Search results for ‘Subject term:"mental health problems"’ Sort:
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Perceptions of personal well-being among youth accessing residential or intensive home-based treatment
- Authors:
- PREYDE Michele, et al
- Journal article citation:
- Residential Treatment for Children and Youth, 30(1), 2013, pp.1-22.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
The outcomes of youth accessing residential treatment or intensive home-based treatment are varied. Understanding youth's perceptions of their well-being may inform service. The purpose of this report was to explore perceptions of youth's mental health, life satisfaction, and outlook for the future. Youth reported ongoing struggles with mental health disorders, depression in particular, though youth also reported a sense of well-being and a positive outlook for the future. Many youth were able to articulate the improvements in their mental health and functioning after accessing intensive mental health treatment. Youth also divulged perceptions of their treatment and care. Implications are discussed. (Publisher abstract)
Outcomes of residential treatment: a study of the adolescent clients of girls and boys town
- Authors:
- LARZELERE Robert E., et al
- Journal article citation:
- Child and Youth Care Forum, 30(3), June 2001, pp.175-185.
- Publisher:
- Springer
Pre-treatment and post-treatment data was collected from adolescent clients of a new residential treatment centre in the USA. Young people who received treatment improved significantly on the Child Behaviour Checklist and the Children's Global Assessment Scale and were maintaining their treatment gains at follow-up. Ten months following discharge, the majority were stabilised and functioning adequately in school and with their primary caregiver. For these young people, residential treatment succeeded where other interventions failed.
Suitable cases for treatment?
- Author:
- CAMPLING Penelope
- Journal article citation:
- Health Service Journal, 22.1.98, 1998, pp.34-35.
- Publisher:
- Emap Healthcare
The author argues against the assumption that people with severe personality disorders are beyond help. Explains how treating them may even lead to long-term savings.
Perceptions of long-term community adaptation of delinquent young adults who graduated from children’s residential mental health treatment
- Authors:
- GROSSET Cara, et al
- Journal article citation:
- Child and Adolescent Social Work Journal, 35(3), 2018, pp.231-241.
- Publisher:
- Springer
Purpose: This article presents results from one part of a longitudinal study into the post-discharge community adaptation of youth involved in residential mental health treatment. The focus is on young adults interviewed in Phase 3 of the research who have been identified as experiencing delinquent behaviour in their communities which brings them into contact with the law. This research is unique as young adult graduates of residential treatment were interviewed and they describe in detail how they are currently functioning in their lives. Method: Qualitative interviews were completed with a convenience sample of 59 young adults between 18 and 25 years of age who had accessed children’s residential mental health treatment up to 10 years prior to data collection. Results: The results demonstrate that delinquent behaviour post-discharge from residential treatment is a real concern and, for a sub-set of young adults, relates to negative outcomes in multiple domains of living, such as substance abuse, personal well-being, education and employment, and social networks and relationships. Conclusions: The results indicate there is a need to improve long term community adaptation for this group, and that improving community living outcomes is much more a function of ongoing support and caring than short-term treatment and cure. (Edited publisher abstract)
Differential outcomes in agency-based mental health care between minority and majority youth
- Authors:
- WOLF David A. Patterson Silver, et al
- Journal article citation:
- Research on Social Work Practice, 26(3), 2016, pp.260-265.
- Publisher:
- Sage
Background: Childhood mental health problems represent a significant public health concern globally. There is a converging discussion among researchers and practitioners alike that the research results of effectiveness studies are not fully generalisable and applicable to ethnoracial minority groups in real-world practice settings. Methods: Archival data on discharges from eight residential programmes for children and youth aged 5–18 and operated by a large, child and family human services agency were analysed to identify the relationship between client demographics and treatment outcomes. Results: Minority status was associated with lower odds of treatment success and higher odds of disengagement from treatment. Discussion: The results found that minority youth in residential programmes had less favorable outcomes, in terms of both disengagement from treatment and a successful discharge, than White youth. This study calls into question whether current treatments are reaching and best serve ethnoracial minority groups in real-world practice settings. (Edited publisher abstract)
From juvenile offender institutions to residential treatment centers: evidence of the shifting paradigm to improved youth and community outcomes
- Authors:
- MALLETT Christopher A., BOITEL Craig
- Journal article citation:
- Journal of Evidence-Informed Social Work, 13(2), 2016, pp.155-164.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
Hundreds of thousands of youth are held every year in U.S. juvenile justice detention centres and incarceration facilities. Increasingly it is known that these facility placements are at best ineffective and at worst lead to additional youth recidivism outcomes. What is most concerning, though, is that a majority of these incarcerated youth have one or more mental health/substance abuse disorders, special education disabilities, or maltreatment victimization histories - comorbid situations that negatively impact their involvement with the juvenile courts. The authors summarise the epidemiology of these youth problems within the juvenile justice system. The authors then compare the outcome evidence for the youth placed in juvenile justice facilities with those placed in residential treatment centres, finding significant advantages to addressing the problems through rehabilitative efforts. Recognising that there are a small number of serious youthful offenders who will need placement, their analysis finds that the juvenile courts must continue (or in many instances begin) reshaping their detention and incarceration facilities reliance on punishment toward a rehabilitative residential model. (Edited publisher abstract)
Interrelationship of PTSD, perceived health, and treatment satisfaction
- Author:
- ASTONE-TWERELL Janetta
- Journal article citation:
- Therapeutic Communities: the International Journal of Therapeutic Communities, 35(1), 2014, pp.21-34.
