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Planned treatment and outcomes in residential youth care: Evidence from Sweden

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  • Lindqvist, Erik

Abstract

A recurring theme in evaluations of Swedish residential youth care is that treatment is often unplanned. Using a data set of teenagers placed in youth care in 1991 (NÂ =Â 357), we show that planned treatment -- in the sense of a known expected duration of treatment -- is strongly positively associated with treatment outcomes. In the short term, teenagers with planned treatment are 32% less likely to experience a treatment breakdown and 25% less likely to be reassigned to other forms of residential care after completed treatment. In the long term, teenagers with planned treatment are 21% less likely to engage in criminal behavior and 40% less likely to be hospitalized for mental health problems. The results are robust to controlling for a rich set of potentially confounding factors: Even though observable pre-treatment teenager characteristics explain about one fifth of the variation in criminal behavior 5-10Â years after treatment, they have almost no predictive power for whether treatment is planned or unplanned.

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  • Lindqvist, Erik, 2011. "Planned treatment and outcomes in residential youth care: Evidence from Sweden," Children and Youth Services Review, Elsevier, vol. 33(1), pages 21-27, January.
  • Handle: RePEc:eee:cysrev:v:33:y:2011:i:1:p:21-27
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    Cited by:

    1. Thoburn, June, 2016. "Residential care as a permanence option for young people needing longer-term care," Children and Youth Services Review, Elsevier, vol. 69(C), pages 19-28.
    2. Lindquist, Matthew J. & Santavirta, Torsten, 2012. "Does Placing Children in Out-of-Home Care Increase Their Adult Criminality?," Working Paper Series 8/2012, Stockholm University, Swedish Institute for Social Research.
    3. Yeheskel, Ariel & Jekielek, Adam & Sandor, Paul, 2020. "Taking up residence: A review of outcome studies examining residential treatment for youth with serious emotional and behavioural disorders," Children and Youth Services Review, Elsevier, vol. 111(C).

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    More about this item

    Keywords

    Residential youth care Juvenile delinquency Recidivism Principal-agent problems Bureaucracy;

    JEL classification:

    • H75 - Public Economics - - State and Local Government; Intergovernmental Relations - - - State and Local Government: Health, Education, and Welfare
    • I12 - Health, Education, and Welfare - - Health - - - Health Behavior

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