home   journals   back

ISSN 1378-286X
MARCH 2008

Table of Contents and Abstracts

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 care.

Family involvement and outcome in adolescent wilderness treatment: A mixed-methods evaluation
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?
Georgiades, S.D.

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 highlighted.

Meeting needs or protecting rights: Which way for children's services?
Axford, N.

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 children's services.