PubMed Health⌕ Search

SEARCH · PubMed Health

Results for “RESIDENTIAL TREATMENT”

Explore indexed PubMed citations for clinical trials, systematic reviews and public health research. Read source abstracts and follow each citation to its original PubMed record.

Quote a phrase for an exact phrase match. Source license links do not imply unrestricted reuse.

At least 127 records · Page 7Linked to original sources
PubMed1997

[Parental participation in residential treatment in the Netherlands].

Comparable with the situation in other countries it has become a generally accepted principle in the Netherlands to involve parents as much as possible in the treatment process of children with emotional and behavioural disturbances, who have been placed in residential care. After discussing the reasons for this, we explore the ways in which parents can be involved in practice. Next, we show some results from recent research in the Netherlands, in which the actual participation of parents in the residential treatment of their son or daughter was investigated. It can be concluded that the involvement is limited. The results also show the central position of the group worker concerning parent contacts. We advocate more attention to the activities of this discipline with parents--in research as well as in practice.

Adolescent↗
PubMed2006

Sexual abuse histories of youth in child welfare residential treatment centers: analysis of the Odyssey Project population.

This multi-site examination of sexual abuse histories of youth in residential treatment centers asked, for the sample as a whole and by youth's gender: (a) How many perpetrators did each youth have? (b) What was the gender of the perpetrator? (c) What proportion of youth was abused by family members? (d) What proportion of youth was abused in a child welfare setting? And, (e) what proportion of sexually abused youth were also victims of physical abuse and/or neglect? Results revealed that males were more likely to have one perpetrator, a female perpetrator, and to have been abused in a child welfare setting and less likely be abused by a family member. Implications for refining programs and practices are discussed.

Adolescent↗
PubMedDate not supplied

Child maltreatment, stressful life events, and behavior problems in school-aged children in residential treatment.

This study examined the prevalence of child maltreatment, stressful life events, and behavior problems in school-aged children in residential treatment. The sample included 44 children, ages 5-13 years; 61% were male and 39% female. Results indicated that the entire sample had experienced one or more types of maltreatment, with physical abuse being more prevalent. Seventy-four percent of subjects scored in the clinical range on the Child Behavior Checklist (Achenbach & Edelbrock, 1983). Proportionally more physically abused children scored in the clinical range when compared to nonphysically abused children. The number of stressful life events experienced after admission to the treatment facility was found to be related to increased behavior problems.

Child↗
PubMed1997

Pre- and post-admission attrition of homeless, mentally ill chemical abusers referred to residential treatment programs.

AIMS: To assess the magnitude and psychopathologic predictors of attrition among homeless, mentally ill chemical abusers (MICAs) referred to residential treatment programs in New York City. DESIGN: Homeless, MICAs were randomly referred to a therapeutic community (TC) or community residence (CR) and monitored with regard to pre- and post-admission attrition. SETTINGS: Community based treatment facilities modified to treat both substance abuse and major mental illness. PARTICIPANTS: Homeless individuals with a major mental illness (DSM-III-R) and a history of abusing alcohol or other drugs. MEASUREMENTS: Attrition rates and selected scales of psychopathology. FINDINGS: From an initial pool of 694 treatment candidates, 147 (22%) were rejected for admission at their assigned facility; 247 (36%) failed to show up for treatment; and 212 (31%) dropped out of treatment at some point during the first 12 months. Contrary to expectation, those with severe levels of psychotic ideation, depressive symptoms and hostility were admitted to treatment more frequently and stayed in treatment longer at the TC, a high demand approach, than the CR, a low demand approach. CONCLUSION: Clinicians should consider the TC as a viable treatment option for MICAs.

Adult↗
PubMed1991

Outcome research on residential treatment: implications and suggested directions.

Reliance on single-sample designs without control groups has hampered the effectiveness of research on residential treatment for children and adolescents, although it has yielded useful information for conceptualization and postdischarge planning. More powerful comparative research designs between, within, and across programs are examined, and recommendations are made for their use in future outcome studies in this area.

Adolescent↗
PubMedDate not supplied

A psychological profile of juvenile firesetters in residential treatment.

