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Anales de Psicología

versión On-line ISSN 1695-2294versión impresa ISSN 0212-9728

Anal. Psicol. vol.40 no.1 Murcia ene./abr. 2024  Epub 24-Jul-2024

https://dx.doi.org/10.6018/analesps.542161 

Organizational and Social Psychology

Psychological adjustment of children and adolescents in residential care with collaborating families: a multi-informant assessment

Nuria Molano1  *  , Elizabeth Espinosa1  , Esperanza León1 

1Department of Developmental and Educational Psychology. Faculty of Psychology. University of Seville, Seville (Spain)

Abstract:

In residential care, programs such as Collaborating Families have been developed so that children and adolescents can experience periods of cohabitation in a positive family environment, which generates benefits for them and complements their residential care. The present study used the Strengths and Difficulties Questionnaire (SDQ) to study the psychological adjustment of 37 children and adolescents in residential care with collaborating families, comparing the assessments of 185 informants: the children themselves, their collaborating families, their caregivers at the protection center, as well as a comparison group of peers without collaborating families and their caregivers. In addition, this study analyzed whether the psychological adjustment of these children is related to some of their personal variables and their experience in family collaboration. The results showed significant differences between the psychological adjustment assessed by the different informants. Also, children with collaborating families tended to present a better psychological adjustment compared to the comparison group, with considerable effect sizes. Moreover, significant relationships were found between psychological adjustment and the children’s ratings about their family collaboration. Finally, some practical implications for the development of the program are discussed.

Keywords: Psychological adjustment; Social collaboration; Collaborating families; Residential care; Multi-informant assessment

Introduction

All children and adolescents have basic needs that, in most cases, are met in their family environment. However, some of them experience a lack of care from their parents and suffer situations of adversity and abuse throughout their childhood, which generate a serious threat to their welfare (Norman et al., 2012). To deal with this type of highly serious situations in Spain, the Child Protection System (CPS) resorts to different child and adolescent protection measures (Amorós & Palacios, 2004). In this regard, our legislative framework gives priority to family-based measures, as opposed to residential care (Law 26/2015, on the modification of the Child and Adolescent Protection System). This is carried out on the basis of international recommendations, which advocate in favor of the growth of children in a family environment (Palacios et al., 2019), and the abundant empirical evidence that confirms the negative consequences in the short, medium and long-term resulting from institutionalization (Berens & Nelson, 2015; Palacios, 2003; Palacios et al., 2019; Woodhouse et al., 2018). Despite this, there are still 16,991 children and adolescents living in protection centers in Spain (Ministry of Social Rights and 2030 Agenda, 2021). However, based on the above assumptions, it should be taken into account that residential care in our country is currently intended to fulfill a very specific role, being configured as a highly specialized measure. Thus, in recent years, the age of children in residential foster care has gradually risen, being a measure that is mainly used when there is no availability of families to practice a family foster care; to a lesser extent, when it is not desired by young people who enter the system at older ages (for example, cases of parental control incapacity); and, especially, for unaccompanied migrant youths (Bravo & Del Valle, 2009; Bravo et al., 2022; Ministry of Social Rights and 2030 Agenda, 2021; Poole et al., 2021).

Residential care, as a protection measure, must therefore ensure that the safety and needs of children are met, promoting their comprehensive development (Consejería de Inclusión Social, Juventud, Familias e Igualdad, 2022). However, nowadays, on the one hand, a majority of children with the profile described above are characterized by a high incidence of emotional and behavioral distress, as well as other difficulties such as the prospect of emancipation without returning to the family home when reaching legal age (Bravo et al., 2022; Del Valle et al., 2011). On the other hand, despite the improved qualities that have been developed and continue to be introduced in protection centers in Spain and other countries (Del Valle & Bravo, 2013; Whittaker et al., 2016, in press), these do not always have the necessary human resources to sufficiently cover the affective and stimulation needs of these children (Palacios, 2003; UNICEF & Eurochild, 2021). Under these circumstances, it is common for children in residential care to present more behavioral, emotional, cognitive, and social problems, compared to their community peers and to those living in family-based protection measures, such as foster care or adoption (Campos et al., 2019; Fernández-Molina et al., 2011; Fonseca-Pedrero et al., 2011; Jiménez-Morago et al., 2015).

Psychological adjustment, understood as the person's ability to function adequately in their environment through their cognitive, behavioral, emotional, and social resources (Schoeps et al., 2019), is one of the areas in which children in residential care show greater difficulties with respect to their community counterparts and other children in family-based measures (Amorós & Palacios, 2004; Fernández-Molina et al., 2011; Nowacki & Schoelmerich, 2010). This greater psychological maladjustment occurs even when they start with similar levels of adversity (Cousins et al., 2010; Jiménez-Morago et al., 2015; Juffer & Van IJzendoorn, 2009; Palacios et al., 2013). On the one hand, difficulties in this aspect among minors in residential care are related to the presence of behavioral problems, including high levels of aggression and deficits in impulse control (Del Valle et al., 2011; Fernández-Molina et al., 2011; Heflinger et al., 2000). On the other hand, some studies have evidenced emotional alterations or symptoms, such as mood and anxiety disorders, sadness, anger, irritability, depression or inhibition (Fernández-Daza & Fernández-Parra, 2017; Heflinger et al., 2000; Simsek, et al., 2007). In addition, other authors point out the greater propensity of these children to present difficulties related to hyperactivity and attention deficit (Barroso et al., 2018; Del Valle et al., 2011). At the social level, difficulties among this population are reflected, for example, in the development of problems when relating to peers in the protection center and school context (Balluerka et al., 2013; Fernández-Daza & Fernández-Parra, 2017; Martín et al., 2012), as well as in a tendency for low self-esteem and poor academic motivation, showing, in general, a notably negative view of themselves (González & Cortés, 2015; Greger et al., 2016).

The scientific evidence on the psychological adjustment of children in residential care also points to the fact that some results vary according to the informant, differentiating between the vision that the children have of themselves and that of the adults caring for them. It is for this reason that some authors consider that child and adolescent behavioral assessment should have multiple perspectives, preferably reporting on different contexts (Achenbach, 2006; Janssens & Deboutte, 2009; Vostanis, 2006). Thus, several studies have found low and moderate levels of agreement between children and their residential caregivers when assessing their externalizing and internalizing problems, with the latter informants identifying more problems and there being more agreement for externalizing than internalizing ones (Gearing et al., 2014; Sainero et al., 2015). In the same direction, Delgado et al. (2012) evaluated the emotional and behavioral problems of a group of children in residential care, finding that both residential caregivers and teachers observed higher levels of externalizing problems than those perceived by the children themselves.

