This article applies the tenets of Bernard's in "Counselor Edu Supervision" 19:60-68, (1979) discrimination model of clinical supervision to the supervision needs of those who provide direct care to adolescents in residential treatment due to abuse, neglect, behavioral, or emotional problems. The article focuses on three areas…

Emphasis on neuropsychiatric frameworks of conceptualizing troubled youth is increasing. This focus leads to more biologically-based interventions. As such, the use of psychotropic medications is skyrocketing, while the utilization of psychosocial strategies is diminishing. Yet overall outcomes seem to be faltering. Admissions to outpatient,…

This paper discusses how the internal worlds of adolescents who are looked after in residential care homes impact upon workers and generate complex dynamics within teams. This is especially so regarding internal parental objects and couplings, which inevitably include those of abandoning, abusive and ambivalent parental figures. Versions of these…

This research examined goal attainment as it is related to client stability in the process of counseling adolescents admitted to a crisis residence. Data were collected from licensed master's-level clinicians treating adolescent clients admitted to an acute care psychiatric program at 1 of 2 hospitals located in the mid-South. There was a…

Describes one of the units of the children's home operated by the Borough of Knowsley, England. This unit, which serves adolescents with emotional and social problems, is based on six models that address attachment, environment, education, responses to stress, and grief. The unit's key functions are to support children, investigate children's…

This study examined the implementation of a model of managing aggressive and harmful behaviour in an adolescent in-patient psychiatric unit. This model, Positive Behaviour Management, replaced a previous model, Control and Restraint, which was considered unsuitable. Both models included the use of physical interventions, and the research into such…

At least three circumstances have converged to focus attention on the outcomes associated with residential treatment. First, the reduction in lengths of stay in the psychiatric hospital has resulted in residential treatment becoming the most expensive service on a per episode basis. Second, the increasing emphasis on the identification and use of…

This issue of "The Link" newsletter contains the following articles: (1) Evidence-Based Practice: Developing a New Business Model from the Inside Out (Jeremy Kohomban, Paul Schiller, and Patricia O'Gorman); (2) The School to Prison Pipeline and Criminalizing Youth: Costs, Consequences, and Alternatives (Marsha Weissman); (3) Group Homes Appear…

This study examined differences in two residential care giving models (houseparent vs. child care worker) in providing continuity of care for youth in residential placement, and the effect that a care giving model had on selected program outcomes. Data for this research were collected in a residential facility that used both models. Youth with…

Many communities have turned to group homes and residential treatment centers to serve children and adolescents displaying behavioral and/or emotional problems, because most foster parents are not able to deal with such children, and the expense of psychiatric hospitalization is prohibitive. One alternative which has been used very sparingly is…

Describes model licensing proposals for residential services for pregnant and parenting adolescents. Developed from a federally funded project, these proposals highlight licensing rules in four areas: (1) staff and training; (2) staff-client ratio; (3) program and health requirements; and (4) services to fathers. The rules represent baseline…

Included in this booklet are nine papers reflecting the social work profession's engagement in the effort to deal with a variety of problems experienced by families and cultural minorities. Covered by individual papers are the following topics: (1) prevention of the troubled marital relationships that are sometimes brought on by the birth of the…

This book examines the various components of hospital, residential, and outpatient treatments for children and adolescents with mental disorders. Options and settings for residential care are presented, including the principles and practical issues, such as providing continuing education, that underlie the decision making for placement of youth in…