COVID-19 mandates required residential youth care providers to quickly adapt services while adhering to state and local mandates, impacting family visitation, stress, and potential disruption to reunification efforts. This mixed-methods study utilized data from a larger study of residential group homes in one southeastern state, utilizing the Quality Standards Assessment (QSA). First, utilizing open-ended responses on the QSA, a content analysis was used to explore residential care providers’ challenges and responses during COVID-19. Next, descriptive statistics and trend charts were utilized to explore quality differences in programs pre-, during, and post-COVID-19. The qualitative data reflected that COVID-19 presented significant challenges to residential care providers, including impacts on family and community engagement, programmatic procedures, education, and the residential care workforce. Responses to challenges included creating activities on-campus, conducting family visits virtually, shifting to on-campus schooling, and conducting re-licensing inspections virtually. The quantitative analysis showed mean quality rating trends dropping during the pandemic, with some quality ratings improving post-pandemic. Moreover, trends in mean incident reports increased during and post-pandemic years. Residential programs adapted to challenges, while some gaps remained. Issues with school and being isolated from family and community, as well as an increase in incident reports, were experienced among youth within residential care during COVID-19. Post-pandemic incident reports underscore the potential long-term impacts of COVID-19 on residential group care.

COVID-19 规定要求寄宿青年护理提供者在遵守州和地方规定的同时迅速调整服务，这会影响家庭探视、压力和对团聚工作的潜在干扰。这项混合方法研究利用了质量标准评估 （QSA） 对东南部一个州的住宅团体住宅进行的一项更大规模研究的数据。首先，利用 QSA 上的开放式响应，使用内容分析来探索住宅护理提供者在 COVID-19 期间面临的挑战和应对措施。接下来，利用描述性统计数据和趋势图来探讨 COVID-19 之前、期间和之后的项目质量差异。定性数据反映出，COVID-19 给住宅护理提供者带来了重大挑战，包括对家庭和社区参与、计划程序、教育和住宅护理劳动力的影响。应对挑战的措施包括在校园内举办活动、以虚拟方式进行家庭探访、转向校内教育以及以虚拟方式进行重新许可检查。定量分析显示，平均质量评级在疫情期间呈下降趋势，一些质量评级在疫情后有所改善。此外，平均事件报告在大流行期间和大流行后的几年里有所增加。住宿计划适应了挑战，但仍然存在一些差距。在 COVID-19 期间，寄宿照料中的青少年遇到了学校问题和与家人和社区隔离的问题，以及事件报告的增加。大流行后的事件报告强调了 COVID-19 对住宅团体护理的潜在长期影响。