Pub Date : 2022-07-14DOI: 10.1080/0886571X.2022.2097153
Rachna Mishra, Vanita Sondhi
ABSTRACT Issues related to problems with institutional models of care for at-risk children in India have long been addressed by conversations around de-institutionalization. Researchers, however, believe that despite the benefits of family-based alternative care, there are multiple practical constraints in the stated transition. Fostering resilience among institutionalized children has been considered a worthier goal for intervention. The purpose of this study was to understand the pattern of resilience among adolescents with experience of family disruption due to parental loss and resultant relocation to an institutional set-up. Study 1 utilized semi-structured interviews with eight institutional caretakers in the age range of 28–50 years, and study 2 involved focus groups with 19 resilient adolescents in the age range of 14–19 years. Data from the both studies was thematically analyzed. Findings showed that against the backdrop of pre-admission adversities, resilience was conceptualized as a realization about the need to achieve in life and acquisition of a set of culturally sanctioned behavioral attributes. Resources within the institutional context itself were found to have fostered these resilient outcomes. Our findings suggest that by offering resident children needed resources, institutional care holds the potential to provide a permanent and stable living arrangement when other options are unfeasible.
{"title":"Conceptualizing Resilience among Adolescents Who are Orphaned and Living in Institutional Care in India","authors":"Rachna Mishra, Vanita Sondhi","doi":"10.1080/0886571X.2022.2097153","DOIUrl":"https://doi.org/10.1080/0886571X.2022.2097153","url":null,"abstract":"ABSTRACT Issues related to problems with institutional models of care for at-risk children in India have long been addressed by conversations around de-institutionalization. Researchers, however, believe that despite the benefits of family-based alternative care, there are multiple practical constraints in the stated transition. Fostering resilience among institutionalized children has been considered a worthier goal for intervention. The purpose of this study was to understand the pattern of resilience among adolescents with experience of family disruption due to parental loss and resultant relocation to an institutional set-up. Study 1 utilized semi-structured interviews with eight institutional caretakers in the age range of 28–50 years, and study 2 involved focus groups with 19 resilient adolescents in the age range of 14–19 years. Data from the both studies was thematically analyzed. Findings showed that against the backdrop of pre-admission adversities, resilience was conceptualized as a realization about the need to achieve in life and acquisition of a set of culturally sanctioned behavioral attributes. Resources within the institutional context itself were found to have fostered these resilient outcomes. Our findings suggest that by offering resident children needed resources, institutional care holds the potential to provide a permanent and stable living arrangement when other options are unfeasible.","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":"47147824","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 : 2022-06-29DOI: 10.1080/0886571X.2022.2090481
K. Espenes, Pamela M. Waaler, Serap Keles, S. S. Helland, Henry Schmidt, J. Kjøbli, Anita J. Tørmoen
ABSTRACT Dialectical Behavior Therapy (DBT) is an outpatient treatment that addresses severe emotional and relational difficulties and is successfully applied across diagnoses, populations, and settings. In this feasibility study, we examined a residential DBT-informed treatment model in Norway, the Care and Development Model (CDM), aimed to improve adolescent mental health outcomes. Study participants included 42 adolescents (22 males and 20 females) with a mean age of 15.13 years (SD = 1.41, range 13–17 years), as well as the adolescents’ caregivers and residential staff. Data collection lasted from May 2018 until May 2021 and combined standardized self-report measures of program feasibility and acceptability, including treatment satisfaction and alliance, as well as customized program fidelity measures combining on-site observation and interviews with adolescents and staff, protocol data on treatment characteristics, and self-report checklists for treatment adherence. Results indicate that residential staff consider the implementation of CDM appropriate, but also distinct challenges were mentioned regarding the population and setting. Moderate to high satisfaction and alliance levels were reported by both adolescents and therapists. The CDM program shows promise and may be feasible and acceptable, although considerable effort to implement it is required. Implications for practice and research are discussed.
