Increasingthestabilityoffosterplacementsthroughevidence通过证据越来越多寄养安置稳定性.ppt

Strengthening foster placements for looked after children: Development of an evidence- based tool for assessment and care planning Steve Rock Stacey Thomson CAMHS Research Unit Institute of Psychiatry  Background nstability related to elevated risks Placement breakdown has been highlighted in recent national practice guidelines (DCSF, 2009: NICE, 2008) Work completed for an inner London Fostering and Adoption Service funded by CLAMHS  Project overview Systematic review Care plan audit Focus group Tool development Stakeholder consultation Piloting to CLAMHS consultation  Vignette -Greg Background Greg is a 14 year-old boy who was first placed in foster care aged 3 care as a consequence of mental health problems and substance following the death of his mother and his fathers inability to assume abuse. While his fathers condition has improved for periods and he has been able to look after Greg and his 11 year-old sister, Greg has been placed in 14 different foster homes over the past 11 years 4 of which have broken down prematurely. Greg is bright teenager but he has generally underachieved at school and has been described by teachers as a disruptive influence. While he does not have any diagnosed mental health problems, his tendency to have aggressive outbursts has at times been problematic for his foster  Vignette -Greg mmediate circumstances weeks ago Gre ved to a ne t directly from another foste accommodate them both le same area as the previous one so he has not had to move school and can see his friends and sister easily 12 eaws alde. T hev have been fosterin for m veas and sacia woker s describe them ave a detailed knowledg ement Greg has been rather withdrawn but has not presented with any challenging behavi  Vignette -Greg n your opinion, what factors presented here are salient to the risk of placement breakdown?(Background/Immediate) Are there any protective factors? What else would you want to know?  Sy