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Residential treatment for youth

Kelly A Knowles, Megan A Viar-Paxton, Bradley C Riemann, David M Jacobi, Bunmi O Olatunji
Although disgust proneness has been implicated in obsessive-compulsive disorder (OCD), there is a paucity of research examining change in disgust proneness during treatment as well as the correlates of such change, especially in children. This study examined the relationship between changes in disgust proneness and disorder-specific symptoms during residential treatment among youth with OCD, anxiety, and mood disorders. Youth ages 12-18 (n=472) completed pre- and post-outcome measures of OCD, anxiety, and mood symptoms and disgust proneness...
October 6, 2016: Journal of Anxiety Disorders
Brooke Ingersoll, Natalie Berger, Danielle Carlsen, Theresa Hamlin
There is a lack of effective social interventions for youths with ASD and co-morbid intellectual disability (ID). A previous single-case design study indicated that reciprocal imitation training (RIT) may improve social interaction and challenging behavior in this population. The current pilot study examined the feasibility of conducting an RCT to investigate the effectiveness of RIT for improving social functioning and challenging behaviors in 20 adolescents with ASD and severe ID in a residential program...
August 11, 2016: Developmental Neurorehabilitation
Maria E Pagano, Christina M Delos-Reyes, Sherry Wasilow, Kathleen M Svala, Steven P Kurtz
Minors entering treatment for alcohol and other drug (AOD) use disorders tend to smoke at high rates, and many have comorbid attention deficit hyperactivity disorder (ADHD). Clear-air laws force patients to refrain from smoking on the premises of AOD treatment facilities, which may hinder the progress of treatment-seeking populations who smoke and struggle with ADHD comorbidity in particular. This study explores clinical characteristics associated with smoking among youths presenting for residential treatment, clinical characteristics associated with smoking cessation, and the impact of smoking cessation with ADHD comorbidity on AOD treatment response...
November 2016: Journal of Substance Abuse Treatment
Michael T Baglivio, Kevin T Wolff, Alex R Piquero, Mark A Greenwald, Nathan Epps
Psychiatric disorder prevalence has been shown demonstrably higher among justice-involved adolescents than youth in the general population. Yet, among arrested juveniles, little is known regarding racial/ethnic differences in disorder prevalence, the role of trauma exposure in the diagnosis of behavioral disorders, or subsequent psychiatric treatment provided to adolescents with such diagnoses. The current study examines racial/ethnic disparity in psychiatric diagnoses and treatment of behavioral disorders associated with delinquency, controlling for traumatic experiences, behavioral indicators, and prior offending among serious juvenile offenders...
September 24, 2016: Journal of Youth and Adolescence
Amy C McPherson, Gillian King, Alanna Rudzik, Shauna Kingsnorth, Jan Willem Gorter
BACKGROUND: Young people with disabilities often lag behind their typically developing peers in the achievement of adult roles, which has been attributed to a lack of opportunities to develop critical life skills. Residential Immersive Life Skills (RILS) programs provide situated learning opportunities to develop life skills alongside peers and away from home in real-world settings. Retrospective research suggests that attending RILS programs is a transformative experience that empowers youth, provides parental hope, and increases service provider expertise...
2016: BMC Pediatrics
Katharan D Cordell, Lonnie R Snowden
BACKGROUND: Children's Full Service Partnerships (FSP), created through California's Mental Health Services Act of 2004 are comprehensive treatment and support programs incorporating a wraparound model designed to serve undertreated families with children who have a serious emotional disturbance and are at risk for suicide, violence, residential instability, criminal justice involvement, or involuntary hospitalization. OBJECTIVE: This study investigated whether FSP programs resulted in reduced crisis-related mental health emergency services (MHES) for the children they served...
August 30, 2016: Medical Care
Michele Johnson Moore, Elissa Barr, Kristina Wilson, Stacey Griner
BACKGROUND: Numerous studies document support for sexuality education in the schools. However, there is a dearth of research assessing support for sexual health services offered through school-based health clinics (SBHCs). The purpose of this study was to assess voter support for offering 3 sexual health services (STI/HIV testing, STI/HIV treatment, condom distribution) through SBHCs. METHODS: The survey was developed after review of existing surveys on support for sexuality education and sexual health services...
