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Compulsory residential care: An examination of treatment improvement of individual and family functioning

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  • Nijhof, Karin S.
  • Veerman, Jan W.
  • Engels, Rutger C.M.E.
  • Scholte, Ron H.J.

Abstract

The aim of the present study was to examine the treatment progress of both adolescent's and their families' functioning in a new compulsory residential treatment program. The sample consisted of 339 admitted adolescents (56.3% boys). The mean age at time of entry was 15.69 (SDÂ =Â 1.30). Adolescents stayed on average 9.42Â months (SDÂ =Â 4.66) in a new residential treatment program. Data on adolescents' internalizing and externalizing problems were assessed using self-reports, parent reports, and group care worker reports. In addition, adolescents reported their substance use and delinquency and parents also reported family functioning and level of perceived parental stress. The findings revealed a significant decrease in adolescents' self-reported internalizing and externalizing problems, delinquency, and substance use. According to parent ratings, a significant improvement was found concerning adolescents' problem behaviors during treatment. However, according care worker ratings, adolescents showed no improvement on internalizing problems and showed an increase in externalizing problems. Concerning families, although there was no improvement in family functioning, parental stress significantly improved over time. Further research should examine whether improvements experienced during treatment are maintained after treatment.

Suggested Citation

  • Nijhof, Karin S. & Veerman, Jan W. & Engels, Rutger C.M.E. & Scholte, Ron H.J., 2011. "Compulsory residential care: An examination of treatment improvement of individual and family functioning," Children and Youth Services Review, Elsevier, vol. 33(10), pages 1779-1785, October.
    • Handle: RePEc:eee:cysrev:v:33:y:2011:i:10:p:1779-1785
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    References listed on IDEAS

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    1. Veerman, Jan W. & van Yperen, Tom A., 2007. "Degrees of freedom and degrees of certainty: A developmental model for the establishment of evidence-based youth care," Evaluation and Program Planning, Elsevier, vol. 30(2), pages 212-221, May.
    2. Gorske, Tad T. & Srebalus, David J. & Walls, Richard T., 2003. "Adolescents in Residential Centers: Characteristics and Treatment Outcome," Children and Youth Services Review, Elsevier, vol. 25(4), pages 317-326, April.
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    1. Bastiaanssen, Inge L.W. & Delsing, Marc J.M.H. & Kroes, Gert & Engels, Rutger C.M.E. & Veerman, Jan W., 2014. "Group care worker interventions and child problem behavior in residential youth care: Course and bidirectional associations," Children and Youth Services Review, Elsevier, vol. 39(C), pages 48-56.
    2. Mälarstig, Ida & Tyrberg, Marten J & Lundgren, Tobias & Alfonsson, Sven, 2023. "Experiences of conducting a substance use disorder treatment, A-CRA, in compulsory institutional care for youth – The challenge of promoting openness in a closed, temporary setting," Children and Youth Services Review, Elsevier, vol. 148(C).

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