Also, some research has focused on exploring the variables related to the psychological adjustment of children in residential care. Several studies have analyzed their association with certain sociodemographic characteristics, such as gender or age of the children. As for gender, there is no agreement among the different studies, so that some authors have found that boys show more problems in their psychological adjustment than girls (Fernández-Daza & Fernández-Parra, 2017; González & Cortés, 2015; Janssens & Deboutte, 2009) and other authors point out the opposite (Jones et al., 2007; Rodrigues et al., 2019). The only aspect in which there seems to be coincidence among the aforementioned studies is that girls present better prosocial behavior than boys. Regarding age, there is no consensus among different researchers either, as, on the one hand, Rodrigues et al. (2019) find that younger adolescents are those who show more difficulties in their psychological adjustment, while authors such as Hoffnung-Assouline and Attar-Schwartz (2020) as well as Palacios et al. (2013) do not find any relationship between age and psychological adjustment. In addition, other authors have associated the psychological adjustment of children in residential care to some variables related to their past and present trajectory in the CPS. Thus, a significant unfavorable impact of longer durations of institutionalization on children’s psychological adjustment has been pointed out (Delgado et al., 2012; Martín et al., 2007; Palacios, 2003; Woodhouse et al., 2018).

In short, throughout the previous paragraphs, the negative and limiting consequences of residential care for children have been highlighted. Due to the fact that, despite this, the practice of institutionalization is still abundant in our country, for the reasons stated in the first paragraphs of this section, we consider it essential to research, disseminate and use programs such as Collaborating Families, developed in Andalusia, in order for children in residential care to benefit from them (León et al., 2019, 2021). The Collaborating Families program is a complementary resource to residential care that consists of families who, in an altruistic and supportive manner, commit, with stable expectations, to share moments of leisure with children or adolescents from protection centers during different periods of time, such as weekends, vacations and/or holidays (Consejería de Inclusión Social, Juventud, Familias e Igualdad, 2022a). This resource lacks specific regulation in state legislation, being only indirectly alluded to in the aforementioned Law 26/2015, in its article 172. In Andalusia, on the other hand, it has been explicitly included for the first time in the recent Law 4/2021 of July 27, on Childhood and Adolescence, in its article 110, under the figure of Social Collaboration.

The main purposes of the Collaborating Families program in Andalusia are based on allowing children in residential care to participate in alternative activities to those of the protection center; providing them with an environment where they can learn to relate in a healthy way and live together as a family; getting them to establish healthy emotional bonds with their collaborators; and expanding their social support network with significant adults who offer them individualized treatment (Consejería de Inclusión Social, Juventud, Familias e Igualdad, 2022a; Delgado & López, 2016; León et al., 2021). To participate in the program, a series of technical criteria are required to be met, both by children susceptible to collaboration and by interested families (Consejería de Inclusión Social, Juventud, Familias e Igualdad, 2022a). Regarding children and adolescents, they must meet the following characteristics: a) be in an abandonment situation; b) be in residential care with an intervention plan of long-term placement in a protection center; c) be older than 7 (except for very extreme situations of special needs); d) accept to participate in the program; e) benefit from the program (León et al., 2019).

Currently, there is very little research in Spain on the figure of Social Collaboration. One of the first studies in this field explored the experience of children with their collaborating families, finding that they rated the relationship with their collaborators very positively and expressed high satisfaction with the collaboration (Espinosa et al., 2022; Gallardo et al., 2020). The data from this study also indicate that children in collaboration rate the time their collaborators spend with them, the fair treatment they receive from them and the possibility of talking to them when they need to very positively. In addition, they reported that they perceived the support of their collaborating families in any situation in which they need it. Likewise, Cano-López et al. (2021) interviewed representatives of different foster care and residential care collaboration associations in Andalusia and concluded that one of the main benefits of the figure of Family Collaboration is the individualized emotional support they provide to children, and the personalized accompaniment and increased support they have until adulthood, and even after they come of age. According to Ferreira et al. (2020), referring, in general terms, to children in residential care, the social support they may perceive is identified as an enhancer of positive psychological functioning and as a buffer against psychological problems.

This work aims to continue expanding knowledge about the figure of Social Collaboration and what it means for the welfare of children in residential care. To this end, our first objective was to describe the psychological adjustment of the children and adolescents participating in the Collaborating Families program, both from their own perspective, that of their collaborating families, and that of their professionals of reference in the protection centers, comparing the information obtained from different sources of information. With respect to this first objective, our main hypothesis is that the professionals' assessment of the psychological adjustment of the participants is, on average, more negative than that of the rest of the informants, i.e., that they will rate a higher number of difficulties. As a second objective, we compared the psychological adjustment of the children participating in the Collaborating Families program with that of a group of peers in residential foster care, but who did not benefit from this program. This comparison was made from two perspectives, that of the children themselves and that of the professionals. In this case, our main hypothesis with respect to the second objective is that the average psychological adjustment difficulties of the participants in the comparison group will be higher than those of the group in family collaboration. Our third objective was to analyze the self-perception of psychological adjustment of participants with collaborating families in relation to some sociodemographic variables and variables related to their past and present history in the CPS. In reference to this third objective, while we do not pose any specific hypotheses regarding the gender or age of the children, we do expect that the level of psychological adjustment difficulties will be positively related to the time of institutionalization. Finally, the fourth objective of the present study was to explore the association between the self-perceived psychological adjustment of participants with collaborating families and different dimensions related to their experience of family collaboration: the social support they perceive from their collaborating families, their assessment of their relationship with them, and their satisfaction with the experience of family collaboration. As a hypothesis about the fourth and last objective, we expect that psychological adjustment difficulties will be less elevated as participants better value these aspects related to family collaboration.

Method

Participants

The sample consisted of 185 participants living in Andalusia, Spain: 37 children and adolescents in residential care, who at the time of the study were participating in the Collaborating Families program, their 37 reference professionals in the protection centers, their 37 collaborating families, as well as a comparison group composed of 37 children and adolescents in residential care who were not participating in the Collaborating Families program and their 37 reference professionals in the protection center (for more information, see Espinosa et al., 2022 and León et al., 2021).

Table 1 shows the sociodemographic characteristics of the children with collaborating families and their peers in the comparison group.

Table 1. Differences between the characteristics of children with cooperating families and their peers in the comparison group. 

Note.CF= Collaborating Families; CG= Comparison Group; AR= Adjusted Residual.

