Pub Date : 2023-05-04DOI: 10.1080/0886571X.2023.2205186
H. Price, Joanne E. Brown, Jane Herd, David Jones
ABSTRACT This paper presents findings from a qualitative case study of staff participating in the reflective practices and processes available at an English children’s home and specialist school. Researchers conducted a thematic analysis of 18 semi-structured interviews, 2 focus groups and 16 journal-based training assignments. Key themes identified in the data are outlined and a composite vignette conveys the lived experience of participating in the organization’s reflective practice provision. Staff highlight the personal intensity of their ongoing reflective work, which is “like therapy but not therapy,” and the challenges and benefits of learning to use and contribute to a reflective milieu. The concluding discussion widens findings by Heine Steinkopf and colleagues concerning the need for a regulating working environment and trustworthy theoretical model and suggests that “epistemic trust” in an organizational culture is key to effective teamwork and personal growth in role.
{"title":"“A Bit Like You’re Going to therapy”: Reflective Practice Provision at the Mulberry Bush School","authors":"H. Price, Joanne E. Brown, Jane Herd, David Jones","doi":"10.1080/0886571X.2023.2205186","DOIUrl":"https://doi.org/10.1080/0886571X.2023.2205186","url":null,"abstract":"ABSTRACT This paper presents findings from a qualitative case study of staff participating in the reflective practices and processes available at an English children’s home and specialist school. Researchers conducted a thematic analysis of 18 semi-structured interviews, 2 focus groups and 16 journal-based training assignments. Key themes identified in the data are outlined and a composite vignette conveys the lived experience of participating in the organization’s reflective practice provision. Staff highlight the personal intensity of their ongoing reflective work, which is “like therapy but not therapy,” and the challenges and benefits of learning to use and contribute to a reflective milieu. The concluding discussion widens findings by Heine Steinkopf and colleagues concerning the need for a regulating working environment and trustworthy theoretical model and suggests that “epistemic trust” in an organizational culture is key to effective teamwork and personal growth in role.","PeriodicalId":45491,"journal":{"name":"Residential Treatment for Children & Youth","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2023-05-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43076952","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-03-09DOI: 10.1080/0886571X.2023.2186306
Moksha Singh
ABSTRACT In conflict-affected regions across the globe, rehabilitation of children in distress usually comes in the form of residential or institutional care because of various sociocultural peculiarities and infrastructural in-capabilities. Notably, such children are often kept out of decision-making processes that involve their rehabilitation. Subsequently, outcomes get impacted significantly. This study took place in the state of Chhattisgarh in India, where conflict has resulted in the institutionalization of a large number of affected children. A total of 40 such children (10–17 years of age) were interviewed. A narrative methodology was applied for collecting data which was analyzed using narrative thematic analysis. Relationship among the themes was established using the Critical Decision-Making Ecological (DME) approach. The findings suggest that the participants’ agency and decision-making capabilities were largely ignored during the rehabilitation process. This noninvolvement of children left them disoriented, resulting in lower levels of confidence. However, the findings were contrary in the case of children who were allowed positive participation. This study concludes that children’s involvement in decision-making is crucial at the beginning of the rehabilitation process itself. Giving due consideration to their agency while the rehabilitation is underway, could promote positive results.