September 2016: Journal of School Health
Sjoukje Berdina Beike de Boer, Albert Eduard Boon, Fop Verheij, Marianne Catharina Henriëtte Donker, Robert Vermeiren
OBJECTIVE: Unlike adolescents with adolescent-onset (AO) disruptive behavior, adolescents with early-onset (EO) disruptive behavior may not benefit from treatment. METHOD: Using Symptom Checklist (SCL-90-R) ratings at admission and discharge of adolescent inpatients with EO (n = 85) and AO (n = 60) disruptive behavior treatment outcome was determined by (a) a change in mean scores and (b) the Reliable Change Index. For a subgroup, ratings on the Satisfaction Questionnaire Residential Youth Care for Parents (n = 83) were used to verify the treatment outcome...
July 8, 2016: Journal of Clinical Psychology
Elizabeth M Z Farmer, H Ryan Wagner, Barbara J Burns, Maureen Murray
Despite their widespread use as a placement option for youth with mental health problems, there is relatively little research on group homes for youth. Available data highlight concerns with practices and treatment within group homes and mixed results on youth-level outcomes. However, existing research appears to collapse a wide range of group residential settings into a single amorphous category. This article explores potential variations among group homes to examine whether different programs are systematically serving different types of youth...
March 2016: Journal of Emotional and Behavioral Disorders
Anne Mari Undheim, Stian Lydersen, Nanna Sønnichsen Kayed
BACKGROUND: Studies show that adolescents living in residential youth care (RYC) institutions experience more mental health problems than others. This paper studies how well teachers and primary contacts in RYC institutions recognize adolescents' mental health problems as classified by The Child and Adolescent Psychiatric Assessment diagnostic interviews (CAPA). METHODS: All residents between 12 and 23 years of age living in RYC institutions in Norway and enrolled in school at the time of data collection were invited to participate in the study...
2016: Child and Adolescent Psychiatry and Mental Health
Joshua M Nadeau, Alessandro S De Nadai, Megan Viar-Paxton, Bunmi O Olatunji, David M Jacobi, Stephanie C Eken, Brian Kay, Bradley C Riemann, Eric A Storch
This study evaluated the psychometric properties of the Child Disgust Scale (CDS) among 457 youth (ages 8-17, M = 14.77 ± 1.98 years) initiating residential treatment for obsessive-compulsive disorder and anxiety disorders. Confirmatory factor analysis supported a bifactor model with two distinct factors of Disgust Avoidance and Disgust Affect, in addition to an overall General Disgust factor. Strong internal consistency was observed for the CDS total and factor scores. In addition, CDS scores demonstrated generally modest and positive correlations with child-reported obsessive-compulsive and anxiety symptoms, weaker correlations with parent-reported anxiety and child-rated impairment, and non-significant correlations with parent-rated impairment...
May 23, 2016: Child Psychiatry and Human Development
Stuart F White, Patrick M Tyler, Anna K Erway, Mary L Botkin, Venkata Kolli, Harma Meffert, Kayla Pope, James R Blair
BACKGROUND: Previous work has shown that patients with conduct problems (CP) show impairments in reinforcement-based decision-making. However, studies with patients have not previously demonstrated any relationships between impairment in any of the neurocomputations underpinning reinforcement-based decision-making and specific symptom sets [e.g. level of CP and/or callous-unemotional (CU) traits]. METHODS: Seventy-two youths [20 female, mean age = 13.81 (SD = 2...
August 2016: Journal of Child Psychology and Psychiatry, and Allied Disciplines
Catherine McConnell, Patricia Taglione
The Relational Re-enactment Systems Approach to Treatment model is an approach to residential treatment that embraces the need for family involvement through clinical consultation. Clinical consultation is a systems-oriented family intervention that embodies the model's principles regarding therapeutic alliance and working through ambivalence. Families engage with treatment providers and other collaterals in an ongoing process of developing goals, creating a shared understanding of the youth, and working toward discharge...
2016: Contemporary Family Therapy
Randy P Auerbach, Jeremy G Stewart, Sheri L Johnson
Suicide is the second leading cause of death among adolescents, and impulsivity has emerged as a promising marker of risk. The present study tested whether distinct domains of impulsivity are differentially associated with suicide ideation, plans, and attempts. Adolescents (n = 381; boys = 106, girls = 275) aged 13-19 years (M = 15.62, SD = 1.41) were recruited from an acute, residential treatment program. Within 48 h of admission to the hospital, participants were administered structured clinical interviews assessing mental health disorders and suicidality...
