This document was printed from the website of the California Evidence-Based Clearinghouse for Child Welfare (CEBC), which you can access at http://www.cachildwelfareclearinghouse.org/
This document was printed from the website of the California Evidence-Based Clearinghouse for Child Welfare (CEBC), which you can access at http://www.cachildwelfareclearinghouse.org/
Child Welfare Outcomes: Child/family well-being
Type of Maltreatment: Not specified
Target Population: Abused, neglected, at-risk, and/or drug-affected children, one month through five years of age, referred by Child Protective Services (CPS), Child Welfare Services (CWS), Chemical Dependency Treatment Centers, Department of Health/Public Health (PH) and Economic Services Administration/Temporary Assistance to Needy Families (TANF).
Brief Description:
Childhaven Therapeutic Child Care (also known as Medicaid Treatment Child Care-MTCC) has been rated by the CEBC in the area of Interventions for Neglect. Childhaven provides Therapeutic Child Care and other specialized treatment services to abused, neglected, at-risk, and/or drug-affected children, one month through five years of age, and their families. Children are referred by Child Protective Services, Child Welfare Services, Department of Health, or the Temporary Assistance to Needy Families Program. Early intervention and treatment services are provided 5.5 hours per day, five days a week in a licensed child-care (therapeutic/treatment milieu) setting and are designed to meet the unique needs of each child and family. Therapeutic Child Care is based on medical necessity, that includes diagnosis, and addresses the individual psychosocial, emotional, behavioral, developmental, and health problems presented by each child. Treatment services are provided by an interdisciplinary team including, but not limited to, the Treatment Planner and Monitor (Case Manager), Registered Nurse (Health Care Coordinator), Lead and Line staff (Therapeutic Childcare Workers) and Parent Educator. The treatment is provided in an inclusive, natural, safe, and monitored environment.
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Therapeutic Child Care
Other Specialized Services based on Individual Treatment Plan Needs
Childhaven Therapeutic Child Care was designed to be conducted in a group.
Childhaven Therapeutic Child Care has been tested for use in a group setting.
Testing references:
Moore, E., Armsden, G., & Gogerty P. A. (1998). A twelve-year follow-up study of maltreated and at-risk children who received early therapeutic child care, Child Maltreatment, 3(1), 3-15.
The recommended group size is: Treatment rooms have low staff to child ratios (1:3 for infants/toddlers and 1:5 for preschoolers, ages 2-5 years).
Recommended intensity: 5 days per week for 5.5 hours per session.
Recommended duration: Treatment duration is dependent upon an Individual Treatment Plan (ITP) and case needs.
Childhaven Therapeutic Child Care does not include a homework component.
Childhaven Therapeutic Child Care is typically conducted in: Not specified.
Childhaven Therapeutic Child Care was designed with a Parent Component.
Childhaven Therapeutic Child Care addresses the following presenting problems and symptoms: Presenting problems and symptoms are addressed on a case-by-case basis. Common problems and symptoms include: Domestic violence, substance abuse, mental illness, physical illness, homeless, developmental delay, depression, social isolation, parent history of child abuse or neglect.
Childhaven Therapeutic Child Care was designed with a Child Component.
Childhaven Therapeutic Child Care addresses the following presenting problems and symptoms: Presenting problems and symptoms resulting from a DC0-3 or DSM diagnosis are addressed on a case-by-case basis including parent/child attachment, traumatic stress disorder, anxiety, depression, regulatory disorders, mood disorders, eating and sleeping disruption.
Age range(s): 0-5
Childhaven Therapeutic Child Care was not developed for children with developmental delays.
Childhaven Therapeutic Child Care has not been tested for children with developmental delays.
Childhaven Therapeutic Child Care was not designed for specific racial/ethnic/cultural groups.
Childhaven Therapeutic Child Care was not tested in specific racial/ethnic/cultural groups.
There is a manual that describes how to implement this program.
There is training available for Childhaven Therapeutic Child Care.
Training contact: Vicki Nino Osby, vickino@childhaven.org
Number of days/hours: Dependent on training needed.
Training is obtained: Formal training format is not available. Training is provided on a case-by-case basis for parties interested in learning more about our program.
There currently are not additional qualified resources for training.
The typical resources for implementing Childhaven Therapeutic Child Care are: Licensed Child Care Facility (with fully functional kitchen and space to meet licensing requirements); Play Therapy Rooms; Transportation Vehicles; Computers; Personnel:Program Director, Program Supervisor, Licensed Case Managers for ratio (1:30), Child Care Workers for ratio, Registered Nurse, Parent Educator, Developmental Tester, Special Educator, Speech and Occupational Therapists, Training Manager, Support Staff (Cook, Janitor, Housekeeper)
Program Director: Master's Degree with five years clinical work with disadvantaged or dysfunctional families, two years of which involve supervisory experience; or equivalent combination of education and experience. Must be a Licensed Mental Health Counselor; Independent Clinical Social Worker; or Marriage & Family Therapist. Must train to become Family Resource Coordinator.
