학술논문

Randomized Control Trial Findings of a Wraparound Program for Dually Involved Youth.
Document Type
Article
Source
Journal of Emotional & Behavioral Disorders. Dec2019, Vol. 27 Issue 4, p195-208. 14p.
Subject
*CONFIDENCE intervals
*FOSTER home care
*JUVENILE offenders
*LONGITUDINAL method
*MENTAL illness
*RECIDIVISM
*SURVIVAL analysis (Biometry)
*SAMPLE size (Statistics)
*COMMUNITY-based social services
*RANDOMIZED controlled trials
*EVALUATION of human services programs
*ODDS ratio
*ADOLESCENCE
Language
ISSN
1063-4266
Abstract
Wraparound care coordination for youth with serious emotional and behavioral challenges has been implemented in every state and in many child-serving contexts, but evidence from rigorous effectiveness studies is scarce. We conducted a 20-month longitudinal randomized control trial of a pilot Wraparound program for youth in foster care and involved in the juvenile justice system (n = 24), comparing outcomes with youth receiving community "treatment as usual" (TAU; n = 23). Youth in both groups experienced significantly improved outcomes, including fewer arrests and greater residential stability. Wraparound youth were less likely to be rearrested (odds ratio [OR] = 0.59, 95% confidence interval [CI] = [0.17, 2.04]), and survival analysis found they went longer before doing so than TAU youth. Wraparound youth were also more likely to be educationally on track than TAU youth by the end of the study (OR = 4.09, 95% CI = [1.89, 18.72]). Although these findings were nonsignificant at p <.05 due to small sample sizes, effect sizes were medium to large, and no such trends were found for the TAU group. Implications for Wraparound's implementation and effectiveness, as well as the strengths and limitations of conducting a randomized control trial in "real-world" systems, are discussed. [ABSTRACT FROM AUTHOR]