Children and youth with high behavioral health needs can receive care in a psychiatric residential treatment facility (PRTF). Overutilization of PRTFs is concerning because they are highly restrictive and costly residential care settings. Intensive Alternative Family Treatment (IAFT®) is an intensive therapeutic foster care program combined with…

Wraparound is a care coordination model that has shown effectiveness for serving children and youth with significant emotional and behavioral health needs and their families. The current study evaluates a statewide wraparound demonstration with the goals of reducing the use of residential care and increasing access to outpatient mental health…

Background: Little is known about client characteristics that are related to outcome during inpatient treatment of adults with mild intellectual disability (ID) and severe behavioural problems. Method: We explored variables that were related to a change in behavioural problems in 87 individuals with mild ID during inpatient treatment in facilities…

At the time of entry into residential treatment, many youth have prescriptions for one or more psychotropic medications. It is not well understood why some youth are prescribed only one psychotropic medication while others may be prescribed more. We sought to determine if differences existed between youth entering residential treatment with…

A study investigated whether youth (n=99) discharged from a short-term residential facility and reunited with their parents had a subsequent placement. The number of self-reported personal problems at intake significantly predicted a shorter time to subsequent placement disruption. The number of prior formal placements also tended to predict…

A study investigated Child Behavior Checklist (CBCL) scores for 362 children (ages 4-18) served in long-term family foster care by the Casey Family Program. Findings indicate that substantial proportions of children entering Casey scored in the borderline clinical or clinical range on some problem behavior scales. (Contains extensive references.)…

This study of risk characteristics of 100 Illinois children/adolescents with emotional/behavior disorders admitted to programs to prevent the need for residential placements found that most of the children were in single parent families; almost 85% had average or above average intelligence; and almost half were exposed to divorce, poverty,…

This article describes the language abilities of 20 boys aged 10 to 13.5 years who were admitted to residential treatment because of their significant and persistent antisocial behavior. Primary diagnoses included oppositional/defiant disorder and conduct disorder. Eighty percent carried the additional diagnosis of attention deficit hyperactivity…

Personal and ecological variables were measured for 82 elementary-level behaviorally disordered students at admission and discharge from a residential treatment program. The data's relationship to students' adjustment status six months after discharge was investigated. Findings showed that personal and ecological change must occur together for…

In recent years the problem of sexually abusive youth has been increasingly recognized as a significant issue in our community. This paper provides a brief overview of the literature that shows sexually abusive youth to be a heterogeneous population. We argue for the development of typologies of adolescent sexual offenders to assist in the guiding…

The problem is well known to every parent of a teenager, every high school teacher, every clinical practitioner, and every social policy maker: vulnerable adolescents risk becoming more deviant through association with deviant peers and peer groups. Deviant peer influences are among the most potent factors in the development of antisocial…