Case Manager: Master’s Degree or equivalent combination of experience and education from an accredited program. Preference given to individuals experienced in case work with disadvantaged or dysfunctional families from a variety of cultural backgrounds and those with experience in working with preschool children. Must be a Licensed Mental Health Counselor; Independent Clinical Social Worker; or Marriage & Family Therapist. Must train to become Family Resource Coordinator.
Parent Educator: Master’s Degree in a related field e.g. social work, psychology, education or a B.A. with 5 years of experience in parent education and training; or equivalent education and experience. Experience working with developmentally delayed parents preferred. PCIT training/experience preferred.
Health Care Coordinator: Bachelor’s in Nursing (BSN) with experience in pediatrics and community health; two years of nursing experience in the care of children in a community health or acute-care setting; prefer experience working with abused/neglected children and their families; or equivalent combination of education and experience.
Program Supervisor: Bachelor's degree (BA) from four-year college or university in Early Childhood or related field, two years teaching experience and supervisory experience; or equivalent combination of education and experience. (Must include 45 credits in Early Childhood Education in accordance with Childcare Licensing.)
Therapeutic Child Care Worker - Lead: BA/BS in Early Childhood Education/Child Development or related field* with two years experience; AA in Early Childhood Education/Child Development or related field and at least six years experience; CDA and 10 years of experience; or equivalent combination of education and experience. (*Degree in related field requires twenty clock hours or two college quarter credits of basic training that is STARS approved (State And Training Registry System for Washington State).
Therapeutic Child Care Worker – Assistant: BA/BS in Early Childhood Education/Child Development or related field with one year experience; AA in Early Childhood Education/Child Development or related field and at least five years experience; or a HSD/GED and nine years of experience; or equivalent combination of education and experience. Degree in related field/or experience with no degree may require a minimum 9 units in ECE/Child Development.
Moore, E., Armsden, G, & Gogerty, P.L. (1998). A twelve year follow-up study of maltreated and at-risk children who received early therapeutic child care. Child Maltreatment, 3(1), 3-16.Type of Study: Randomized controlled trial
Number of participants: 61 during treatment, 35 at follow-up
Population:
Location/Institution: Seattle, WA
Summary: (To include comparison groups, outcomes, measures, notable limitations)
Children were randomly assigned to Childhaven’s Therapeutic Child Care program or to standard CPS community services. At follow-up, youth completed the Youth Self Report. Parents and Teachers completed the Child Behavior Checklist (CBCL) or the Teacher’s Report Form. These measures assess internalizing, externalizing and other problem behaviors. Youths also completed the Personal Experiences Screening Questionnaire (PESQ), which deals with the use of alcohol and drugs. Substance abuse and violent behavior was also measured by items from the Problem Behavior Scale, completed by youth and caregivers. Finally, youth completed the Self-Perception Profile for Children, which assesses self-perceived competence across scholastic, social, athletic, and physical appearance domains. An-in home observation was also completed using the HOME method. Data were also collected from juvenile court and school files. Treatment homes were rated as providing more support for child development due to parental responsiveness and positive emotional climate and encouragement of maturity. Among those youth who were arrested in the time before the follow-up control youth were arrested at a younger age and for more serious crimes. They also had more delinquency episodes. Among those without arrests, control youth were rated as more violent and more likely to have used drugs or alcohol. Control group youth were also rated higher on aggression on the CBCL. In measures of psychosocial functioning, caregivers of control youth were more likely to report somatic complaints, anxiety/depression, social problems and internalizing behaviors. Treatment caregivers reported fewer attention problems on the CBCL. On the Self-Perception Profile, only the rating for Social Acceptance reached significance, with treatment youth rating themselves higher. No significant differences in school performance were found, with both groups having generally low grades. Limitations of the study include attrition and small sample size.
Length of post-intervention follow-up: 10 years post-intervention
Saunders, B.E., Berliner, L., & Hanson, R.F. (Eds). (2004). Child physical and sexual abuse: Guidelines for treatment (Revised Report: April 26, 2004). Charlston, SC: National Crime Victims Research and Treatment Center. Retrieved April 6, 2008, from http://academicdepartments.musc.edu/ncvc/resources_prof/OVC_guidelines04-26-04.pdf
Armsden, G., Gogerty, P., & Jones, V. (1998). The Childhaven Client Profile System (2-5): A Daily Clinical Record for use in Therapeutic Child Care, Child Maltreatment, 3(3), 284-296.
Contact name: Vicki Nino Osby, LICSW
Affiliation/Agency: Childhaven
Email: vickino@childhaven.org
Phone: 206-624-6477
Fax: 206-382-3303
Website: http://www.childhaven.org