Psychological test data of 30 known juvenile and adolescent firesetters were compared with those of a matched control group, within a residential treatment center, to distinguish the identifying characteristics of each group. Hypotheses based on 80 variables found in the literature on firesetting were treated by using a standard test equivalent for each variable. Of the hypotheses, 14 were found to differentiate significantly the two groups, but not all in the predicted direction. Four characteristics were found to be sufficient to discriminate between the groups with greater efficiency than any other combination of variables. A predictor equation is set forth.

Adolescent↗
PubMed2002

What does getting better mean? Child improvement and measure of outcome in residential treatment.

A single-sample, within-subject descriptive study was completed to ascertain individual subject characteristics associated with outcome for 87 youths discharged from a residential treatment facility. Two different methods of assessing outcome were also compared. Variables assessing a history of abuse and internalizing psychopathology at admission to residential care were associated with outcome. Low levels of staff agreement were found on the 2 outcome measures. Implications for acute residential care are discussed.

Adaptation, Psychological↗
PubMedDate not supplied

Evaluating and improving residential treatment during group leisure situations: a program replication and refinement.

The authors attempted to replicate and refine a program for evaluating and improving residential treatment services during group leisure periods in living units. In Study 1, an active treatment program was implemented using a consultant model in two living units serving persons with severe handicaps. Similar to previous research, the program was accompanied by decreases in nonadaptive client behavior in both units during leisure periods. In addition, a time-efficient monitoring system was developed which suggested that two staff-related variables, provision of leisure materials, and interactions with clients were related to the program's success. Study 2 evaluated more thoroughly the relationship of these variables to client nonadaptive behavior in 20 residential units in four states. Significant predictive relationships again were found between nonadaptive behavior and material availability, and between nonadaptive behavior and staff interactions with clients. Results of Study 2 also indicated that three living unit supervisors readily learned to use the evaluation system. Results are discussed regarding the importance of simple and efficient monitoring systems for routinely evaluating and improving residential services.

Adult↗
PubMed2002

Factors associated with abstinence, lapse or relapse to heroin use after residential treatment: protective effect of coping responses.

AIMS: This study investigates factors associated with abstinence, lapse or relapse to heroin use after residential treatment and, specifically, the extent to which changes in cognitive, avoidance and distraction coping responses were related to heroin use and other drug use outcomes. DESIGN, SETTING, PARTICIPANTS: The sample comprised 242 clients from 23 residential programmes in the NTORS project, who used heroin before treatment and who were followed-up after treatment during the first 12 months of the study. MEASUREMENTS: Data on client characteristics and problems, coping responses, drug use and other outcomes, were collected by structured face-to-face interviews. FINDINGS: Many clients (60%) used heroin after treatment, with the first occasion of heroin use usually occurring very soon after leaving treatment: 40% remained abstinent from heroin. Analyses were conducted for three groups based upon heroin outcome status (abstinent, lapsed, relapsed). Clients who avoided a full relapse to heroin use (abstinent and lapse groups) consistently made more use of cognitive, avoidance and distraction coping strategies at follow-up than at intake. Treatment completion was related to better outcome. The lapse and relapse groups reported higher rates of use of illicit drugs other than heroin after treatment than the abstinent group. CONCLUSIONS: Despite generally satisfactory drug use outcomes, the lapses and relapses to heroin use give rise to concern. Treatment services should develop further and strengthen relapse prevention and relapse coping skills among drug misusers.

Adaptation, Psychological↗
PubMed1985

Organizational size and perceptions in a residential treatment program.

Centralization of a residential mental health treatment program from three small houses to one large facility provided a naturally occurring opportunity to study the effect of organizational size on the perceptions held by clients and staff. Quantitative data were repeatedly collected on their perceptions of themselves, the organization as a whole, and subgroups within the organization during their involvement in both the small and large social contexts. Results of repeated measures analyses of variance provided considerable support for the theoretically derived hypotheses of heightened anxiety, self-impoverishment, more negative views of the psychosocial environment, and greater psychological distance in the large organizational context.

Adult↗
PubMed1979

Staff and patient participation in decision-making in residential treatment programs.

The merit of increasing the involvement of staff and patients of residential treatment programs in decision-making has been discussed by numerous writers, but few studies have provided extensive measurement of this concept. The authors have developed a twenty-four-item scale that assesses in detail the nature and extent of participation by staff and patients in decisions about treatment planning and routine patient care.

