A review of how states are addressing placement stability

States are under increasing pressure to reduce the number of placements of foster children. Initial results from the federal Child and Family Service Reviews (CFSR) of 48 states found that only 40% of states met targets for placement stability. Consequently, many states have had to identify approaches to increase placement stability as a part of their Program Improvement Plans (PIPs). Semi-structured interviews were conducted with 44 state and county child welfare administrators, supervisors, managers, staff members, and/or foster parents from 33 states to gain an understanding of the range of approaches that states are using. Thematic analysis of the interviews revealed that states are using the following nine approaches to reduce the incidence of foster home disruptions: improving services to foster children, placement-matching, recruitment of foster parents, services and support to foster parents, training, consultation and collaboration, collaborative team approaches, involvement of biological parents, and prevention. Although 91% of states are using five to nine of these approaches to reduce placement disruption, few states are systematically evaluating the effects of these programs. More research is needed to focus on the effectiveness of the various approaches that states are using to address placement disruptions.

[1]  S. Timmer,et al.  Challenging foster caregiver-maltreated child relationships: The effectiveness of parent-child interaction therapy , 2006 .

[2]  M. Hartnett.  PLACEMENT STABILITY STUDY , 2001 .

[3]  M. K. Eamon,et al.  Self-perceptions of fulfilling the foster caregiver role: A preliminary analysis , 2007 .

[4]  R. Puddy,et al.  The Development of Parenting Skills in Foster Parent Training. , 2003 .

[5]  Joseph P. Ryan,et al.  Child maltreatment and juvenile delinquency: Investigating the role of placement and placement instability , 2005 .

[6]  Elizabeth A. Stormshak,et al.  Placement Disruption in Treatment Foster Care , 2001 .

[7]  E. Fein,et al.  Stability and change: Initial findings in a study of treatment foster care placements , 1995 .

[8]  B. Thyer.  What Is Evidence-Based Practice? , 2004 .

[9]  S. Palmer.  Placement stability and inclusive practice in foster care: An empirical study , 1996 .

[10]  P. Fisher,et al.  The Early Intervention Foster Care Program: Permanent Placement Outcomes From a Randomized Trial , 2005, Child maltreatment.

[11]  Sigrid James.  Why Do Foster Care Placements Disrupt? An Investigation of Reasons for Placement Change in Foster Care , 2004, Social Service Review.

[12]  P. Chamberlain.  Treating Chronic Juvenile Offenders: Advances Made Through the Oregon Multidimensional Treatment Foster Care Model , 2003 .

[13]  Sonya J. Leathers,et al.  Context Specific Mental Health Services for Children in Foster Care. , 2009, Children and youth services review.

[14]  J. T. Pardeck,et al.  Multiple Placement of Children in Foster Family Care: An Empirical Analysis , 1984 .

[15]  L. Boyd,et al.  Is Foster-Parent Training Worthwhile? , 1978, Social Service Review.

[16]  J R Rycraft,et al.  The party isn't over: the agency role in the retention of public child welfare caseworkers. , 1994, Social work.

[17]  Joseph Kogan,et al.  Placement Stability and Movement Trajectories , 2003, Social Service Review.

[18]  Sonya J. Leathers,et al.  Placement disruption and negative placement outcomes among adolescents in long-term foster care: the role of behavior problems. , 2006, Child abuse & neglect.

[19]  D. Tranfield,et al.  Towards a Methodology for Developing Evidence-Informed Management Knowledge by Means of Systematic Review , 2003 .

[20]  R. Barth,et al.  The Tender Years: Toward Developmentally Sensitive Child Welfare Services for Very Young Children. Child Welfare Series. , 1998 .

[21]  M. Taber,et al.  Placement disruption: A review of research , 1985 .

[22]  M. Stoolmiller,et al.  Who disrupts from placement in foster and kinship care? , 2006, Child abuse & neglect.

[23]  R. Barth,et al.  Placement stability for children in out-of-home care: a longitudinal analysis. , 2000, Child welfare.

[24]  J. Landsverk,et al.  Placement movement in out-of-home care: patterns and predictors , 2004 .

[25]  Rae R. Newton,et al.  Children and youth in foster care: distangling the relationship between problem behaviors and number of placements. , 2000, Child abuse & neglect.

[26]  Yvonne A. Unrau,et al.  Defining a Foster Care Placement Move: The Perspective of Adults who Formerly Lived in Multiple Out-of-Home Placements , 2010 .

[27]  J. Orme,et al.  A Comparison of Family Foster Parents Who Quit, Consider Quitting, and Plan to Continue Fostering , 2001, Social Service Review.

[28]  P. Chamberlain,et al.  Enhanced services and stipends for foster parents: effects on retention rates and outcomes for children. , 1992, Child welfare.

[29]  J. Landsverk,et al.  Current Status and Evidence Base of Training for Foster and Treatment Foster Parents. , 2008, Children and youth services review.

[30]  W.N. Crum.  Foster parent parenting characteristics that lead to increased placement stability or disruption , 2010 .

[31]  Heidemarie K. Laurent,et al.  Effects of a Foster Parent Training Intervention on Placement Changes of Children in Foster Care , 2008, Child maltreatment.