen 2017. Artikelnummer 2017-9-2. http://www.socialstyrelsen.se/publikationer2017/2017-9-2.
  9. Koehler J, Lösel F, Akoensi TD, Humphreys DK. A systematic review and meta-analysis on the effects of young offender treatment programs in Europe. J Exp Criminol 2013;9:19-43.
  10. Åström T. Att bedöma behov: utredningar av ungdomar som begått kriminella handlingar. Doctoral Thesis, Karolinska Institutet, Dept of Neuroscience, 2017.
  11. Johansson J, Andersson B, Hwang P. What difference do different settings in residential care make for young people? A comparison of family-style homes and institutions in Sweden. Int J Soc Welf 2007;17 26-36.
  12. Sallnäs M. Barnavårdens institutioner framväxt, ideologi och struktur. Stockholm: Institutionen för socialt arbete – Socialhögskolan, Stockholms universitet, 2000.
  13. Sallnäs M. Som en familj? Om små privata institutioner för barn och ungdomar. Socionomen 2003;15:2-16.
  14. En trygg och säker vård – har personalen lämplig utbildning? En granskning av vård- och omsorgspersonalens utbildning och metoder i HVB för barn och unga. Inspektionen för vård och omsorg (IVO), november 2013, sid 2 (23). Artikelnr IVO2013-5.
  15. Leloux-Opmeer H, Kuiper C, Swaab H, Scholte E. Characteristics of children in foster care, family-style group care, and residential care: A scoping review. J Child Fam Stud 2016;25:2357-71.
  16. SiS i korthet 2016. En samling statistiska uppgifter om SiS. Statens institutionsstyrelse SiS. https://www.stat-inst.se/globalassets/arlig-statistik/sis-i-korthet-2016.pdf
  17. Vinnerljung B, Sallnäs M, Kyhle Westermark P. Sammanbrott vid tonårsplaceringar – om ungdomar i fosterhem och på institution. Stockholm: Socialstyrelsen/CUS 2001.
  18. Levin C. Uppfostringsanstalten: om tvång i föräldrars ställe. Avhandling 1998, Lund: Arkiv. ISBN 91-7924-118-2;300:00.
  19. Norburg U. Fängelse, skola, uppfostrings­anstalt eller skyddshem? Åkerbrukskolonien Hall för pojkar år 1876–1940. Linköping Studies in Arts and Science No. 653, Linköpings Universitet, Institutionen för Tema, Linköping, 2015. Upplaga 1:1. ISBN 978-91-7685-980-3.
  20. Chamberlain P, Moore K. Models of community treatment for serious juvenile offenders. In: Crane J, editor. Social programs that work. New York: Russel Sage Foundation; 1998. p. 258-76.
  21. Vinnerljung B, Sallnäs M, Oscarsson L. Dygnsvård för barn och ungdom 1983–1995 – förändringar i vårdlandskapet sedan socialtjänstlagens tillkomst. Socionomens forskningssupplement nr 11 (Socionomen 8/1999), 1-20.
  22. Sallnäs M, Vinnerljung B. Instabilitet i familjehemsvården – en regional studie om sammanbrott bland yngre barn och bland barn i långvarig familjehemsvård. Oplanerade avbrott i familjehemsplaceringar av yngre barn och långvarigt placerade barn. Stockholm, Socialstyrelsen 2012:24-68.
  23. Vinnerljung B, Öman M, Gunnarsson T. Educational attainments of former child welfaire clients – a Swedish national cohort study. Int J Soc Welf 2005;14:265-76.
  24. Richardson R, Trepel D, Perry A, Ali S, Duffy S, Gabe R, et al. Screening for psychological and mental health difficulties in young people who offend: a systematic review and decision model. Health Technol Assess 2015;19:1-128.
  25. Sallnäs M, Vinnerljung B, Kyhle Westermark P. Breakdown of teenage placements in Swedish foster and residential care. Child Fam Soc Work 2004;9:141-52.
