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Motivating institutionalized adolescents for psychotherapy.

In the study of psychotherapy, one surely must come to appreciate the importance of client motivation. Intuitively, its value in obtaining a successful outcome would seem unquestioned. Nonetheless, motivation for treatment has not received the attention in the literature that its importance might warrant. This paper deals exclusively with the adolescent and in particular, the institutionalized adolescent. Often members of this population become known as "untreatable cases" and attempts at treatment result in frustration from emotional and economic drain. This paper reviews the literature regarding client motivation, client preferences, and token economies, and offers recommendations for designing a program to increase motivation for psychotherapy in institutionalized adolescents.

Adolescent

Psychosocial characteristics of institutionalized adolescents: resilient or at risk?

The primary purpose of this investigation was to provide a psychosocial description of 187 institutionalized adolescents (ages 11-17). The findings suggest that these adolescents may not be as psychologically dysfunctional as is commonly surmised, considering their accumulated life events, family problems, and current displacement. Although the literature is replete with studies that describe characteristics purported to typify at-risk adolescents, there is no substantive demographic base concerning institutionalized adolescents. The authors acknowledge the limitations inherent in their sample and, consequently, offer their findings as a "place to start," and encourage others to follow this line of research.

Adolescent

Restraint and seclusion with institutionalized adolescents.

Tens of thousands of the nation's young people are placed in psychiatric and criminal justice programs annually. Within those settings, many confront an assortment of restraint and seclusionary measures. This paper discusses the population of young people exposed to such procedures and examines the implications within these settings and elsewhere.

Adolescent

Aspects of social support networks among institutionalized adolescents.

This study describes the social support networks on two adolescent units in two mental health centers. The purpose is to explore the possible existence and functions of informal peer support groups. A semi-structured interview schedule consisting of six questions was used. Participant observation was also used as a secondary method to substantiate the interview responses of 16 patients and 4 staff members (10 patients and 2 staff members on one ward and the remainder on the other ward). The results indicate that some form of peer support network exists on the wards as well as outside the institutions. Two emergent types of network, with some overlapping, are the action-oriented and the dialogue-oriented, with age and gender as the factors discriminating between them. Conclusions from the results are suggestive rather than conclusive. A much more extensive study would need to be undertaken to decisively refute or support the significance of peer groups among instiutionalized adolescents.

Adolescent