{"title":"Implementing a Residential Dialectical Behavior Therapy Informed Treatment Model to Improve Adolescent Mental Health: Feasibility, Fidelity, and Acceptability","authors":"K. Espenes, Pamela M. Waaler, Serap Keles, S. S. Helland, Henry Schmidt, J. Kjøbli, Anita J. Tørmoen","doi":"10.1080/0886571X.2022.2090481","DOIUrl":"https://doi.org/10.1080/0886571X.2022.2090481","url":null,"abstract":"ABSTRACT Dialectical Behavior Therapy (DBT) is an outpatient treatment that addresses severe emotional and relational difficulties and is successfully applied across diagnoses, populations, and settings. In this feasibility study, we examined a residential DBT-informed treatment model in Norway, the Care and Development Model (CDM), aimed to improve adolescent mental health outcomes. Study participants included 42 adolescents (22 males and 20 females) with a mean age of 15.13 years (SD = 1.41, range 13–17 years), as well as the adolescents’ caregivers and residential staff. Data collection lasted from May 2018 until May 2021 and combined standardized self-report measures of program feasibility and acceptability, including treatment satisfaction and alliance, as well as customized program fidelity measures combining on-site observation and interviews with adolescents and staff, protocol data on treatment characteristics, and self-report checklists for treatment adherence. Results indicate that residential staff consider the implementation of CDM appropriate, but also distinct challenges were mentioned regarding the population and setting. Moderate to high satisfaction and alliance levels were reported by both adolescents and therapists. The CDM program shows promise and may be feasible and acceptable, although considerable effort to implement it is required. Implications for practice and research are discussed.","PeriodicalId":45491,"journal":{"name":"Residential Treatment for Children & Youth","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2022-06-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45730814","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 : 2022-06-22DOI: 10.1080/0886571X.2022.2090483
Paula J. Fite, Selena A Baca, Christopher Gomez, Rebecca L. Griffith, O. Gudiño
ABSTRACT Youth involved in the juvenile justice system are at risk for a multitude of psychological and adjustment difficulties. Unfortunately, oftentimes these individuals do not receive the services needed. Attitudes toward mental health services contribute to whether an individual receives help; yet little is known about factors that are associated with detained youths’ attitudes regarding help. The current study advanced the literature by further examining how youth self-reports of symptoms of depression, anxiety, and aggression were related to attitudes toward mental health services among 229 detained youth (74.5% male, Mage = 15.52 years, SDage = 1.54). Additionally, the influence of callous-unemotional (CU) traits was examined. Findings suggest that while anxiety symptoms were associated with more positive attitudes toward mental health services, symptoms of depression and CU traits were associated with less positive attitudes toward mental health services. However, CU traits did not moderate associations between symptom clusters and attitudes toward mental health services. Findings suggest the need to consider internalizing symptom clusters as well as CU traits in how to approach youth regarding treatment engagement.
