This study explored factors associated with the psychiatric rehospitalization of children and adolescents. A retrospective archival review was conducted on 403 children and adolescents admitted into an inpatient psychiatric hospital. Results indicated that 16% were readmitted in the same year. Children and adolescents who had a prior history of psychiatric rehospitalization, lived in a residential treatment facility, and had a diagnosis of oppositional/defiant or conduct disorder were more likely to be rehospitalized. Psychosocial factors must be considered in predicting and preventing psychiatric rehospitalization. Clinical social workers should include therapeutic foster care as an option for aftercare placements of youth exhibiting externalizing behaviors and/or with a history of multiple restrictive care placements.
This research investigates the relationship between disclosure and adult outcome. In the study, 60 volunteers completed a phone interview regarding their history of sexual abuse, history of repeated disclosures, and current socioemotional functioning. Number of disclosures and number of positive disclosures were not related to adult functioning as measured by the Brief Symptom Inventory. Reactions to adulthood disclosure were perceived as significantly more helpful than reactions to childhood disclosures. Across all explored disclosures, the more direct the disclosure, the more negative the reaction. It is unclear, based on the lack of findings in this study, whether revealing sexual abuse has a healing effect.
This article reports findings from a study of an alternative educational program for at-risk secondary students, comparing student perceptions of their public school environment, measured upon intake in the alternative school, with their perceptions of the alternative school environment after four and eight months of attendance in the program. Student perceptions of teacher support in the alternative school environment were significantly more positive than their perceptions of the public school environment. Another purpose was to assess the relation between student perceptions of various aspects of the school environment with specific academic, behavioral, and socioemotional variables. The implications of these findings and future research inquiries are addressed.
This study measured the relational family values system of upper-middle-class mothers, fathers, and adolescents in the United States. Results revealed that participants shared common family values that mainly reflected the importance of individualism, equality in family relationships, family member interdependence, and parental guidance. Parent-adolescent relational values agreement patterns in families with early, middle, and late adolescents demonstrated high levels of agreement. The authors explore how this sample provides a basis by which to compare relational family values in other subcultures in future research and how using this measure can enhance culturally competent counseling.
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