The participants with collaborating families had been in residential care for a mean of 8.1 years (SD = 2.89). Some 27.03% had been in only one protection center, while 37.84% had been in two, 29.73% in three and 5.40% in four. The average duration of their participation in the Collaborating Families program was over 4 years (M = 4.32; SD = 2.98).

On the other hand, both the professionals of the children with collaborating families and those of the comparison group had an average age of around 38 years (M = 38.94, SD = 8.65; M = 38.03, SD = 8.49, respectively) and had been working in their profession for an average of 10 years (M = 10.89, SD = 7.36; M = 10.60, SD = 7.26, respectively). Likewise, they had been working at the protection center for an average of 7 to 8 years (M = 8.25, SD = 5.78; M = 7.67, SD = 7.08, respectively).

In reference to the collaborating families, the male collaborators had a mean age of 46 years at the time of the study (M = 46.88, SD = 9.31), while the female collaborators had a mean age of 44 years (M = 44.78, SD = 8.91). The 87.4% percent of the female collaborators were working, as were 96.9% of the male collaborators. Likewise, 27% of the collaborating families were single-parent, while 73% of them were two-parent families. Of all the families, 81.1% had children.

Instruments

Strengths and Difficulties Questionnaire

The main instrument used in this study was the Strengths and Difficulties Questionnaire (SDQ; Goodman, 1997), in its Spanish validated version. It is a widely used standardized questionnaire that assesses the psychological adjustment of children and adolescents between 4 and 18 years of age from a multi-informant perspective. In our study, it was administered to participants in residential care, to their collaborating families and to their reference professionals.

The questionnaire consists of 25 items that are divided into 5 subscales composed of 5 items each, with three response options (0 = Not true; 1 = Somewhat true; 2 = Absolutely true). Four of these subscales assess difficulties that refer to Emotional Problems, Conduct Problems, Hyperactivity and Peer Problems. Together, these four subscales form an overall scale called the Total Difficulties Scale. The fifth subscale refers to positive behaviors or strengths and assesses Prosocial Behavior.

The reliability of the total difficulties scale is acceptable, being moderate for children (α = .64), and high for collaborating families (α = .81) and professionals (α = .82).

Children’s self-report and semi-structured interview

The participating children completed a self-report composed of a total of 75 questions that explored different aspects of their lifestyle, well-being and developmental contexts (for more information, see Gallardo et al., 2020 and Espinosa et al., 2022). For this paper, we focused on the self-report questions referring to the experience with their collaborating families. These questions, rated on a Likert-type scale from 1 to 5, were extracted from the KIDSCREEN-27 Child & Adolescent Version instrument (The KIDSCREEN Group, 2004), which presented a reliability of α = .76, and from a semi-structured interview elaborated ad hoc by the authors. In addition, in order for participants to globally rate the relationship with significant people in their different contexts, we included the Cantril Ladder (Cantril, 1965), whose scores range from 0 (worst possible relationship) to 10 (best possible relationship).

Data sheet on the referring professional, the protection center, and the child participant

A data sheet prepared ad hoc by the authors was used, which includes, in three blocks, the sociodemographic characteristics of the child's reference professional, some general data on the protection center and, finally, information on the child’s sociodemographic characteristics (age, gender and presence or absence of disability or chronic illness) and on their trajectory in the CPS (age of abandonment, time in the CPS, duration of institutionalization, age at which collaboration began and duration of collaboration). The form was addressed to and completed by the management of each protection center. Some examples of the variables included in this form are: "Age of the child", "Date of declaration of abandonment", "Profession of the reference professional".

Procedure

Authorization for the study was previously obtained from the General Directorate for Children of the Regional Government of Andalusia and we had the support and collaboration of the Child Protection Service of the province of Seville. The study was also authorized by the Research Ethics Committee of the Andalusian Government (Junta de Andalucía) (Ref. 201973023261), which certified that it met all ethical requirements. Thus, voluntary participation and confidential treatment of the information was guaranteed by signing a confidentiality agreement with each participant, where it was informed that the data would be used only for research purposes. After a first data collection, in which we interviewed the collaborating families, who informed us about their own families, the children in collaboration, the relationships between them, and the processes of the collaboration, we continued with the collection of data from the children and from their referring professionals, as informants. The interviews and the administration of the entire battery of instruments, which lasted approximately 2 hours per participant, were carried out in person by three psychologists from the research team, who were previously trained and instructed to do so.

Data analysis

Once data collection was completed, all the information was coded and entered into a SPSS-25 database. Subsequently, statistical analyses were performed, including descriptive measures, frequencies, Pearson correlations, Student's t-tests for independent and paired samples, with their respective effect sizes (Cohen's d), and Chi-squared tests. In the case of variables that did not follow a normal distribution, we performed equivalent parametric and nonparametric tests (Mann-Whitney U test and Spearman correlations) and, since both showed similar results, we include the parametric results in this work to facilitate the interpretation of effect sizes.

Results

In response to the first objective, Table 2 shows the descriptive data of central tendency and dispersion related to the psychological adjustment of the children with collaborating families, evaluated by themselves, their referring professionals, and their collaborators. Table 2 also shows the distribution of the scores in the different ranges contemplated by the SDQ instrument (Goodman, 1997), expressed in percentages.

As for the mean scores obtained (Table 2), from the perspective of the children themselves, these were within the normative range in all subscales and in the total scale of difficulties. On the other hand, from the data provided by the collaborating families, the mean scores were again within the normative range, both in the total scale of difficulties and in almost all subscales, the exception being the subscale of peer problems, which was in the borderline range. However, from the perception of the professionals, the mean scores were in the lower cut- off of the borderline range for the total difficulties and for the subscales of conduct problems and peer problems, while the rest of the subscales were within the normative range.

Table 2. Descriptive data and distribution of psychological adjustment scores of children with collaborating families. 

Note.CF = Collaborating Families.

To evaluate the differences between the perceptions of the different informants, we ran contrasts of means for related samples, finding statistically significant differences and considerable effect sizes (Castro & Martini, 2014; Cohen, 1988) in three subscales: conduct problems, peer problems and prosocial behavior. First, these significant differences were found between the assessment of the collaborating families and that of the professionals with respect to the conduct problems subscale (t(35) = -2.044, p = .048, d = .374). In this case, it was the latter who perceived more problems of this nature. In addition, with regard to peer problems, statistically significant differences were found between the perception of the children and that of the collaborating families (t(36) = -2.114, p = .042, d = .392), and between that of the children and that of their reference professionals (t(35) = -2.555, p = .015, d = .543). With respect to the latter differences, it was, on the one hand, the collaborating families and, on the other hand, the professionals who perceived more problems. In reference to prosocial behavior, we obtained statistically significant differences between the scores of the collaborating families and those of the professionals (t(35) = -3.686, p = .001, d = .898), with the collaborating families being those who perceived more prosocial behavior. Likewise, in this subscale of prosocial behavior, significant differences were found between the perception of the children and that of the professionals (t(35) = 3.494, p = .001, d = .771), in favor of the former.