{"title":"Armed conflict, children and institution-based rehabilitation - who decides? A qualitative study on decision making capabilities of children in residential care in the state of Chhattisgarh in India","authors":"Moksha Singh","doi":"10.1080/0886571X.2023.2186306","DOIUrl":"https://doi.org/10.1080/0886571X.2023.2186306","url":null,"abstract":"ABSTRACT In conflict-affected regions across the globe, rehabilitation of children in distress usually comes in the form of residential or institutional care because of various sociocultural peculiarities and infrastructural in-capabilities. Notably, such children are often kept out of decision-making processes that involve their rehabilitation. Subsequently, outcomes get impacted significantly. This study took place in the state of Chhattisgarh in India, where conflict has resulted in the institutionalization of a large number of affected children. A total of 40 such children (10–17 years of age) were interviewed. A narrative methodology was applied for collecting data which was analyzed using narrative thematic analysis. Relationship among the themes was established using the Critical Decision-Making Ecological (DME) approach. The findings suggest that the participants’ agency and decision-making capabilities were largely ignored during the rehabilitation process. This noninvolvement of children left them disoriented, resulting in lower levels of confidence. However, the findings were contrary in the case of children who were allowed positive participation. This study concludes that children’s involvement in decision-making is crucial at the beginning of the rehabilitation process itself. Giving due consideration to their agency while the rehabilitation is underway, could promote positive results.","PeriodicalId":45491,"journal":{"name":"Residential Treatment for Children & Youth","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2023-03-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41963223","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-03-06DOI: 10.1080/0886571X.2023.2186307
Rebecca L. Griffith, S. Nowalis, Ali Zax, Paula J. Fite, O. Gudiño
ABSTRACT Unique challenges associated with dual involvement in the child welfare and juvenile justice systems are well documented. However, there is a paucity of research focusing on the out-of-home placement experiences of youth involved in the justice system and implications for relevant outcomes. The current study examined out-of-home placement experiences and placement instability of justice-involved youth and how these experiences relate to relevant outcomes for youth involved with multiple service systems: attitudes toward seeking help, intolerance of uncertainty, and perceived containment. Participants included youth detained at two juvenile detention centers (n = 225; 71.1% male; M age = 15.50). Self-report measures were read by research assistants who recorded the youths’ responses. Results revealed that over 50% of detained youth had been removed from their parents’ custody, and of these youth, nearly 60% reported experiencing three or more placement changes. Attitudes toward seeking help and intolerance of uncertainty in youth who experienced out-of-home placement were not significantly different than in youth who did not. However, youth who had experienced out-of-home placement exhibited significantly lower perceived containment scores. These findings suggest that placement instability is common among detained youth and may be meaningfully related to youth’s feelings about the ability of authorities to control them.
{"title":"Justice-Involved Youths’ Perceptions of Placement Instability and Adjustment Related Outcomes","authors":"Rebecca L. Griffith, S. Nowalis, Ali Zax, Paula J. Fite, O. Gudiño","doi":"10.1080/0886571X.2023.2186307","DOIUrl":"https://doi.org/10.1080/0886571X.2023.2186307","url":null,"abstract":"ABSTRACT Unique challenges associated with dual involvement in the child welfare and juvenile justice systems are well documented. However, there is a paucity of research focusing on the out-of-home placement experiences of youth involved in the justice system and implications for relevant outcomes. The current study examined out-of-home placement experiences and placement instability of justice-involved youth and how these experiences relate to relevant outcomes for youth involved with multiple service systems: attitudes toward seeking help, intolerance of uncertainty, and perceived containment. Participants included youth detained at two juvenile detention centers (n = 225; 71.1% male; M age = 15.50). Self-report measures were read by research assistants who recorded the youths’ responses. Results revealed that over 50% of detained youth had been removed from their parents’ custody, and of these youth, nearly 60% reported experiencing three or more placement changes. Attitudes toward seeking help and intolerance of uncertainty in youth who experienced out-of-home placement were not significantly different than in youth who did not. However, youth who had experienced out-of-home placement exhibited significantly lower perceived containment scores. These findings suggest that placement instability is common among detained youth and may be meaningfully related to youth’s feelings about the ability of authorities to control them.","PeriodicalId":45491,"journal":{"name":"Residential Treatment for Children & Youth","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2023-03-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48520323","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-01-02DOI: 10.1080/0886571X.2022.2096169
J. Gandenberger, Marisa Motiff, E. Flynn, K. Morris
ABSTRACT Nature-based interventions that incorporate animals and the natural environment in therapeutic settings are increasingly common. However, there is a gap in understanding the intervention qualities that may facilitate treatment goals. To help answer this question, we analyzed interviews of 78 staff members at a residential and day treatment school that is an established leader in nature-based interventions. When reflecting on interventions, staff highlighted qualities such as delayed or immediate gratification, sense of safety or fear, and grounding or stimulation. Interventions were often described as offering qualities which could support more than one treatment goal. For example, a dog might provide immediate gratification by approaching a quietly seated student, or their presence could help a student feel safer in therapy. Each quality also displayed a subjective component: while one student might find time with horses grounding, another could benefit from the opportunity to manage the stimulation experienced by the horse’s smells and sounds. Further research into understanding qualities of nature-based interventions and how practitioners might elicit them from a variety of intervention types is warranted.
