Search results for ‘Subject term:"residential care"’ Sort:
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Youth-guided treatment
- Author:
- AMERICAN ASSOCIATION OF CHILDREN'S RESIDENTIAL CENTERS
- Journal article citation:
- Residential Treatment for Children and Youth, 31(2), 2014, pp.90-96.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
Youth-guided care is an important aspect of improving residential treatment in all settings. This paper, authored in collaboration with youth, identifies key aspects of implementing youth-guided care in residential settings. It address practices that can be used at entry, during the course of treatment, and at discharge, and also identifies systemic approaches that will enhance organizational climate and performance. (Publisher abstract)
Moving away from congregate care: one state's path to reform and lessons for the field
- Authors:
- ALPERT Lily T., MEEZAN William
- Journal article citation:
- Children and Youth Services Review, 34(8), August 2012, pp.1519-1532.
- Publisher:
- Elsevier
In 2000, a class action lawsuit filed against the State of Tennessee highlighted that the state routinely placed children in congregate care settings contrary to their best interests. Since then, the state's Department of Children's Services (DCS) has been successful in reducing its use of congregate care. This paper presents major findings from a qualitative research study that explored how DCS accomplished this critical system change. Participants included 51 Tennessee child welfare stakeholders who were interviewed using an open ended protocol. DCS administrative data, performance monitoring data, and official policy documents were also analysed to provide context for the interviewees' comments. Analysis of interview transcripts revealed three main changes that helped set the stage for deinstitutionalisation, as well as three types of system wide reforms that were undertaken to ensure a successful reduction in congregate care use. Implications for jurisdictions embarking on similar reforms are discussed.
Residential treatment of adolescents with severe behavioural problems
- Authors:
- SCHOLTE E. M., VAN DER PLOEG J. D.
- Journal article citation:
- Journal of Adolescence, 29(4), August 2006, pp.641-654.
- Publisher:
- Academic Press
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.
Changing needs, changing times: a new look at residential second-stage treatment
- Author:
- VINCENT Andrew
- Journal article citation:
- Addiction Today, 16(90), September 2004, pp.14-15.
- Publisher:
- Addiction Recovery Foundation
Notes that funding for second-stage treatment for substance misusers is becoming rarer, but can more than pay for itself in cutting relapses and repetitive detoxes. At the author's institution, Farm Place, Surrey, treatment in the late 1980s often exceeded 8 weeks; now it averages just over 30 days. He questions whether this is enough. For some patients, key domains are unlikely to be entirely met. Many who have been in second-stage facilities say it transformed their lives. Had they tried to integrate on completion of first-stage treatment it is highly probable they would have had to return, often many times and at avoidable expense. Concludes the issue must be addressed.
Hands on
- Author:
- VOUSDEN Martin
- Journal article citation:
- Care Weekly, 8.12.94, 1994, p.13.
Chance led the Central and Cecil Housing Trust into the realms of alternative therapies. Its elderly clients have already tasted, or are about to sample, reflexology, aromatherapy, yoga, Alexander technique and reiki. The trust has commissioned a pilot study to see if the benefits reported by staff and clients stand up to scrutiny.
Sharing 'good stories' about people
- Author:
- CRAYDEN Stephen
- Journal article citation:
- Community Living, 7(4), April 1994, pp.13-14.
- Publisher:
- Hexagon Publishing
Describes a practical workshop on Gentle Teaching which took place in a residential setting for six people with learning difficulties who also have challenging behaviour.
Wiping the slate clean
- Author:
- SONE Kendra
- Journal article citation:
- Community Care, 3.1.91, 1991, pp.22-23.
- Publisher:
- Reed Business Information
Frank Hatton House in Manchester is a residential unit that supports children with educational or social problems who have a school attendance problem.
Healing the heart: a therapeutic approach to disturbed children in group care
- Authors:
- ROSENFELD Alvin, WASSERMAN Saul
- Publisher:
- Child Welfare League of America
- Publication year:
- 1990
- Pagination:
- 79p., bibliogs.
- Place of publication:
- Washington, DC
Outlines the root causes of the problems disturbed children may have, suggests ways that the therapist can empathise with them and outlines ways to develop and implement strategies.
Community-based residential treatment for alcohol and substance use problems: a realist review
- Authors:
- MUTSCHLER Christina, et al
- Journal article citation:
- Health and Social Care in the Community, early cite July 2021,
- Publisher:
- Wiley
Research and reviews to date suggest that community-based residential treatments for substance use disorders (SUDs) have mixed effectiveness, with some studies finding positive outcomes while others finding no differences between intervention arms, including inpatient, outpatient, and control groups. In order to understand these mixed findings, reviews have underscored the importance of outlining the active treatment components of residential treatment, as well as treatment mechanisms and outcomes. Further, there is very little research on the underlying theories explaining how and for whom residential treatments are effective. The purpose of the present realist synthesis was to address this gap in the literature by exploring how, why, for whom, and in what circumstances, community-based residential treatments are effective. Following the RAMESES Publication Standards, a search was undertaken for articles examining community-based residential treatments in PsycINFO and PubMed from anytime to January 2020. The search generated 28 articles that met inclusion criteria and were extracted for relevant information. Results of the realist synthesis identified six Context-Mechanism-Outcome (CMO) configurations. Contextual factors that generated subsequent mechanisms and outcomes included substance-related problem severity, psychiatric comorbidities, diverse populations, pre-treatment relationships, lack of structure and lack of coping strategies. These CMO configurations provide important information for clinicians, treatment centres and policy makers, including the specific programme components that need to be offered in treatment to facilitate positive treatment outcomes. (Edited publisher abstract)
The individualized addictions consultation team residential program: a creative solution for integrating care for veterans with substance use disorders too complex for other residential treatment programs
- Authors:
- KEATING Sarah, et al
- Journal article citation:
- Journal of Dual Diagnosis, 17(2), 2021, pp.172-179.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
Objectives: The Veterans Affairs (VA) healthcare system is one of the main providers of substance use treatment within the United States, and many veterans with a substance use disorder (SUD) present with co-occurring diagnoses or other concerns. Though there has been increasing recognition of the need for integration of treatments for SUD and comorbid mental illness, there have been limited studies of such programs, particularly within the VA healthcare system. To address that gap in the literature, this paper examines treatment outcomes in an integrated model of dual diagnosis residential treatment for veterans: the Individualized Addictions Consultation Team (I-ACT) program. Methods: The current paper draws from clinical outcome evaluation data within a residential treatment program at a large Midwestern VA Medical Center (VAMC). The I-ACT program provides residential substance abuse treatment to individuals with a primary SUD and other factors that interfere with the successful completion of a traditional residential rehabilitation program. Between 2017 and 2018, 130 individuals (97.7% men, average age = 60.62 years) entered the I-ACT program. As part of standard measurement-based care, veterans were administered the Brief Addiction Monitor and the Patient Health Questionnaire–9 at admission and discharge. Results: Most individuals (74.6%) who entered I-ACT completed the residential program (average length of stay 34.2 days). Scores on both measures significantly decreased from intake to discharge (p < .001), with the change in depression scores indicating clinically significant improvement. Those with an additional mental health diagnosis achieved similar decreases in substance use symptoms and had lower depression scores at discharge than those with a SUD alone. Conclusions: Our results indicate that even for veterans who may not benefit from traditional SUD treatment programs, a more integrated and personalized residential program can be effective. (Edited publisher abstract)