As a second objective, we wanted to know whether there are differences between the psychological adjustment of participants with collaborating families and that of a group of peers in residential care who do not have collaborating families, both from their own perspective and that of their corresponding reference professionals. First, to respond to this second objective, Table 3 shows the descriptive data of central tendency and dispersion of the psychological adjustment of both groups, according to the children's own perspective and that of the professionals, as well as the distribution of the scores according to the ranges of the SDQ instrument, again expressed in percentages.

Table 3. Descriptive data and distribution of psychological adjustment scores of children with and without collaborating families and of reference professionals in both groups. 

Note.CF = Collaborating Families; CG = Comparison Group.

With regard to the comparative analysis between the psychological adjustment of the participants with and without collaborating families, carried out by contrasts of means for independent samples, no statistically significant differences were found between the mean scores obtained from the children themselves, nor in those obtained from the professionals. However, the effect size was small, but considerable, for the comparisons made about emotional problems in the two groups of informants (d = .373, p = .113, in children; d = .410, p = .087, in professionals) and for total difficulties (d = .392, p = .095, in children; d = .318, p = .186, in professionals), in favor of the group with collaborating families (Castro & Martini, 2014).

As for the third objective, we analyzed the possible relationships between the different subscales and the total scale of self-reported psychological adjustment of the children in collaboration with sociodemographic variables (age, gender and presence or not of disability or chronic illness) and their trajectory in the CPS (age of abandonment, time in the CPS, duration of institutionalization, age at the beginning of collaboration, and duration of collaboration). In no case were statistically significant differences or correlations found, obtaining a p > .05 in all cases.

Finally, as a fourth objective, we analyzed the relationship between the children’s self- perception of their psychological adjustment and their experience with the collaborating families. Regarding self-report about the support, they perceive from their collaborating families, we focused on three measures (The KIDSCREEN Group, 2004): the perception of fair treatment (M = 4.29, SD = 1.25), the feeling of acceptance (M = 4.80, SD = .47) and the perception of concern (M = 4.80, SD = .47). When correlating these measures and the children’s psychological adjustment, we found that those who presented fewer conduct problems also felt that their collaborating families had treated them more fairly (r = -.342, p < .05). In turn, we found that those who showed fewer peer problems also felt more acceptance from their collaborating families (r = -.380, p < .05) and perceived that their families cared more about them (r = -.380, p < .05).

In reference to the evaluation of the relationship with their collaborating families, they were asked to rate it in general (Cantril, 1965), obtaining a mean score of 8.94 (SD = 1.83). When executing the correlations with the children’s self-perceived psychological adjustment, it was found that the better the rating they made of the relationship with their collaborating family, the fewer behavioral problems they presented (r = -.336, p < .05).

Finally, participants' satisfaction with their collaborating families was evaluated based on three measures from the interview: their assessment of the time spent with their collaborating family (M = 4.67, SD = .96), the feeling that their collaborating family was happy with them (M = 4.83, SD = .38) and the satisfaction, in general, with the collaboration (M = 4.58, SD = .94). When correlations were made between these measures and the children’s psychological adjustment, it was found that the fewer conduct problems they presented, the more they valued the time with their collaborating families (r = -.518, p < .01) and the more satisfied they were with them (r = -.506, p <.01). In addition, those who felt that their collaborating families were happier with them, also presented fewer conduct problems (r = -.400, p < .05) and total difficulties (r = -.396, p < .05).

Discussion

The first objective of our study was to describe the psychological adjustment of a group of children and adolescents with collaborating families, from the perspective of multiple informants. On the one hand, the children in our sample seem to perceive themselves as having few psychological adjustment difficulties, as their mean scores are within the normative range in all subscales and in the total difficulties scale. Moreover, considering the distribution of their scores, most of them are within this normative range, again in all subscales and in the total difficulties scale. These results are considerably more positive than those obtained by other authors who have assessed self-perceived psychological adjustment in residential care (Rodrigues et al., 2019). As for the collaborating families, unlike the previous informants, they place the mean score of peer problems in the borderline range and point out that slightly less than half are in the normative range on this subscale. In a similar line, the reference professionals of these children again place the mean score of the subscale peer problems in the borderline range and also place the mean of conduct problems and total difficulties in this range. In the case of the professionals, it is also noteworthy that they rate approximately one third of the participants with difficulties in the clinical range, if we look at the total difficulties scale. In comparison with previous studies that include the assessment these professionals about the psychological adjustment of children in residential care, our data are similar or more positive (Cousins et al., 2010; Jiménez-Morago et al., 2015; Palacios et al., 2013). In the study by Jiménez-Morago et al. (2015), on children aged 4 to 10 years, the mean of total difficulties was higher, although it is still in the borderline range. However, in the work of Cousins et al. (2010), where a sample between 10 and 15 years of age was evaluated, this mean exceeded 16 points, placing it in the clinical range.

When comparing the different informants, it seems evident that the children’s view of their own psychological adjustment is more positive than that of their collaborating families and, in turn, the assessment of these families is more favorable than that shared by their reference professionals. Specifically, the professionals highlight the greater presence of conduct problems, compared to the information provided by the collaborating families. A more negative view by professionals from protection centers has also been previously noted in other studies (Delgado et al., 2012; Gearing et al., 2014; Rodrigues et al., 2019; Sainero et al., 2015). It is possible that professionals are more sensitive to behavioral problems than the families or the children themselves and, as they spend more time with these children and can compare with a larger volume of children, they can make a more refined assessment (Sainero et al., 2015). On the other hand, it seems that the collaborating families and professionals coincide in a higher score on peer problems, compared to the self-assessment of children. Although it is true that some authors warn of a greater social desirability in adolescent self-reports, towards a more positive representation of themselves (Fan et al., 2006), it is equally possible to make a positive reading of these results. Thus, it could be indicating that the collaborating families are being able to identify the problems that these children are having when it comes to relating to others. This is a very important starting point for them to work towards one of the purposes of this program, mentioned above, which is to give them the opportunity to learn to relate to each other in a healthy way (Consejería de Inclusión Social, Juventud, Familias e Igualdad, 2022a).

