Residential Treatment for Children & Youth最新文献_第7页

Editor’s Note Editor’s音符

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Residential Treatment for Children & Youth Pub Date : 2021-10-02 DOI: 10.1080/0886571x.2021.1967016

Bethany R. Lee

引用次数: 0

Improving Work Climate in a Residential Setting for Juveniles with Mild Intellectual Disability through Training of Staff in Non-violent Resistance 透过非暴力抵抗训练，改善轻度智障青少年住宿环境的工作环境

IF 1.2

Residential Treatment for Children & Youth Pub Date : 2021-09-24 DOI: 10.1080/0886571X.2021.1978034

K. Visser, R. Vermeiren, A. Popma, L.M.C. Nauta-Jansen, M. C. Kasius

{"title":"Improving Work Climate in a Residential Setting for Juveniles with Mild Intellectual Disability through Training of Staff in Non-violent Resistance","authors":"K. Visser, R. Vermeiren, A. Popma, L.M.C. Nauta-Jansen, M. C. Kasius","doi":"10.1080/0886571X.2021.1978034","DOIUrl":"https://doi.org/10.1080/0886571X.2021.1978034","url":null,"abstract":"ABSTRACT In residential settings for juveniles with Mild Intellectual Disability (MID) employees have to face tough work conditions, because of frequent aggressive incidents Eventually, this might result in a negative work climate, high staff-turnover and absenteeism. In turn, it hampers a positive therapeutic environment for youngsters. A method that may endorse a better work climate is Non-violent Resistance (NVR). As earlier research suggests that the residential NVR, adjusted for juveniles with MID, is successful in diminishing aggressive incidents and improving group climate, we hypothesize that NVR-MID will be also effective in enhancing work climate. We investigated the perception of work climate by staff of three residential settings before, during and after implementation of NVR-MID. Work climate was assessed both quantitatively and qualitatively. Outcomes were subsequently integrated. Quantitative data was collected using the Living Group Working Climate Inventory (LGWCI). Multilevel analyses were carried out to analyse the development of work climate over time. Qualitative data were collected via semi-structured interviews with NVR-MID trained staff and analysed through qualitative coding. Quantitative results showed that Job Satisfaction decreased after NVR-MID implementation. However, within qualitative reports, staff members experienced a positive influence on work climate of NVR-MID.","PeriodicalId":45491,"journal":{"name":"Residential Treatment for Children & Youth","volume":"39 1","pages":"192 - 211"},"PeriodicalIF":1.2,"publicationDate":"2021-09-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46222101","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}

引用次数: 0

Safety in Residential Youth Facilities: Staff Perceptions of Safety and Experiences of the “Basic Training Program in Safety and Security” 青少年居住设施的安全：工作人员的安全意识和“安全与安保基础培训计划”的经验

IF 1.2

Residential Treatment for Children & Youth Pub Date : 2021-09-21 DOI: 10.1080/0886571X.2021.1978035

Ane Slaatto, A. Mellblom, L. C. Kleppe, G. Baugerud

{"title":"Safety in Residential Youth Facilities: Staff Perceptions of Safety and Experiences of the “Basic Training Program in Safety and Security”","authors":"Ane Slaatto, A. Mellblom, L. C. Kleppe, G. Baugerud","doi":"10.1080/0886571X.2021.1978035","DOIUrl":"https://doi.org/10.1080/0886571X.2021.1978035","url":null,"abstract":"ABSTRACT In inpatient and residential youth facilities, staff concerns over actual and potential aggression and conflict frequently affect both the quality of care and staff wellbeing. This study investigated 1) staff perceptions of safety at the residential facilities where they work, and 2) staff experiences with the Basic Training Program in Safety and Security, initiated by the Norwegian Directorate of Children, Youth and Family Affairs (Bufdir), to enhance prevention and management of aggression and conflict. We conducted three focus-group interviews at three different public residential facilities with a total of 18 staff members who work daily with youth. Findings show that staff regard safety as essential and perceive enhanced safety as linked to predictability, stability, team coordination, education and training, organizational support, and trusting and supportive relationships. They also indicate that staff regard the training program as having improved their feelings of safety, enhancing awareness of conflict situations before, during and after they occur, and contributing to more systematic work processes and cooperative and coordinated teamwork. These findings have implications for all facilities providing care and treatment to youth.","PeriodicalId":45491,"journal":{"name":"Residential Treatment for Children & Youth","volume":"39 1","pages":"212 - 237"},"PeriodicalIF":1.2,"publicationDate":"2021-09-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46805717","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}

