Factors Related To Successful Outcomes Of Youth In Residential Treatment
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| 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 | : 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 | : 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 | : Gary M. Blau |
| Publisher | : Routledge |
| Total Pages | : 257 |
| Release | : 2014-06-05 |
| Genre | : Psychology |
| ISBN | : 1135009937 |
Now more than ever there is a need to ensure that best practices are being used in residential programs. As the focus on costs and outcomes increase, residential programs must clearly demonstrate that the interventions provided are efficient and effective. Readers will learn how to: Create strength-based, empowering and healing environments; Better engage and partner with children, adolescents and families, in meaningful ways; Support those who have experienced trauma and loss, and to prevent and eliminate the use of restraint and seclusion; Respect and include cultural indices in practices; Train, mentor, supervise, support and empower staff about how to deliver promising and best practices, and evidence-informed and evidence-based interventions; and Track long-term outcomes, and create funding strategies to better support sustained positive outcomes. This book encourages readers to think strategically about how agencies, communities and systems can identify and implement actions that lead to positive change and how to work more collaboratively to improve the lives of children and adolescents who have experienced emotional and behavioral life challenges and their families.
| Author | : Steven I Pfeiffer |
| Publisher | : Routledge |
| Total Pages | : 110 |
| Release | : 2014-02-04 |
| Genre | : Medical |
| ISBN | : 1317837266 |
As residential treatment centers and psychiatric hospitals are increasingly asked to document their effectiveness, it is essential for mental health care providers to demonstrate the efficacy and cost-effectiveness of the services they provide. Outcome Assessment in Residential Treatment helps health care providers demonstrate that their planned treatment is necessary and active rather than simply custodial. A practitioner’s guide to conducting treatment outcome assessment projects, this innovative book presents readers with historical perspectives, current issues, and practical suggestions for implementing an outcome assessment project. Outcome Assessment in Residential Treatment guides psychiatrists, psychologists, mental health practitioners, and social program administrators in addressing which therapeutic components contribute to the goals and objectives of their programs and which may require modification, radical revision, or even elimination. It helps residential treatment centers and psychiatric treatment facilities document treatment successes and better understand which factors (within the client, family, environment, treatment setting, or combinations therein) predict successful outcome. This objective data empowers readers to influence government and industry, enhance public awareness of the needs of severely disturbed children and youth, and validate the usefulness of intensive psychiatric treatment. Unlike other books on treatment outcome, Outcome Assessment in Residential Treatment tells readers how to determine clinically significant improvement and not simply statistically significant change. It gives practical, detailed, proven advice on how to carry out studies that will benefit residential treatment centers and the psychiatric and mental health fields. Contributors provide tools to validate/demonstrate that psychiatric and mental health treatments are effective. They offer insight into: planning a treatment outcome project recognizing ethical, practical, methodological, logistical, and clinical considerations in implementing a treatment outcome project selecting instruments to assess treatment outcome and measuring success comparing different outcome measures Health care providers must have accurate information about treatment outcomes to demonstrate that specific services are beneficial, cost-effective, and well-received by the client. Outcome Assessment in Residential Treatment helps readers evaluate the impact a treatment program has on a client’s clinical status and psychosocial and educational functioning, making it possible to provide an objective yardstick for the payer’s evaluation of the quality of care provided. Psychiatrists, psychologists, mental health practitioners, and social program administrators will find Outcome Assessment in Residential Treatment an essential guide to evaluating and understanding the relative effects of specific interventions or procedures on the quality and effectiveness of their services. They will use this information to make appropriate changes which guarantee that they best meet their clients’mental health care needs.
| Author | : Robert P. Park |
| Publisher | : |
| Total Pages | : 96 |
| Release | : 1998 |
| Genre | : |
| ISBN | : |
| Author | : Jacob D. Christenson |
| Publisher | : Springer |
| Total Pages | : 464 |
| Release | : 2017-03-30 |
| Genre | : Psychology |
| ISBN | : 3319517473 |
This highly practical resource integrates the powerful dynamics of family into residential treatment and outdoors-based therapy for young people. Recognizing both the family as the systemic base for promoting change in adolescents and the therapeutic potential of the residential/wilderness setting, experts show how aligning the two can enhance the healing value of the program while promoting higher standards for care. Chapters describe innovative, science-based interventions and techniques for treating common behavioral and emotional problems along a continuum of family involvement and separation, to address issues affecting the family as well as the identified patient. With its accessible ideas and compelling case studies, the book ably demonstrates the critical role of family in adolescent patients’ successful transition to post-treatment life. Among the topics covered: • A parallel process: home therapy while the adolescent or young adult is in residential care.• Intentional separation of families: increasing differentiation through wilderness therapy.• Emerging family therapy models utilized in residential settings.• Engaging families in Outdoor Behavioral Healthcare.• Research on coping skills used by youth with emotional and behavioral disorders.• Expanding our understanding of the place of family therapy in residential treatment. Family Therapy with Adolescents in Residential Treatment offers novel, exciting, and effective strategies and techniques for practitioners and mental health professionals particularly interested in family therapy with adolescents, and in related interventions and research.
| Author | : Gordon Northrup |
| Publisher | : Psychology Press |
| Total Pages | : 124 |
| Release | : 1994 |
| Genre | : Medical |
| ISBN | : 9781560246879 |
Here is a much-needed handbook for residential treatment administrators and clinicians considering research projects. Applied Research in Residential Treatment urges that applied, not basic, research is appropriate for residential treatment centers (RTCs). Research can be helpful for clinical work and RTC operation, but is not effective unless properly designed. This book suggests appropriate topics for research projects, gives practical suggestions on design, and contains example research reports. There are many technical books on research design, but few, if any, dealing with research projects suitable for RTCs--until now. Applied Research in Residential Treatment begins with an overview of the place of research in RTCs, followed by chapters presenting a range of research studies--both successful and not so successful--as examples. Specifically, chapters discuss: hypothetico-deductive (quantitative) versus observational-inductive (qualitative) approaches to research and evaluation the disadvantages and difficulties in using outcome measures to study the effects of treatment choice of statistical tools, sampling techniques, and interviewing strategies in research design the inutility of large statistical studies in understanding the individual child or milieu Applied Research in Residential Treatment is a helpful guide for clinicians and administrators currently planning research programs. It is also an informative source for those who wish to do research in the future and would like to know more about what strategies to follow.
| Author | : |
| Publisher | : |
| Total Pages | : 50 |
| Release | : 2006 |
| Genre | : |
| ISBN | : |
Because of the expensive and ubiquitous nature of residential as a treatment modality, identification of the covariates of length of stay could be useful for identifying cost-effective programs and ensuring that workers place children in the most appropriate level of care. Existing data from a single residential treatment facility located in central New York were used to examine the predictive factors for length of stay. A sample of 43 children and adolescents certified and admitted to residential treatment from 2000-2005 were utilized in this study. Data were collected on demographic characteristics as well as other factors including: (a) number of previous placements (i.e., day school, residential, hospitalization), (b) number of previous accessed support services (i.e., social services, outpatient therapy, home-based services), (c) standard score on the Child and Adolescent Needs and Strengths Inventory (CANS), and (d) Full Scale IQ score. Results of correlation coefficients and multiple regression analyses indicated that these factors are statistically nonsignificant in predicting length of stay. Conclusions and implications for future research are also discussed.