Furthermore, in reference to the strengths of these children, our data point out that both themselves and their collaborating families score better on prosocial behavior, compared to the reference professionals. Although we insist on the idea that the latter are likely to have a deeper knowledge of the children in a wider variety of situations and contexts, it is beneficial for these children to have people who highlight their strengths and refer to them in a positive way. These more favorable data are in line with previous studies on these collaborating families, in which they indicated feeling, for the most part, very satisfied with the evolution of the children and with their adaptation to the family (León et al., 2021).

Regarding the second objective of this study, the data obtained imply that we should speak of similarities rather than differences when comparing psychological adjustment between participants with and without collaborating families. This similarity occurs in other areas explored in the lives of these children (Espinosa et al., 2022) and is to be expected if we consider that both participants are in residential care, and therefore share most of their time in the protection center under the care of their residential caregivers. However, our data indicate a tendency for the group with collaborating families to present fewer psychological adjustment difficulties. Thus, considering the effect size data, we would expect to find significant differences in psychological adjustment, in favor of the group with collaborating families, in the case of a larger sample size, both in the children’s and in their reference professionals’ reports. In fact, while the means and distributions in the group with collaborating families are more positive than in previous studies (Cousins et al., 2010; Jiménez-Morago et al., 2015; Rodrigues et al., 2019), the data for the group without collaborating families are similar to the data of these investigations and even somewhat more negative when we refer to conduct problems (Rodrigues et al., 2019). Previous studies have highlighted the existence of more difficulties among those in residential foster care, compared to those who benefit from other family alternatives, such as foster care (Amorós & Palacios, 2004; Jiménez-Morago et al., 2015; Nowacki & Schoelmerich, 2010).

With reference to the third objective, based on the lack of consensus found among previous studies, our results are related to those presented by Hoffnung-Assouline and Attar- Schwartz (2020) and Palacios et al. (2013), who found no relationship between psychological adjustment and age. On the contrary, the results of our study do not coincide with those found in some previous research, as authors such as González and Cortés (2015) and Janssens and Deboutte (2009), among others, find more difficulties in boys than in girls. Similarly, although we might expect variables such as duration in residential foster care to be positively related to the presence of psychological adjustment difficulties (Delgado et al., 2012; Martín et al., 2007), our data point to a lack of relationship between these difficulties and different aspects of the trajectory of these minors in the CPS. As authors such as Carrera (2020) point out, the trajectory of children in the CPS is very varied and it is unlikely to find significant relationships when we make an isolated analysis of its different variables in relation to the adjustment dimensions of these children.

Next, the data obtained regarding the fourth objective of the study indicate that, in relation to the support perceived from their collaborating families, the participants rate very positively the fair treatment, concern for them and feeling accepted by their collaborating family. In addition, they give high scores when rating, in general, the relationship they have with their collaborating families. On the other hand, the data also show that the support they perceive from the collaborating family, the relationship they maintain with them and their satisfaction with the program are associated with some difficulties, especially conduct problems. We see that this problem, which affects a considerable part of the children in residential care (Bravo et al., 2022; Del Valle et al., 2011; Fernández-Molina et al., 2011; Palacios et al., 2013), also seems to be an important aspect for the development of collaboration. In this case, the correlations performed force us to make a bidirectional interpretation of the results. On the one hand, it is possible that those who obtain greater support from their collaborating families and are more satisfied with the collaboration tend to present fewer difficulties. On the other hand, it may be that children with more difficulties are likely to feel less support from their collaborating families, have a poorer relationship with them and perceive that they are less satisfied with the program.

Finally, we would like to highlight the innovative nature of these findings, as this is the first time that psychological adjustment has been studied in a group of minors in residential care who have access to living in a family environment. Nevertheless, this study has a number of limitations. First, we have a small sample size, although it is representative of the population analyzed, taking into account the number of collaborating families active at the time of the study (León et al., 2021). On the other hand, the novelty of this research implies, in turn, a limitation in the discussion of our results, since there are no previous studies that have evaluated children in family collaboration in reference to their psychological adjustment. Furthermore, the cross-sectional data do not allow us to make predictions about the directionality of the relationships we found. Our purpose is, in the first place, to be able to continue evaluating the participants of this program at different times of the collaboration. To this end, we hope to have a larger sample size, which will allow us to verify the trends observed in the data of the present work with respect to psychological adjustment, which point to existing differences between children who participate in the family collaboration program and those who do not, in favor of the former. In addition, it would be a great opportunity to also be able to count on the vision of other relevant figures for these children, such as their teachers in the school context.

To conclude, we can extract some of the main ideas provided by this study. First, it is possible to say that our group of children in residential care with collaborating families presents a better profile of psychological adjustment, compared to other samples belonging to this population. Second, we can affirm that there are differences in the psychological adjustment of these children when we compare the assessment made by themselves with respect to those of their reference adults, being fundamental to implement this multi-informant assessment when we study the residential care population (Rodrigues et al., 2014). Third and finally, we hope that our data will contribute to fostering the image of the collaborating families as figures who promote the strengths of these children, without ignoring their difficulties. Previous findings of our research have facilitated the development and elaboration of the protocol for the assessment and training of the Collaborating Families program, among other aspects (see Protocolo del Programa de Familias colaboradoras of Andalusia, Consejería de Igualdad, Políticas Sociales y Conciliación, 2022). On this occasion, the results regarding psychological adjustment support a more positive view of children who participate in family collaboration, compared to those who do not. Moreover, they show that there is a relationship between some difficulties and the subjective experience of these children with family collaboration. This should encourage further development of better and more comprehensive training and support programs for these families, so that they can respond to more complex behavioral and emotional profiles.

Acknowledgements

We thank the collaborating families, the residential foster care professionals and the children and adolescents in care for their disinterested participation in this study. We are also grateful for the financial support received from the Research Group "Developmental Processes and Education in Family and School Contexts" (SEJ-547) of the University of Seville.

Financial supportThis work was carried out within the framework of five research contracts 68/83 (Ref. 3284/0926, Ref. 3527/0926, Ref. 3803/0926, Ref. 4138/0926 and Ref. 4518/0926) between the association Crecer con Futuro and the Department of Developmental and Educational Psychology of the University of Seville. These contracts have been funded by the association Crecer con Futuro and the Consejería de Inclusión Social, Juventud, Familias e Igualdad from the Andalusian Government (Junta de Andalucía), through the call for IRPF grants.