引用次数: 2

Exploring Reasons Motivating the Use of Restraint and Seclusion by Residential Workers in Residential Treatment Centers: A Qualitative Analysis of Official Reports 住院治疗中心住院工作者采取约束隔离措施的原因探析:官方报告的定性分析

IF 1.2

Residential Treatment for Children & Youth Pub Date : 2021-09-05 DOI: 10.1080/0886571X.2021.1973940

Steve Geoffrion, Josianne Lamothe, C. Drolet, S. Dufour, Amélie Couvrette

{"title":"Exploring Reasons Motivating the Use of Restraint and Seclusion by Residential Workers in Residential Treatment Centers: A Qualitative Analysis of Official Reports","authors":"Steve Geoffrion, Josianne Lamothe, C. Drolet, S. Dufour, Amélie Couvrette","doi":"10.1080/0886571X.2021.1973940","DOIUrl":"https://doi.org/10.1080/0886571X.2021.1973940","url":null,"abstract":"ABSTRACT In situations where the immediate safety of children or others is at risk, residential workers are authorized to use specific measures intended as last resort, namely restraint and seclusion (R&S). This study sought to identify and detail the reasons invoked by residential workers when justifying their decision to restrain or seclude a child. Researchers reviewed and coded 628 anonymized official R&S reports written by residential workers from two different residential treatment centers over the 14 months between September 2015 and May 2017. Researchers used qualitative thematic analysis to analyze official reports. Researchers found nine reasons invoked by residential workers that they regrouped into four themes as follows: workers justified their use of R&S based on their own perceptions of 1) the danger associated with children’s affects and behaviors; 2) their obligation to yield to external constraints; 3) the benefits associated with R&S for children, and 4) the demands imposed by their professional culture. Researchers found that the reasons invoked in official reports by residential workers to justify their decisions are not always consistent with R&S as being methods of last resort. Specifically, residential workers appear to be missing the training and organizational resources needed to use alternative forms of intervention.","PeriodicalId":45491,"journal":{"name":"Residential Treatment for Children & Youth","volume":"39 1","pages":"416 - 436"},"PeriodicalIF":1.2,"publicationDate":"2021-09-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43179881","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}

引用次数: 0

Reducing Trauma in Residential Direct Care Staff 减少住院直接护理人员的创伤

IF 1.2

Residential Treatment for Children & Youth Pub Date : 2021-08-25 DOI: 10.1080/0886571X.2021.1960240

Lisa M. Purdy, Becky F. Antle

{"title":"Reducing Trauma in Residential Direct Care Staff","authors":"Lisa M. Purdy, Becky F. Antle","doi":"10.1080/0886571X.2021.1960240","DOIUrl":"https://doi.org/10.1080/0886571X.2021.1960240","url":null,"abstract":"Considered the most intensive level of out-of-home care for youth (James et al., 2012), residential treatment was initially developed in the 1940s as a response to the needs of the most seriously emotionally disturbed youth (Lieberman, 2004). A residential treatment center (RTC) is defined as a facility operating 24/7, which is not licensed as a hospital, offering mental health treatment programs for seriously emotionally disturbed children (Connor et al., 2002). The youths entering RTCs typically have multiple-placement disruptions, neuropsychiatric diagnoses, chronic traumatic experiences, and multiple-attachment disruptions (Connor et al., 2003). These treatment centers strive to address the developmental, psychological, behavioral, and relationship needs of the youth through therapeutic services and reliance on the therapeutic milieu as an intervention (Lieberman, 2004). Residential direct care staff have the most direct contact with these youths. Residential direct care staff are those staff who reside with youth in shifts, and are responsible for meal planning, hygiene, oversight of homework/learning activities, crisis management, household therapeutic and entertainment activities, and general emotional support to the youth, many of whom have limited contact with family or others outside the residential treatment center (Eastwood & Ecklund, 2008; Seti, 2008). The work can be emotionally taxing and by its nature expose these residential direct care professionals to both direct and indirect trauma. More specifically, research has shown that those working in the field of child welfare have a greater risk of developing a form of indirect trauma called “secondary traumatic stress” than do others within","PeriodicalId":45491,"journal":{"name":"Residential Treatment for Children & Youth","volume":"39 1","pages":"179 - 191"},"PeriodicalIF":1.2,"publicationDate":"2021-08-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47499797","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}