Decision Making↗
PubMed2001

Effectiveness of intensive short-term residential treatment with severely disturbed adolescents.

Analysis of follow-up data on 123 adolescents treated over a four-year period indicates that intensive short-term residential treatment that includes emphasis on work with families, involvement in community activities, and discharge planning can be an effective means of helping youngsters with severe psychiatric disorders who have not responded to briefer or less intensive forms of psychiatric treatment.

Adolescent↗
PubMed1998

Drug abuse day treatment: a randomized clinical trial comparing day and residential treatment programs.

Clients entering a therapeutic community (TC)-oriented drug treatment program were randomly assigned to day or residential conditions and interviewed at 2 weeks and 6 months after admission. Outcomes included Addiction Severity Index composite scores and summary scores for the Beck Depression Inventory, Symptom Checklist-90-R, and a social support scale. Only clients who remained in treatment for at least 2 weeks were included. The mean age of the sample (N = 261) was 32.9 (SD = 6.7 years) and the mean education level was 12.1 years (SD = 1.9 years); 30% were women. Comparison of outcome scores at 6 months between groups, while controlling for baseline values, indicated greater improvement for residential clients on social problems and psychiatric symptoms. The groups were similar on the 8 remaining outcomes, including measures of alcohol and drug problems. Overall, the level of improvement among day treatment clients was not significantly different from that of residential clients.

Adult↗
PubMed2006

Gender differences in adolescents in residential treatment.

Gender differences for adolescents in residential care were examined for a sample of 2,067 youths in a large residential facility. At admission, female youths were more troubled than male youths, as shown in significantly higher Diagnostic Interview Schedule for Children (DISC) diagnoses and comorbidity rates, higher internalizing and externalizing Child Behavior Checklist scores, and significantly higher Suicide Prevention Scale hopelessness, negative self-evaluation, and suicide ideation scores. Girls had higher rates of depressive and anxiety diagnoses on the DISC at both admission and 1 year. Both genders demonstrated significant reductions in both externalizing and internalizing problem behaviors over the first year in the program. Girls had significantly higher rates of internalizing problem behavior but showed a significantly greater reduction in these behaviors than did boys. At departure, girls were rated as being more successful than boys by clinical staff. Youths did not differ by gender in their behavior on a 6-month follow-up success scale. Implications for prioritizing research addressing the needs of female adolescents in residential care are discussed.

Adolescent↗
PubMed1979

The transmission and acquisition of values in the residential treatment of emotionally disturbed adolescents.

A discussion about (1) the role of values in adolescent development and (2) the various value pathologies found in adolescents in residential treatment was presented. A descriptive study of the transmission and acquisition of three values described how values are not only transmitted by unvarying routines, decrees, traditions, and unspoken codes, but are also conveyed by certain child-care practices. The consistency and quality of these practices were found to be a significant factor for the three values studied.

Adolescent↗
PubMed1987

Beyond model programs: evaluation of a countywide system of residential treatment programs.

Assessing deinstitutionalization as a social policy requires examining a system of programs rather than single, "model" services. The authors report an evaluation of 19 residential treatment programs in Hennepin County, Minnesota, that provide three different levels of care (intensive, transitional, and supportive) for mentally ill clients. Data on client characteristics, program outcomes, and hospitalization costs were collected in two study periods between 1980 and 1985. The results showed that the programs served three distinct client subpopulations that differed in recidivism, vocational status, discharge setting, and costs according to the type of program. Clients in all programs made substantial gains in community integration, and as a group the programs were cost-effective.

Chronic Disease↗
PubMed2005

Residential treatment of adolescents with severe behavioural problems.

The development of adolescents with severe behavioural problems receiving residential treatment in Holland was empirically studied during 1 year. Treatment methods included a standard program comprising behavioural modification and three specific treatment programs: psychodynamic treatment, structured community living and adventurous learning. The development of the youngsters who remained in the programs (N=78) was compared with the development of the youngsters who prematurely dropped out (N=20). All programs had positive developmental outcomes, adventurous learning and structured community living yielded the most behavioural improvement and the standard program the least, and psychodynamic treatment lay in between. Despite the positive developmental outcomes, for many of the youngsters prolongation of the treatment was still needed after 1 year. Requirements for outcome research in residential care are discussed.

Adolescent↗