Program records as a source for program implementation assessment and youth outcomes predictors during residential care

Gross, Thomas F.; Hurley, Kristin Duppong; Sullivan, Justin J.; Lambert, Matthew C.; Ryzin, Mark J. Van; Thompson, Ronald W.

doi:10.1016/j.childyouth.2015.09.016

Cited by 6 publications

(6 citation statements)

References 62 publications

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“…It would be helpful if future research would examine the perspective of staff ratings of therapeutic alliance to gather a more complete perspective of therapeutic alliance. Likewise, the use of archival program records, specifically those addressing aspects of utilizing a token economy system, have rarely been utilized as a measure of implementation adherence to predict youth outcomes (Gross et al, 2015). This opens up the possibility of considering other aspects of therapeutic residential care that could be assessed via program records that may help to predict youth outcomes, such as monitoring program records of staff involving family in treatment decisions, or gathering youth-input into treatment decisions.…”

Section: Discussionmentioning

confidence: 99%

“…Examples of positive interactions include praising the child or preparing the child for upcoming events, whereas negative interactions include the staff correcting youth behavior. A common term at the agency is that is important to “catch the child being good.” The percentage of positive interactions was coded for each youth over the course of the first 6 months of care, and this variable was used in the analysis (see Gross et al, 2015, for more information on the token economy used in this residential setting).…”

Section: Methodsmentioning

confidence: 99%

“…One study did examine token economy implementation in therapeutic residential care. It was found that adherence to high ratios of positive to corrective interactions and adherence to frequent daily instructional interactions consistently predicted decreased problem behaviors during care (Gross et al, 2015). Still, the study was focused only on adherence and did not address quality of service delivery.…”

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confidence: 99%

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The Role of Therapeutic Alliance and Fidelity in Predicting Youth Outcomes During Therapeutic Residential Care

Hurley

Lambert

Gross

et al. 2017

Journal of Emotional and Behavioral Disorders

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Youth in out-of-home group care have a greater number of pervasive problems when compared with youth receiving in-home treatment. This includes interpersonal and community dysfunction, and self-harm behaviors (Preyde et al., 2011). They often have co-occurring psychiatric disorders, suicide attempts or threats (Pottick, Warner, & Yoder, 2005), and legal troubles (Cuthbert et al., 2011). These children have elevated rates of internalizing and externalizing disorder symptoms (Baker, Kurland, Curtis, Alexander, & Papa-Lentini, 2007; Butler & Richard, 2013), and frequently have diagnoses of conduct disorder, mood and anxiety disorders, adjustment disorders (Connor, Doerfler, Toscano, Volungis, & Steingard, 2004), and substance abuse or dependence (Pottick et al., 2005). These symptoms frequently persist over time (Cuthbert et al., 2011) and negatively impact school and future vocational functioning (Frensch, Cameron, & Preyde, 2009). Residential group care typically involves 24-hr treatment in supervised and structured daily living environments that provide psychoeducational interventions (Brown, Hamilton, Natzke, Ireys, & Gillingham, 2011). The outcomes of youth upon discharge from residential group care are mixed. Several studies have found evidence of positive outcomes such as reduced behavioral and emotional problems and improved interpersonal skills and school behavior (

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Section: Discussionmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

mentioning

confidence: 99%

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The Role of Therapeutic Alliance and Fidelity in Predicting Youth Outcomes During Therapeutic Residential Care

Hurley

Lambert

Gross

et al. 2017

Journal of Emotional and Behavioral Disorders

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“…Previous studies have reported that the development of positive relationships between caregivers and children helps reduce noncompliance (Gross et al, 2015) and that noncompliance is strongly correlated with aggressive behavior (Sukhodolsky, Cardona, and Martin, 2005), which suggests that a reduction in noncompliance may also help reduce the aggressive behavior On the other hand, although the CBCL T-subscale scores for somatic complaints and thought problems showed significant improvement, these differences were relatively small since both mean T-scores were within the normal range at Time 1. Previous studies conducted in residential care settings also show that the CBCL scores for somatic complaints and thought problems were lower than those on the other subscales (Larzelere et al, 2001;Tsuboi, 2005).…”

