Outcome Assessment in Residential Treatment

Outcome Assessment in Residential Treatment
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.

Factors Related to Successful Outcomes of Youth in Residential Treatment

Factors Related to Successful Outcomes of Youth in Residential Treatment
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.

InterRAI Child and Youth Mental Health-screener (ChYMH-S)

InterRAI Child and Youth Mental Health-screener (ChYMH-S)
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.

Residential Interventions for Children, Adolescents, and Families

Residential Interventions for Children, Adolescents, and Families
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.

The Relative Effectiveness of 10 Adolescent Substance Abuse Treatment Programs in the United States

The Relative Effectiveness of 10 Adolescent Substance Abuse Treatment Programs in the United States
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.

An Evaluation of a Physical Activity-based Residential Treatment Program

An Evaluation of a Physical Activity-based Residential Treatment Program
Author: Eric Alan Mikkelsen
Publisher:
Total Pages: 70
Release: 2010
Genre: Electronic dissertations
ISBN:

This study evaluated a physical activity-based residential treatment program. It explored the current literature on adolescent treatment implementing physical exercise with parental participation, specifically at residential treatment centers. While the current literature strongly supports physical exercise and family involvement in adolescent treatment, research on combining physical exercise with family involvement is insufficient at best. The data were obtained from Telos Residential Treatment Center, an all-boys treatment program that incorporates a triathlon into their treatment curriculum and keeps pre- and posttest scores of the Youth Outcome Questionnaire for their students as well as completed questionnaires from students' parents. Research questions addressed whether or not the pre- and posttest scores support Telos' treatment program in terms of standardized test scores as well as possible differences in outcomes based on parent participation in the triathlon. Missing data and data corruption were major flaws in the study, significantly limiting the sample size. Consequently, the research questions could not be tested appropriately; however, there were statistically significant relationships (p

Therapeutic Residential Care for Children and Youth

Therapeutic Residential Care for Children and Youth
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.

Adventure Therapy

Adventure Therapy
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.

Examining the Outcomes of Youth Admitted to a Residential Treatment Center

Examining the Outcomes of Youth Admitted to a Residential Treatment Center
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.