  26. Strijbosch E, Huijs JAM, Stams GJJM, Wissink IB, van der Helm GHP, de Swart JJW, van der Veen Z. The out-come of institutional youth care compared to non-institutional youth care for children of primary school age and early adolescence: A multi-level meta-analysis. Child Youth Serv Rev 2015;58:208-18.
  27. De Swart JJW, Van den Broek H, Stams GJJM, Asscher JJ, Van der Laan PH, Holsbrink-Engels GA, Van der Helm GHP. The effectiveness of institutional youth care over the past three decades: A meta-analysis. Child Youth Serv Rev 2012;34:1818-24.
  28. Dodge K, Dishion TJ, Landsford JE. Deviant Peer Influences in Programs for Youth (Problems and Solutions). The Guilford Press: New York 2006. ISBN-10: 1-59385-279-7.
  29. MultifunC institutionsbehandling för ungdomar med svåra beteendeproblem. Resultat efter två år. Socialstyrelsen. Publiceringsår 2017. Artikelnummer 2017-1-12.
  30. Unga och brott i Sverige. Underlagsrapport till Barns och ungas hälsa, vård och omsorg, 2013. Socialstyrelsen, artikelnummer 2013-5-37.
  31. McMillen JC, Narendorf SC, Robinson D, Havlicek J, Fedoravicius N, Bertram J, McNelly D. Development and piloting of a treatment foster care program for older youth with psychiatric problems. Child Adolesc Psychiatry Ment Health 2015;9:23.
  32. Reddy LA, Pfeiffer SI. Effectiveness of treatment foster care with children and adolescents: a review of outcome studies. J Am Acad Child Adolesc Psychiatry 1997;36:581-8.
  33. Boyd L. Therapeutic Foster Care: Exceptional care for complex, trauma-impacted youth in foster care. State Policy Advocacy and Reform Center, 2013.
  34. Curtis P, Alexander G, Lunghofer LA. A literature review comparing the outcomes of residential group care and therapeutic foster care. Child Adolesc Social Work J 2001;18:377-92.
  35. Perspectives on residential and community-based treatment for youth and families. Magellan Health Services. Children´s Services Task Force, 2008.
  36. Dorsey S, Farmer EMZ, Barth RP, Greene KM, Reid J, Landsverk J. Current status and evidence base of training for foster and treatment foster parents. Child Youth Serv Rev 2008;30:1403-16.
  37. Snodgrass R. Treatment foster care: a proposed definition. Int J Family Care 1989;1:79-82.
  38. Hawkins R. The nature and and potential of therapeutic foster care programs. In. R.P. Hawkins and J. Breiling (Eds.), 1990. Therapeutic foster care: Critical issues (pp. 5-36). Washington DC: Child Welfare League of America.
  39. Hahn RA, Bilukha O, Lowy J, Crosby A, Fullilove MT, Liberman A, et al. The effectiveness of therapeutic foster care for the prevention of violence: a systematic review. Am J Prev Med 2005;28:72-90.
  40. Dishion T, Forgatch M, Chamberlain P, Pelham WE, 3rd. The Oregon model of behavior family therapy: From intervention design to promoting large-scale system change. Behav Ther 2016;47:812-37.
  41. Leve LD, Chamberlain P, Kim HK. Risks, outcomes, and evidence-based interventions for girls in the US juvenile justice system. Clin Child Fam Psychol Rev 2015;18:252-79.
  42. Osei G, Gorey K, Hernandez Jozefowicz D. Delinquency and crime prevention: Overview of research comparing treatment foster care and group care. Child Youth Care Forum 2016;45:33-46.
  43. Turner W, Macdonald G. Treatment foster care for improving outcomes in children and young people: A systematic review. Res Soc Work Pract 2011;21:501-27.
  44. Lee B, Bright C, Svoboda D, Fakunmoju S, Barth R. Outcomes of Group Care for Youth: A Review of Comparative Studies. Res Soc Work Pract 2011;21:177-89.
  45. Höjman L, Dovik N. MTFC Ett evidensbaserat manualstyrt behandlingsprogram. Statens institutionsstyrelse SiS, 2008. Rapport 2/08. ISSN 1403-1558.