{"title":"Staff Perspectives on the Targeted Incorporation of nature-based Interventions for Children and Youth at a Residential Treatment Facility","authors":"J. Gandenberger, Marisa Motiff, E. Flynn, K. Morris","doi":"10.1080/0886571X.2022.2096169","DOIUrl":"https://doi.org/10.1080/0886571X.2022.2096169","url":null,"abstract":"ABSTRACT Nature-based interventions that incorporate animals and the natural environment in therapeutic settings are increasingly common. However, there is a gap in understanding the intervention qualities that may facilitate treatment goals. To help answer this question, we analyzed interviews of 78 staff members at a residential and day treatment school that is an established leader in nature-based interventions. When reflecting on interventions, staff highlighted qualities such as delayed or immediate gratification, sense of safety or fear, and grounding or stimulation. Interventions were often described as offering qualities which could support more than one treatment goal. For example, a dog might provide immediate gratification by approaching a quietly seated student, or their presence could help a student feel safer in therapy. Each quality also displayed a subjective component: while one student might find time with horses grounding, another could benefit from the opportunity to manage the stimulation experienced by the horse’s smells and sounds. Further research into understanding qualities of nature-based interventions and how practitioners might elicit them from a variety of intervention types is warranted.","PeriodicalId":45491,"journal":{"name":"Residential Treatment for Children & Youth","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2023-01-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41813139","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-10-28DOI: 10.1080/0886571X.2022.2139330
Philip Mendes, Jenna Bollinger, Catherine A. Flynn
ABSTRACT Young people living in residential out-of-home care (OOHC) comprise a small proportion of the total Australian OOHC population, but are known to be a particularly vulnerable group. Those transitioning from residential care at 18 years or younger seem to have poorer outcomes than those leaving foster care and kinship care. The recent introduction of forms of extended care until 21 years in most Australian jurisdictions has highlighted the need for additional assistance for all care leavers, yet paradoxically residential care leavers currently receive the least ongoing support. This critical commentary draws on recent relevant research findings and policy developments with regard to extended care locally and internationally. It presents the case for the concept of extended care to be adopted, via a nationally consistent model of extended care support for all residential care leavers incorporating formal housing and other support programs.
{"title":"Young People Transitioning from Residential out-of-home Care in Australia: The Case for Extended Care","authors":"Philip Mendes, Jenna Bollinger, Catherine A. Flynn","doi":"10.1080/0886571X.2022.2139330","DOIUrl":"https://doi.org/10.1080/0886571X.2022.2139330","url":null,"abstract":"ABSTRACT Young people living in residential out-of-home care (OOHC) comprise a small proportion of the total Australian OOHC population, but are known to be a particularly vulnerable group. Those transitioning from residential care at 18 years or younger seem to have poorer outcomes than those leaving foster care and kinship care. The recent introduction of forms of extended care until 21 years in most Australian jurisdictions has highlighted the need for additional assistance for all care leavers, yet paradoxically residential care leavers currently receive the least ongoing support. This critical commentary draws on recent relevant research findings and policy developments with regard to extended care locally and internationally. It presents the case for the concept of extended care to be adopted, via a nationally consistent model of extended care support for all residential care leavers incorporating formal housing and other support programs.","PeriodicalId":45491,"journal":{"name":"Residential Treatment for Children & Youth","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2022-10-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47892478","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-09-30DOI: 10.1080/0886571x.2022.2111898
Bethany R. Lee
Published in Residential Treatment for Children & Youth (Vol. 39, No. 4, 2022)
发表于《儿童与青少年住院治疗》(第39卷第4期，2022年)
{"title":"Editor’s Note","authors":"Bethany R. Lee","doi":"10.1080/0886571x.2022.2111898","DOIUrl":"https://doi.org/10.1080/0886571x.2022.2111898","url":null,"abstract":"Published in Residential Treatment for Children & Youth (Vol. 39, No. 4, 2022)","PeriodicalId":45491,"journal":{"name":"Residential Treatment for Children & Youth","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2022-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138533503","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-08-17DOI: 10.1080/0886571X.2022.2111018
Ka Ho Brian Chor, R. Epstein, Zhidi Luo
ABSTRACT Under the Family First Prevention Services Act, federal Title IV-E claiming requirements for youth who are placed in Qualified Residential Treatment Programs (QRTPs) are more stringent than previous criteria for residential care. Independent Qualified Individuals are required to assess the appropriateness of QRTP placements and judicial reviews must formally approve these placements. Child welfare agencies can use administrative data and empirical methods to adapt to these changes from a prevention standpoint. The current study detailed an approach for developing and validating a Cox proportional-hazards model predicting time-to-first placement in residential care among 43,770 legal spells for youth under the care of one large Midwest child welfare agency. Internal validation using 200 bootstrap resamples yielded stable predictors consistent with those in the literature, strong discriminative ability, and high prediction accuracy. External validation applied the model to examine the risk of residential care placement in the first 90 days of youth’s legal spells. This proactive risk prediction encapsulates a preventive approach preceding the 90-day timeline of QRTP assessment and court review. Results suggest that robust prediction of existing practice of residential care placement has the potential to inform caseworker-level service and placement planning, and build system-level capacity for residential and community-based care.