References

Achenbach, T. M. (2006). As others see us: clinical and research implications of cross-informant correlations for psychopathology. Current Directions in Psychological Science, 15(2), 94-98. https://doi.org/10.1111%2Fj.0963-7214.2006.00414.x [ Links ]

Amorós, P., & Palacios, J. (2004). Acogimiento Familiar (Foster Care). Alianza Editorial. [ Links ]

Balluerka, N., Muela, A., & Torres, B. (2013). Ajuste social y escolar de jóvenes víctimas de maltrato infantil en situación de acogimiento residencial (Social and school adjustment of adolescent victims of child maltreatment in residential child care). Anales de Psicología, 29(1), 197-206. https://doi.org/10.6018/analesps.29.1.124941 [ Links ]

Barroso, R., Barbosa-Ducharne, M., Cruz, O., & Silva, A. (2018). Social skills in adopted adolescents: A comparative study with non adopted and in residencial care adolescents. Análise Psicológica, 36(2), 185-197. https://doi.org/10.14417/ap.1352 [ Links ]

Berens, A. E., & Nelson, C. A. (2015). The science of early adversity: is there a role for large institutions in the care of vulnerable children? The Lancet, 386, 388-398. https://doi.org/10.1016/S0140-6736(14)61131-4 [ Links ]

Bravo, A., & Del Valle, J. F. (2009). Crisis y revisión del acogimiento residencial. Su papel en la protección infantil (Crisis and review of residential child care. Its role in child protection). Papeles del Psicólogo, 30(1), 42-52. http://www.papelesdelpsicologo.es/pdf/1655.pdfLinks ]

Bravo, A., Martín, E., & Del Valle, J.F. (2022). The changing character of residential care for children and youth in Spain. In J. K. Whittaker, L. Holmes, J. F. del Valle y S. James (Eds.), Revitalizing residential care for children and youth: cross-national trends and challenges (pp. 179-C13.P60). Oxford University Press. https://doi.org/10.1093/oso/9780197644300.003.0013 [ Links ]

Campos, J., Barbosa-Ducharne, M., Dias, P., Rodrigues, S., Martins, A. C., & Leal, M. (2019). Emotional and behavioral problems and psychosocial skills in adolescents in residential care. Child and Adolescent Social Work Journal, 36(3), 237-246. https://doi.org/10.1007/s10560-018-0594-9 [ Links ]

Cano-López, L., Fuentes-Gutiérrez, V., Espinilla-Estévez, M., & De la Fuente-Robles, Y. M. (2021). Entre la institución y la familia: Las familias colaboradoras como apoyo a los menores tutelados (Between the institution and the family: Collaborating families as support for minors under guardianships). Episteme Koinonia, 4(7), 32-54. http://doi.org/10.35381/e.k.v4i7.1108 [ Links ]

Cantril, H. (1965).The pattern of human concerns. Rutgers University Press. [ Links ]

Carrera, P. (2020). Adversidad y adaptación en niños y niñas en acogimiento familiar. Funciones ejecutivas, comprensión de las emociones y representaciones de apego (Adversity and adaptation in children in foster care. Executive functions, emotion understanding and attachment representations). (Tesis Doctoral, Universidad de Sevilla). [ Links ]

Castro, M. C., & Martini, H. A. (2014). Potencia estadística y cálculo del tamaño del efecto en G* Power: complementos a las pruebas de significación estadística y su aplicación en psicología (Statistical power and effect size calculating in G*Power: complementary analysis of statistical significance testing and its application in psychology). Salud & Sociedad, 5(2), 210-224. https://doi.org/10.22199/S07187475.2014.0002.00006 [ Links ]

Cohen, J. (1988). Statistical power analysis for the behavioral sciences (2nd ed.). Lawrence Erlbaum Associates. [ Links ]

Consejería de Igualdad, Políticas Sociales y Conciliación (2022). Protocolo Programa de Familias colaboradoras (Collaborating Families Program Protocol). https://www.observatoriodelainfancia.es/ficherosoia/documentos/7887_d_Protocolo-ProgramaFamiliasColaboradoras-DGI-CIPSC.pdfLinks ]

Consejería de Inclusión Social, Juventud, Familias e Igualdad (2022). Acogimiento residencial en centros de protección de menores (Residential care in child protection centers). https://www.juntadeandalucia.es/organismos/inclusionsocialjuventudfamiliaseigualdad/areas/infancia-familias/separacion-familia/paginas/acogimiento-residencial.htmlLinks ]

Consejería de Inclusión Social, Juventud, Familias e Igualdad (2022a). Familias Colaboradoras (Collaborating Families). https://www.juntadeandalucia.es/organismos/igualdadpoliticassocialesyconciliacion/areas/infancia-familias/familias-colaboradoras.htmlLinks ]

Cousins, W., Taggart, L., & Milner, S. (2010). Looked after or overlooked? An exploratory investigation of the mental health issues of adolescents living in state care in Northern Ireland. Psychology Health and Medicine, 15(5), 497-506. http://doi.org/10.1080/13548506.2010.487110 [ Links ]

Delgado, L., Fornieles, A., Costas, C., & Brun-Gasca, C. (2012). Acogimiento residencial: problemas emocionales y conductuales (Residential care: emotional and behavioral problems). Revista de Investigación en Educación, 10(1), 158-171. https://reined.webs.uvigo.es/index.php/reined/article/view/141Links ]

Delgado, M. D., & López, L. (2016). Guía para personas interesadas en acoger, adoptar o ayudar a niños, niñas y adolescentes que necesitan familia en Andalucía (Guide for people interested in fostering, adopting or helping children and adolescents in need of a family in Andalusia). Consejería de Igualdad y Políticas Sociales. Dirección General de Infancia y Familia. Junta de Andalucía. [ Links ]

Del Valle, J. F., & Bravo, A. (2013). Current trends, figures and challenges in out of home child care: An international comparative analysis. Psychosocial Intervention, 22, 251-257. https://doi.org/10.5093/in2013a28 [ Links ]

Del Valle, J. F., Sainero, A. M., & Bravo, A. (2011). Salud mental de menores en acogimiento residencial. Guía para la prevención e intervención en hogares y centros de protección de la Comunidad Autónoma de Extremadura (Mental health of minors in residential care. Guide for prevention and intervention in homes and protection centers of Extremadura). Servicio Extremeño de Salud. Junta de Extremadura. [ Links ]

Espinosa, E., Molano, N., & León, E. (2022). Informe de comparación de chicos y chicas en acogimiento residencial con y sin Familias Colaboradoras (Comparison report of children and adolescents in residential care with and without Collaborating Families). Universidad de Sevilla. [ Links ]

Fan, X., Miller, B. C., Park, K., Winward, B. Y., Christensen, M., Grotevant, H. D., & Tai, R. H. (2006). An exploratory study about inaccuracy and invalidity in adolescent self-report surveys. Field Methods, 18(3), 223-244. http://doi.org/10.1177/152822X06289161 [ Links ]

