Family-Centered Residential Treatment: Knowledge, Research, and Values Converge

Walter, Uta M.; Petr, Christopher G.

doi:10.1080/08865710802209594

Cited by 42 publications

(27 citation statements)

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“…When clients developed problems beyond their diagnosis such as high degrees of perfectionism in combination with low self-esteem and high demands they have placed on themselves (Abrahamsson, Torbiornsson & Hägglöf, 2007;Hagqvist, 2010;Holmqvist, Carlberg, & Hellgren, 2007;Jablonska, Lindberg, Lindblad, & Hjern, 2009;Kåver & Nilsone, 2003;Lundh & Bjärehed, 2008;Lundh, Karim, & Quilisch, MENTALIZING AND EMOTIONAL LABOR FACILITATES EASW 4 2007; Lunner et al, 2000;Searcy, 2007), along with difficulties with emotional regulation (Gianini, White, & Masheb, 2013;Silvers et al, 2012), these complications may have necessitated specific requirements for interacting with this particular client group. In addition to these treatment difficulties, young clients may perceive institutional environments as stressful, making the relationship between the staff and the clients even more vitally important (Richmond & Padgett, 2002;Walter & Petr, 2008;Zegers, Schuengel, van Ijzendoom, & Janssens, 2006). To facilitate this relationship, the horse as used in EASW may be useful.…”

Section: Mentalizing and Emotional Labor Facilitate Equine-assisted Smentioning

confidence: 99%

“…Jordan (2010) al., 2000;Searcy, 2007), along with difficulties with emotional regulation (Gianini, White, & Masheb, 2013;Silvers et al, 2012), these complications may have necessitated specific requirements for interacting with this particular client group. In addition to these treatment difficulties, young clients may perceive institutional environments as stressful, making the relationship between the staff and the clients even more vitally important (Richmond & Padgett, 2002;Walter & Petr, 2008;Zegers, Schuengel, van Ijzendoom, & Janssens, 2006). To facilitate this relationship, the horse as used in EASW may be useful.…”

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confidence: 99%

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Mentalizing and Emotional Labor Facilitate Equine-Assisted Social Work with Self-harming Adolescents

Carlsson

Ranta

Træen

2015

Child Adolesc Soc Work J

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This article explores equine-assisted social work (EASW). Horses' capacities to mirror human emotions create possibilities for authentic relationships between clients and staff. This study examines what eases or counteracts the horse's capacity to facilitate relationships perceived by humans to be authentic. Video recordings of the human-horse interactions of three staff members and four female self-harming clients aged 15-21 years in a residential treatment facility were analyzed. The findings show that if the staff gave instructions and advice similar to traditional equestrian sports in combination with viewing the horse as an object, EASW is not facilitated. EASW seems to be facilitated when the horse is perceived as a subject by both staff and clients, provided that the staff gave meaning to the horse's behavior. The staff needed to highlight empathy for the horse when the horse is not able to fulfill its task without adding depth to the client's performance, to avoid raising defense mechanisms. The essence of EASW were perceived as eased by staff members when they focus on the client's emotions and help the client understand that the horse is acting in response to the client's and the staff´s behavior through mentalizing and enacting emotional labor in regarding the horse as a subject. The results indicate the need for higher demands on staff members in order to facilitate EASW.Depending on whether the staff and the clients focus on performance or on emotions, different positive or negative outcomes on communication, self-confidence, self-esteem, and self-image will be likely to emerge.Keywords: adolescents, emotional labor, equine-assisted social work, mentalizing, self-injury MENTALIZING AND EMOTIONAL LABOR FACILITATES EASW 3Mentalizing and emotional labor facilitate equine-assisted social work with self-harming adolescents Equine Assisted Social Work (EASW) may contribute positively to the treatment of adolescents with psychiatric disorders, or those who are at risk for developing such disorders.It may be of value to develop social skills, feelings of mastery, meta-cognition and reflectivity abilities, self-confidence and self-esteem in these individuals (Bizub, Joy, & Davidson, 2003;Dell, Chalmers, Bresette, Swain, Rankin, & Hopkins, 2011;Dell, Chalmers, Dell, Sauve, & MacKinnon, 2008;Hauge, Kvalem, Pedersen, & Braastad, 2013;Holmes, Goodwin, Redhead, & Goymour, 2011;Klontz, Bivens, Leinart, & Klontz, 2007; Macauley & Guitierrez, 2004;Rothe, Vega, Torres Campos Soler, & Molina Pazos, 2005;Rothe, 2005;Smith-Osborne & Selby, 2010), as well as to contribute to the development of communication skills, emotional awareness and regulation, reduce anxiety, and provide opportunities for experiencing authentic relationships (Bizub, et al., 2003;Carlsson, Nilsson-Ranta, & Traeen, 2014;Karol, 2007). Even though not all studies point in the same positive direction (Ewing, MacDonald, Taylor, & Bowers, 2007;Greenwald, 2001), there is reason to explore how EASW may be used in the treatment of different patient ...

