Residential Treatment


Book Description

Proposing a framework for residential treatment based on the principle of solution-focused therapy, this book sees the process as a co-operative one involving clients, parents and staff, with the aim of helping children and adolescents, and their families, develop new views of themselves as competent. A central rites of passage metaphor suggests that placement is a period of transition, when children can experiment with new ways of behavior.




Children and Residential Experiences


Book Description

The CARE practice model provides a framework for residential care based on a theory of how children develop, motivating both children and staff to adhere to routines, structures, and processes, minimizing the potential for interpersonal conflict. The core principles of the model have a strong relationship to positive child outcomes, and can be incorporated into a wide variety of programs and treatment models.




Family Therapy with Adolescents in Residential Treatment


Book Description

This highly practical resource integrates the powerful dynamics of family into residential treatment and outdoors-based therapy for young people. Recognizing both the family as the systemic base for promoting change in adolescents and the therapeutic potential of the residential/wilderness setting, experts show how aligning the two can enhance the healing value of the program while promoting higher standards for care. Chapters describe innovative, science-based interventions and techniques for treating common behavioral and emotional problems along a continuum of family involvement and separation, to address issues affecting the family as well as the identified patient. With its accessible ideas and compelling case studies, the book ably demonstrates the critical role of family in adolescent patients’ successful transition to post-treatment life. Among the topics covered: • A parallel process: home therapy while the adolescent or young adult is in residential care.• Intentional separation of families: increasing differentiation through wilderness therapy.• Emerging family therapy models utilized in residential settings.• Engaging families in Outdoor Behavioral Healthcare.• Research on coping skills used by youth with emotional and behavioral disorders.• Expanding our understanding of the place of family therapy in residential treatment. Family Therapy with Adolescents in Residential Treatment offers novel, exciting, and effective strategies and techniques for practitioners and mental health professionals particularly interested in family therapy with adolescents, and in related interventions and research.










Therapeutic Residential Care for Children and Young People


Book Description

Children and young people in care who have been traumatized need a therapeutic environment where they can heal and which meets their emotional and developmental needs. This book provides a model of care for traumatized children and young people, based on theory and practice experience pioneered at the Lighthouse Foundation, Australia. The authors explain the impact of trauma on child development, drawing on psychodynamic, attachment and neurobiological trauma theories. The practical aspects of undertaking therapeutic care are then outlined, covering everything from forming therapeutic relationships to the importance of the home environment and daily routines. The book considers the totality of the child's experience at the individual, group, organization and community levels and argues that attention to all of these is essential if the child is to achieve wellness. Case material from both children and carers are used throughout to illustrate both the impact of trauma and how children have been helped to recovery through therapeutic care. This book will provide anyone caring for traumatized children and young people in a residential setting with both the understanding and the practical knowledge to help children recover. It will be essential reading for managers and decision-makers responsible for looked after children, child care workers such as residential and foster carers, youth workers, social workers, mental health workers and child welfare academics.




Outcome Assessment in Residential Treatment


Book Description

As residential treatment centers and psychiatric hospitals are increasingly asked to document their effectiveness, it is essential for mental health care providers to demonstrate the efficacy and cost-effectiveness of the services they provide. Outcome Assessment in Residential Treatment helps health care providers demonstrate that their planned treatment is necessary and active rather than simply custodial. A practitioner's guide to conducting treatment outcome assessment projects, this innovative book presents readers with historical perspectives, current issues, and practical suggestions for implementing an outcome assessment project. Outcome Assessment in Residential Treatment guides psychiatrists, psychologists, mental health practitioners, and social program administrators in addressing which therapeutic components contribute to the goals and objectives of their programs and which may require modification, radical revision, or even elimination. It helps residential treatment centers and psychiatric treatment facilities document treatment successes and better understand which factors (within the client, family, environment, treatment setting, or combinations therein) predict successful outcome. This objective data empowers readers to influence government and industry, enhance public awareness of the needs of severely disturbed children and youth, and validate the usefulness of intensive psychiatric treatment. Unlike other books on treatment outcome, Outcome Assessment in Residential Treatment tells readers how to determine clinically significant improvement and not simply statistically significant change. It gives practical, detailed, proven advice on how to carry out studies that will benefit residential treatment centers and the psychiatric and mental health fields. Contributors provide tools to validate/demonstrate that psychiatric and mental health treatments are effective. They offer insight into: planning a treatment outcome project recognizing ethical, practical, methodological, logistical, and clinical considerations in implementing a treatment outcome project selecting instruments to assess treatment outcome and measuring success comparing different outcome measures Health care providers must have accurate information about treatment outcomes to demonstrate that specific services are beneficial, cost-effective, and well-received by the client. Outcome Assessment in Residential Treatment helps readers evaluate the impact a treatment program has on a client's clinical status and psychosocial and educational functioning, making it possible to provide an objective yardstick for the payer's evaluation of the quality of care provided. Psychiatrists, psychologists, mental health practitioners, and social program administrators will find Outcome Assessment in Residential Treatment an essential guide to evaluating and understanding the relative effects of specific interventions or procedures on the quality and effectiveness of their services. They will use this information to make appropriate changes which guarantee that they best meet their clients'mental health care needs.




Residential Care of Children


Book Description

Residential Care of Children fills major gaps in knowledge about residential care of children, and is sure to inform ongoing debates within and between nations about the appropriate use of such institutions. Each "case study" chapter provides a rich description of the development, current status, and future of residential care in countries from Brazil to Botswana. Chapters describe how residential care is defined in the country in question, how it has evolved over time, including its history, trends over time, and any "landmark" events in the history of residential care. Authors examine factors (historical, political, economic, ideological, and cultural) that have contributed to the observed pattern of development of residential care and provide a description of the current state of residential care (number of children in care, ages, average length of stay, reasons that children/youth are placed in residential care, etc.). Lastly, each case study describes expected future directions for residential care and potential concerns. Two integrative chapters provide a critical cross-national perspective, identifying common themes, analyzing underlying factors, and speculating about the future of residential child care across the globe. This insight-filled book will be required reading for all child welfare scholars, particularly as international perspectives become increasingly emphasized.




Therapeutic Residential Care for Children and Youth


Book Description

Therapeutic Residential Care For Children and Youth takes a fresh look at therapeutic residential care as a powerful intervention in working with the most troubled children who need intensive support. Featuring contributions from distinguished international contributors, it critically examines current research and innovative practice and addresses the key questions: how does it work, what are its critical “active ingredients” and does it represent value for money? The book covers a broad spectrum of established and emerging approaches pioneered around with world, with contributors from the USA, Canada, Scandinavia, Spain, Australia, Israel and the UK offering a mix of practice and research exemplars. The book also looks at the research relating to critical issues for child welfare service providers: the best time to refer children to residential care, how children can be helped to make the transition into care, the characteristics of children entering and exiting care, strategies for engaging families as partners, how the substantial cost of providing intensive is best measured against outcomes, and what research and development challenges will allow therapeutic residential care to be rigorously compared with its evidence-based community-centered alternatives. Importantly, the volume also outlines how to set up and implement intensive child welfare services, considering how transferable they are, how to measure success and value for money, and the training protocols and staffing needed to ensure that a programme is effective. This comprehensive volume will enable child welfare professionals, researchers and policymakers to develop a refined understanding of the potential of therapeutic residential care, and to identify the highest and best uses of this intensive and specialized intervention.