{"title":"Attitudes toward Mental Health Services among Detained Adolescents: The Role of CU Traits","authors":"Paula J. Fite, Selena A Baca, Christopher Gomez, Rebecca L. Griffith, O. Gudiño","doi":"10.1080/0886571X.2022.2090483","DOIUrl":"https://doi.org/10.1080/0886571X.2022.2090483","url":null,"abstract":"ABSTRACT Youth involved in the juvenile justice system are at risk for a multitude of psychological and adjustment difficulties. Unfortunately, oftentimes these individuals do not receive the services needed. Attitudes toward mental health services contribute to whether an individual receives help; yet little is known about factors that are associated with detained youths’ attitudes regarding help. The current study advanced the literature by further examining how youth self-reports of symptoms of depression, anxiety, and aggression were related to attitudes toward mental health services among 229 detained youth (74.5% male, Mage = 15.52 years, SDage = 1.54). Additionally, the influence of callous-unemotional (CU) traits was examined. Findings suggest that while anxiety symptoms were associated with more positive attitudes toward mental health services, symptoms of depression and CU traits were associated with less positive attitudes toward mental health services. However, CU traits did not moderate associations between symptom clusters and attitudes toward mental health services. Findings suggest the need to consider internalizing symptom clusters as well as CU traits in how to approach youth regarding treatment engagement.","PeriodicalId":45491,"journal":{"name":"Residential Treatment for Children & Youth","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2022-06-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49377369","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 : 2022-06-01DOI: 10.1080/0886571X.2022.2073940
Laura Santos, Andreia Ferreira, D. Silva, Maria Pinheiro, D. Rijo
ABSTRACT Occupational stress is commonly experienced by professional caregivers working in Residential Youth Care (RYC), due to the psychological demands of their work. Although the influence of stress has been studied on this helping profession, there is still no measurement tool to assess the potential sources of stress for these professionals. This study aimed to validate the Stress Questionnaire for Residential Youth Care Professionals (Stress-RYCaregivers), a self-report questionnaire assessing different sources of occupational stress experienced by RYC professionals. Dimensionality and psychometric properties were investigated using a sample of 360 professional caregivers (88.6% female) working in 41 residential care facilities. A confirmatory factor analysis indicated that the 25 items grouped into six factors (i.e., Caring of Children and Young People, Work overload, Career progression and salary, Relationships at work, Training activities, and Home-work interface). All subscales showed adequate internal consistency and test–retest reliability. Construct validity in relation to external variables was also found. Significant differences in stress sources were found concerning personal and work variables. Understanding the causes of stress is the first step to prevent it, which may impact in the caregivers’ quality of life, in the care provided, and, ultimately, in the quality of life of children in RYC.
{"title":"Assessing Occupational Stress in Residential Youth Care Settings: Validation of the Stress Questionnaire for Residential Youth Care Professionals","authors":"Laura Santos, Andreia Ferreira, D. Silva, Maria Pinheiro, D. Rijo","doi":"10.1080/0886571X.2022.2073940","DOIUrl":"https://doi.org/10.1080/0886571X.2022.2073940","url":null,"abstract":"ABSTRACT Occupational stress is commonly experienced by professional caregivers working in Residential Youth Care (RYC), due to the psychological demands of their work. Although the influence of stress has been studied on this helping profession, there is still no measurement tool to assess the potential sources of stress for these professionals. This study aimed to validate the Stress Questionnaire for Residential Youth Care Professionals (Stress-RYCaregivers), a self-report questionnaire assessing different sources of occupational stress experienced by RYC professionals. Dimensionality and psychometric properties were investigated using a sample of 360 professional caregivers (88.6% female) working in 41 residential care facilities. A confirmatory factor analysis indicated that the 25 items grouped into six factors (i.e., Caring of Children and Young People, Work overload, Career progression and salary, Relationships at work, Training activities, and Home-work interface). All subscales showed adequate internal consistency and test–retest reliability. Construct validity in relation to external variables was also found. Significant differences in stress sources were found concerning personal and work variables. Understanding the causes of stress is the first step to prevent it, which may impact in the caregivers’ quality of life, in the care provided, and, ultimately, in the quality of life of children in RYC.","PeriodicalId":45491,"journal":{"name":"Residential Treatment for Children & Youth","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2022-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44160662","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 : 2022-06-01DOI: 10.1080/0886571X.2022.2082628
Ane Slaatto, L. C. Kleppe, A. Mellblom, G. Baugerud
ABSTRACT Youth in residential facilities need to perceive that they are safe. Their perceptions of the quality of treatment and care they receive are affected by how staff behave toward and communication with them as well as by the extent to which they can participate in decisions about their daily lives and futures. To better understand how youth perceive safety and experience residential facilities, we conducted a qualitative study involving eight youths between 16 and 18 years of age living in Norwegian public residential facilities. We investigated 1) their perceptions of safety and 2) their experiences of and reaction to staff behaviors and attitudes. Our findings show that these youths perceive safety as related to their own room and to the people around them. They also indicate that the everyday life of youths can vary: it may be characterized by passivity and by waiting for the start of life or of daily activities, such as school. Our findings about staff attitude and behavior point to the need for youth care services to focus on the communication abilities of staff rather than on the problematic behaviors of youth. These findings have implications for facilities that provide care and treatment to youth.