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Section: Mentalizing and Emotional Labor Facilitate Equine-assisted Smentioning

confidence: 99%

mentioning

confidence: 99%

Mentalizing and Emotional Labor Facilitate Equine-Assisted Social Work with Self-harming Adolescents

Carlsson

Ranta

Træen

2015

Child Adolesc Soc Work J

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“…In particular, family involvement has been found to be one of the best practices that has proven to result in positive outcomes for children and youth in residential settings (Walter & Petr, 2008). Although it is not systematic outcome research examining the effect of family involvement, Nickerson and her colleagues (2007) found that the residential treatment centers involved adolescents and parents in discharge planning, while teaching skills for success in the community for post-discharge family and community integration.…”

Section: Literature Reviewmentioning

confidence: 99%

“…Specifically, under managed care systems, residential treatment has been reconceptualized by scholars and practitioners as a short-term treatment model where children and youth can benefit from in three-to six-month periods (Connor et al, 2002;Lakin, Brambila, & Sigda, 2007;Leichtman, 2008). Along with changes, there have emerged increasing demands from consumers and funding sources for best practices and the accountability of treatment agencies in the mental health field, in general, and in residential treatment programs for children and youth, in particular (Jordan et al, 2009;Walter & Petr, 2008).…”

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confidence: 99%

Building a Performance Information System for Statewide Residential Treatment Services

Msw

2011

Residential Treatment For Children & Youth

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This article presents a process for building a state-level performance information system for psychiatric residential treatment facilities for children and youth. Based on a consensus-based program model, researchers identified information needs of stakeholders for measuring clinical outcome measures and for monitoring outcomes after clients are discharged from programs. After reviewing the extant outcome measurement instruments and the array for information needs, researchers recommended a comprehensive package of measures for stakeholders. The article illustrates collaborative efforts made by researchers, state agency, and stakeholders to develop sets of indicators in three areas of performance information: access, process, and client status outcome.

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“…A review of the literature over the past 10 years will highlight significant findings related to treatment efficacy for family therapy in this setting and identify specific family therapy approaches that are being utilized in residential treatment, with a goal of maximizing the quality and quantity of family therapy utilized in the residential setting (Walter and Petr 2008) and improving family treatments for youth with disruptive behavior. The author will conclude with a discussion of limitations and challenges, implications for practice, and areas that should be given further attention.…”

Section: Introductionmentioning

confidence: 99%

A Review of Family Therapy in Residential Settings

Merritts

2016

Contemp Fam Ther

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This article provides an overview of the history of family involvement in residential treatment as well as a synthesis of the research showing family-centered interventions and outcomes for youth in residential settings. There are many methods for engaging families in residential treatment that are discussed in the literature; however, there is a significant gap as the field has not yet identified specific family therapy approaches that demonstrate efficacy in working with youth and their families in this particular setting. A review of the literature over the past 10 years will highlight the emerging family therapy models being utilized in this setting, which include multiple-family group intervention, family-directed structural therapy, and narrative family therapy. The article will also include a discussion of three major, well-established theoretical approaches that have been found to be effective in working with youth with conduct issues and show promise in treating youth and families in the complex setting of residential treatment: brief strategic family therapy, multi systemic therapy, and functional family therapy.

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Family-Centered Residential Treatment: Knowledge, Research, and Values Converge

Cited by 42 publications

References 40 publications

Mentalizing and Emotional Labor Facilitate Equine-Assisted Social Work with Self-harming Adolescents

Mentalizing and Emotional Labor Facilitate Equine-Assisted Social Work with Self-harming Adolescents

Building a Performance Information System for Statewide Residential Treatment Services

A Review of Family Therapy in Residential Settings

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