Search results for ‘Subject term:"mental health problems"’ Sort:
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Substance use and mental health severity among LGBTQ individuals attending Minnesota model-based residential treatment
- Authors:
- KLEIN Audrey A., ROSS Buster L.
- Journal article citation:
- Journal of Gay and Lesbian Social Services, 26(3), 2014, pp.303-317.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
This administrative data analysis examined substance use and mental health severity among a sample of lesbian, gay, bisexual, transgender, and questioning (LGBTQ) individuals receiving residential treatment for an alcohol or drug use disorder. LGBTQ were statistically compared to heterosexual patients on a number of variables, including frequency and amount of pretreatment alcohol use, frequency of pretreatment illicit drug use, co-occurring Axis I mental health diagnoses, and past history of physical or sexual abuse. LGBTQ patients exhibited significantly greater severity on nearly all variables, suggesting a strong relationship between clinical severity and being a sexual minority. This study also found a relationship between patient gender and the pattern of differences between LGBTQ and heterosexual patients. These results replicate and extend those of studies examining LGBTQ in the general population and suggest opportunities for development of alcohol/drug treatment approaches that address the unique needs of LGBTQ. (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.
Client perspectives on wilderness therapy as a component of adolescent residential treatment for problematic substance use and mental health issues
- Authors:
- HARPER N.J., MOTT A.J., OBEE P.
- Journal article citation:
- Children and Youth Services Review, 105, 2019, p.104450.
- Publisher:
- Elsevier
Wilderness therapy is a specialised approach to adolescent substance use and mental health treatment. While empirical evidence of positive outcomes grows to support this approach, qualitative understandings are lacking in the literature, thereby limiting theoretical explanations. Additionally, the voice of adolescent clients is hardly present, and was therefore the focus for this research. A sample of 148 adolescent wilderness therapy clients at one Canadian residential treatment program for addictive behaviour and mental health issues participated in the study. A realist approach utilising thematic analysis of written open-ended responses produced six major themes; three depicting participant experiences (social dynamics, wilderness, catalyst for change) and three for perceived outcomes (skill development, self-concept, health). These findings are discussed in relationship to the development of a clinical model of wilderness therapy and the potential of wilderness interventions in adolescent residential treatment. Recommendations for practice and future research are discussed. (Edited publisher abstract)
Implementing strong teens for adolescent girls in residential treatment: a quasi-experimental evaluation
- Authors:
- MARVIN Luke A., et al
- Journal article citation:
- Residential Treatment for Children and Youth, 34(3-4), 2017, pp.183-202.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
Adolescents in residential treatment centres (RTCs) often have a severe mental illness as well as significant deficits in their social competencies. Strong Teens is a social and emotional learning (SEL) curriculum designed to decrease internalising disorders by promoting emotional resilience and social competence. The curriculum has shown promising effects in educational settings. This study is the second to implement Strong Teens in residential treatment with high-risk adolescents. Using a quasi-experimental wait-list control design, therapists implemented Strong Teens with 36 adolescent girls in an RTC during group therapy. The researchers assessed changes in social and emotional knowledge, internalising symptoms, and resilience using a split-plot repeated measures ANOVA, paired samples t-tests, and effect sizes. Although results indicated that Strong Teens did not affect the girls’ social and emotional knowledge, the intervention did show evidence of reducing their internalising symptoms and increasing their resilience. In a social validity survey, most group therapists agreed with the goals and procedures of the curriculum but were less certain regarding the outcomes. The authors recommend that future studies of this population investigate which SEL topics are most suitable, identify the most favourable lesson times for RTC implementation, and explore student perspectives and experiences with Strong Teens. (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)
Family reunification of youth in foster care with complex mental health needs: barriers and recommendations
- Authors:
- LEE Elissa E., et al
- Journal article citation:
- Child and Adolescent Social Work Journal, 29(3), June 2012, pp.185-202.
