Effects of presence in prefectures of short-term therapeutic institutions for emotionally disturbed children on the types of children that have to be taken care of in self-reliance support facilities and foster homes

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Objective: The purpose of this study was to investigate how the presence in prefectures of institutions for short-term treatment of children with mild emotional disturbances affects the types of children that have to be taken care of in self-reliance support facilities and foster homes and the appropriateness of this care. These short-term therapeutic institutions (referred to here as STTIs) can either admit children needing treatment for a short period or treat them on an out-patient basis. Besides providing treatment, such facilities also provide consultation and other forms of assistance.Method: Data collected in 2009 on children living in all types of children's institutions (foster homes, self-reliance support facilities, etc.) were analyzed in terms of the basic attributes of the children, their psychiatric and psychological characteristics (presence of disorders, psychiatric consultations, maltreatment experiences in their former living environment, and 17 items reflecting their tendency to manifest emotional and behavioral disorders), and the adequateness of care currently provided (according to staff members working in these institutions). Comparisons were then made between the data for children living in prefectures with one or more STTIs and the data for children living in prefectures without an STTI.Results: In prefecture with STTIs, foster homes and self-reliance support facilities have to cover the needs of a higher number of children. Looking at the characteristics of children placed in foster homes depending on the existence of STTIs in the prefecture, results show that, in prefecture without an STTI, a higher number of children had emotional and behavioral disorders (8 items out of 17) and psychosomatic disorders. Children were also more likely to need mental health and psychological treatment. On the other hand, in self-reliance support facilities, 4 items of emotional and behavioral disorders were more likely to be positive and 5 items less likely. This shows that the characteristics of children placed in foster homes and self-reliance support facility vary depending on whether STTIs exist in the prefecture.Conclusion: The results showed significant variations in the characteristics of children placed in selfreliance support facilities and foster homes between children living in a prefecture with at least one STTI and those living in a prefecture without one. They also showed that STTIs are used to treat children with emotional and behavioral disorders that self-reliance support facilities and foster homes are unable to handle. Future research should focus on examining the effectiveness of STTIs.
国立保健医療科学院の論文
2013-04-00

Effects of presence in prefectures of short-term therapeutic institutions for emotionally disturbed children on the types of children that have to be taken care of in self-reliance support facilities and foster homes

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