A Systematic Review of Quality Indicators in Therapeutic Residential Care Drawn from Young People ´s Beliefs and Experiences

AbstractYoung people ´s perspectives on service quality in Therapeutic Residential Care (TRC) are commonly excluded or overshadowed by those of adults which has led to calls for better youth self-report indicators of quality healthcare. In response, we performed a systematic review of peer-reviewed literature to identi fy the most important quality indicators for young people by reviewing the literature on their beliefs and experiences regarding TRC and building on the four-pronged parsimonious framework (setting, staffing, treatment approach, and safety) proposed by Farmer et al., (2017). Following PRISMA guideli nes, a systematic literature search was conducted in March 2022. Of the 17, 815 records screened, 15 articles, composed of 15 samples were included. A total of five domains and 13 quality indicators were identified: 1) Setting; 2) Staffing (professional skills and access to specialist support [docto r/therapist]); 3) Treatment approach (effective transition and aftercare support, rest and time to think, life skills, behavioural improvement, access to education and farm animals as therapeutic aides); 4) Safety (staff actions and structure and stability), and 5) Milieu factor (trusting relationsh ips, family involvement, and relationship continuity). These four domains provide a practical framework for better-oriented treatment. The additional domain identified as the milieu factor places the critical quality indicators of TRC (e.g., trusting relationships) from the ...
Source: Child Indicators Research - Category: Child Development Source Type: research