Examining The Outcomes Of Youth Admitted To A Residential Treatment Center
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| Author | : Adrienne N. McLaughlin |
| Publisher | : |
| Total Pages | : 35 |
| Release | : 2017 |
| Genre | : Child psychotherapy |
| ISBN | : 9780355094701 |
Abstract: Residential Treatment Centers (RTCs) house youth with severe behavioral, psychological, psychiatric, or substance abuse problems. These youth are unsuccessful in other treatment modalities, including outpatient services, or they are too ill or unmanageable to be placed in non-secure settings, day treatment programs, or foster care. Services include special education, individual/family/group therapy, psychoanalytic therapy, psycho-educational counseling, behavioral management, and medication management.
| Author | : Andrew R. Morral |
| Publisher | : Rand Corporation |
| Total Pages | : 137 |
| Release | : 2006 |
| Genre | : Health & Fitness |
| ISBN | : 0833039164 |
This study compares the effectiveness of 11 U.S. community-based substance abuse treatment programs for adolescents. After accounting for pretreatment differences between the youths entering each program, no persuasive evidence was found to suggest that any program produced superior outcomes. The significance of the findings for current efforts to develop outcomes-based treatment performance measurement systems is highlighted in the discussion.
| Author | : Shamra Marie Boel-Studt |
| Publisher | : |
| Total Pages | : 186 |
| Release | : 2014 |
| Genre | : Community mental health services for teenagers |
| ISBN | : |
The purpose of this dissertation was to expand the understanding of youth in psychiatric residential treatment facilities by using psychosocial indicators to develop subgroup profiles. Additionally, differences in treatment outcomes between subgroups and the extent to which within-treatment factors accounted for observed differences in treatment outcomes between subgroups were examined. Data were extracted from the case records of 447 youth who were served in psychiatric residential treatment facilities over a seven year span of time. A latent class analysis was used to identify and describe subgroups. A series of multivariate regression analyses were used to examine group differences in functional impairment at discharge. Next, a path analysis was used to determine if there were differences in average change in functional impairment from admission to discharge between subgroups and to test within treatment factors as potential mediators of group differences. Finally, a logistic regression was used to determine if there were differences between groups in the probability of discharging to a community-based placement or discharging to another congregate care facility. The latent class analysis revealed four distinct subgroups of youth. The analyses of treatment outcomes revealed statistically significant differences in the level of functional impairment at discharge and average change in impairment between groups. Results from the path model of indirect effects supported that within treatment factors accounted for a statistically significant proportion of the observed difference in change between groups. No differences were found in discharge placement outcomes between groups. Implications for future research, practice and policies focused on youth in residential treatment are discussed.
| Author | : Shannon L. Stewart |
| Publisher | : |
| Total Pages | : 72 |
| Release | : 2017 |
| Genre | : |
| ISBN | : 9781622550920 |
The interRAI ChYMH-DD is intended to be used with children and youth with developmental disabilities in mental health settings to support comprehensive care planning, outcome measurement, quality indicators, and case mix classification to estimate relative resource intensity. It employs specific observation periods in order to provide reliable and valid measures of clinical characteristics that reflect the child's or youth's strengths, preferences, and needs. In keeping with other interRAI instruments, the basic time frame for assessment was set at 3 days unless otherwise indicated. Triggers for numerous Collaborative Action Plans to support care planning decisions are also embedded in the instrument. There are two versions of the ChYMH-DD assessment form. Typically, the In-patient form would be used for a child or youth who currently resides in a residential facility or psychiatric facility/unit, and the Community-Based form for a child or youth who resides in a community setting.
| Author | : Mathew Benjamin Hirsch |
| Publisher | : |
| Total Pages | : 53 |
| Release | : 2009 |
| Genre | : |
| ISBN | : |
Long-term outcomes of adolescents discharged from residential treatment centers reveal mixed results. Whereas some studies show that adolescents are able to demonstrate long-term success, other studies highlight the difficulty that adolescents have in maintaining their treatment gains. Although previous research has emphasized broad factors that increase the likelihood of long-term success (e.g. importance of the post-discharge, family involvement in treatment), significant ambiguity remains regarding the specific risk and protective factors that are responsible for long-term adolescent adjustment after RTC discharge. Thus, this study investigated specific risk and protective factors related to adolescent success derived from both RTC literature and research related to antisocial and delinquent youth. In particular, it was hypothesized that adolescents who were successful upon 6 month and 6 to 12 month follow-up intervals would be more likely to have accessed mental health services, used community resources, used prescribed medications, avoided substance use, associated with positive peers and avoided negative peer influence than adolescents who recidivated. Fisher's exact test revealed that adolescents who were successful at both follow-up intervals were significantly more likely to associate with positive peers, avoid negative peers, avoid substance use, and use at least one community resource. Suggestions for how to improve adolescent long-term outcomes following RTC discharge given more knowledge regarding specific risk and protective factors are discussed.