- Publisher:
- Springer
This study presents findings of a formative evaluation of an innovative pilot program designed to reunify and reintegrate looked after young people with complex mental and behavioural needs in residential treatment centres or therapeutic foster care with their families in the community. Data collection methods included in-depth structured case file reviews and semi-structured interviews with the youth, as well as their caregivers, child protection services caseworkers, and pilot program staff. The participants provided important insights regarding system, program, and case-level barriers to the successful reunification of these youth back into the community. Training, practice, and policy recommendations are discussed.
Assessment and treatment units for people with intellectual disabilities and challenging behaviour in England: an exploratory survey
- Authors:
- MACKENZIE-DAVIES N., MANSELL J.
- Journal article citation:
- Journal of Intellectual Disability Research, 51(10), October 2007, pp.802-811.
- Publisher:
- Wiley
Evaluative studies have shown that special units for people with intellectual disabilities (ID) who have challenging behaviour have advantages and disadvantages. There has been no survey of their number or characteristics for nearly 20 years. A questionnaire was sent to all National Health Service trusts that had ID inpatient beds, and all private or voluntary healthcare establishments providing services for people with mental health problems or ID. This asked for information about the unit, its residents and the views of the unit manager. Forty-four agencies confirmed that they provided assessment and treatment units, of which 38 returned questionnaires. These units served 333 people, of whom 75% had mild or moderate ID. A quarter had been there for more than 2 years. Forty per cent of residents had a discharge plan, and 20% had this and the type of placement considered ideal for them in their home area. The main strengths of the units were identified as the knowledge and experience of the staff and having sufficient staff; the main problems as inappropriate admissions, bed-blocking and the relationship with other services; difficulties with recruiting and retaining staff; the location and environment of the unit; and the mix of residents. There has been an increasing rate of provision of special units, which now predominantly serve people with moderate or mild ID. This model of service provision is becoming more widespread, but the potential problems identified 20 years ago are still present. Areas are identified for further research.
Community violence exposure and associated behavior problems among children and adolescents in residential treatment
- Authors:
- GUTERMAN Neil B., CAMERON Mark, HAHM Hyeouk C.
- Journal article citation:
- Journal of Aggression Maltreatment and Trauma, 6(2), 2003, pp.111-135.
- Publisher:
- Taylor and Francis
Community violence exposure is increasingly recognized as playing an important role in the presenting behavioral profiles of children and adolescents. This cross-sectional study reports findings on the lifetime rates of community violence exposure in a sample of 101 children and adolescents living in residential treatment in the USA, and the associations between such exposure and their presenting behavior problems. A total of 41 percent of the study participants reported they had been severely physically victimised, and 80 percent stated they had witnessed severe physical victimisation. After controlling for background variables, hierarchical regression analyses indicated that sexual victimisation and, to a lesser degree, personal physical victimisation selectively predicted greater behaviour problems, whereas witnessed physical violence predicted fewer behaviour problems overall. These findings highlight a need to conduct multidimensional assessments of violence exposure among children and adolescents in residential and other mental health settings. (Copies of this article are available from: Haworth Document Delivery Centre Haworth Press Inc., 10 Alice Street Binghamton, NY 13904-1580)
Innovative therapeutic care for homeless mentally ill clients: intrapsychic humanism in a residential setting
- Authors:
- TYSON Katherine, CARROLL Emily
- Journal article citation:
- Families in Society, 82(6), November 2001, pp.591-603.
- Publisher:
- The Alliance for Children and Families
Residential care is increasingly recognised as an invaluable therapeutic resource for homeless, severely mentally ill, and substance-abusing clients. Describes how a comprehensive psychology-intrapsychic humanism-can be used as a flexible, consistent guide for serving this population in residential care. Based on a central principle that staff-client relationships can be path to healing, intrapsychic humanism's other precepts include treatment planning that recognises clients' conflicting motives and strengthens their constructive motives, understanding clients' self-destructive responses to positive experiences, and helping clients govern their self-destructive behaviour while enhancing their self-respect.