Intensive Resource Home Pilot (IRH)

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Intensive Resource Home Pilot(IRH)

• RCW 74.13.800 mandates Childrens Administration
  (CA) Pilot IRH in two locations
• Yakima and Clark counties are the pilot locations
  
• RCW further mandates CA use a model which is
  evidence based or a promising practice
• Consulting with UW Evidence Based Institute CA is
  using Keeping Foster Parents Trained and
  Supported (KEEP) as the pilot model
• KEEP was develop by Oregon Social and Learning
  Center.
• Stakeholders meetings and focus groups held with
  foster parents and other professionals to help
  shape the model

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KEEP Model DesignPatricia Chamberlain, JP Davis,
Peter Sprengelmeyer

• 16 Skills training groups
• One group per week
• Groups last 60-90 minutes
• Groups facilitated by a lead and co-lead
• Groups consist of 6-10 foster parents
• Each group teaches a new skill, provides feedback
  and support
• Groups are designed to be informative and fun
• Lead or Co-lead calls foster parent once a week
  (Parent Report) and gathers information on the
  youths behavior and foster parents stress level.
• Home practice every week
• Groups are videotaped
• Missed sessions get home visit
• Snack and drink served
• Child care provided if needed

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KEEP Model Design

• Some of the group topics
• Parents as Teachers Importance of Cooperation
• Parents as Teachers Teaching New Behaviors
• Using Charts and Incentives
• Setting Limits
• Discipline Strategies
• Balancing Encouragement and Limit Setting
• Avoiding Power Struggles
• Pre-Teaching
• Super Tough Behaviors
• Promoting School Success
• Promoting Positive Peer Relations
• Stress and Managing it

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Teaching Strategies Used in Groups

• Discussion and interaction to foster learning and
  group support
• Teaching of skills by facilitator
• Teaching use of incentive systems and other ways
  of increasing positive parent-child interactions
  such as star charts
• Videotaped examples of challenging situations
• Skill practice in role plays with feedback from
  facilitator and other group members
• Home practice assignments

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The Researchfor KEEP

• Many children in foster care have significant
  behavior emotional problems
• In San Diego Keep- this was 40 of 5-12 year olds
  getting a new placement
• That puts them at risk for placement disruption
• Every new behavior over 6 increases placement
  disruption by 17
• Also puts foster parents at risk for dropping out
  from providing foster care
• KEEP model was used in hope of helping with these
  issues

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Intervention goals

• To increase the parenting skills of foster and
  kinship parents
• To decrease the number of placement disruptions
• To improve child outcomes
• To increase the number of positive placement
  changes (e.g. reunification, adoption)

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Project KEEP aims to accomplish these goals by--

• Promoting the idea that foster parents can serve
  as key agents of change for children.
• Strengthening foster parents confidence and
  skills so they can change their childs
  behaviors.
• Helping foster parents use effective parent
  management strategies and provide them with
  support to do so
• Increasing short and long term positive child
  outcomes in multiple domains and settings
  home, school, with peers.

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Who participated in San Diego KEEP ?

• 700 sets of foster children/parents
• Hispanic 36
• Caucasian 28
• African American 27
• Asian 3
• Native American 1

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Outcomes

• Outcomes were measured with a control group (not
  receiving KEEP) and a group receiving KEEP
  intervention
• Compared to the control group, KEEP was more
  effective at
• Decreasing problem behaviors
• Decreasing disruption
• Increasing positive exits/placements

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Child Behavior Outcomes Control group compared
to KEEP group
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