Fernández-Daza, M., & Fernández-Parra, A. (2017). Problemas de comportamiento, problemas emocionales y de atención en niños y adolescentes que viven en acogimiento residencial (Behavioral problems, emotional problems and attention in children and adolescents living in residential care). Psychologia, 11(1), 57-70. http://dx.doi.org/10.21500/19002386.3102 [ Links ]

Fernández-Molina, M., Del Valle, J. F., Fuentes, M. J., Bernedo, I. M., & Bravo, A. (2011). Problemas de conducta de los adolescentes en acogimiento preadoptivo, residencial y con familia extensa (Behavioural problems in adolescents who are in adoption, residential care, and grandparent fostering). Psicothema, 23(1), 1-6. http://www.psicothema.com/psicothema.asp?id=3841Links ]

Ferreira, S., Magalhaes, E., & Prioste, A. (2020). Social support and mental health of young people in residential care: A qualitative study. Anuario de Psicología Jurídica, 30, 29-34. https://doi.org/10.5093/apj2019a12 [ Links ]

Fonseca-Pedrero, E., Paino, M., Lemos-Giráldez, S., & Muñiz, J. (2011). Prevalencia de la sintomatología emocional y comportamental en adolescentes españoles a través del Cuestionario de fortalezas y dificultades (SDQ) (Prevalence of emotional and behavioral symptomatology in Spanish adolescents through the Strengths and Difficulties Questionnaire (SDQ)). Revista de Psicopatología y Psicología Clínica, 16(1), 15-25. https://doi.org/10.5944/rppc.vol.16.num.1.2011.10348 [ Links ]

Gallardo, A. I., Molano, N., & León, E. (2020). Autoinforme de chicos y chicas con experiencia en el programa Familias Colaboradoras (Self-reporting of children and adolescents with experience in the Collaborating Families program). Universidad de Sevilla. [ Links ]

Gearing, R. E., Schwalbe, C. S. J., MacKenzie, M. J., Brewer, K.B., & Ibrahim, R. W. (2014). Assessment of adolescent mental health and behavioral problems in institutional care: Discrepancies between staff-reported CBCL scores and adolescent reported YSR scores. Administration and Policy in Mental Health and Mental Health Services, 42, 279-287. https://doi.org/10.1007/s10488-014-0568-y [ Links ]

González, F., & Cortés, A. (2015). Variables d'ajustament psicològic en una mostra d'adolescents amb mesures de protecció (Psychological adjustment variables, in a sample of adolescents with protective measures). Anuari de Psicologia, 16(1), 13-30. http://doi.org/10.7203/anuari.psicologia.16.1.13 [ Links ]

Goodman, R. (1997). The Strengths and Difficulties Questionnaire: A research note. Journal of Child Psychology and Psychiatry, 38, 581-586. https://doi.org/10.1111/j.1469-7610.1997.tb01545.x [ Links ]

Greger, H. K., Myhre, A. K., Lydersen, S., & Jozefiak, T. (2016). Child maltreatment and quality of life: a study of adolescents in residential care.Health and Quality of Life Outcomes,14(1), 1-17. https://doi.org/10.1186/s12955-016-0479-6 [ Links ]

Heflinger, C., Simpkins, C., & Combs-Orme, T. (2000). Using the CBCL to determine the clinical status of children in state custody. Children and Youth Services Review, 22(1), 55-73. https://doi.org/10.1016/S0190-7409(99)00073-0 [ Links ]

Hoffnung-Assouline, A., & Attar-Schwartz, S. (2020). Staff support and adolescent adjustment difficulties: The moderating role of length of stay in the residential care setting. Children and Youth Services Review, 110, 104761. https://doi.org/10.1016/j.childyouth.2020.104761 [ Links ]

Janssens, A., & Deboutte, D. (2009). Screening for psychopathology in child welfare: The strengths and difficulties questionnaire (SDQ) compared with the Achenbach system of empirically based assessment (ASEBA). European Child and Adolescent Psychiatry, 18, 691-700. https://doi.org/10.1007/s00787-009-0030-y [ Links ]

Jones, L., Landsverk, J., & Roberts, A. (2007). A comparison of two caregiving models in providing continuity of care for youth in residential care. Child & Youth Care Forum, 36, 99-109. https://doi.org/10.1007/S10566-007-9033-3 [ Links ]

Juffer, F., & Van IJzendoorn, M. H. (2009). International adoption comes of age: Development of international adoptees from a longitudinal and meta-analytical perspective. In G. M. Wrobel & E. Neil (Eds.), International advances in adoption research for practice (pp.169-192). Wiley. http://dx.doi.org/10.1002/9780470741276.ch8 [ Links ]

Jiménez-Morago, J. M., León, E., & Román, M. (2015). Adversity and adjustment in children in institutions, family foster care and adoption. The Spanish Journal of Psychology, 18, e45, 1-10. https://doi.org/10.1017/sjp.2015.49 [ Links ]

León, E., Gallardo, A. I., Molano, N., & Jiménez-Morago, J. M. (2021). Familias Colaboradoras: Un estudio sobre familias, infancia y adolescencia tutelada y procesos en la colaboración (Collaborating Families: A study about families, child and adolescents in protection measures, and collaborating processes). Observatorio de la Infancia en Andalucía. Consejería de Igualdad, Políticas Sociales y Conciliación. Junta de Andalucía. https://www.observatoriodelainfancia.es/ficherosoia/documentos/7502_d_FamiliaColaboradoras.pdfLinks ]

León, E., Gallardo, A.I., Molano, N., Jiménez-Morago, J.M., Gómez, C., & Carrasco, G. (2019). Familias Colaboradoras: un nuevo recurso del sistema de protección a menores en Andalucía (Collaborating Families: a new child protection resource in Andalusia). Apuntes de Psicología, 37(2), 81-89. [ Links ]

Law 26/2015, of 28 July, on the modification of the Child and Adolescent Protection System. Boletín Oficial del Estado (Official Gazette of the Spanish Government). 29 July 2015, no. 180, pp. 64544-64613. [ Links ]

Law 4/2021, of 27 July, on Childhood and Adolescence. Boletín Oficial Estado (Official Gazette of the Spanish Government). 9 August 2021, no. 189, pp. 97276-97344. [ Links ]

Martín, E., García, M., & Siverio, M. (2012). Inadaptación autopercibida de los menores en acogimiento residencial (Self-perceived maladjustment of children in residential care). Anales de Psicología, 28(2), 541-547. https://doi.org/10.6018/analesps.28.2.148921 [ Links ]

