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Date: April 30, 2024 Tue
Time: 12:12 am
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Results for residential treatment centers
6 results foundAuthor: Coen, Anita Saranga Title: Inside the Black Box: A Study of the Residential Treatment Center Program in Colorado Summary: This study increased our understanding of how Colorado’s Residential Treatment Center (RTC) Program functions in several key areas. We analyzed data provided by the Colorado Department of Human Services to analyze the financial aspects of the program and develop a profile of child welfare youth in RTCs. With the help of responding RTCs and counties, we were able to document the types and amount of services offered by RTCs and explore placement decision-making and alternatives to RTCs. We met with caretakers and family members to capture their perspectives on many aspects of the system. This study of Colorado’s RTC Program focused on six main areas of investigation: • What is the political and economic context in which the RTC Program exists? The RTC Program is immersed in a complex system involving numerous stakeholders and intricate funding streams. Political and economic trends at the national, state, and local level are discussed in relation to their impact on the RTC Program. • What are the costs of RTC placements, what are the likely effects of the current reimbursement system, and what other options are available? The state has been working to improve its rate-setting methodology. The current system does not account for population growth and changes in service needs. We anticipate that if rates do not keep up with costs, the response may be a loss of beds available for child welfare youth. We found that there are no apparent cost economies derived from using larger facilities. We suggest the state look initially into developing an incentive system that can be linked to rates and, in the future, linked to outcomes. • Who are RTC clients and how do they differ from clients in other treatment environments? RTC youth have the highest number of emotional/behavioral problems of youth in child welfare placements. They are placed in RTCs primarily because of the caretaker’s inability to cope or their own behavioral problems. Child welfare youth admitted to RTCs have very high levels of mental health problems when compared to youth in other child-serving systems. On average, their level of risk and clinical severity is higher than that of youth admitted to community mental health and, for many characteristics, is close to that of youth admitted to inpatient mental health settings. Our findings highlight important policy issues for youth with serious emotional/behavioral problems who are likely served across multiple human services programs. • What are the characteristics of and services offered by RTCs to children/youth in their care and what constitutes an RTC day? RTCs are extremely diverse and offer a wide variety of services. Within an RTC, however, service delivery does not appear to differ substantively based on the predominant type of presenting problem. RTCs do provide a substantial amount of intensive supervision. Almost a third (31%) of a typical day is spent in school, 13 percent is spent in various types of therapy, and 10 percent is self-structured. This analysis can serve as a foundation for the state’s exploration into developing a standard for the RTC day. • What are the most important factors in RTC placement and what alternatives are most likely to have an affect on RTC utilization? The three most important factors used in determining the need for an RTC placement are (1) the severity of the youth’s mental health needs, (2) the severity of the youth’s acting out behavior, and (3) the likelihood that the youth will improve in an RTC placement. Almost all caseworkers who responded to our survey believed it was important that the selected RTC have specialized care that meets the child’s needs and good transition services. The placement type that most caseworkers said they could have used instead of an RTC was therapeutic foster care. • How should RTC outcomes be measured and what is needed to develop a useful RTC outcomes measurement system? The Division of Child Welfare Services (DCWS) has demonstrated an ongoing commitment to measuring outcomes. The CCAR, the instrument being used by DCWS for youth in RTCs, demonstrated acceptable reliability as well as face and construct validity. Efforts to develop an outcomes measurement system have been seriously hampered by a lack of staff and infrastructure. We also identified other instruments and outcomes systems, some of which are RTC based, rather than state based. Finally, we made recommendations for the steps needed to continue work in this area. Details: Denver, CO: Policy Studies, Inc., 2003. 154p. Source: Internet Resource: Accessed July 29, 2011 at: https://www.policy-studies.com/Portals/0/docs/Publications/Child_Welfare/Inside-the-Black-Box-A-Study-of-the-RTC-Program-in-CO.pdf Year: 2003 Country: United States URL: https://www.policy-studies.com/Portals/0/docs/Publications/Child_Welfare/Inside-the-Black-Box-A-Study-of-the-RTC-Program-in-CO.pdf Shelf Number: 122230 Keywords: Child Abuse and NeglectChild Welfare (Colorado)Juvenile OffendersJuvenile Sex OffendersResidential Treatment Centers |