{"title":"Youth in Residential Facilities: “Am I Safe?,” “Do I Matter?,” and “Do You Care?”","authors":"Ane Slaatto, L. C. Kleppe, A. Mellblom, G. Baugerud","doi":"10.1080/0886571X.2022.2082628","DOIUrl":"https://doi.org/10.1080/0886571X.2022.2082628","url":null,"abstract":"ABSTRACT Youth in residential facilities need to perceive that they are safe. Their perceptions of the quality of treatment and care they receive are affected by how staff behave toward and communication with them as well as by the extent to which they can participate in decisions about their daily lives and futures. To better understand how youth perceive safety and experience residential facilities, we conducted a qualitative study involving eight youths between 16 and 18 years of age living in Norwegian public residential facilities. We investigated 1) their perceptions of safety and 2) their experiences of and reaction to staff behaviors and attitudes. Our findings show that these youths perceive safety as related to their own room and to the people around them. They also indicate that the everyday life of youths can vary: it may be characterized by passivity and by waiting for the start of life or of daily activities, such as school. Our findings about staff attitude and behavior point to the need for youth care services to focus on the communication abilities of staff rather than on the problematic behaviors of youth. These findings have implications for facilities that provide care and treatment to youth.","PeriodicalId":45491,"journal":{"name":"Residential Treatment for Children & Youth","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2022-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44867926","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 : 2022-06-01DOI: 10.1080/0886571X.2022.2082627
Sophie T. Hébert, Guillaume Descary, Jean-Christophe Potvin, Pascal Jobin
ABSTRACT Although empowerment is increasingly studied as a concept structuring social intervention, there are still very few studies reporting on how it is perceived by practitioners in their work. This meaning is all the more important to grasp in the context of child protection, where legal structures and guidelines delimit and sometimes restrict the opportunities available to young people in transition to adulthood. Using semi-structured interviews with child welfare practitioners, our study aims to examine how they define and promote the empowerment of young people in care in their transition to adulthood. Results indicate that the transition to adulthood requires a time-based projection beyond the age of majority, both for the practitioners and for youth. Therefore, empowerment cannot be worked solely on a day-to-day basis, but must be part of a broader horizon, which is accessible through a community vision of intervention and service provision.
{"title":"Exploring Empowerment from the Perception of Child Welfare Practitioners: Opening a New Time Horizon","authors":"Sophie T. Hébert, Guillaume Descary, Jean-Christophe Potvin, Pascal Jobin","doi":"10.1080/0886571X.2022.2082627","DOIUrl":"https://doi.org/10.1080/0886571X.2022.2082627","url":null,"abstract":"ABSTRACT Although empowerment is increasingly studied as a concept structuring social intervention, there are still very few studies reporting on how it is perceived by practitioners in their work. This meaning is all the more important to grasp in the context of child protection, where legal structures and guidelines delimit and sometimes restrict the opportunities available to young people in transition to adulthood. Using semi-structured interviews with child welfare practitioners, our study aims to examine how they define and promote the empowerment of young people in care in their transition to adulthood. Results indicate that the transition to adulthood requires a time-based projection beyond the age of majority, both for the practitioners and for youth. Therefore, empowerment cannot be worked solely on a day-to-day basis, but must be part of a broader horizon, which is accessible through a community vision of intervention and service provision.","PeriodicalId":45491,"journal":{"name":"Residential Treatment for Children & Youth","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2022-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49328361","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 : 2022-05-17DOI: 10.1080/0886571X.2022.2076761
C. Mathieu, Steve Geoffrion
ABSTRACT The use of restraint and seclusion (R&S) in residential youth treatment centers has been a controversial topic over the past years. This study explored the differences between R&S super users and normal users for residential workers in terms of individual and environmental characteristics over eight weeks. One hundred ninety-eight residential workers completed the questionnaires, and Bayesian independent samples t-tests were conducted to verify the differences between the two groups. The results showed very strong evidence that super users have a greater fear of violence (B10 = 65.57), indeed strong evidence that they perceive more verbal aggression (B10 = 18.264), very strong evidence that they witness more aggression against themselves (B10 = 87.35), and extremely strong evidence that they perceive themselves to be more often victims of physical aggression (B10 = 398.55) than normal users. Moderate evidence also revealed that super users experienced a higher level of traumatic stress and perceived a better work climate than normal user (B10 = 3.751 and B10 = 5.116). Perceived stress, chronic fatigue, acute fatigue, recovery, self-efficacy, compassion fatigue, burnout, and social climate order, and organization (work team’s orientation and sense of cohesion) were not statistically associated with R&S (B10 = 0.166 to 0.415).
