Does Multidimensional Treatment Foster Care (MTFC) reduce placement
breakdown in foster care?
Westermark, P.K., Hansson, K. and Vinnerljung, B.
This study describes and compares placement breakdown rates between
three samples of antisocial youth in a child welfare system: a Swedish
and a US MTFC program (Multidimensional Treatment Foster Care), and a
Swedish national cohort study focusing on adolescent breakdown in
traditional out-of-home care. The Swedish national cohort study had more
than a three-fold increase in risk of breakdowns compared to the Swedish
MTFC program. Although not all the differences were statistically
significant, the trend in the material was clear. Regardless of type of
care, gender, and time of breakdown, MTFC youths in Sweden with their
combination of high internalizing and externalizing symptoms showed
lower breakdown rates compared to the other two studies. The author
concludes that multi-contextual treatment programs such as MTFC help
youths complete their treatment better than traditional out-of-home
Family involvement and outcome in adolescent wilderness treatment: A
Harper, N.J. and Russell, K.C.
Wilderness treatment programmes, like residential programmes, serve
children and adolescents with serious emotional, behavioural and
substance use issues. Wilderness treatment programmes have limited
empirical support for their effectiveness relative to other treatment
modalities and require critical examination to delineate themselves from
unregulated wilderness programmes currently under increased scrutiny in
the United States for malpractice and unethical `treatment' of troubled
teens. While demonstrating promise in adolescent treatment outcomes, the
family, and related family outcomes have received limited attention.
This paper describes the wilderness treatment model, reviews the role of
family involvement in adolescent treatment and presents the results of a
mixed-methods examination of family involvement. Implications for
practice and research are discussed.
The status of child abuse in Cyprus: Evidence or global implications?
Child abuse permeates every walk of life and is shaped and perpetuated
by the cultural context in which it is embedded. To help sketch out a
profile for child abuse in Cyprus, the following areas are reviewed: (a)
evidence on the impact of Greek culture on child abuse (b) social
services available to child victims in Cyprus; and (c) international and
local child protection policies. Subsequently, attention is placed on
the three empirical studies performed to date on child abuse in Cyprus.
It is concluded that the third study (Georgiades, 2008) is more in
agreement with the second study (ACPTFV, 2004) in regards to severity
and gender trends and less consistent with findings of the first study
(UNCRD, 2000) by all accounts. There is no apparent reason detected for
the evidentiary discrepancies. Moreover, the Cyprus social welfare
department is found to vastly under-investigate the child abuse problem.
Pertinent international policy, research, and practice implications are
Meeting needs or protecting rights: Which way for children's services?
The concepts of need and rights are used regularly as organising
principles for thinking about child well-being and children's services
in western developed countries. There is a lack of clarity, however,
about what they mean, how they are related and the implications of this
for provision for vulnerable children. This article sets out definitions
of need and rights, discusses what each one adds to the understanding of
child well-being and explores the implications of this analysis for