Article

Unlicensed residential programs: the next challenge in protecting youth.

Department of Child and Family Studies, Louis de la Parte Florida Mental Health Institute, University of South Florida, Tampa 33612, USA.
American Journal of Orthopsychiatry (Impact Factor: 1.5). 08/2006; 76(3):295-303. DOI: 10.1037/0002-9432.76.3.295
Source: PubMed

ABSTRACT Over the past decade in the United States, the number of private residential facilities for youth has grown exponentially, and many are neither licensed as mental health programs by states, nor accredited by respected national accrediting organizations. The Alliance for the Safe, Therapeutic and Appropriate use of Residential Treatment (A START) is a multi-disciplinary group of mental health professionals and advocates that formed in response to rising concerns about reports from youth, families and journalists describing mistreatment in a number of the unregulated programs. This article summarizes the information gathered by A START regarding unregulated facilities. It provides an overview of common program features, marketing strategies and transportation options. It describes the range of mistreatment and abuse experienced by youth and families, including harsh discipline, inappropriate seclusion and restraint, substandard psychotherapeutic interventions, medical and nutritional neglect, rights violations and death. It reviews the licensing, regulatory and accrediting mechanisms associated with the protection of youth in residential programs, or the lack thereof. Finally, it outlines policy implications and provides recommendations for the protection of youth and families who pursue residential treatment.

0 Bookmarks
 · 
110 Views
  • [Show abstract] [Hide abstract]
    ABSTRACT: Nationwide, adolescents account for approximately 35% of the total child welfare out-of-home care population. Yet research on numerous aspects of adolescents' involvement with the child welfare system is lacking relative to research that focuses on infants and toddlers. This article provides a critical review of contemporary research – including current gaps in the research literature – and of federal policies that are pertinent to this adolescent population. In addition, this article contains a broad overview of the current demographics of the child welfare dynamics of this age group, based on information from federal and multi-state statistics, as well as from empirical qualitative and quantitative research investigations. Using the structure of the mandates of the Adoption and Safe Families Act of 1997 – or the promotion of safety, permanency, and well-being – this article presents the review of the current research within this format. For the domain of well-being, the focus is largely on the need for enhanced research investigations of adolescents' mental health challenges, as well as the lack of effective policy interventions for many child welfare involved adolescents afflicted with mental health difficulties. The article concludes with recommendations for future areas of research and policy focus for the population of child welfare involved adolescents.
    Children and Youth Services Review 07/2012; 34(7). · 1.27 Impact Factor
  • Source
    [Show abstract] [Hide abstract]
    ABSTRACT: This study examines the effect of clinical stabilization strategies—medication management and discharge planning—on early readmission of psychiatrically hospitalized adolescents. Controlling for demographic and clinical factors, results showed the risk of readmission was higher for youths who had medications added to an existing medication regimen, were placed in group homes, or discharged to partial hospitalization programs. Overall, findings indicate that stabilization strategies developed collaboratively between psychiatrists and social workers can reduce early readmission. However, improved medication monitoring upon discharge is needed, and the study results raise questions about the use of partial hospitalization to compensate for premature discharge.
    Social Work in Mental Health 03/2010; 8(2):117-133.
  • [Show abstract] [Hide abstract]
    ABSTRACT: This article describes the organizational change effort that took place in a residential treatment facility for teenagers with serious emotional and behavioral challenges. The new service-delivery model is based on a nationwide effort to transform residentially-based services, which includes (1) short-term, intensive residential treatment with parallel community-based services to promote the youth's fastest possible return to a less restrictive setting, as well as to help parents or other primary caregivers to maintain or develop a connection with the child and prepare for the child's return; (2) aftercare services to support the stability of the child and family following reunification or transition to family-based care; (3) improvements in the service delivery decision-making pathway; and (4) better integration of residentially based services within a county's continuum of care. This new model requires programmatic changes, as well as an organizational systems and culture change, for agencies providing services to youth and families. The article documents the stages of preparing for change, the processes used to implement change and the organizational conditions that supported the change process, along with initial outcomes for the clients and their families, one year later.
    Residential Treatment for Children & Youth 04/2010; 27(2):127-148.

Full-text (2 Sources)

Download
147 Downloads
Available from
May 29, 2014