引用次数: 0

Assessing Needs and Outcomes of Children and Youth Receiving Intensive Services 评估接受强化服务的儿童及青少年的需要及结果

IF 1.2

Residential Treatment for Children & Youth Pub Date : 2021-08-25 DOI: 10.1080/0886571X.2021.1964415

L. Theall, K. Arbeau, K. Willoughby, J. St. Pierre, Gwynne Ng, S. Stewart

{"title":"Assessing Needs and Outcomes of Children and Youth Receiving Intensive Services","authors":"L. Theall, K. Arbeau, K. Willoughby, J. St. Pierre, Gwynne Ng, S. Stewart","doi":"10.1080/0886571X.2021.1964415","DOIUrl":"https://doi.org/10.1080/0886571X.2021.1964415","url":null,"abstract":"ABSTRACT This study investigated whether children/youth in Ontario triaged to residential services showed a higher intensity of need than those referred to outpatient services, and whether residential treatment gains were sufficient for transition to community services. Participants included 2053 children/youth assessed at 23 diverse mental health agencies across Ontario using the interRAI™ Child and Youth Mental Health (ChYMH) instrument. Various presenting problems were examined utilizing scales including: Disruptive/Aggressive Behavior, Hyperactive/Distraction, Social Disengagement, Anxiety, and Sleep Difficulties. Analyses were conducted separately for boys and girls. Notable differences were found in the initial assessment, with residential boys scoring higher on all scales than outpatient boys, and residential girls scoring higher on the externalizing scales (Disruptive/Aggressive Behavior, Hyperactive/Distraction) than outpatient girls. Treatment gains at residential discharge included improvements in Anxiety, Social Disengagement, Hyperactive/Distraction and Sleep Difficulties for boys and girls to levels at or below the initial scores of outpatient peers. Disruptive/Aggressive Behavior is still a high need following residential services. The results highlight differences in severity of mental health presentation between children/youth receiving residential and outpatient services, and how multiple agencies in Ontario are providing services that successfully reduce the severity of mental health needs.","PeriodicalId":45491,"journal":{"name":"Residential Treatment for Children & Youth","volume":"39 1","pages":"16 - 33"},"PeriodicalIF":1.2,"publicationDate":"2021-08-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41924907","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}

引用次数: 2

Editor’s Note Editor’s音符

IF 1.2

Residential Treatment for Children & Youth Pub Date : 2021-07-03 DOI: 10.1080/0886571X.2021.1927428