Section: Changes In Cbcl T-scoresmentioning

confidence: 83%

Application of the Teaching-Family Model for Japanese Maltreated Children in a Residential Treatment Setting

Masuda

Okuno

Wakasa

et al. 2017

Korean J Child Stud

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The aim of the present study was to evaluate outcomes of the Teaching-Family Model (TFM) as an intervention for maltreated children who exhibit noncompliance and problematic behavior, in a Japanese residential treatment setting. Methods: The effect of the TFM on 44 children (mean age, 13.6 years; age range, 6-18 years) was assessed using the count data for noncompliance, evaluated by the direct care staff, and problematic behaviors, assessed by the Child Behavior Checklist (CBCL). Data were collected at three time points (at the implementation of the TFM and at 6 months and 1 year after implementation) and compared to assess changes. Results: At 1 year after the TFM, a significant decrease in noncompliance (noncompliance with the rules: F[2, 78] = 4.41, p = .015; noncompliance with following the instructions: df = 2, χ 2 = 6.31, p = .043) was seen. Significant decreases were also seen in CBCL T-scores at both 6 months and 1 year after the TFM (total problems: F[2, 86] = 361.20, p < .001; internalizing problems: F[2, 86] = 287.26, p < .001; externalizing problems: F[2, 86] = 193.44, p < .001). Conclusion: These results suggest that the use of a TFM may promote positive changes in problematic behavior displayed by maltreated children in Japanese residential treatment settings.

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“…Our primary hypothesis was that higher ratings of fidelity would be related to improved youth outcomes, but we also anticipated differences between measurement approaches. One of our most important findings was that the implementation of the token economy system, especially in regard to the percentage of positive reinforcement/praise statements to corrective statements, was predictive of positive youth mental health outcomes during care (Gross et al, 2015). This finding suggests that “catching kids being good” is a critical component of the Teaching-Family Model related to positive outcomes.…”

Section: Dominant Lines Of Research Related To Residential Carementioning

confidence: 99%

Closing the Research to Practice Gap in Therapeutic Residential Care

Thompson

Hurley

Trout

et al. 2017

Journal of Emotional and Behavioral Disorders

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Residential care continues to be a significant sector in child and family services in the United States and across the world (Thoburn & Ainsworth, 2015). Current estimates for the United States indicate that there were more than 50,000 youth served in these settings in 2013 (U.S. Department of Health and Human Services, 2015). These youth tend to have more significant risk factors than youth treated in less restrictive placements. For example, a study by Pottick, Warner, and Yoder (2005) found that approximately 63% of youth in group care settings had dual clinical diagnoses compared with 50% of those in foster care; 30% in group care and 12% in foster care attempted or threatened suicide; 21% reported substance abuse compared with 10% in foster care; and 57% of youth in group care had impaired psychological and social functioning compared with 40% in foster care. In addition, the prevalence of serious emotional and behavioral problems among children in residential care settings appears to be on the increase (Duppong Hurley et al., 2009). Studies have also suggested that children served in residential settings have significant risks in other areas such as educational disabilities (Trout, Hagaman, Casey, Reid, & Epstein, 2008; Trout, Hagaman, Chmelka, et al., 2008) and physical health problems (Nelson et al., 2011). While many high-risk youth are served in residential care, during the past two decades there have been numerous concerns voiced regarding residential care such as the high cost of care, minimal development of residential theory and research evidence, general lack of integrating family and community supports, unclear youth placement criteria, minimal aftercare services, and possible iatrogenic effects (e.g., Annie E.

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Program records as a source for program implementation assessment and youth outcomes predictors during residential care

Cited by 6 publications

References 62 publications

The Role of Therapeutic Alliance and Fidelity in Predicting Youth Outcomes During Therapeutic Residential Care

The Role of Therapeutic Alliance and Fidelity in Predicting Youth Outcomes During Therapeutic Residential Care

Application of the Teaching-Family Model for Japanese Maltreated Children in a Residential Treatment Setting

Closing the Research to Practice Gap in Therapeutic Residential Care

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