Residential Treatment for Children & Youth最新文献

{"title":"Resident and Staff Time and Activity Allocation in a Juvenile Justice Facility","authors":"Odessa Luna, Ashley A. Anderson, J. Rapp","doi":"10.1080/0886571X.2021.1925615","DOIUrl":"https://doi.org/10.1080/0886571X.2021.1925615","url":null,"abstract":"ABSTRACT Adolescents in juvenile justice facilities often lack critical social, academic, and vocational skills, which may limit their academic and employment opportunities following their release. One time period during which adjudicated adolescents can practice these critical skills with other residents and staff might be during leisure periods in their dorms. However, it is unclear (a) what activities are available for residents during leisure periods and (b) the extent to which staff members engage with residents during these activities. The purpose of the current study was to directly assess how residents and staff members in four dorms in a juvenile justice facility, which included a well-functioning comparison dormitory, allocated their time across available activities during indoor and outdoor leisure periods. Results indicated a lack of skill building activities available to residents across three of the four dorms, with residents often allocating their time to activities (e.g., television and video games) which might not promote pivotal life skills. The practical implications of these findings, as well as future directions for juvenile justice facilities and researchers, are briefly discussed.","PeriodicalId":45491,"journal":{"name":"Residential Treatment for Children & Youth","volume":"39 1","pages":"135 - 153"},"PeriodicalIF":1.2,"publicationDate":"2021-05-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/0886571X.2021.1925615","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46701750","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}

{"title":"Exploring Narratives of Three South African Fathers with Children in Care: Insights for Consideration","authors":"Ajwang' Warria","doi":"10.1080/0886571X.2021.1908869","DOIUrl":"https://doi.org/10.1080/0886571X.2021.1908869","url":null,"abstract":"ABSTRACT The significance of fathers in the lives of their children is increasingly getting recognition worldwide, including in South Africa. However, critical gaps exist in the inclusion of fathers as child protection is maternally focussed and it seems to be a particular form of gatekeeping for fathers. This study engaged involved fathers on their inclusion and/or exclusion in identifying solutions toward their increased participation in relationship building with their children in a residential care facility. It this way, it also builds on family strengthening and reunification interventions. This was a qualitative study. Purposive sampling was applied and involved fathers with children in care were recruited by social workers. Using observation and interviews, three involved fathers were interviewed, and the data was analyzed using interpretive phenomenological analysis. The findings indicate that although fathers wanted to participate in the lives of their children, they felt alienated. Thus, a transformative gender-sensitive social work and gender-conscious practice with men is recommended through development of specialized models of working with men similar to approaches with and for marginalized clients. Improved engagement of fathers and enhancing father-mother-child relationships are crucial for transformative child welfare and family practice and toward family strengthening and reunification interventions.","PeriodicalId":45491,"journal":{"name":"Residential Treatment for Children & Youth","volume":"39 1","pages":"278 - 298"},"PeriodicalIF":1.2,"publicationDate":"2021-04-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/0886571X.2021.1908869","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48217244","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}

{"title":"Differences in Treatment Approaches by Residential Treatment Facilities","authors":"K. Herbell, S. Ault","doi":"10.1080/0886571X.2021.1910613","DOIUrl":"https://doi.org/10.1080/0886571X.2021.1910613","url":null,"abstract":"ABSTRACT The accessibility and use of evidence-based mental health treatment are crucial to children and adolescents with mental health and behavioral health disorders. However, there is little known regarding treatment approaches in residential treatment facilities serving children and adolescents. As mental health disorders affect children and adolescents of all sociodemographic backgrounds, it is important to examine and identify differences in treatment approaches. This study’s primary objective was to describe the differences in treatment approaches offered by facilities varying in region, ownership (i.e., private nonprofit vs private for-profit/public), Medicaid status, and client factors (i.e., age, gender, race, ethnicity). Data from the 2018 National Mental Health Services Survey (N-MHSS) was analyzed using Cohen’s h to examine the differences in treatment approaches by sociodemographic characteristics in 576 residential treatment facilities. The largest differences in treatment approaches varied by the race/ethnicity and the gender of the client population composition. Particularly, psychotropic medication, seclusion, and restraint were more prevalent when the client composition was majority males, African American or Black, or Native American or Alaska Native. Implications for research and practice related to the intersection of sociodemographic and treatment approaches for research and practice are discussed.","PeriodicalId":45491,"journal":{"name":"Residential Treatment for Children & Youth","volume":"38 1","pages":"224 - 247"},"PeriodicalIF":1.2,"publicationDate":"2021-04-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/0886571X.2021.1910613","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43490211","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}

{"title":"Commentary on Education Experiences in Residential Settings","authors":"L. Holmes","doi":"10.1080/0886571X.2021.1886026","DOIUrl":"https://doi.org/10.1080/0886571X.2021.1886026","url":null,"abstract":"","PeriodicalId":45491,"journal":{"name":"Residential Treatment for Children & Youth","volume":"38 1","pages":"115 - 117"},"PeriodicalIF":1.2,"publicationDate":"2021-04-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/0886571X.2021.1886026","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46420769","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}