{"title":"Individual and Environmental Characteristics of Residential Workers Using Restraint and Seclusion in Youth Treatment Centers","authors":"C. Mathieu, Steve Geoffrion","doi":"10.1080/0886571X.2022.2076761","DOIUrl":"https://doi.org/10.1080/0886571X.2022.2076761","url":null,"abstract":"ABSTRACT The use of restraint and seclusion (R&S) in residential youth treatment centers has been a controversial topic over the past years. This study explored the differences between R&S super users and normal users for residential workers in terms of individual and environmental characteristics over eight weeks. One hundred ninety-eight residential workers completed the questionnaires, and Bayesian independent samples t-tests were conducted to verify the differences between the two groups. The results showed very strong evidence that super users have a greater fear of violence (B10 = 65.57), indeed strong evidence that they perceive more verbal aggression (B10 = 18.264), very strong evidence that they witness more aggression against themselves (B10 = 87.35), and extremely strong evidence that they perceive themselves to be more often victims of physical aggression (B10 = 398.55) than normal users. Moderate evidence also revealed that super users experienced a higher level of traumatic stress and perceived a better work climate than normal user (B10 = 3.751 and B10 = 5.116). Perceived stress, chronic fatigue, acute fatigue, recovery, self-efficacy, compassion fatigue, burnout, and social climate order, and organization (work team’s orientation and sense of cohesion) were not statistically associated with R&S (B10 = 0.166 to 0.415).","PeriodicalId":45491,"journal":{"name":"Residential Treatment for Children & Youth","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2022-05-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48756390","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 : 2022-05-04DOI: 10.1080/0886571X.2022.2066043
Jeffrey C. Peterson, J. Huefner
ABSTRACT The purpose for this paper is to present a measured perspective on the empirical literature examining point and level (P&L) systems in residential care settings. We review the history of P&L and eight of the most common criticisms of its use in residential care settings. The relative merits of each of the criticisms are discussed. There is no empirical research support for the criticisms of P&L when well-implemented. There are, nonetheless, barriers to success that arise when P&L program are not well-executed. Effective P&L programs are characterized by developing positive relationships, maintain high ratios of positive to negative feedback, are individualized to each youth’s needs, have appropriate tolerances, and systematically fade youth off P&L in preparation for returning to their families or independent living.
