Out-of-Home Placement?
Wednesday, July 30th, 2008If every parent in America had a parentwarrior Starter Kit and they followed through with the ideas and strategies, the number of kids needing to be placed out of their homes would go down dramatically. parentwarrior is about preventing the need for such a drastic intervention. And having your kid removed from your home is drastic. But there are times when the family situation is so out of control that out-of-home placement is necessary.
Interestingly enough, in the last few months, I’ve had a number of parents who have written to me asking whether I know of treatment facilities that are using the parentwarrior philosophy. My answer is: none that I am aware of - yet. But there will be. If any form of treatment is going to be successful, parents must be empowered to be the leaders of the family. There is no other way. So flat out, any program that does not do this is a bad program, period!
A few general rules of thumb to evaluate a treatment program:
- Parents must be dealt with directly, honestly and with the presumption that ultimately they are the experts for their family and they are the ones who are responsible for leading the way.
- Family treatment needs to start from the very beginning and it needs to be frequent, intense and change-producing.
- There needs to be staff facilitated multi-family groups where a number of families work together so parents new to treatment can learn from parents who have changed. Seeing new interactions between parents and their children is worth more than a thousand words.
- Those providing treatment need to be experts at innovative family work and be receiving continuous supervision. Old worn out approaches have already proven to be failures by the time there is out-of-home placement.
- The actual treatment program for the kids needs to incorporate multiple therapeutic interventions seven days a week aimed at interrupting self-defeating behavior and strategically motivating kids to use their brain in new ways to create solutions. (Their failed solutions are the problem.)
- There needs to be a comprehensive aftercare plan firmly established before discharge and family work needs to continue with continuity.
- A program worth its salt will guarantee success in the sense that parents will be fully empowered to run the family and returning to past behavior will not be a possibility; and this happens before the kid is discharged. (Too many programs treat the kid, neglect family work and within a short period of time after discharge, the same negative behavior patterns are the norm again. And the family, insurance company, county, state and federal payors don’t get a refund.)
As an alternative and to save money in the long run, for $1000 a day I’ll come stay at your house and work with the family. Think of it as the Dog Whisperer, Supernanny and Sun Tzu (author of the Art of War) coming for a visit. It will be fun. Change will happen. And I guarantee success.