{"title":"Electronic Device Utilization, Bullying, School Experiences, and Discharge Destination of Youth Admitted to an Inpatient Unit for Psychiatric Illness","authors":"M. Preyde, Shrenik Parekh, J. Heintzman","doi":"10.1080/0886571X.2021.1899883","DOIUrl":"https://doi.org/10.1080/0886571X.2021.1899883","url":null,"abstract":"ABSTRACT The rate of admission to treatment facilities for psychiatric illness in youth is rising. There is also concern for their use of screen-time behaviors. The purpose of the present study was to explore hospitalized youth ratings for their utilization of social media and electronic devices, and their school experiences including bullying, and to compare their ratings to the provincial norm. The discharge plans were also examined. A survey with standardized questions taken from a provincial survey was administered while youth were in hospital. The mean age of the 111 youth who participated was 15.3 years (SD 1.4), and 78 (70%) identified as female. A high percentage of youth reported five or more hours of daily social media use, being bullied and bullying others; 57% reported a moderate to severe problem with digital media use. Adolescent patients reported greater problematic behaviors than the average adolescent. An unexpected finding was that many patients were discharged from the hospital to residential treatment programs. Youth reported many concerns with bullying, high use of electronics and poor school experiences. Many patients were discharged to specialized community residential treatment programs, which can be seen as essential components for the continuity of mental health treatment.","PeriodicalId":45491,"journal":{"name":"Residential Treatment for Children & Youth","volume":"39 1","pages":"261 - 277"},"PeriodicalIF":1.2,"publicationDate":"2021-03-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/0886571X.2021.1899883","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48899059","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}

{"title":"Psychotropic Medication Prescribing in a Juvenile Justice Facility: Evidence of a Limited Discontinuation Process","authors":"A. N. Anderson, J. Rapp, Erica D. Kierce","doi":"10.1080/0886571X.2021.1887789","DOIUrl":"https://doi.org/10.1080/0886571X.2021.1887789","url":null,"abstract":"ABSTRACT This study examined medical files for former residents of a juvenile residential facility. A review of medical files for 135 adolescents adjudicated for sexual offenses revealed 57 (42.2%) received one or more psychotropic medications during their stay. The most frequently prescribed psychotropic medications for residents were stimulants (53.6%), antidepressants (50.9%), and antipsychotics (19.3%). Some residents simultaneously received two (n = 15; 26.3%), three (n= 6; 10.5%), four (n= 6; 10.53%), five (n = 4; 7.02%), and six (n = 1; 1.75%) psychotropic medications. Nevertheless, 22 (38.6%) of the 57 residents who received psychotropic medication experienced discontinuation of all psychotropic medication prior to discharge. Individuals who received antipsychotic medication were (a) most likely to receive multiple psychotropic medications and (b) least likely to experience discontinuation of any medication. Similarly, residents who entered the facility with psychotropic medication were less likely to experience discontinuation than those who received psychotropic medication after intake.","PeriodicalId":45491,"journal":{"name":"Residential Treatment for Children & Youth","volume":"39 1","pages":"96 - 114"},"PeriodicalIF":1.2,"publicationDate":"2021-03-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/0886571X.2021.1887789","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46225709","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}

{"title":"Defining Seclusion: A Qualitative Multiphase Study Based on the Perspectives of Youth and Professionals in Secure Residential Youth Care in the Netherlands","authors":"Melissa van Dorp, K. Nijhof, E. Mulder, A. Popma","doi":"10.1080/0886571X.2021.1879710","DOIUrl":"https://doi.org/10.1080/0886571X.2021.1879710","url":null,"abstract":"ABSTRACT Using seclusion in youth mental health care is controversial, as it can have physical and psychological consequences for youth and professionals. Notably, there is a wide disparity in how seclusion is defined in literature and practice. This leads to a diffuse image of what seclusion comprises, complicates measuring its prevalence, and hampers initiatives to reduce its use. Therefore, the objective of this study was to establish an unambiguous and measurable definition of seclusion supported by youth and professionals in secure residential youth care in the Netherlands. A qualitative multiphase approach was used to examine which elements of the definition are essential and receive consensus among youth and professionals. After a brief literature review, a Delphi survey and focus groups were performed. In total, 11 (ex-)clients and 33 professionals with extensive experience in secure residential youth care participated. Youth and professionals arrived at the following definition: “an involuntary placement in a room or area the client is not allowed or able to leave”. During the implementation process, observations showed broad support for the definition by youth and professionals. With this, a foundation has been provided to monitor and reduce the use of seclusion in secure residential youth care in the Netherlands.","PeriodicalId":45491,"journal":{"name":"Residential Treatment for Children & Youth","volume":"38 1","pages":"404 - 423"},"PeriodicalIF":1.2,"publicationDate":"2021-02-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/0886571X.2021.1879710","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47765667","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}

