Topic: Placement Stabilization Programs

Scientific Ratings in this topic:

1 - Well-Supported by Research Evidence

2 - Supported by Research Evidence

3 - Promising Research Evidence

4 - Evidence Fails to Demonstrate Effect

5 - Concerning Practice

NR - Not able to be Rated

Learn more about the scale

Definition for Placement Stabilization Programs:

Placement Stabilization Programs are defined by the CEBC as programs that aim to reduce the number and frequency of disrupted out-of-home placements. Services that seek to keep placements intact include those focused on enhancing the caregiver’s sense of competency in parenting the child including dealing with difficult behaviors, encouraging positive caregiver-child interactions, helping the caregiver develop proactive and reactive responses that reinforce positive behaviors, and providing a safe and nurturing environment for the child. Goals for some programs may also include stabilizing placements for large sibling groups to keep siblings together.

  • Target population: Children in out-of-home placements
  • Services/types that fit: Outpatient, day treatment, and residential services with individual or group formats that target youth directly or adults (caregivers, teachers, etc.) who work with these youth
  • Delivered by: Child welfare workers, mental health professionals, or trained paraprofessionals
  • In order to be included: Program must specifically target placement stabilization as a goal
  • In order to be rated: There must be research evidence (as specified by Scientific Rating Scale) that examines outcomes related to placement stabilization, such as placement disruptions, exits from out-of-home care, or moves to more restrictive levels of care

Why was Placement Stabilization Programs chosen as a topic by the Advisory Committee? (Click for Answer)

The Placement Stabilization Programs topic area is relevant to child welfare because limiting the number of placement changes for children in child welfare is beneficial to their well-being. There is an increasing body of knowledge on the impact of trauma on the brain development of children, especially on young children. Foster children are likely to have experienced trauma in-utero, and after birth through exposure to abuse, neglect, and violence. Removal of a child from an unsafe home reduces the risk of further abuse and neglect, but at a cost. Every placement change requires a child to adapt to a new environment at home, in school, and in the most personal relationships: new caregiver, new room, new roommate, new teacher, new foods, new rules, new doctor, new friends, etc. Children cope in various ways, including exacerbating troublesome and unhealthy behaviors. Academic development is interrupted, social relationships are severed, and new barriers to reunification can develop. These disruptive behaviors are linked to placement instability, and contribute to reduced chance of reunification.

Mary C. Harris
Former CEBC Advisory Committee Member

Programs in this Topic Area

The programs listed below have been reviewed by the CEBC and, if appropriate, been rated using the Scientific Rating Scale.

Programs with a Scientific Rating of 1 - Well-Supported by Research Evidence:

  • Treatment Foster Care Oregon - Adolescents (TFCO-A)detailed view
    [Multidimensional Treatment Foster Care - Adolescents]
    Topics: Disruptive Behavior Treatment (Child & Adolescent), Higher Levels of Placement, Placement Stabilization Programs, Behavioral Management Programs for Adolescents in Child Welfare
    Boys and girls, 12-18 years old, with severe delinquency and/or severe emotional and behavioral disorders who were in need ...

Programs with a Scientific Rating of 2 - Supported by Research Evidence:

  • Treatment Foster Care Oregon for Preschoolers (TFCO-P)detailed view
    [Multidimensional Treatment Foster Care for Preschoolers]
    Topics: Disruptive Behavior Treatment (Child & Adolescent), Higher Levels of Placement, Placement Stabilization Programs
    Preschool foster children aged 3-6 years old who exhibit a high level of disruptive and anti-social behavior which cannot be ...

Programs with a Scientific Rating of 3 - Promising Research Evidence:

  • Family Group Decision Making (FGDM)detailed view
    Topics: Placement Stabilization Programs, Family Stabilization Programs, Reducing Racial Disparity and Disproportionality in Child Welfare: Programs
    Children who are abused/neglected and their family groups
  • KEEP (Keeping Foster and Kin Parents Supported and Trained)detailed view
    Topics: Placement Stabilization Programs, Resource Parent Recruitment and Training Programs, Kinship Caregiver Support Programs
    Caregivers of children 4 to 12 years of age in foster or kinship care placements
  • Neighbor to Family Sibling Foster Care Modeldetailed view
    [Neighbor to Neighbor]
    Topics: Placement Stabilization Programs, Resource Parent Recruitment and Training Programs
    Sibling groups of 2 or more children from infancy through seventeen years of age who are in the custody of the ...
  • Wraparounddetailed view
    Topics: Placement Stabilization Programs
    Designed for children and youth with severe emotional, behavioral, or mental health difficulties and their families where the child/youth ...

Programs with a Scientific Rating of NR - Not able to be Rated: