A Review of Family Therapy in Residential Settings

Merritts, Ashley N.

doi:10.1007/s10591-016-9378-6

Cited by 18 publications

(6 citation statements)

References 45 publications

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“…EBPs included family therapy, case management, peer support, family psychoeducation, and telehealth. First, family therapy is widely used in RT to build relationships among family members and improve family function (Merritts, 2016). Effective family therapy in RT is essential to the health and well-being of children and their families (Sunseri, 2020).…”

Section: Literature Reviewmentioning

confidence: 99%

Variation in Evidence-Based Practices Among Youth-Serving Residential Treatment Facilities

Herbell

Ault

Price

2022

J Am Psychiatr Nurses Assoc

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Background: Residential treatment is among the most intensive and expensive settings for children with behavioral health challenges; yet, the extent to which evidence-based practices are used in these settings is unknown. Aim: The purpose of this study was to describe the extent which family therapy, case management, telehealth, peer support, and family psychoeducation are provided in residential treatment using data from the National Mental Health Services Survey (N-MHSS). Organizational factors—region, ownership, payment, licensing/accreditation, and facility size—were examined in relation to evidence-based practices to understand disparities in care. Methods: This was a secondary analysis of publicly available data from the 2018 N-MHSS. A subpopulation was created consisting of residential facilities that served children ( N = 576). Descriptive statistics were used to describe the sample, and Cohen’s h was calculated to determine patterns of evidence-based practice utilization. Results: Evidence-based practices from most to least prevalent were family therapy (76%), family psychoeducation (74%), case management (71.1%), telehealth (17.2%), and peer support (8.7%). The provision of evidence-based practices was not evenly distributed. There were primarily small to moderate differences by organizational factors, including region (i.e., Northeast, Midwest), ownership status (i.e., for-profit), payment type (i.e., self-pay, private insurance), licensing/accreditation (Department of Family and Children Services), and facility capacity (>251 clients served per year). Conclusion: Findings demonstrate a need for research-practice partnerships to determine the barriers that prevent effective evidence-based practices from being implemented in the residential treatment setting.

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Section: Literature Reviewmentioning

confidence: 99%

Variation in Evidence-Based Practices Among Youth-Serving Residential Treatment Facilities

Herbell

Ault

Price

2022

J Am Psychiatr Nurses Assoc

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“…To avoid further disruption of family relationships, it is often combined with systemic interventions. Because family functioning is predictive of adolescent outcomes post-discharge (Merritts, 2016), and because studies have found that residential programs offering systemic treatment had better outcomes than programs offering only individual treatment (Gorske et al, 2003), this study focuses on adolescent and familial outcomes of families who receive secure residential youth care combined with systemic interventions in the Netherlands.…”

Section: Systemic Interventionsmentioning

confidence: 99%

“…Parental involvement in residential youth care has been shown to improve family relationships and treatment engagement, and to lead to reductions in parenting problems and adolescent behavior problems (Huefner et al, 2015;Merritts, 2016;Preyde et al, 2011). Greater parental involvement has the potential to improve bonding and relationships between parents and adolescents.…”

Section: Systemic Interventionsmentioning

confidence: 99%

“…Viewing severe behavioral problems of adolescents as a result of interactions between systems, implies that the treatment of these problems should involve the systems surrounding adolescents (Carr, 2019;Figge et al, 2017). This has translated to residential youth care increasingly employing familycentered care (Geurts et al, 2012;Merritts, 2016;Sharrock et al, 2013). For example, juvenile justice institutions implemented the family-centered care program (Simons et al, 2017).…”

Section: Introductionmentioning

confidence: 99%

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Residential Youth Care Combined with Systemic Interventions: Exploring Relationships between Family-Centered Care and Outcomes

Blankestein

Rijken

Broekhoven

et al. 2021

Residential Treatment for Children & Youth

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Family-centered care, in terms of parental involvement and family-centered staff attitude and behavior during placement in secure residential youth care, is increasingly being combined with systemic interventions. Little is known, however, about this combination of family-centered residential care and systemic interventions. This study assessed whether levels of parental involvement or family-centered staff attitude and behavior during placement predicted outcomes of systemic interventions. We first assessed the outcomes in the full sample of families receiving systemic interventions and thereafter in families receiving systemic interventions with a strong evidence base (Multidimensional Family Therapy, Multisystemic Therapy [specializing in treatment of individuals with an intellectual disability/with problem sexual behavior], Relational Family Therapy [MDFT, MST(-ID/-PSB), RGT]) and systemic interventions with a less strong evidence base (Attachment Based Family Therapy, Flexible Assertive Community Treatment [FACT], FamilyFACT, Forensic Ambulant Systemic Therapy, Systemic Therapy [ABFT, (Family)FACT, FAST, ST]). Results revealed that higher levels of parental involvement predicted less family empowerment and a longer duration of the systemic intervention. Higher levels of family-centered staff attitude and behavior predicted more parental distress, a shorter duration of the KEYWORDS Residential youth care; parental involvement; family-centered care; systemic interventions; family functioning CONTACT A. M. M. M. Blankestein

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“…It is therefore important to study what activities of FCP work for whom, but family involvement practices in youth treatment have not received much research attention (Affronti & Levison‐Johnson, 2009; Merritts, 2016). Partly due to the unclarities in operationalizations of FCP, knowledge of the effectiveness of FCP remains limited.…”

Section: Introductionmentioning

confidence: 99%

Family‐centred practice and family outcomes in residential youth care: A systematic review

Tang,

de Haan,

Kuiper

et al. 2024

Child & Family Social Work

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Family‐centred practice (FCP) has been suggested as a best practice for treating youth with emotional and behavioural difficulties in residential care. In this preregistered systematic review, we examined how FCP is operationalized and measured in residential youth care and which family outcomes are associated with FCP. Our systematic search in six databases identified 5784 articles. We analysed included articles by coding the operationalizations of FCP in the interventions and study measures. Further, we descriptively summarized relations between FCP and family outcomes. Thirteen articles met our inclusion criteria. In these articles, FCP was operationalized by five types of youth worker actions in interventions and was measured as five types of family involvement. Ten articles examined pre–post differences in family‐centred interventions. Only four articles analysed relations between FCP and a family outcome. Studies found some support for a positive association between FCP and whole‐family functioning, but overall, the association between FCP and family outcomes remains unclear. Our findings demonstrate that more research is needed that specifically examines different aspects of FCP and how they relate to family outcomes in residential youth care. Such studies can benefit from the conceptual model proposed for FCP in residential youth care interventions.

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A Review of Family Therapy in Residential Settings

Cited by 18 publications

References 45 publications

Variation in Evidence-Based Practices Among Youth-Serving Residential Treatment Facilities

Variation in Evidence-Based Practices Among Youth-Serving Residential Treatment Facilities

Residential Youth Care Combined with Systemic Interventions: Exploring Relationships between Family-Centered Care and Outcomes

Family‐centred practice and family outcomes in residential youth care: A systematic review

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