The aim of this paper is to describe the development of the Phased Model of Adventure Therapy. Adventure therapy is the use of adventure experiences to engage clients on cognitive, affective and behavioural levels. Use of adventure therapy has been found to improve psychological wellbeing, self- esteem and behaviour in young people. A UK-based…

This article presents analyses of documents from special schools in Sweden for students in the care of social welfare who have been assessed with social, emotional and behavioural difficulties. The aim is to use actor-network theory to analyse how blame and critique are handled in individual educational plans, and how responsibilities are produced…

There has been ongoing concern about the negative impact of residential treatment on youth in care. Research examining the impact of negative peer influence in juvenile justice, education, and residential care settings is reviewed. A study was conducted to examine the impact of negative peer contagion on the level of problem behavior in a…

The prevalence of weight problems among youth in general and youth in out-of-home care has been well documented; however, the prevalence of obesity/overweight among youth with high-incidence disabilities in more restrictive settings, such as residential care, has not been assessed. The purpose of the present study was to evaluate the prevalence of…

The goal of this study was to utilize a phenomenological case study design to investigate the individual and social identity development of an adolescent male who had been placed in a high-security group home setting. The participant had been identified with emotional disturbance (ED), and 48, XYYY karyotype. The participant described his social…

Though research has focused on clinical characteristics and behavioral problems of youth in out-of-home mental health placement settings, few studies have examined how adolescents and emerging adults (Arnett, 2000) experience and make sense of treatment. In this study, semistructured interviews regarding the experience of mental health placement…

This study examined outcomes with 170 children and youth admitted to residential treatment with complex mental health problems. Overall, outcomes at 2 years post-treatment was predicted by children and youth's behavioral pretreatment status reflected in lower internalizing and externalizing behavior at admission. These findings recognize a cluster…

Training in the Fairy Tale model of trauma-informed treatment was provided to clinical and direct care staff working with 53 youth in a residential treatment facility. Compared to the year prior to training, in the year of the training the average improvement in presenting problems was increased by 34%, time to discharge was reduced by 39%, and…

In creating Project Re-ED, Nicholas Hobbs (1913-1983) embarked on a bold new approach to emotionally troubled children and youth. Re-ED, an acronym for the Re-education of Emotionally Disturbed Children, builds on positive concepts of normalcy and health rather than deviance and illness. Hobbs had been impressed by the "educateur" of Europe and…

This article explores a paradox that was identified during an ethnographic study of two Danish therapeutic residential institutions for children with emotional and behavioural problems. The key objective of these institutions is to provide specialized treatment for the individual child. However, the task of organizing everyday life for a group of…

Behavior problems reported by parents on the Child Behavior Checklist (Achenbach & Rescorla, 2001) were studied in 316 children adopted from social-emotionally depriving Russian institutions as a function of age at adoption (18-month cutoff), age at assessment (6-11 and 12-18 years), and gender. Children adopted after 18 months had higher…

Children in the child welfare system frequently experience trauma within the caregiving relationship. These traumatic experiences may be compounded by system trauma and place these children at high risk of emotional disorders and placement in out-of-home (OOH) mental health treatment programs. This article reviews the literature on trauma and…

Choice-making of task-sequence was implemented to determine the effect on the percentage of time on-task behavior, task-completion, and accuracy for five students with E/BD served in a residential setting. An ABAB design was used to examine a potential functional relation between choice-making and the dependent variables. All sessions were…

Building resilience in children who are Looked After can be especially challenging. This article focuses on the practice of a teacher working with children who were struggling to be included in mainstream schools. The first study shows how a young person was helped to self-reflect, including identifying positive values as strengths in his life.…

This paper looks at emotional neglect in the early years of life, and postulates some probable long-term sequelae of such neglect. It argues that there is a continuum of neglect; ranging from the severest form, as seen in institutional orphanages, to milder variations. A range of theoretical and research traditions, including developmental…