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Daniel L. Daly and Ronald W. Thompson EUSARF 2014/ Copenhagen, Denmark

Research Insights from the Family Home Program: An Adaptation of the Teaching-Family Model at Boys Town. Daniel L. Daly and Ronald W. Thompson EUSARF 2014/ Copenhagen, Denmark. 2013 Numbers Served. Rate of Runaway Occurrences per 100 Residential Youth Served. Runaway Rate.

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Daniel L. Daly and Ronald W. Thompson EUSARF 2014/ Copenhagen, Denmark

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  1. Research Insights from the Family Home Program: An Adaptation of the Teaching-Family Model at Boys Town Daniel L. Daly and Ronald W. Thompson EUSARF 2014/ Copenhagen, Denmark

  2. 2013 Numbers Served

  3. Rate of Runaway Occurrences per 100 Residential Youth Served Runaway Rate

  4. Teaching-Family Model (TFM) • Developed at Achievement Place, University of Kansas • Family style environment staffed by highly trained couples • Applied behavior analysis and social skill teaching • Scaled up in several states across the US • Practices developed in an applied research setting • Teaching Interaction • Core practice for changing youth behavior and teaching social skills • Study results: Positively related to youth social skills and satisfaction and negatively related to delinquency • Self government • Youth lead regular family meetings • Study results: Youth can establish consequences for peer behaviors

  5. TFM Model at Boys Town: Program Elements • Teaching Skills and Building Relationships • Supporting Religion and Faith • Creating a Positive Family Environment • Promoting Self-determination • Focus on Safety, Permanence, and Well-Being

  6. National Program Replication and Implementation: Core Components Model fidelity • Staff selection • Staff training • Supervision • Evaluation and data support • Facilitative leadership Positive youth and family outcomes Ongoing quality improvement

  7. Research Evidence • Four US models of residential care have been identified as having at least promising research evidence by the California Evidence-based Clearinghouse for Child Welfare (cebc4cw.org) • Positive Peer Culture • Sanctuary Model • Stop Gap Model • Teaching Family Model • Four decades of research on the Teaching-Family Model • University of Kansas and other TFM sites • Boys Town National Research Institute • NIMH funded TFM study in North Carolina

  8. Results of Numerous Outcome Studies

  9. Diagnostic Interview Scale for Children: Mental Health Symptom Improvement (During Care) The change from admission to 12-months was statistically significant for all disorders (p<.05).

  10. Quasi-experimental Outcome Study: High School Graduation Rates (4 Years Post Discharge)

  11. Research Insights with Practice Implications • Moderators of outcomes • Length of stay • Gender • Model fidelity • Mediators of outcomes • Therapeutic alliance • Positive teaching • Family involvement • Positive and negative peer contagion

  12. 40% 30% 20% 10% 0% Expected < 18 mo. ≥ 18 mo. NSFH* Individuals with Histories of Maltreatment Longitudinal Outcome Study: Intimate Partner Violence (16 Years Post Discharge) • As adults, former Boys Town youth with a history of abuse or neglect had lower levels of adult Intimate Partner Violence (IPV) than expected from research. • Rates of IPV decreased with longer lengths of stay. • IPV rates for youth who were in the program for at least 18 months were virtually identical to the normal population. Intimate Partner Violence Reports *National Survey of Families and Household

  13. Strengths and Difficulties Questionnaire (SDQ): Percent in Clinical Range at Intake and Discharge by Gender Total Difficulties Emotional Symptoms Conduct Problems Inattention/Hyperactivity Source: SDQ data collected in Home Campus Family Home Program 10/4/10 – 7/18/14 *p< .05, **p < .01, ***p < .001; indicates statistically significant change over time on scale scores Note: sample consists of youth with SDQ caregiver-report forms at both intake and discharge

  14. Studies Show Evidence of Positive Peer Contagion • In some environments children’s interactions with peers lead to increases in aggression, delinquency, and drug use. It is seen as a special concern in residential care settings. • Studies specifically examining this in a BT/TFM setting indicate that youth can experience positive instead of negative peer contagion: • All youth had significantly fewer problem behaviors over time; youth with more serious problems showed greater improvement. • Youth in homes with fewer peers who currently demonstrate problem behavior showed the greatest reduction in behavior problems.

  15. Current Research and Goals for the Future • Randomized trials of TFM adaptations to family intervention • On the Way Home • Common Sense Parenting • In-Home Family Services • Well Managed Schools • Community impact • Parenting and family well being • Youth risk e.g., substance abuse, aggression, school dropout • Neurobehavioral studies • Emotion regulation and aggression

  16. On the Way Home RCT: Post discharge placement stability

  17. Presenter Contact Information • Daniel L. Daly, Ph.D. • Boys Town Executive Vice President and Director of Youth Care • daniel.daly@boystown.org • www.boystown.org • Ronald W. Thompson, Ph.D. • Senior Director, Boys Town National Research Institute for Child and Family Studies • ronald.thompson@boystown.org • www.boystown.org/nri

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