The effectiveness of institutional youth care over the past three decades: A meta-analysis

The effectiveness of institutional youth care over the past three decades: A meta-analysis

Authors
De Swart, J. Van den Broek, H. Stams, G. Asscher, J. Van der Laan, P. Holsbrink-Engels, G. Van der Helm, G.
Year
2012
Journal
Children and Youth Services Review
Volume
34
Pages
1818-1824
A meta-analysis of 27 controlled studies, including 17,038 youth, was conducted to examine the effectiveness of institutional youth care over the past three decades. We compared institutional evidence-based treatment (EBT) with non-institutional EBT, institutional care as usual (CAU) with non-institutional CAU, institutional CAU with non-institutional EBT, and institutional EBT with institutional CAU. Only the last comparison yielded a significant and small-to-medium effect (d = .36), which not only shows that institutional youth care can be equally effective as non-institutional youth care, but also demonstrates that it seems more effective to provide youth with EBT during their stay in the institution. Furthermore, moderator analyses indicated that only cognitive behavior therapy showed a significant and medium effect (d = .50), whereas (social) skills training and care as usual showed no effect. Age, gender, type of outcome measure (delinquency, skills, problem behavior, and overall problems) and study design characteristics (randomized, matched or non-matched controls) did not influence the results. (PsycINFO Database Record (c) 2013 APA, all rights reserved) (journal abstract).

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Type of intervention

Treatment and Child Welfare Interventions

Topic

Mental Health Problems and Disorders

Behavior Problems

Antisocial Behaviors

Intervention

Psychosocial Treatments

Residential Care

Age group

School Aged Children (6-12 years)

Adolescents (13-18 years)

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