March 30, 2016: Journal of Abnormal Child Psychology
Erna Olafson, Barbara W Boat, Karen T Putnam, Lacey Thieken, Monique T Marrow, Frank W Putnam
We describe a multiyear pilot dissemination of a trauma-focused group treatment, Trauma and Grief Component Therapy for Adolescents, coupled with a trauma-informed staff training, Think Trauma, to six residential juvenile justice (JJ) facilities. All staff members were trained in Think Trauma. Seventy-seven youth from four facilities completed the treatment groups and 69 completed all pre- and postgroup assessment measures. The aims of this study were to determine whether trauma-focused interventions (a) could be implemented in complex JJ systems, (b) would be associated with a decrease in posttraumatic symptoms and reactions in youth, and (c) might contribute to reduced Incident Reports in facilities...
February 12, 2016: Journal of Interpersonal Violence
Jeremy Mennis, Michael Mason, Thomas Way, Nikola Zaharakis
This study investigates the role of tobacco outlet density in a randomized controlled trial of a text messaging-based smoking cessation intervention conducted among a sample of 187 primarily African American youth in a midsize U.S. city. A moderated mediation model was used to test whether the indirect effect of residential tobacco outlet density on future smoking was mediated by the intention to smoke, and whether this indirect effect differed between adolescents who received the intervention and those who did not...
March 2016: Health & Place
Judith A Cohen, Anthony P Mannarino, Kay Jankowski, Stanley Rosenberg, Suzanne Kodya, George L Wolford
Adjudicated youth in residential treatment facilities (RTFs) have high rates of trauma exposure and post-traumatic stress disorder (PTSD). This study evaluated strategies for implementing trauma-focused cognitive behavioral therapy (TF-CBT) in RTF. Therapists (N = 129) treating adjudicated youth were randomized by RTF program (N = 18) to receive one of the two TF-CBT implementation strategies: (1) web-based TF-CBT training + consultation (W) or (2) W + 2 day live TF-CBT workshop + twice monthly phone consultation (W + L)...
May 2016: Child Maltreatment
Ian Sinclair, Elizabeth Parry, Nina Biehal, John Fresen, Catherine Kay, Stephen Scott, Jonathan Green
Multi-dimensional Treatment Foster Care (MTFC), recently renamed Treatment Foster Care Oregon for Adolescents (TFCO-A) is an internationally recognised intervention for troubled young people in public care. This paper seeks to explain conflicting results with MTFC by testing the hypotheses that it benefits antisocial young people more than others and does so through its effects on their behaviour. Hard-to-manage young people in English foster or residential homes were assessed at entry to a randomised and case-controlled trial of MTFC (n = 88) and usual care (TAU) (n = 83)...
August 2016: European Child & Adolescent Psychiatry
E Mawson, D Best, M Beckwith, G A Dingle, D I Lubman
BACKGROUND: It has been argued that recovery from substance dependence relies on a change in identity, with past research focused on 'personal identity'. This study assessed support for a social identity model of recovery in emerging adults through examining associations between social identity, social networks, recovery capital, and quality of life. METHODS: Twenty participants aged 18-21 in residential treatment for substance misuse were recruited from four specialist youth drug treatment services - three detoxification facilities and one psychosocial rehabilitation facility in Victoria, Australia...
2015: Substance Abuse Treatment, Prevention, and Policy
Audri Lamers, Marc J M H Delsing, Brigit M van Widenfelt, Robert R J M Vermeiren
BACKGROUND: The therapeutic alliance between multidisciplinary teams and parents within youth (semi) residential psychiatry is essential for the treatment process and forms a promising process variable for Routine Outcome Monitoring (ROM). No short evaluative instrument, however, is currently available to assess parent-team alliance. OBJECTIVE: In this study, the Working Alliance Inventory-Short Version (WAV-12), a widely used alliance questionnaire, was adjusted to assess parent-team alliance from both a parent and team perspective within a youth residential setting...
2015: Child & Youth Care Forum
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