- Publisher:
- Emerald
Purpose: The residential therapeutic community (TC) treatment modality has been shown to effectively reduce drug use and improve psychiatric/medical health among clients who are often disproportionately impacted by medical conditions and have a co-occurring psychiatric disorder such as Posttraumatic Stress Disorder (PTSD). Yet not much is known regarding how clients’ health may impact their treatment satisfaction. Using path analysis, the interrelationship between PTSD, perceived health, and treatment satisfaction was examined. The paper aims to discuss these issues. Design/methodology/approach – A survey including the Posttraumatic Stress Disorder Checklist-Specific (PCL-S), a perceived health rating, and a Treatment Satisfaction Scale was collected from 303 clients at three comparable long-term residential TC treatment programmes in New York City. Findings: Findings indicated that clients with PTSD rated their health significantly worse than those without PTSD. Although no direct relationship between PTSD and treatment satisfaction was found, there was a significant positive correlation between perceived health and treatment satisfaction. Research limitations/implications: Findings likely constitute a regional sample thus generalisability is limited. Practical implications: Simultaneously addressing addiction, PTSD, and medical issues can improve clients’ treatment satisfaction, consequently increasing treatment retention and producing greater positive post-treatment outcomes. Originality/value: Few if any studies have examined the extent to which PTSD and perceived health impact treatment satisfaction within residential substance abuse treatment programmes. (Edited publisher abstract)
Accuracy completeness and relevance of Department of Health returns on provision of mental health residential accommodation: a data quality audit
- Authors:
- AUDINI Bernard, et al
- Journal article citation:
- Journal of Mental Health, 9(4), August 2000, pp.365-370.
- Publisher:
- Taylor and Francis
- Place of publication:
- London
The objective of this study was to review the accuracy and coverage of Department of Health returns on provision of mental health residential accommodation in seven English districts. Main outcome measures were the completeness of the Department of Health returns and variations between districts. Results of Department of Health returns failed to identify 55% of facilities which contains 51% of all mental health places. Of these 130 facilities not identified, 89 68% were omitted because they do not meet criteria for inclusion.
Resettlement from large psychiatric hospital to a small community residence: one step to freedom?
- Authors:
- FORRESTER-JONES R.V.E., GRANT Gordon
- Publisher:
- Avebury
- Publication year:
- 1997
- Pagination:
- 226p.,bibliog.
- Place of publication:
- Aldershot
Research study focusing on the lives of 25 people discharged from psychiatric hospitals to small residences in the community. Contains sections on: social networks, social support and well-being; research methodology; the community housing projects and their residents; social networks - an applied perspective; care environments and their relationship to social network development; social networks, social support, social lives - case studies; encountering support and analysing the experience of residents; residents' views of their relationships with different supporters; and outcomes of community care.
What do female clients want from residential treatment? the relationship between expressed and assessed needs, psychosocial characteristics, and program outcome
- Authors:
- HOHMAN Melinda, LOUGHRAN Hilda
- Journal article citation:
- Journal of Dual Diagnosis, 9(1), 2013, pp.3-10.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
Objective: Meeting the needs of clients receiving substance use services is related to programme engagement and retention. Using Bradshaw's (1972) classic taxonomy of needs as a framework, the purpose of this study was to determine the relationship between clients’ expressed needs for their treatment experiences as compared to their formally assessed or normative needs. How expressed needs are related to demographic and other characteristics and programme exit status was also explored. Methods: Secondary analysis of evaluation data gathered for other purposes was utilised. Data including demographic and drug use variables were obtained from client charts (N = 237) in a residential treatment agency serving women with co-occurring disorders who were homeless. Clients were administered the Addiction Severity Index-Multimedia Version (ASI-MV) to assess treatment or normative needs. They were also asked to complete the 69-item needs assessment questionnaire, “What I Want From Treatment” (Miller & Brown, 1994). Items that had the highest mean scores were submitted to a principal components analysis for data reduction to determine expressed needs. Bivariate analyses were used to determine the relationships between three expressed needs factors (alcohol/drug, psychological, and housing/employment) and ASI composite scores, demographic characteristics, and exit status. Results: There was no relationship between expressed needs and ASI scores except between the housing/employment factor and medical needs. Race, ethnicity, criminal justice status and drug of choice had no relationship to expressed needs. Those who were referred by a community agency had higher scores on the alcohol/drug factor as compared to those who were self-referred or referred by the criminal justice system. Clients receiving psychiatric medications were less likely to ask for help on psychological and housing/employment factors. There was no association between expressed needs at intake and programme exit status. Conclusions: Race and supervision status did not appear to be barriers to asking for help. Clients’ expressed needs were not related to the severity of their assessed problems, indicating that separate constructs were being measured. Including both expressed and assessed needs may be important in holistic treating planning and intervention. (Publisher abstract)