{"title":"Residential Youth Care Combined with Systemic Interventions: Exploring Relationships between Family-Centered Care and Outcomes","authors":"A. Blankestein, R. V. D. van der Rijken, J. L. Broekhoven, A. Lange, I. Simons, L. van Domburgh, F. Van Santvoort, R. Scholte","doi":"10.1080/0886571X.2020.1863894","DOIUrl":"https://doi.org/10.1080/0886571X.2020.1863894","url":null,"abstract":"ABSTRACT Family-centered care, in terms of parental involvement and family-centered staff attitude and behavior during placement in secure residential youth care, is increasingly being combined with systemic interventions. Little is known, however, about this combination of family-centered residential care and systemic interventions. This study assessed whether levels of parental involvement or family-centered staff attitude and behavior during placement predicted outcomes of systemic interventions. We first assessed the outcomes in the full sample of families receiving systemic interventions and thereafter in families receiving systemic interventions with a strong evidence base (Multidimensional Family Therapy, Multisystemic Therapy [specializing in treatment of individuals with an intellectual disability/with problem sexual behavior], Relational Family Therapy [MDFT, MST(-ID/-PSB), RGT]) and systemic interventions with a less strong evidence base (Attachment Based Family Therapy, Flexible Assertive Community Treatment [FACT], FamilyFACT, Forensic Ambulant Systemic Therapy, Systemic Therapy [ABFT, (Family)FACT, FAST, ST]). Results revealed that higher levels of parental involvement predicted less family empowerment and a longer duration of the systemic intervention. Higher levels of family-centered staff attitude and behavior predicted more parental distress, a shorter duration of the residential placement and a shorter duration of the systemic intervention. Combinations of secure residential youth care with different systemic interventions of different evidence bases resulted in different outcomes. Future research is needed to establish which components of family-centered care or systemic interventions contribute to adolescent outcomes.","PeriodicalId":45491,"journal":{"name":"Residential Treatment for Children & Youth","volume":"39 1","pages":"34 - 56"},"PeriodicalIF":1.2,"publicationDate":"2021-01-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/0886571X.2020.1863894","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43987105","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}

{"title":"Editorial","authors":"C. Harvie, Boon-Chye Lee","doi":"10.1080/0886571x.2020.1852829","DOIUrl":"https://doi.org/10.1080/0886571x.2020.1852829","url":null,"abstract":"","PeriodicalId":45491,"journal":{"name":"Residential Treatment for Children & Youth","volume":"38 1","pages":"1 - 1"},"PeriodicalIF":1.2,"publicationDate":"2020-12-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/0886571x.2020.1852829","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45457991","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}

{"title":"Editorial","authors":"P. Mcnamara, Kristin Duppong Hurley","doi":"10.1080/0886571X.2020.1805393","DOIUrl":"https://doi.org/10.1080/0886571X.2020.1805393","url":null,"abstract":"While this collection of papers on family partnering was in development, life within children’s residential services was very different from the present reality. Arrival of the COVID19 pandemic has impacted residential programs for children, young people and their families around the globe in myriad ways. Anecdotally, we learn that virtual communication has improved regularity of contact and enhanced connectedness between some children and their families. However, for others, social distancing and isolation have proved challenging and re-triggered past trauma. Serious illness in family members, caregivers and teachers has been greatly distressing; too often this culminates in intense grief with the loss of loved ones. Such experiences can create even greater obstacles to repairing family disruption and healing trauma than those evident prior to the pandemic. Papers included in this special issue of Residential Treatment for Children and Youth address effective partnering with families in residential care programs operating within child welfare systems in Australia and the United States. Collectively, the approaches described appear consistent with the rationale underpinning the Family Engagement Inventory (FEI) Child Welfare theme (Children’s Bureau, Administration for Children and Families, US Department of Health and Human Services, 2015): ‘ . . . meaningful family engagement contributes not only to the well-being of the child and the family, but also to the well-being of the community’. The FEI standpoint has much in common with privileging of family partnering within the International Consensus Statement on Therapeutic Residential Care (Whittaker et al., 2016); the essence of this is encapsulated in the following excerpts: ‘Our vision of therapeutic residential care is integrally linked with the spirit of partnership between the families we seek to serve and our total staff complement. . . . (that is) to strive constantly to forge and maintain strong and vital family linkages . . .. Effective and humane therapeutic residential care is best seen as a support to families who are struggling, rather than as a substitute for families who have failed (Geurts et al., 2012).’ The robust conviction manifest in these and similar contemporary sources, along with a burgeoning international literature, suggest that the sector is largely persuaded of the importance of family partnering to achievement of best practice and good outcomes from residential care. However, papers in this Special Issue reveal that important challenges remain in developing, resourcing and implementing effective family partnering in the field. True RESIDENTIAL TREATMENT FOR CHILDREN & YOUTH 2020, VOL. 37, NO. 4, 265–268 https://doi.org/10.1080/0886571X.2020.1805393","PeriodicalId":45491,"journal":{"name":"Residential Treatment for Children & Youth","volume":"37 1","pages":"265 - 268"},"PeriodicalIF":1.2,"publicationDate":"2020-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/0886571X.2020.1805393","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44622532","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}