Author: Sedlak, Andrea J. Title: Youth's Needs and Services: Findings from the Survey of Youth in Residential Placement Summary: The Survey of Youth in Residential Placement (SYRP) is the third component in the Office of Juvenile Justice and Delinquency Prevention’s constellation of surveys providing updated statistics on youth in custody in the juvenile justice system. It joins the Census of Juveniles in Residential Placement and the Juvenile Residential Facility Census, which are biennial mail surveys of residential facility administrators conducted in alternating years. SYRP is a unique addition, gathering information directly from youth through anonymous interviews. This bulletin series reports on the first national SYRP, covering its development and design and providing detailed information on the youth’s characteristics, backgrounds, and expectations; the conditions of their confinement; their needs and the services they receive; and their experiences of victimization in placement. This bulletin describes key findings from the first Survey of Youth in Residential Placement about the needs and service experiences of youth in custody. SYRP surveyed youth about their psychological state, substance abuse problems, their needs, and the services their facilities pro-vided to them. Specifically, this bulletin details youth reports regarding: their overall emotional and psychological problems and the counseling they receive in custody; their substance abuse problems prior to entering custody and the substance abuse counseling they receive in their facility; their medical needs and services; their educational background and the educational services the facility provides to them. SYRP’s findings are based on interviews with a nationally representative sample of 7,073 youth in custody during spring 2003, using audio computer-assisted self-interview methodology. Researchers analyzed youth’s answers and assessed differences among subgroups of youth offenders in custody based on their age, gender, and placement program (i.e., detention, corrections, community-based, camp, or residential treatment facilities). When other studies offered corresponding data about youth in the general population, analysts compared these data to the SYRP results for youth in custody. For more information, see the sidebar “Surveying Youth in Residential Placement: Methodology.” Details: Washington, DC: U.S. Department of Justice, Office of Justice Programs, Office of Juvenile Justice and Delinquency Prevention, 2010. 12p. Source: OJJDP Juvenile Justice Bulletin: Internet Resource: Accessed February 12, 2012 at https://www.ncjrs.gov/pdffiles1/ojjdp/227728.pdf Year: 2010 Country: United States URL: https://www.ncjrs.gov/pdffiles1/ojjdp/227728.pdf Shelf Number: 124101 Keywords: EducationJuvenile OffendersMental Health ServicesResidential Treatment CentersSubstance Abuse |
Author: Prendergast, Michael L. Title: Evaluation of the 2,000-Bed Expansion of Therapeutic Community Programs for Prisoners - Final Report Summary: The purpose of this report is to summarize the results of the UCLA Integrated Substance Abuse Programs' (ISAP) evaluation of the California Department of Corrections (CDC) 2,000-bed therapeutic community (TC) substance abuse programs (SAPs) for prisoners (Contract Number C98,346). The report includes: the 12-month return-to-custody rates for all the 2,000-bed programs; the 6-month and 12-month return-to-custody rates for the SAP participants at four outcome study sites and the no-treatment comparison groups; the 6-month return-to-custody rates for the SAP-only participants at the four outcome study sites compared with those who went on to participate in aftercare treatment. Details: Los Angeles, CA: UCLA Integrated Substance Abuse Program, 2004. 26p. Source: Library Resource: Accessed October 22, 2012 at Don M. Gottfredson Library of Criminal Justice, Rutgers Newark Year: 2004 Country: United States URL: Shelf Number: 126766 Keywords: AftercareResidential Treatment CentersSubstance AbuseSubstance Abuse TreatmentTherapeutic Communities (TC) |
Author: Lyons, J.S. Title: Youth Residential Treatment Options in Newfoundland & Labrador Summary: The Issue In 2009, the Government of Newfoundland & Labrador announced the creation of two youth residential treatment (YRT) centres for youth with complex needs. YRT is a multifaceted form of care that requires programming in the areas of treatment, milieu (i.e., plans to manage group interactions among clients and staff), and the residence itself. A broad range of multi-disciplinary research-based evidence can inform the design and implementation of these YRT centres. For this evidence to be useful to decision makers, it needs to be interpreted in the context of Newfoundland & Labrador. Providing health decision makers with the best available evidence that is attuned to the capacities and characteristics of the province is the goal of the Contextualized Health Research Synthesis Program (CHRSP). The Results The Research Team, led by Dr. John Lyons, synthesized and contextualized the systematic review research literature related to several areas of interest: 1) YRT as a generic treatment program; 2) treating youth with addictions; 3) treating youth with disruptive behaviours; 4) treating sexually aggressive youth; 5) treating Aboriginal youth; 6) YRT site design, staffing and governance; and 7) the health economics of YRT. Despite a long history, YRT does not have a robust base of systematic review evidence due to methodological challenges. Nonetheless, there was evidence indicating that: YRT is most useful for those youth with elevated levels of complex needs. Some established treatments for youth with addictions and youth with disruptive behaviours can produce statistically significant, but clinically small, effects in clients. There are significant gaps in evidence concerning Aboriginal youth with complex needs and several indications that they may need specialized programming in order for treatments to be effective. YRT centres may benefit significantly from an autonomous intake system and they are most efficient if they operate within an integrated continuum of child care services including less intensive options. The costs of not treating youth with complex needs greatly exceeds the costs of treatment, although community-based services are more cost efficient than residential services. Details: St. Johns: NL: Newfoundland & Labrador Centre for Applied Health Research, Memorial University, 2010. 56p. Source: Internet Resource: Evidence in Context: Accessed April 9, 2014 at: http://research.library.mun.ca/145/1/Youth_Residential_Treatment_Options.pdf Year: 2010 Country: Canada URL: http://research.library.mun.ca/145/1/Youth_Residential_Treatment_Options.pdf Shelf Number: 132058 Keywords: Juvenile DetentionJuvenile OffendersResidential Treatment CentersTreatment Programs |