{"title":"Developing and Validating a Predictive Risk Model for Youth Placement in Residential Care to Support Decision-Making under the Family First Prevention Services Act","authors":"Ka Ho Brian Chor, R. Epstein, Zhidi Luo","doi":"10.1080/0886571X.2022.2111018","DOIUrl":"https://doi.org/10.1080/0886571X.2022.2111018","url":null,"abstract":"ABSTRACT Under the Family First Prevention Services Act, federal Title IV-E claiming requirements for youth who are placed in Qualified Residential Treatment Programs (QRTPs) are more stringent than previous criteria for residential care. Independent Qualified Individuals are required to assess the appropriateness of QRTP placements and judicial reviews must formally approve these placements. Child welfare agencies can use administrative data and empirical methods to adapt to these changes from a prevention standpoint. The current study detailed an approach for developing and validating a Cox proportional-hazards model predicting time-to-first placement in residential care among 43,770 legal spells for youth under the care of one large Midwest child welfare agency. Internal validation using 200 bootstrap resamples yielded stable predictors consistent with those in the literature, strong discriminative ability, and high prediction accuracy. External validation applied the model to examine the risk of residential care placement in the first 90 days of youth’s legal spells. This proactive risk prediction encapsulates a preventive approach preceding the 90-day timeline of QRTP assessment and court review. Results suggest that robust prediction of existing practice of residential care placement has the potential to inform caseworker-level service and placement planning, and build system-level capacity for residential and community-based care.","PeriodicalId":45491,"journal":{"name":"Residential Treatment for Children & Youth","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2022-08-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43683188","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-08-10DOI: 10.1080/0886571X.2022.2105277
Melissa van Dorp, K. Nijhof, A. Popma, J. Twisk, E. Mulder
ABSTRACT Seclusion can be harmful for children and adolescents. Hence, all locations for secure residential youth care in the Netherlands are committed to reduce its use by implementing monitoring and feedback as a seclusion reduction intervention. This study examined change over time in the use of seclusion in secure residential youth care in the Netherlands using a broad conceptualization of seclusion and by analyzing four variables (frequency, duration, room, reason). During two six months periods, seclusions were registered in 19 locations. Every month, all locations received feedback on the use of seclusion. Negative binomial mixed model analyses were used to investigate change over time in frequency and duration of seclusion. Logistic mixed model analyses were used to identify change over time in reason for use and type of room used for seclusion. Results showed that seclusion frequency significantly decreased (RR = 0.92, p < .001). Further, duration of placement in a seclusion room significantly increased (RR = 1.04, p < .001). This change was only significant in seclusion in response to aggression (RR = 1.06, p < .001). The results emphasize the need for future studies to examine reduction using a broad conceptualization of seclusion.
