First published in 1999, this timely and challenging volume assesses children’s residential services in the UK in the wake of the Residential Provision and the Children Act, 1989, using extensive interviews with providers of residential therapeutic services. A difficult task in any circumstances, issues discussed, with telling and convincing detail, include the financial difficulties of these services, staff morale, which children have need of residential services, the effects of policy reform, rates of emotional and behavioural disorders, the costs of services and long-term therapeutic units. This exemplary study is comparable to Sir William Utting’s 1997 report, People Like Us, adding new dimensions and insights to the current debate. It should be widely read and discussed by policy makers and practitioners concerned with child care and protection.
Table of Contents
Part 1. General Background. 1. Introduction: the Context of Residential Services. 2. Recent Trends in Health and Social Care Policy. Part 2. Specialist Services for Children. 3. What are Specialist Children’s Services? 4. Assessing Childhood Disorders. 5. Which Children Need Residential Services? 6. The Influence of Trends in UK Health and Welfare Policy. 7. Residential Provision and the Children Act 1989. 8. Other Key Reports and Legislation. 9. The Effects of Policy Reform on Residential Services. Part 3. Data About Disorder Rates, Service Costs and Service Patterns. 10. Rates of Emotional and Behavioural Disorders. 11. The Costs of Children’s Residential Services. 12. Developments in Services and Treatment Approaches. 13. Recent Trends in Residential Establishment Closures. 14. International Policy Trends in Residential Services. Part 4. The Research Findings. 15. Current Use of Long-Term Therapeutic Residential Units. 16. Key Concerns Amongst Residential Staff. 17. Areas of Improvement: the Provider Viewpoint. 18. The Purchaser Perspective. Part 5. Conclusions. 20. The Future of Residential Resources for Young People?