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BJSW Advance Access originally published online on August 15, 2005
British Journal of Social Work 2005 35(8):1265-1282; doi:10.1093/bjsw/bch204
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© The Author 2005. Published by Oxford University Press on behalf of The British Association of Social Workers. All rights reserved.

An Experiment in Helping Foster-Carers Manage Challenging Behaviour

Geraldine Macdonald and William Turner

Geraldine Macdonald is Director of Information and Knowledge Management for the Commission for Social Care inspection. She is also Visiting Professor at the University of Bristol. Her research interests include the evaluation of the effects of social interventions, particularly social work, decision-making in child protection and ethical issues in social work research and practice. William Turner is a researcher at the School for Policy Studies, and a Counselling Psychologist. He has a background in psychology. Both his Ph.D. and post-doctorate work focused on the examination of cognitive mechanisms operating in social influence contexts. His research interests include the evaluation of psychotherapeutic approaches and systematic reviews in health care and social policy.

Correspondence to Professor Geraldine Macdonald, Commission for Social Care Inspection, 33 Greycoat Street, London SW1P 2QF, UK. E-mail: Geraldine.Macdonald{at}csci.gsi.gov.uk

A randomized controlled trial was implemented with groups of foster-carers to test the effectiveness of cognitive–behavioural methods in the management of difficult behaviour. Contrary to expectations, no statistically significant differences were found between the groups with regard to behaviour management skills, the frequency and/or severity of behavioural problems, and placement stability. In contrast, foster-carers expressed satisfaction with the overall training programme and increased confidence in dealing with difficult behaviour. Discussion of the results focuses on a number of competing explanations for such findings and concludes with recommendations for future work.

Keywords: randomized controlled trial, fostering, challenging behaviour


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