it is not surprising that the number of family preservation services programs has increased over the last 15 years. Although the current number of such programs is unknown, their expansion has no doubt mirrored that of family- based programs in general: For example, the National Resource Center on Family-Based Services listed 20 programs in their 1982 program directory and 269 in their 1988 directory, the most recent available directory ( National Resource Center on Family-Based Services, 1988). This expansion has been due to several factors, including the following: (1) Family preservation services are grounded in unassailable values -- the importance of having children grow up with their own parents and of child and family self-sufficiency; (2) providers have actively promoted the use of these services; (3) the family preservation concept has been aided and devel- oped by prominent American foundations, most notably the Edna McCon- nell Clark Foundation ( Nelson, 1988b); and (4) preservation services are compatible with the emergent emphasis in public policy upon permanency planning, treatment of children in the least restrictive environment possible, and provision of community-based treatment programs in the child welfare, mental health, and juvenile justice systems, respectively. Therefore, it is not surprising that there is widespread agreement that family preservation services have an important role to play in systems serving children. However, at this point of service expansion and empirical knowledge, a critical evaluation of the issues relevant to their implemen- tation and further expansion is clearly needed. Their expansion poses seri- ous policy dilemmas, and their implementation raises ethical issues. Also, the accumulating evidence that family preservation services are not equally effective or appropriate for all families with children at risk of out-of-home placement suggests programmatic and research questions. My assumption here is not that family preservation services should be eliminated but rather that they should not be expanded without attention to some of the dilemmas, issues, and questions raised in this chapter. This chapter begins this evaluation by first defining family preservation services and then tracing their historical antecedents, theoretical underpin- nings, and the impetus for their development. Then, based upon all of the above, some of the salient issues raised by this analysis are delineated. -2- |