隔离对儿童和青少年是有害的。因此，荷兰所有安全的青年寄宿照料场所都致力于通过实施监测和反馈作为减少隔离的干预措施来减少其使用。本研究通过广泛的隔离概念和分析四个变量(频率、持续时间、房间、原因)，考察了荷兰安全住宿青年护理中隔离使用随时间的变化。在两个六个月期间，在19个地点登记了隔离。每个月，所有地点都会收到关于隔离使用情况的反馈。负二项混合模型分析用于调查隔离频率和持续时间随时间的变化。Logistic混合模型分析用于确定使用原因和用于隔离的房间类型随时间的变化。结果:患儿隔离频次明显降低(RR = 0.92, p < 0.001)。此外，隔离室的安置时间显著增加(RR = 1.04, p < 0.001)。这一变化仅在隔离状态下对攻击反应有显著性(RR = 1.06, p < 0.001)。研究结果强调，未来的研究需要使用广泛的隔离概念来检查减少。
{"title":"Change over time: the use of seclusion in secure residential youth care in The Netherlands","authors":"Melissa van Dorp, K. Nijhof, A. Popma, J. Twisk, E. Mulder","doi":"10.1080/0886571X.2022.2105277","DOIUrl":"https://doi.org/10.1080/0886571X.2022.2105277","url":null,"abstract":"ABSTRACT Seclusion can be harmful for children and adolescents. Hence, all locations for secure residential youth care in the Netherlands are committed to reduce its use by implementing monitoring and feedback as a seclusion reduction intervention. This study examined change over time in the use of seclusion in secure residential youth care in the Netherlands using a broad conceptualization of seclusion and by analyzing four variables (frequency, duration, room, reason). During two six months periods, seclusions were registered in 19 locations. Every month, all locations received feedback on the use of seclusion. Negative binomial mixed model analyses were used to investigate change over time in frequency and duration of seclusion. Logistic mixed model analyses were used to identify change over time in reason for use and type of room used for seclusion. Results showed that seclusion frequency significantly decreased (RR = 0.92, p < .001). Further, duration of placement in a seclusion room significantly increased (RR = 1.04, p < .001). This change was only significant in seclusion in response to aggression (RR = 1.06, p < .001). The results emphasize the need for future studies to examine reduction using a broad conceptualization of seclusion.","PeriodicalId":45491,"journal":{"name":"Residential Treatment for Children & Youth","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2022-08-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46111016","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-07-25DOI: 10.1080/0886571X.2022.2100561
Raymond V. Gutterswijk, C. Kuiper, A. Harder, B. Bocanegra, Frank C. P. van der Horst, Peter Prinzie
ABSTRACT Secure residential youth care facilities try to optimize their help by offering gender-specific treatment, in an attempt to achieve positive behavioral change in adolescents. In this study, we examined behavioral change in a sample of 239 Dutch adolescents (M age = 15.59 years, SD = 1.36 years, 54.9% girls) in secure residential care. Pretest, posttest and follow-up measurements were carried out for behavioral problems, PTSD symptoms, emotion regulation, perceived competence and family problems. Comparisons were made between girls in gender-specific care, and girls and boys in regular care. Missing data analyses revealed the dataset contained many missing values. Analyses were performed at group level, using MANCOVA, ANCOVA’s and bootstrapped planned contrast, and at case level, using the Reliable Change Index. At group level, results revealed higher effectiveness of gender-specific care for girls compared to regular care for girls, only in diminishing externalizing behavioral problems. Overall, there were more similarities than differences in the effectiveness of gender-specific versus regular help. At individual level, 0–58% of the adolescents improved during their stay in secure residential care. However, most adolescents showed no change (25–88%) or even deterioration (0–39%). These results strongly emphasize the need for alternative interventions.
