Judge Baker Children's Center, Harvard Medical School, Boston, MA, USA.
Department of Education, University of Oxford, Oxford, UK.
Child Adolesc Ment Health. 2021 Feb;26(1):78-79. doi: 10.1111/camh.12448. Epub 2020 Dec 29.
In this debate article, we provide our thoughts and reflections on the issues and uses of Therapeutic Residential Care (TRC) in child welfare systems in the US and England. We highlight the issues associated with the lack of clarity of how TRC is defined and when and how it is used. The premise for the article is that some of our most vulnerable young people are living in residential homes without there being a sufficient evidence base to understand whether their needs are being adequately met, or the best outcomes are being achieved. We set out some suggested elements to try to progress debates and decisions that will ultimately improve the services and placements that are provided.
在这篇辩论文章中，我们就治疗性住宿照料（TRC）在美国和英国的儿童福利系统中的问题和用途提供了我们的想法和思考。我们强调了与 TRC 的定义以及何时以及如何使用缺乏明确性相关的问题。本文的前提是，我们一些最脆弱的年轻人住在住宿家庭中，而没有足够的证据基础来了解他们的需求是否得到充分满足，或者是否取得了最佳结果。我们提出了一些建议的要素，试图推进辩论和决策，最终改善所提供的服务和安置。