  46. Kyhle Westermark P. MTFC – en intervention för ungdomar med beteende­problem. Socialhögskolan, Lunds universitet 2009.
  47. Chamberlain P, Mihalic SF. Blueprints for violence prevention, multidimensional treatment foster care 1998. Center for the Study and Prevention of Violence, Boulder, USA.
  48. SBU. Utvärdering av metoder i hälso- och sjukvården. En handbok, 2 uppl. Stockholm 2014. http://www.sbu.se/metodbok.
  49. Borenstein M, Hedges LV, Higgins J, Rothstein HR. References, in introduction to meta-analysis, John Wiley & Sons, Ltd, Chichester, UK 2009. doi: 10.1002/9780470743386.refs.
  50. Higgins J, Green S. Cochrane Handbook for Systematic Reviews of Interventions. A co-publication between The Cochrane Collaboration and John Wiley & Sons Ltd 2008. ISBN 978-0-470-69951-5.
  51. Kristiansen IS, Gyrd-Hansen D. Cost-effectiveness analysis based on the number-needed-to-treat: common sense or non-sense? Health Econ 2004;13:9-19.
  52. da Costa BR, Rutjes AW, Johnston BC, Reichenbach S, Nuesch E, Tonia T, et al. Methods to convert continuous outcomes into odds ratios of treatment response and numbers needed to treat: meta-epidemiological study. Int J Epidemiol 2012;41:1445-59.
  53. Interpreting Cohen’s d effect size an interactive visualization. http://rpsychologist.com/d3/cohend/, http://www.psychometrica.de/effect_size.html
  54. Guyatt GH, Oxman AD, Vist GE, Kunz R, Falck-Ytter Y, Alonso-Coello P, et al. GRADE: an emerging consensus on rating quality of evidence and strength of recommendations. BMJ 2008;336:924-6.
  55. Eslava S, Safdarzadeh Haghighi M. Sex ungdomars upplevelser av MTFC-Programmet (Multidimensional Treatment Foster Care). Psykologexamensuppsats 2008. Lunds universitet: Institutionen för psykologi.
  56. Interest Group on Patient and Citizen Involvement in HTA (PCIG). http://www.htai.org/interest-groups/patient-and-citizen-involvement/pcig-home.html
  57. Torbenfeldt Bengtsson T. Boredom and Action – Experiences from Youth. Confinement Journal of Contemporary Ethnography 2012;41:526-53.
  58. Borgström K, von Greiff K. Ungdomars erfarenhet av institutionsplacering. Rapport nr 20/2012 – FoU Nordost i Stockholms län.
  59. Chamberlain P. Comparative evaluation of specialized foster care for seriously delinquent youths: A first step. Community Alternatives: Int J Fam Care 1990;2:21-36.
  60. Chamberlain P, Reid JB. Comparison of two community alternatives to incarceration for chronic juvenile offenders. J Consult Clin Psychol 1998;66:624-33.
  61. Elliott D, Ageton SS, Huizinga D, Knowles BA, Canter R. The incidence and prevalence of delinquent behavior: 1976–1980. National estimates of delinquent behavior by sex, race, social class and other selected variables. Behavior Research Institute, Boulder, CA, USA 1983.
  62. Eddy JM, Whaley RB, Chamberlain P. The Prevention of violent behavior by chronic and serious male juvenile offenders: A 2-year follow-up of a randomized clinical trial. J Emot Behav Disord 2004;12:2-8.
  63. Smith DK, Chamberlain P, Eddy JM. Preliminary support for multidimensional treatment foster care in reducing substance use in delinquent boys. J Child Adolesc Subst Abuse 2010;19:343-58.
  64. Leve L, Chamberlain P, Reid J. Intervention outcomes for girls referred from juvenile justice: effects on delinquency. J Consult Clin Psychol 2005;73:1181-5.
  65. Chamberlain P, Leve L, Degarmo D. Multidimensional treatment foster care for girls in the juvenile justice system: 2-year follow-up of a randomized clinical trial. J Consult Clin Psychol 2007;75:187-93.