Martín, E., Rodríguez, T., & Torbay, Á. (2007). Evaluación diferencial de los programas de acogimiento residencial para menores (Differential evaluation of residential care programmes for minors). Psicothema, 19(3), 406-412. http://www.redalyc.org/articulo.oa?id=72719308Links ]

Ministry of Social Rights and 2030 Agenda (2021). Boletín de datos estadísticos de medidas de protección a la infancia. Boletín número 23. Datos 2020 (Bulletin on statistical data of protection measures. Bulletin number 23. Data from 2020). https://www.mdsocialesa2030.gob.es/derechos-sociales/infancia-y-adolescencia/PDF/Estadisticaboletineslegislacion/Boletin_Proteccion_23_Provisional.pdfLinks ]

Norman, R. E., Byambaa, M., De, R., Butchart, A., Scott, J., & Vos, T. (2012). The long-term health consequences of child physical abuse, emotional abuse, and neglect: A systematic review and meta-analysis. PLoS Medicine, 9(11), 1-31. https://doi.org/10.1371/journal.pmed.1001349 [ Links ]

Nowacki, K., & Schoelmerich, A. (2010). Growing up in foster families or institutions: Attachment representation and psychological adjustment of young adults. Attachment and Human Development, 12(6), 551-566. https://doi.org/10.1080/14616734.2010.504547 [ Links ]

Palacios, J. (2003). Institutions for children: Protection or risk? Infancia y Aprendizaje, 26(3), 353-363. https://doi.org/10.1174/021037003322299098 [ Links ]

Palacios, J., Moreno, C., & Román, M. (2013). Social competence in internationally adopted and institutionalized children. Early Childhood Research Quarterly, 28, 357-365. https://psycnet.apa.org/doi/10.1016/j.ecresq.2012.08.003Links ]

Palacios, J., Adroher, S., Brodzinsky, D. M., Grotevant, H. D., Johnson, D. E., Juffer, F., Martínez-Mora, L., Muhamedrahimov, R. J., Selwyn, J., Simmonds, J., & Tarren-Sweeney, M. (2019). Adoption in the service of child protection: An international interdisciplinary perspective. Psychology, Public Policy, and Law, 25(2), 57-72. https://doi.org/10.1037/law0000192 [ Links ]

Poole, M., Larrañaga, K., Ruíz de Huidobro, J. M., Álvarez, M. I., & Martínez, C. (2021). Estudio de los centros de acogimiento residencial para niños, niñas y adolescentes en el ámbito de la protección en España (Study of Spanish residential care centers for children and adolescents in child protection). Ministerio de Derechos Sociales y Agenda 2030. [ Links ]

Rodrigues, S., Barbosa-Ducharne, M., Fernández-Del Valle, J., & Campos, J. (2019). Psychological adjustment of adolescents in residential care: comparative analysis of youth self-report/strengths and difficulties questionnaire. Child and Adolescent Social Work Journal, 36, 247-258. https://doi.org/10.1007/s10560-019-00614-x [ Links ]

Rodrigues, S., Del Valle, J. F., & Barbosa-Ducharne, M. (2014). Differences and similarities in children's and caregiver's perspectives on the quality of residential care in Portugal - A first glance. International Journal of Child and Family Welfare, 15(1-2), 24-37. https://ugp.rug.nl/IJCFW/article/download/37855/35457Links ]

Sainero, A. M., Del Valle, J. F., & Bravo, A. (2015) Detection of mental health problems in an especially vulnerable group: Children and young people in residential child care. Anales de Psicología, 31(2), 472-480. https://dx.doi.org/10.6018/analesps.31.2.182051 [ Links ]

Schoeps, K., Tamarit, A., González, R., & Montoya-Castilla, I. (2019). Competencias emocionales y autoestima en la adolescencia: impacto sobre el ajuste psicológico (Emotional competence and self-esteem in adolescence: impact on psychological adjustment). Revista de Psicología Clínica con Niños y Adolescentes, 6(1), 51-56. http://doi.org/10.21134/rpcna.2019.06.1.7 [ Links ]

Simsek, Z., Erol, N., Öztop, D., & Münir, K. (2007). Prevalence and predictors of emotional and behavioral problems reported by teachers among institutionally reared children and adolescents in Turkish orphanages compared with community controls. Children and Youth Services Review, 29(7), 883-899. https://doi.org/10.1016%2Fj.childyouth.2007.01.004 [ Links ]

The KIDSCREEN Group (2004). KIDSCREEN-27, Child and Adolescent Version. https://www.kidscreen.org/espa%C3%B1ol/cuestionario-kidscreen/kidscreen-27/Links ]

UNICEF, & Eurochild (2021). Children in alternative care: Comparable statistics to monitor progress on deinstitutionalisation across the European Union. Policy brief on findings and recommendations from the data care project. UNICEF and Eurochild. [ Links ]

Vostanis, P. (2006). Strengths and Difficulties Questionnaire: research and clinical applications. Current Opinion in Psychiatry, 19(4), 367-372. https://psycnet.apa.org/doi/10.1097/01.yco.0000228755.72366.05Links ]

Whittaker, J. K., Holmes, L., Del Valle, J. F., Ainsworth, F., Andreassen, T., Anglin, J., Bellonci, C., Berridge, D., Bravo, A., Canali, C., Courtney, M., Currey, L., Daly, D., Gilligan, R., Grietens, H., Harder, A., Holden, M., James, S., Kendrick, A., Knorth, E., … & Zeira, A. (2016). Therapeutic residential care for children and youth: a consensus statement of the international work groupon therapeutic residential care. Residential Treatment for Children & Youth, 33(2), 89-106. http://dx.doi.org/10.1080/0886571X.2016.1215755 [ Links ]

Whittaker, J. K., Holmes, L., Del Valle, J. F., & James, S. (en prensa). Revitalizing residential care for children and youth. Cross-national trends and challenges. Oxford University Press. [ Links ]

Woodhouse, S., Miah, A., & Rutter, M. (2018). A new look at the supposed risks of early institutional rearing. Psychological Medicine, 48, 1-10. https://doi.org/10.1017/s0033291717001507 [ Links ]

Received: October 10, 2022; Revised: December 05, 2022; Accepted: January 19, 2023

* Correspondence address [Dirección para correspondencia]: Nuria Molano. Department of Developmental and Educational Psychology. Faculty of Psychology. University of Seville. C/Camilo José Cela, s/n, 41018, Seville (Spain). E-mail: nmolano@us.es

Conflict of interest

The authors declare that they have no conflicts of interest.

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