Author: Tonigan, Alexandra Toscova Title: Adolescent Treatment Centers: Literature Review and Issues in New Mexico Summary: Residential Treatment Centers (RTC) are designed to offer medically monitored intensive, comprehensive psychiatric treatment services to adolescents with mental illness, severe emotional disturbance, and/or cognitive delays. The American Academy of Child and Adolescent Psychiatry (AACAP) describes RTC"s as, "a facility that provides children and adolescents with a residential multidisciplinary mental health program under medical supervision and leadership. It is often utilized when the child cannot be treated in a community-based setting," (AACAP, 2010). In other words, practitioners emphasize the importance of trying alternatives before turning to inpatient treatment settings. In most cases, an adolescent is only referred to RTC"s after one or more unsuccessful attempts for treatment in less restrictive programs (Cigna 2012). There is no official definition of what it means to be a residential treatment facility. RTC"s vary in several ways. While there are some common characteristics, RTC"s vary in function, perspective, approaches and philosophies, staff education and qualifications, treatment organization and services offered, family and parental involvement, and post-discharge/ transitional support (OJJDP). One of the few ways in which RTC"s can be systematically categorized is through the source of funding - RTC‟s can be private or public. It is argued by many that private and public RTC"s are fundamentally different (Behrens, Satterfield, 2011). Each RTC is unique and so currently, researchers and practitioners are faced with determining what exactly works and for whom. Over the past ten years, researchers have established a substantial body of literature on the efficacy of RTC"s for adolescents. A large portion of this literature has shown that RTC"s, when implemented correctly, are an effective treatment model for adolescents. Still, much can be learned about the gaps in adolescent treatment - "there is a lack of research that measures or examines the influence of these factors on the success of treatment, so it remains unclear what program elements are important and beneficial to the treatment process" (OJJDP). Moreover, the majority of existing research and literature focuses on public RTC"s. In fact, much less is understood about private RTC"s, especially in terms of their outcomes. A primary purpose of this report is to briefly review existing literature on publically funded adolescent RTC"s in relation to New Mexico"s Sequoyah Adolescent Treatment Center. Specific areas of interest include gaining a better understanding of the best practices and guidelines for RTC"s, as well as a better understanding of the challenges such Details: Albuquerque: New Mexico Sentencing Commission, 2014. 9p. Source: Internet Resource: Accessed November 16, 2015 at: http://nmsc.unm.edu/reports/2014/adolescent-treatment-centers-literature-review-and-issues-in-new-mexico.pdf Year: 2014 Country: United States URL: http://nmsc.unm.edu/reports/2014/adolescent-treatment-centers-literature-review-and-issues-in-new-mexico.pdf Shelf Number: 137301 Keywords: AdolescentsMental Health ServicesResidential Treatment Centers |
Author: Sedlak, Andrea J. Title: Survey of Youth in Residential Placement: Conditions of Confinement Summary: This report, the third in the series, presents findings from the Survey of Youth in Residential Placement (SYRP) about the conditions of confinement for youth in a range of different facilities and progams. Results focus on the structural and operational characteristics of these environments and indicate how youth offenders are distributed across various programs and facilities of different size and complexity. These findings provide answers to a number of questions about the characteristics and experiences of youth in placement, including: - How are youth grouped in living units and programs? - Which youth are placed together? - What activities are available in each facility? - How accessible are social, emotional, and legal supports? - What is the quality of the youth-staff relationships? - How clear are the facility's rules? - How clear is the facility's commitment to justice and due process? - What methods of control and discipline do staff use? The data derive from interviews with a nationally representative sample of 7,073 youth in 2003, using audio-computer-assisted-self-interview (ACASI) methodology. Facility administrators provided additional information about placement contexts, either while planning the data collection or in verifying or updating answers on their latest Juvenile Residential Facility Census (JRFC) survey. The SYRP sample was drawn from the full population of state and local facilities identified by the Census of Juveniles in Residential Placement and Juvenile Residential Facility Census surveys. SYRP youth resided in a nationally representative selection of 205 eligible, responsive facilities listed on the census as of 2002. These included detention and corrections facilities; community-based facilities such as shelters, group homes, and independent living programs; and camp programs, such as boot camps and forestry camps. The SYRP survey team interviewed the youth between the beginning of March and mid-June 2003. All SYRP findings use the youth as the unit of measurement. Each participant is weighted to reflect the number of youth he or she represents in the national population of youth in placement. These weights allow the sample youth (n=7,073) to provide estimates about the full placement population (estimated at more than 100,000 youth, on a given day in 2003). All SYRP reports present findings in terms of estimated numbers (rounded to the nearest multiple of 10) and percentages (rounded to the nearest whole percent) in the national population of youth in residential placement. Thus, this report describes how the population of youth in placement is distributed across different placement settings. Details: Rockville, MD: Westat, 2017. 71p. Source: Internet Resource: Accessed June 13, 2017 at: https://www.ncjrs.gov/pdffiles1/ojjdp/grants/250754.pdf Year: 2017 Country: United States URL: https://www.ncjrs.gov/pdffiles1/ojjdp/grants/250754.pdf Shelf Number: 146073 Keywords: Juvenile DetentionJuvenile InmatesJuvenile OffendersMental Health ServicesResidential Treatment CentersSubstance Abuse |