  66. Elliott D, Huizinga D, Ageton SS. Explaining delinquency and drug use. Sage Publications Inc; 1 edition; 1985. ISBN-10: 0803924046.
  67. Leve L, Chamberlain P. A randomized evaluation of multidimensional treatment foster care: Effects on school attendance and homework completion in juvenile justice girls. Res Soc Work Pract 2007;17:657-63.
  68. Leve LD, Chamberlain P. Association with delinquent peers: Intervention effects for youth in the juvenile justice system. J Abnorm Child Psychol 2005;33:339.
  69. Capaldi DM, Dishion TJ. Describing Friends Questionnaire. Eugene, OR: Oregon Social Learning Center; 1985. Unpublished questionnaire.
  70. Van Ryzin MJ, Leve LD. Affiliation with delinquent peers as a mediator of the effects of multidimensional treatment foster care for delinquent girls. J Consult Clin Psychol 2012;80:588-96.
  71. Rhoades KA, Leve LD, Harold GT, Kim HK, Chamberlain P. Drug use trajectories after a randomized controlled trial of MTFC: Associations with partner drug use. J Res Adolesc 2014;24:40-54.
  72. Radloff L. The CES-D Scale: A self-report depression scale for research in the general population. Appl Psychol Meas 1977;1:385-401.
  73. Derogatis L, Melisaratos N. The Brief Symptom Inventory: An introductory report. Psychol Med 1983;13:595-605.
  74. Posner KB, Brent D, Lucas C, Gould M, Stanley B, Brown G, Mann et al. Columbia-Suicide Severity Rating Scale (C-SSRS), Lifetime recent – clinical. Retrieved from The Research Foundation for Mental Hygiene, Inc. www.cssrs.columbia.edu, 2008.
  75. Posner K, Brown GK, Stanley B, Brent DA, Yershova KV et al. The Columbia–Suicide Severity Rating Scale: initial validity and internal consistency findings from three multisite studies with adolescents and adults. Am J Psychiatry 2011;168:1266-77.
  76. Kerr D, DeGarmo D, Leve L, Chamberlain P. Juvenile justice girls’ depressive symptoms and suicidal ideation 9 years after multidimensional treatment foster care. J Consult Clin Psychol 2014;82:684-93.
  77. Shaffer D, Fisher P, Lucas CP, Dulcan MK, Schwab-Stone ME. NIMH Diagnostic Interview Schedule for Children Version IV (NIMH DISC-IV): description, differences from previous versions, and reliability of some common diagnoses. J Am Acad Child Adolesc Psychiatry 2000;39:28-38.
  78. Poulton R, Ryzin M, Harold G, Chamberlain P, Fowler D, Cannon M, et al. Effects of multidimensional treatment foster care on psychotic symptoms in girls. J Am Acad Child Adolesc Psychiatry 2014;53:1279-87.
  79. Utgår
  80. Leve LD, Kerr DCR, Harold GT. Young adult outcomes associated with teen pregnancy among high-risk girls in an RCT of Multidimensional Treatment Foster Care. J Child Adolesc Subst Abuse 2013;22:421-34.
  81. Biehal N, Ellison S, Sinclair I. Intensive fostering: An independent evaluation of MTFC in an English setting. Child Youth Serv Rev 2011;33:2043-49.
  82. Green JM, Biehal N, Roberts C, Dixon J, Kay C, Parry E, et al. Multidimensional treatment foster care for adolescents in English care: Randomised trial and observational cohort evaluation. Br J Psychiatry 2014;204:204-14.
  83. Hansson K, Olsson M. Effects of multidimensional treatment foster care (MTFC): Results from a RCT study in Sweden. Child Youth Serv Rev 2012;34:1929-1936.
  84. Bergström M, Höjman L. Is multi-dimensional treatment foster care (MTFC) more effective than treatment as usual in a three-year follow-up? Results from MTFC in a Swedish setting. European Journal of Social Work 2015;19:219-35.
  85. Achenbach T, Rescorla L. Manual for the ASEBA school-age forms and profiles. Burlington: University of Vermont, Research Center for Children, Youth, and Families. 2001.