Bethany R. Lee

{"title":"Editor’s Note","authors":"Bethany R. Lee","doi":"10.1080/0886571X.2021.1927428","DOIUrl":"https://doi.org/10.1080/0886571X.2021.1927428","url":null,"abstract":"Greetings, readers! This issue of Residential Treatment for Children and Youth focuses on interventions that have been implemented and tested in residential settings. The issue begins with analysis of findings from a national survey to describe the treatment approaches in behavioral health programs for youth in the United States (Herbell & Ault). Then, the issue presents implementation studies of two evidence-supported interventions: the uptake of motivational interviewing by residential care staff in the Netherlands (Eenshuistra et al.) and a feasibility study on adapting dialectical behavior therapy for use in a residential program in the US (Klodnick et al.). Next, a team from the United States piloted the efficacy of relational savoring as a treatment for youth in residential care (Wang et al.). Subsequently, van Wijk-Herbrink and colleagues from Netherlands introduced SafePath, a milieu-based intervention that uses Schema Therapy techniques, and presented promising findings for group climate. Finally, the issue closes with a thoughtful cross-national commentary (Huefner & Ainsworth) that calls us to remember the importance of the milieu as a special component of the transformational potential of a residential program. If your residential program is implementing an innovative practice or adapting an evidence-based intervention for a residential setting, we welcome your submissions to the journal. The journal welcomes full-length research articles as well as shorter practice-focused papers that describe a novel approach or case study. We are interested in learning about practice around the world and how to continue to improve the care provided to youth in residential programs.","PeriodicalId":45491,"journal":{"name":"Residential Treatment for Children & Youth","volume":"38 1","pages":"223 - 223"},"PeriodicalIF":1.2,"publicationDate":"2021-07-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/0886571X.2021.1927428","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49255864","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}

引用次数: 0

Commentary:Recognizing the value of the milieu in therapeutic residential care for children and youth 评论：认识到环境在儿童和青年住院治疗护理方面的价值

IF 1.2

Residential Treatment for Children & Youth Pub Date : 2021-07-03 DOI: 10.1080/0886571X.2021.1915225

J. Huefner, F. Ainsworth

引用次数: 8

Hosting Families of Children Living in Residential Care 寄宿儿童家庭

IF 1.2

Residential Treatment for Children & Youth Pub Date : 2021-06-04 DOI: 10.1080/0886571X.2021.1936343

E. Buchbinder, Hadas Yagen

引用次数: 0

Patterns of Change in Restraints, Seclusions and Time-outs over the Implementation of Trauma-informed Staff Training Programs in Residential Care for Children and Youth 儿童和青少年寄宿护理中实施创伤知情员工培训计划的限制、隔离和暂停的变化模式

IF 1.2

Residential Treatment for Children & Youth Pub Date : 2021-05-24 DOI: 10.1080/0886571X.2021.1929660

Alexandra Matte-Landry, D. Collin-Vézina

{"title":"Patterns of Change in Restraints, Seclusions and Time-outs over the Implementation of Trauma-informed Staff Training Programs in Residential Care for Children and Youth","authors":"Alexandra Matte-Landry, D. Collin-Vézina","doi":"10.1080/0886571X.2021.1929660","DOIUrl":"https://doi.org/10.1080/0886571X.2021.1929660","url":null,"abstract":"ABSTRACT Trauma-informed care (TIC) is receiving growing interest and support as a promising approach to reducing the use of restrictive measures (restraints, seclusions and time-outs) in children and youth living in residential care. In this study, we aimed to compare the use of restrictive measures prior to and following the implementation of a TIC staff training initiative in 44 residential units for children and youth and to explore differences between units and type of measures used. Patterns of change in monthly use of restrictive measures 6 months before and 12 months after the training were compared using growth curve models. Restraints, seclusions and time-outs decreased by 41.82%, 19.91%, and 48.15%, respectively, over a year following the training. Despite these important declines, trajectories of restrictive measures did not change significantly from pre- to post-training when holding the TIC training against stringent criteria. Nonetheless, some units’ characteristics were associated with successful changes. Results are promising, but not conclusive about the ability of this TIC training to produce changes in trajectories of restrictive measures, at least in the first year of implementation. This study highlights the need for rigorous statistical models in further studies to ensure accurate empirical evaluation of TIC staff training programs.","PeriodicalId":45491,"journal":{"name":"Residential Treatment for Children & Youth","volume":"39 1","pages":"154 - 178"},"PeriodicalIF":1.2,"publicationDate":"2021-05-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/0886571X.2021.1929660","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47555924","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}

引用次数: 6