{"title":"Associations between Secure Residential Care and Positive Behavioral Change in Adolescent Boys and Girls","authors":"Raymond V. Gutterswijk, C. Kuiper, A. Harder, B. Bocanegra, Frank C. P. van der Horst, Peter Prinzie","doi":"10.1080/0886571X.2022.2100561","DOIUrl":"https://doi.org/10.1080/0886571X.2022.2100561","url":null,"abstract":"ABSTRACT Secure residential youth care facilities try to optimize their help by offering gender-specific treatment, in an attempt to achieve positive behavioral change in adolescents. In this study, we examined behavioral change in a sample of 239 Dutch adolescents (M age = 15.59 years, SD = 1.36 years, 54.9% girls) in secure residential care. Pretest, posttest and follow-up measurements were carried out for behavioral problems, PTSD symptoms, emotion regulation, perceived competence and family problems. Comparisons were made between girls in gender-specific care, and girls and boys in regular care. Missing data analyses revealed the dataset contained many missing values. Analyses were performed at group level, using MANCOVA, ANCOVA’s and bootstrapped planned contrast, and at case level, using the Reliable Change Index. At group level, results revealed higher effectiveness of gender-specific care for girls compared to regular care for girls, only in diminishing externalizing behavioral problems. Overall, there were more similarities than differences in the effectiveness of gender-specific versus regular help. At individual level, 0–58% of the adolescents improved during their stay in secure residential care. However, most adolescents showed no change (25–88%) or even deterioration (0–39%). These results strongly emphasize the need for alternative interventions.","PeriodicalId":45491,"journal":{"name":"Residential Treatment for Children & Youth","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2022-07-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48844266","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-07-14DOI: 10.1080/0886571X.2022.2097977
K. Russell, H. Gillis
ABSTRACT Adventure therapy (AT) interventions are being integrated with evidence-based treatment models for a variety of clients, including adolescents and young adults, for a wide range of presenting symptomology, including substance use disorders (SUD). Though some studies have explored longer term outcomes, little is known about the posttreatment experiences of clients. Clients from a 90-day AT treatment program were contacted approximately posttreatment and asked to assess their general well-being and current relationship with substance use. Results showed that clients were doing well evidenced by OQ-45 scores that were statistically similar at the discharge and follow-up period (t (92) = −1.693, p < .09; Cohen’s d = −.180). Clients also showed statistically significant increases in mindfulness skills. Results also showed that 70.8% of the participants indicated that they did relapse, while 29.2% indicated they did not. Of those that relapsed, 73.8% indicated the relapse was “severe,” while 26.3% believed their relapse was “not severe.” Clients reflected favorably on their treatment experience and desired more structured aftercare opportunities posttreatment. Implications for professional practice and research include the need to advance perspectives of recovery and develop aftercare support systems that can aid clients in the recovery process.
冒险疗法(AT)干预措施正在与基于证据的治疗模式相结合，用于各种客户，包括青少年和年轻人，用于各种症状，包括物质使用障碍(SUD)。虽然一些研究已经探索了长期的结果，但对客户的治疗后体验知之甚少。在90天的AT治疗项目中，大约在治疗后与客户联系，并要求评估他们的总体健康状况和目前与药物使用的关系。结果显示，出院时和随访时，患者的q -45评分均表现良好，差异有统计学意义(t (92) = - 1.693, p < .09;Cohen’s d = - 0.180)。客户在正念技能方面也有统计学上的显著提高。结果还显示，70.8%的参与者表示他们有复发，29.2%的参与者表示他们没有复发。在复发的人中，73.8%的人认为复发“严重”，而26.3%的人认为他们的复发“不严重”。客户对他们的治疗经验反映良好，并希望在治疗后获得更有条理的护理机会。对专业实践和研究的启示包括需要推进康复的观点，并开发能够在康复过程中帮助客户的善后支持系统。
{"title":"Exploring Aftercare Experiences and Well-Being after Completion of a Young Adult Addiction Treatment Program","authors":"K. Russell, H. Gillis","doi":"10.1080/0886571X.2022.2097977","DOIUrl":"https://doi.org/10.1080/0886571X.2022.2097977","url":null,"abstract":"ABSTRACT Adventure therapy (AT) interventions are being integrated with evidence-based treatment models for a variety of clients, including adolescents and young adults, for a wide range of presenting symptomology, including substance use disorders (SUD). Though some studies have explored longer term outcomes, little is known about the posttreatment experiences of clients. Clients from a 90-day AT treatment program were contacted approximately posttreatment and asked to assess their general well-being and current relationship with substance use. Results showed that clients were doing well evidenced by OQ-45 scores that were statistically similar at the discharge and follow-up period (t (92) = −1.693, p < .09; Cohen’s d = −.180). Clients also showed statistically significant increases in mindfulness skills. Results also showed that 70.8% of the participants indicated that they did relapse, while 29.2% indicated they did not. Of those that relapsed, 73.8% indicated the relapse was “severe,” while 26.3% believed their relapse was “not severe.” Clients reflected favorably on their treatment experience and desired more structured aftercare opportunities posttreatment. Implications for professional practice and research include the need to advance perspectives of recovery and develop aftercare support systems that can aid clients in the recovery process.","PeriodicalId":45491,"journal":{"name":"Residential Treatment for Children & Youth","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2022-07-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47683072","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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