  86. Whittaker J, Holmes L, del Valle JF, Ainsworth F, Andreassen et al. A therapeutic residential care for children and youth: A consensus statement of the International Work Group on Therapeutic Residential Care. Resid Treat Child Youth 2016;33:89-106.
  87. Drogutvecklingen i Sverige. Centralförbundet för alkohol- och narkotikaupplysning (CAN), 2017.
  88. Leve L, Van Ryzin MJ, Chamberlain P. Sexual risk behavior and STI contraction among young women with prior juvenile justice involvement. J HIV AIDS Soc Serv 2015;14:171-87.
  89. Holmes L, Ward H, McDermid S. Calculating and comparing the costs of multidimensional treatment foster care in English local authorities. Child Youth Serv Rev 2012;34:2141-6.
  90. Rambøll. Afrapportering – Analyse af de økonomiske konsevenser på området for udsatte børn og unge, 2012. www.ramboll-management.dk
  91. Washinton State Institute for Public Policy, WSIPP, http://www.wsipp.wa.gov/ Multidimensional Treatment Foster Care. Juvenile Justice. Benefit-cost estimates updated May 2017. Literature review updated July 2017.
  92. Macdonald GM, Turner W. Treatment foster care for improving outcomes in children and young people. Cochrane Database Syst Rev 2008;23:CD005649.
  93. Westermark P, Hansson K, Vinnerljung B. Does Multidimensional Treatment Foster Care (MTFC) reduce placement breakdown in Foster Care? Int J Child and Fam Welf 2008;4:155-171.
  94. Westermark P, Hansson K, Olsson M. Multidimensional treatment foster care (MTFC): results from an independent replication. J Fam Ther 2011;33:20-41.
  95. Läkemedelsförmånsnämndens allmänna råd. Tandvårds- och läkemedelsförmånsverket (TLV) 2003.
  96. Statens institutionsstyrelse (SiS). Årsredovisning 2016. https://www.stat-inst.se/globalassets/arsredovisningar/sis-arsredovisning-2016.pdf
  97. Alfonsson S, Parling T, Spännargård Å, Andersson G, Lundgren T. The effects of clinical supervision on supervisees and patients in cognitive behavioral therapy: a systematic review. Cogn Behav Ther 2017;20:1-23.
  98. UNICEF. Barnkonventionen, 1989. FN:s konvention om barnets rättigheter. https://unicef.se/barnkonventionen
  99. Munthe C, Hartvigsson T. Etiska aspekter på att lyssna på barn i familje-hem – mål, komplikationer och konflikter. Socialstyrelsen 2015. ISBN 978-91-7555-265‑1. Artikelnummer 2015-1-15.
  100. Molin R, Palmer S. Consent and participation: ethical issues in the treatment of children in out-of-home care. Am J Orthopsychiatry 2005;75:152-7.
  101. Sallnäs M, Wiklund S, Lagerlöf H. Samhällsvårdade barn, gate-keeping och forskning. Socialvetenskaplig tidskrift 2010;17:nr 2:152-69.
  102. Gassne J. Evidensbaserad praktik på svenska socialhögskolor. Socialstyrelsen 2010. ISBN 978-91-86585-07-5.
  103. Tengvald K. Förutsättningar för kunskapsstyrning av socialtjänsten. Socialstyrelsen 2015. ISBN 978-91-7555-277-4.
  104. Armelius BA, Andreassen TH. Cognitive-behavioral treatment for antisocial behavior in youth in residential treatment. Cochrane Database Syst Rev 2007;CD005650.
  105. Dozier M, Kaufman J, Kobak R, O’Connor TG, Sagi-Schwartz A, Scott S, et al. Consensus statement on group care for children and adoles­cents: A statement of policy of the American Orthopsychiatric Association. Am J Orthopsychiatry 2014;84:219-25.
