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Residential Treatment Facilities (residential + treatment_facility)

Distribution by Scientific Domains

Psychology	25%

Selected Abstracts

Critical Failures in a Regional Network of Residential Treatment Facilities

AMERICAN JOURNAL OF ORTHOPSYCHIATRY, Issue 2 2010
Thomas W. Pavkov
The present descriptive case study reports on the state of treatment services and environmental settings in adolescent residential treatment facilities (RTFs) conducted as part of the Residential Treatment Center Evaluation Project. The project frequently uncovered poor quality of care exposing youth to deleterious conditions. Observations related to harsh treatment practices, psychiatric practice and medication management, educational and aftercare planning, and general treatment planning were closely examined. The analysis indicated that accreditation and licensing are insufficient to assure the quality of the service process in RTFs. Future research should address the relationship between treatment quality and treatment outcome. Efforts should also be made to develop strategies for organizational change to support high-quality services in RTFs. [source]

Behind the Walls and Beyond: Restorative Justice, Instrumental Communities, and Effective Residential Treatment

JUVENILE AND FAMILY COURT JOURNAL, Issue 1 2005
GORDON BAZEMORE
ABSTRACT Although restorative justice principles and practice have been applied extensively in community-based juvenile justice settings, implementation in residential treatment facilities has been far less common. We describe recent experimentation and possibilities for broader application to disciplinary infractions, the response to harm and crime, promoting community and citizen input, "community building" for conflict resolution skill development and changing the culture of facilities, and reentry. We conceptualize three "communities" as most relevant to addressing needs of incarcerated youths, their victims, and support groups, and then discuss theoretical frameworks and empirical research supportive of restorative practice in this context. Challenges to implementation of restorative practice, compatibility with other treatment and disciplinary agendas, and concerns about preserving the integrity of the model are also considered. [source]

Critical Failures in a Regional Network of Residential Treatment Facilities

Beyond Point and Level Systems: Moving Toward Child-Centered Programming

AMERICAN JOURNAL OF ORTHOPSYCHIATRY, Issue 1 2009
FAAN, Wanda K. Mohr PhD
Many residential treatment facilities and child inpatient units in the United States have been structured by way of motivational programming such as the point and/or level systems. On the surface, they appear to be a straightforward contingency management tool that is based on social learning theory and operant principles. In this article, the authors argue that the assumptions upon which point and level systems are based do not hold up to close empirical scrutiny or theoretical validity, and that point and level system programming is actually counterproductive with some children, and at times can precipitate dangerous clinical situations, such as seclusion and restraint. In this article, the authors critique point and level system programming and assert that continuing such programming is antithetical to individualized, culturally, and developmentally appropriate treatment, and the authors explore the resistance and barriers to changing traditional ways of "doing things." Finally, the authors describe a different approach to providing treatment that is based on a collaborative problem-solving approach and upon which other successful models of treatment have been based. [source]

Definition and Accountability: A Youth Perspective

AMERICAN JOURNAL OF ORTHOPSYCHIATRY, Issue 3 2007
Kathryn Whitehead BA
This paper reviews the systemic flaws of residential treatment facilities from a youth perspective concerning the lack of transparency, definition and accountability, and the subsequent mistreatment and human rights violations of youth experiencing emotional, behavioral, and cognitive challenges. [source]

Factors predicting arrest for homeless persons receiving integrated residential treatment for co-occurring disorders

CRIMINAL BEHAVIOUR AND MENTAL HEALTH, Issue 5 2009
Blake Barrett
Background,Homeless individuals are at increased risk for health and criminal justice problems. Aims,The aim of this study was to examine risk factors affecting arrest rates in a cohort of homeless people with co-occurring psychiatric and substance-abuse disorders. Methods,Baseline data were collected from 96 homeless individuals residing in a residential treatment facility for people with co-occurring disorders. Arrest data were obtained for 2 years following treatment intake. Regression analyses were employed to examine interactions between study variables. Results,One third of the sample was arrested during the 2-year follow-up period, principally for drug offences. People referred to treatment directly from the criminal justice system were four times more likely to re-offend than those referred from other sources. Participants' perceived need for mental-health services reduced risk of arrest while their perception of medical needs increased this risk. Conclusions,The relationship between referral from a criminal justice source and re-arrest after admission to the treatment facility is unsurprising, and consistent with previous literature, but the suggestion of an independently increased risk in the presence of perceived physical health-care needs is worthy of further study. The lower risk of arrest for people who perceive that they have psychological needs is encouraging. Copyright © 2009 John Wiley & Sons, Ltd. [source]

Hope as an Outcome Variable Among Youths in a Residential Care Setting

AMERICAN JOURNAL OF ORTHOPSYCHIATRY, Issue 3 2006
Rodney McNeal PhD
This study investigated changes in hope among 155 youths (ages 10 to 17 years) placed in a residential treatment facility over a 6,month period. The child and adolescent participants met criteria for a range of emotional and behavioral disorders and received interventions hypothesized to improve hopeful thinking. Hope scores significantly improved over 6 months of treatment. The positive changes in hope were not moderated by ethnicity or sex. For Agency hope scores (i.e., willpower), those with higher levels of psychopathology at admission demonstrated significantly more improvement in agency thinking over the course of 6 months. [source]

The effect of fluency training on math and reading skills in neuropsychiatric diagnosis children: a multiple baseline design

BEHAVIORAL INTERVENTIONS, Issue 1 2005
Stephanie L. Hartnedy
Fluency (fast and accurate responding) has been found to facilitate the retention, maintenance, endurance, and application of learned skills. Fluency training has been employed effectively in academic, vocational, industrial, and rehabilitative settings. Using a multiple baseline design, this study expanded previous applications by targeting academic deficits of children with neurological and psychiatric diagnoses in a residential treatment facility. Total response rates were measured in 60 second timed probes. Academic tool skills increased and error rates decreased for all participants after implementation of fluency training. Implications for improving attention to task and targeting minimum competency skills are discussed, as is determining the role that practice plays in increasing fluency rate. Copyright © 2005 John Wiley & Sons, Ltd. [source]