ABSTRACT Although newly passed federal regulations mandate the provision of family-based aftercare supports for adolescents served in therapeutic residential care, very little research has been conducted to determine best practice. This efficacy and replication study compares the outcomes of youths and caregivers randomly assigned to On the Way Home (OTWH; n = 98) or traditional aftercare supports (n = 89) following discharge from therapeutic residential care (TRC). Findings were mixed. At posttest (12-months) no significant differences were found between groups on indicators of placement stability and school involvement, however, significant differences were found between groups on several indicators of caregiver empowerment and self-efficacy, with caregivers in OTWH reporting greater levels of self-efficacy and empowerment across the domains of family and community. At follow-up (21-months), moderate to large differences were found between groups on indicators of placement stability and school involvement, with odds ratios indicating youths in OTWH were 2 and 3 times more likely to be engaged in school and living in the community, respectively. Implications, limitations, and future research are discussed.

中文翻译：

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在回家的路上：在安置家庭护理后的家庭团聚过程中，提高照顾者的能力，自我效能和青少年的稳定性

摘要尽管新近通过的联邦法规要求为在寄宿性医疗机构中服务的青少年提供基于家庭的善后服务，但很少进行研究来确定最佳实践。这项功效和复制研究比较了从治疗性居所护理（TRC）出院后随机分配到“回家”（OTWH; n = 98）或传统的后期护理支持（n = 89）的青年和护理人员的结局。结果好坏参半。在后期测试（12个月）中，各组之间在安置稳定性和学校参与度指标上没有发现显着差异，但是，在各组照顾者赋权和自我效能感指标上，各组之间没有显着差异，OTWH的照顾者报告说，他们在家庭和社区领域的自我效能和赋权水平更高。在随访（21个月）中，各组之间在安置稳定性和学校参与度指标上发现了中等到较大的差异，比值比表明，OTWH中的青年人上学和生活在该地区的可能性高出2到3倍。社区。讨论了含义，局限性和未来的研究。