  106. Barn och samhällsvård. Vad vet vi om institutions- och familjehemsvården? UNICEF 2016. https://unicef.se/rapporter-och-publikationer/barn-och-samhallsvard
  107. Gustle LH, Hansson K, Sundell K, Lundh LG, Lofholm CA. Blueprints in Sweden. Symptom load in Swedish adolescents in studies of Functional Family Therapy (FFT), Multisystemic Therapy (MST) and Multidimensional Treatment Foster Care (MTFC). Nord J Psychiatry 2007;61:443-51.
  108. Utvärdering av Multisystemisk terapi för ungdomar med allvarliga beteendeproblem. Socialstyrelsen 2014. Artikelnummer 2014-11-20. ISBN 978-91-7555-242-2.
  109. Kostnader för brott. En litteraturöversikt över metoder, resultat och utmaningar i forskningen om kostnader för brott. Brottsförebyggande rådet (BRÅ) 2017. ISSN 1100-6676.
  110. Kostnader för alkohol och narkotika. Beräkning av samhällets direkta kostnader 2003. Socialstyrelsen, publiceringsår 2010. Artikelnummer 2010-3-15.
  111. Bättre insatser vid missbruk och beroende. ID-nummer: SOU 2011:35. Regeringen. http://www.regeringen.se/rattsdokument/statens-offentliga-utredningar/2011/04/sou-201135/
  112. SBU. Öppenvårdsinsatser för familjer där barn utsätts för våld och försummelse. Stockholm : Statens beredning för medicinsk och social utvärdering (SBU); 2018. SBU Utvärderar nr 280. Available from: http://www.sbu.se/280
  113. Kaunitz C. Aggression Replacement Training (ART) i Sverige. Lic uppsats 2017. Stockholms universitet, Institutionen för socialt arbete. ISBN 978-91-7649-833-0.
  114. Andreasson T. Institutionsbehandling av ungdomar: vad säger forskningen? Gothia Fortbildning 2003. ISBN 9789172053762.
  115. Lambert M. Bergin and Garfield´s Handbok of Psychotherapy and Behaviour Change 6th Edition, 2013. John Wiley & Sons. ISBN: 978-1-118-03820-8.
  116. Fonagy P, Phillips J, Bevington D, Glaser G, Allison E. What works for whom? A critical review of treatments for children and adolescents. The Guilford Press 2015. ISBN 978-1-4625-1618-6.
  117. Ahonen L, Degner J. Negative peer cultures in juvenile institutional settings: Staff as couch coaches or couch slouches. J Offender Rehabil 2012;51:316-30.
  118. Evidensbaserad praktik i socialtjänsten 2007, 2010, 2013 och 2016. Kommunala enhetschefer om evidensbaserad praktik och användning av evidensbaserade metoder inom socialtjänstens verksamhetsområden. Socialstyrelsen 2017. Artikelnummer 2017-9-9.
  119. Leloux-Opmeer H, Kuiper CHZ, Swaab HT, Scholte EM. Children referred to foster care, family-style group care, and residential care: (How) do they differ? Child Youth Serv Rev 2017;77:1-9.
  120. Mihalic S. The importance of implementing fidelity. Emot Behav Disord Youth 2004;4:81-109.
  121. Östberg F. Bedömningar och beslut: Från anmälan till insats i den sociala barnavården. Akademisk avhandling. Stockholms universitet, Socialhögskolan, 2010. ISBN: 9789171559760.
  122. Wallander L, Blomqvist J. Who “needs” compulsory care? A factorial survey of Swedish social workers’ assessments of clients in relation to the Care of Abusers (Special Provisions) Act. Nordisk Alkohol Nark 2005;22:63-85.
  123. Åström T, Hellner Gumpert C, Andershed A-K, Forster M The SAVRY improves prediction of reoffending: A naturalistic longitudinal comparative study. Res Soc Work Pract 2015;27:1-15.

More on the subject

Scientific article

Åström T, Bergström M, Håkansson K, Jonsson AK, Munthe C, Wirtberg I, et al. Treatment Foster Care Oregon for Delinquent Adolescents: A Systematic Review and Meta-Analysis. Research on Social Work Practice. 2019:1049731519890394. Read abstract.

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