When institutions and their residents view one another as adversaries, their mutual alienation limits their ability to recognize or work on shared goals. Resident groups provide a meeting ground on which the needs of residents and the needs of the institution can converge. (Author)

In this article, the authors describe and illustrate their approach to consultancy, development and training in residential child care. When working together the authors form the MOSAIC Consortium and provide training and consultancy to residential child care services. The article draws on systems theory, systems thinking and the politics of child…

Purpose: The purpose of this study was to assess the direction and magnitude of the effects among the components of resident satisfaction in residential aged care and to examine if the relationships among satisfaction components vary according to facility type (i.e., nursing home and hostel). Briefly, a hostel is a low-care facility in which…

A more productive approach to providing appropriate long-term care is to separate physical from psychosocial needs when performing functional assessment and to rearrange them into a matrix. By examining each need separately, and where needs overlap in the matrix, more direct assessment can be performed, and specified interventions can be designed.…

Standardized clinical assessments from the point of view of children are rare. A standardized narrative assessment measure, developed to assess children's perceptions of their caregiving environments, the Narrative Story-Stem Technique (NSST), was used with two fraternal twins, age 8, with histories of severe maltreatment and multiple foster…

Purpose: When cognitively impaired nursing home residents exhibit agitated and aggressive behaviors during bathing, nursing home caregivers are in a unique position to improve residents' experience. This report addresses whether certified nursing assistants (CNAs) who received training in a person-centered approach with showering and with the…

Describes the Treatment Alternatives Project (TAP) which provides caseworker aid and supportive services that allow problem children to undergo treatment while remaining in their own homes or foster homes. (SDH)

Describes a successful intervention procedure utilizing operant conditioning techniques that reduced the high frequency of inappropriate behavior of a retarded girl in a residential facility. Three teachers, in three different instructional settings, mildly punished each incident of hand-mouthing while concurrently teaching more functional…

Presents an intervention, used in the Netherlands, that empowers clients in residential care homes. The intervention comprises a standardized survey-feedback procedure in which residents' opinions on life and care in their particular home are gauged, discussed, and reported. Explores instrument validity, reliability, and its use in the home. (RJM)

The focus of this research review is to determine what factors increase the likelihood that positive individual and systemic changes occur for children and adolescents following discharge from residential treatment. Residential treatment outcome studies from 1993 to 2003 that fulfilled predetermined criteria were located through 4 on-line…

Defines and describes different types of audits and areas of patient care which lend themselves to a quality of performance review. Describes an audit application at a hospital-based crisis intervention center and the corrective action taken on the basis of the findings. (Author)

Fifty-seven direct care staff members from an intermediate care facility for adults with mental retardation rated the acceptability of interventions used for self-injurious behavior and completed a measure of knowledge about behavioral principles. Results indicated that staff age and educational attainment were related to knowledge scores, but…

The State of the Science conference was held in May, 2007 as part of the ongoing series of national conferences, "Building on Family Strengths," conducted by the Research and Training Center on Family Support and Children's Mental Health at Portland State University. The theme of this State-of-the Science conference was "Effective…

Background: The mental health of child offenders who are detained in secure settings is a matter of great public and professional concern but there has been little systematic longitudinal research on the outcomes of these problems once the young person has returned to the community. The aims of the present study were to describe the psychosocial…

Assessed effect of cognitive-behavioral program to prevent HIV/AIDS among 139 adolescents. Self-report instruments were used to assess participants' knowledge and behavior about HIV/AIDS. Intervention was found to have significant effect on knowledge about HIV/AIDS, attitudes toward prevention, and coping with high-risk situations. Changes were…