| Author | : James K Whittaker |
| Publisher | : Jessica Kingsley Publishers |
| Total Pages | : 394 |
| Release | : 2014-09-21 |
| Genre | : Social Science |
| ISBN | : 0857008331 |
Therapeutic Residential Care For Children and Youth takes a fresh look at therapeutic residential care as a powerful intervention in working with the most troubled children who need intensive support. Featuring contributions from distinguished international contributors, it critically examines current research and innovative practice and addresses the key questions: how does it work, what are its critical “active ingredients” and does it represent value for money? The book covers a broad spectrum of established and emerging approaches pioneered around with world, with contributors from the USA, Canada, Scandinavia, Spain, Australia, Israel and the UK offering a mix of practice and research exemplars. The book also looks at the research relating to critical issues for child welfare service providers: the best time to refer children to residential care, how children can be helped to make the transition into care, the characteristics of children entering and exiting care, strategies for engaging families as partners, how the substantial cost of providing intensive is best measured against outcomes, and what research and development challenges will allow therapeutic residential care to be rigorously compared with its evidence-based community-centered alternatives. Importantly, the volume also outlines how to set up and implement intensive child welfare services, considering how transferable they are, how to measure success and value for money, and the training protocols and staffing needed to ensure that a programme is effective. This comprehensive volume will enable child welfare professionals, researchers and policymakers to develop a refined understanding of the potential of therapeutic residential care, and to identify the highest and best uses of this intensive and specialized intervention.
| Author | : Joan Chemarum |
| Publisher | : |
| Total Pages | : 81 |
| Release | : 2021 |
| Genre | : Adolescent psychotherapy |
| ISBN | : |
Youth in residential treatment successfully complete treatment and maintain those gains for at least three months; however, there is a small percentage of youth who complete treatment but do not maintain those gains (Leichtman, & Leicthman, 2001; Ringle, et al., 2012). To help understand that small percentage, the present study explored factors that predicted successful completion of residential treatment programs and post-discharge success. This study used archival data consisting of a sample of 356 youth who received residential treatment from Gerard Academy from 2015 to 2018. The study examined the degree to which demographic (i.e., age, gender, length of stay, family involvement) and psychological characteristics (i.e., diagnosis, problematic behaviors, family history), as well as counselor ratings, were predictive of successful treatment completion and three-month post-discharge success. Results suggested that residents had greater odds of successfully discharging from the treatment program when they began treatment at a younger age, were female, stayed in treatment longer, and had family involved at the beginning of their treatment. Psychological characteristics and counselor ratings related to reduced odds of treatment completion included poor school attendance, history of delinquent behaviors, psychotic issues, substance use problems, history of sexual abuse, and the type of home environment in which they reside. None of the variables examined in this study significantly predicted odds of a successful post-discharge, perhaps because only 9% of residents were identified as being unsuccessful at post-discharge. The findings highlight the importance of family involvement and identification of risk factors that may require additional treatment focus.
| Author | : Michael A. Gass |
| Publisher | : Routledge |
| Total Pages | : 513 |
| Release | : 2020-03-11 |
| Genre | : Psychology |
| ISBN | : 1000043886 |
This revised text describes the theory substantiating adventure therapy, demonstrates best practices in the field, and presents research validating the immediate and long-term effects of adventure therapy. A leading text in the field of adventure therapy, outdoor behavioral healthcare, and wilderness therapy, the book is written by three professionals who have been at the forefront of the field since its infancy. This new edition includes fully updated chapters to reflect the immense changes in the field since the first edition was written in 2010. It serves to provide information detailing what is occurring with clients as well as how it occurs. This book provides an invaluable reference for the seasoned professional and is a required source of information and examination for the beginning professional. It is a great training resource for adventure therapy practices in the field of mental health.
| Author | : |
| Publisher | : |
| Total Pages | : 108 |
| Release | : 2001 |
| Genre | : Medicaid |
| ISBN | : |
| Author | : Bernard Segal |
| Publisher | : Routledge |
| Total Pages | : 277 |
| Release | : 2014-03-18 |
| Genre | : Family & Relationships |
| ISBN | : 1317825586 |
You don’t have to reinvent the wheel--select and implement an effective substance abuse program from this essential book!This essential book is the first ever published on exemplary models of adolescent drug treatment. It delivers detailed descriptions of exemplary drug treatment models and gives you the latest information on substance use and its consequences to aid your work with adolescents who use alcohol and drugs.The in-depth examinations of treatment models you’ll find in this book include programs serving adolescent substance users from a wide range of ethnic and cultural backgrounds (African Americans, Hispanics, Whites, Native Americans, Russian Immigrants). With sections covering outpatient, residential, family-oriented, and modified therapeutic community (TC) programs, this book is a vital reference for educators and students as well as practitioners.Adolescent Substance Abuse Treatment in the United States: Exemplary Models from a National Evaluation Study gives you thoughtful examinations of: trends in adolescent substance use and treatment approaches three exemplary outpatient treatment programs, including program design, treatment issues, and client characteristics the Multidimensional Family Therapy Approach (MDFT), a family-oriented outpatient treatment model used to intervene with younger adolescents a 30- to 60-day residential treatment program that is based on a medical model which blends in treatment approaches from the therapeutic community model the special treatment needs and issues of substance-using Native American youths issues of gender differences as they relate to drug use and trauma three different modified therapeutic community treatment models and much more! Adolescent Substance Abuse Treatment in the United States is an invaluable source of information for anyone working with this vulnerable population. Use it to choose and implement the program that will work best for you and your clients!
