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…

Evidence-based practices to improve outcomes for children with severe behavioral and emotional problems have received a great deal of attention in children's mental health. Therapeutic foster care (TFC), a residential intervention for youth with emotional or behavioral problems, is one of the few community-based programs that is considered to be…

This case study is to evaluate the effectiveness of Mode Deactivation Therapy (MDT) implementation in a child and adolescent residential treatment unit and provide preliminary effectiveness data on MDT versus treatment as usual (TAU). This case study compared the efficacy of two treatment methodologies for adolescent males in residential treatment…

Presents a cognitive therapy model developed at a residential treatment facility for adolescents with both child-welfare and mental-health involvement, and failures in previous hospitalizations and placements. Emphasis is on using the child's verbalizations in treatment as a measure of his/her illogical or unrealistic cognitions. Offers a 12-step…

Evaluation of treatment acceptability was conducted with 78 staff members at a community-based residential facility for youth with severe behavior disorders and mental retardation, where the institutional treatment philosophy was explicitly behavioral. Unlike a previous study, in this setting acceptability ratings were not influenced by severity…

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…

We attempted to differentiate the family environments of youth with Conduct Disorder (CD) compared to youth with a depressive disorder. Participants were 34 adolescents from a residential treatment facility. The K-SADS-P was used to determine the youth's diagnosis, while their family environment was assessed by the Self Report Measure of Family…

Orthopedagogisch Centrum (OC) Michiel is a multifunctional regional institution in the Netherlands that serves troubled families and youth at risk. Outdoor programs are used as a treatment modality for adolescents with behavior disorders, drug addictions, or criminal records. Outward Bound was the first experiential outdoor program in the…

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…

A recent report of the British Mental Health Foundation identified key issues in service provision for children with learning disabilities and severe challenging behavior. Recommendations addressed issues such as definitions of challenging behavior, early intervention, implications for educational services, residential education, and…

This research study compared the efficacy of three treatment methodologies for adolescent males in residential treatment with conduct disorders and/or personality dysfunctions and documented problems with physical and sexual aggression. The results showed that Mode Deactivation Therapy, an advanced form of cognitive behavioral therapy based on…

This study examines the effectiveness of Mode Deactivation Therapy, (MDT) and Dialectical Behavior Therapy, (DBT) in a Residential Treatment Center for adolescent males. All clients were admitted to the same Residential Treatment Center. Clients presented with physical aggression, suicidal ideation, with mixed personality disorders/traits. One…

This practicum report describes a project designed to increase the level of coordination of treatment planning between professional and paraprofessional staff at a residential treatment and educational facility for 40 adolescent males with learning disabilities or severe emotional disturbances. Three corollary aims were to increase the level of…

This report uses text, graphs, and tables to present findings of a 1996 survey of 575 adolescents voluntarily participating in residential behavioral treatment facilities in Minnesota. Compared with public school students, these adolescents were: 62 percent male, more likely to be of color, especially American Indian, and twice as likely as other…