{"title":"Token Economies in Residential Care Systems: Are They Bad Practice?","authors":"Jeffrey C. Peterson, J. Huefner","doi":"10.1080/0886571X.2022.2066043","DOIUrl":"https://doi.org/10.1080/0886571X.2022.2066043","url":null,"abstract":"ABSTRACT The purpose for this paper is to present a measured perspective on the empirical literature examining point and level (P&L) systems in residential care settings. We review the history of P&L and eight of the most common criticisms of its use in residential care settings. The relative merits of each of the criticisms are discussed. There is no empirical research support for the criticisms of P&L when well-implemented. There are, nonetheless, barriers to success that arise when P&L program are not well-executed. Effective P&L programs are characterized by developing positive relationships, maintain high ratios of positive to negative feedback, are individualized to each youth’s needs, have appropriate tolerances, and systematically fade youth off P&L in preparation for returning to their families or independent living.","PeriodicalId":45491,"journal":{"name":"Residential Treatment for Children & Youth","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2022-05-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47787388","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 : 2022-04-13DOI: 10.1080/0886571X.2022.2057392
Paul Felker, Alex Redcay, Lisa Fritz
ABSTRACT The treatment needs of individuals in the mental health system are changing and this is particularly so for transgender and gender expansive (TGE) residents in treatment facilities. Providing quality care for TGE youth need not be perplexing if there are coherent, coordinated, and comprehensive policies that guide practice. Policy recommendations include the education of staff, especially non-clinical staff who typically spend the most time with clients. Trainings should encompass terminology and treatment relevant to the TGE community. Comprehensive knowledge of the treatment guidelines, protocols, and procedures are recommended to include group work to assist providers to recognize the influence of heteronormative schemas on their behavior and help identify unconscious micro-aggressions. Gender neutral language and terminology that reflects preferred pronouns are helpful policies. Placement allocation of TGE residents and how others in the program will react to sharing a room, bathroom, or community spaces with a TGE individual are often raised. Prior to admission, residential settings should inform all potential residents that the program has a nondiscrimination policy and the placement decision of a TGE resident should be based on careful clinical history, current risk assessment, his or her mental health, a review of any prior admission experience, and consultation with the consumer. Discharge plans should include services within their local communities that are important for them, such as employment, religious centers, cultural organizations, and recreation opportunities.
{"title":"Recommendations for Residential Treatment Facilities When Working with Transgender & Gender Expansive Youth","authors":"Paul Felker, Alex Redcay, Lisa Fritz","doi":"10.1080/0886571X.2022.2057392","DOIUrl":"https://doi.org/10.1080/0886571X.2022.2057392","url":null,"abstract":"ABSTRACT The treatment needs of individuals in the mental health system are changing and this is particularly so for transgender and gender expansive (TGE) residents in treatment facilities. Providing quality care for TGE youth need not be perplexing if there are coherent, coordinated, and comprehensive policies that guide practice. Policy recommendations include the education of staff, especially non-clinical staff who typically spend the most time with clients. Trainings should encompass terminology and treatment relevant to the TGE community. Comprehensive knowledge of the treatment guidelines, protocols, and procedures are recommended to include group work to assist providers to recognize the influence of heteronormative schemas on their behavior and help identify unconscious micro-aggressions. Gender neutral language and terminology that reflects preferred pronouns are helpful policies. Placement allocation of TGE residents and how others in the program will react to sharing a room, bathroom, or community spaces with a TGE individual are often raised. Prior to admission, residential settings should inform all potential residents that the program has a nondiscrimination policy and the placement decision of a TGE resident should be based on careful clinical history, current risk assessment, his or her mental health, a review of any prior admission experience, and consultation with the consumer. Discharge plans should include services within their local communities that are important for them, such as employment, religious centers, cultural organizations, and recreation opportunities.","PeriodicalId":45491,"journal":{"name":"Residential Treatment for Children & Youth","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2022-04-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48121889","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 : 2022-03-29DOI: 10.1080/0886571x.2022.2043643
Bethany Lee
(2022). Editor’s Note. Residential Treatment for Children & Youth: Vol. 39, No. 2, pp. 115-115.
(2022)。编者按。儿童与青少年住院治疗:第39卷，第2期，第115-115页。
{"title":"Editor’s Note","authors":"Bethany Lee","doi":"10.1080/0886571x.2022.2043643","DOIUrl":"https://doi.org/10.1080/0886571x.2022.2043643","url":null,"abstract":"(2022). Editor’s Note. Residential Treatment for Children & Youth: Vol. 39, No. 2, pp. 115-115.","PeriodicalId":45491,"journal":{"name":"Residential Treatment for Children & Youth","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2022-03-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138533513","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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