Adolescents’ Quality of Life and Mental Health Needs during the Initial Phase in a Closed Institution

Hecke, Nele Van; Meulewaeter, Florien; Rowaert, Sara; Nieuwenhuizen, Chijs van; Damme, Lore Van; Vanderplasschen, Wouter; Vandevelde, Stijn

doi:10.1080/14999013.2021.1934195

Cited by 7 publications

(8 citation statements)

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“…Secure treatment in Flanders, Belgium is provided in closed institutions for mandatory care and treatment under the jurisdiction of the Flemish government's Youth Welfare Agency [33]. In 2016, the average length of stay was 128 days, and most (87.4%) clients identi ed as male [33].…”

Section: Results: What Do Secure Treatment Programs For Children and ...mentioning

confidence: 99%

“…The various objectives of secure treatment fall into six overall categories. They aim to address clients' mental health needs [6, 8, 16, 40, 52], reduce the risk of harm that clients currently pose to themselves [4,40,48], reduce the risk of harm that clients currently pose toor others [4,12,47], and reduce the risk that clients may pose to themselves and/or others in the future [2,12,33,35,47,53,54]. As clients experience complex needs across multiple life domains (e.g., physical health, education, work, living situation, family and social relationships) that affect and are affected by their signi cant mental health and behavioral concerns [17,21,33,35,40,44,53,55], Asecure treatment programs also aim to address these life domains [17,21,33,35,40,44,[53][54][55] to improve clients' quality of life [33].…”

Section: Program Objectivesmentioning

confidence: 99%

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Mental health treatment programs for children and young people in secure settings: A systematic review

Schutte¹,

Danseco²,

Lucente³

et al. 2023

Preprint

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Background: While there are mental health treatment programs for children and young people in secure settings (i.e., secure treatment programs) in many countries, there is a lack of transparency and consistency across these that causes confusion for stakeholders and challenges for the design and delivery of high-quality, evidence-based programs. This systematic review addresses two questions: What do mental health treatment programs for children and young people in secure community settings look like across jurisdictions? What is the evidence underlying the various components of these programs? Methods: Twelve databases were searched in November 2021: CINAHL, EMBASE, MEDLINE, PsycINFO, PubMed, Scopus, Science Direct, Academic Search Complete, Psychology and Behavioral Sciences collection, Google Scholar, OpenDOAR, and GreyLit.org. To be included, publications had to be empirical literature or a report on mental health treatment within a secure setting for people under the age of 25; contain pre-identified keywords; be based on a research or evaluation study conducted since 2000; and be assessed as low risk of bias using an adaptation of the Critical Appraisal Skills Programme qualitative research checklist. The systematic review included 63 publications. Data were collected and analyzed in NVivo qualitative software using a coding framework. Results: There are secure treatment programs in Australia, Belgium, Canada, New Zealand, the Netherlands, England and Wales, Scotland, and the United States of America. Although there are inconsistencies across programs in terms of the systems in which they are embedded, client profiles, treatments provided, and lengths of stays, most share commonalities in their governance, definitions, designs, and intended outcomes Conclusions: The commonalities across secure treatment programs appear to stem from them being designed around a need for treatment that includes a mental disorder, symptom severity and salience involving significant risk of harm to self and/or others, and a proportionality of the risks and benefits of treatment. Most share a common logic; however, the evidence shows that this logic tends not to lead to sustained outcomes. Policymakers, service providers, and researchers could use the offered recommendations to ensure the provision of high-quality secure treatment programming to children and young people with serious and complex mental health needs.

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Section: Results: What Do Secure Treatment Programs For Children and ...mentioning

confidence: 99%

Section: Program Objectivesmentioning

confidence: 99%

Mental health treatment programs for children and young people in secure settings: A systematic review

Schutte¹,

Danseco²,

Lucente³

et al. 2023

Preprint

View full text Add to dashboard Cite

show abstract

“…It is of certain importance, in addition to focusing on risk factors during intervention, to focus on protective factors (chapter 3) and quality of life promotion (Bouman et al,. 2009;Van Hecke et al, 2021;Williams, 1999;Williams & Strean, 2002). In Chapter 4 it was discussed that youth with low satisfaction in important areas in their lives could be at risk for delinquent recidivism.…”

Section: Relevance Of Neurobiological Characteristics For Interventio...mentioning

confidence: 99%

“…Tijdens een interventie is het van zeker belang om naast aandacht voor risicofactoren ook aandacht te besteden aan beschermende factoren (hoofdstuk 3) en bevordering van de kwaliteit van leven (Bouman et al,. 2009;Van Hecke et al, 2021;Williams, 1999;Williams & Strean, 2002). In hoofdstuk 4 is besproken dat bij jongeren met een lage tevredenheid op belangrijke gebieden in hun leven een verhoogd risico bestaat op recidiveren.…”

Section: Relevantie Van Neurobiologie Voor Interventiemogelijkheden E...unclassified

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Ruigh¹

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The practical use of neurobiological markers is increasingly advocated. Research has identified several potential peripheral biomarkers of antisocial behavior that could be applied in clinical practice with relative ease, specifically markers of the autonomic nervous system (ANS) and neuro-endocrinological markers. Researchers advocate that neurobiological markers be studied in combination with psychological and social factors, as it has become increasingly clear that combinations of these factors influence antisocial behavior. However, certain challenges remain that impede the application of these markers in practice. The aim of the current dissertation was to provide new insights into neurobiological parameters related to (the persistence of) antisocial behavior in youth and their potential applicability for clinical practice in youth (forensic) residential care. The chapters of this thesis are all based on the SCREEN study: a national study in 445 youths (aged 14-24 years) within the clinical practice of youth (forensic) residential care settings in the Netherlands. The study consisted of an initial baseline measurement, and three follow-up measurements. Recidivism data were obtained from official records. Several subsamples of the total SCREEN sample were used in the different chapters of this thesis. In order to gain insight in empathic deficits in juveniles with antisocial behavior, self-reported and physiological empathic reactions to empathy induction were studied in relation to psychopathic traits. It was evaluated whether underlying neurobiological measures can contribute to a better understanding of empathy. Self-reported responses and physiological reactions of the autonomic nervous system (ANS) to empathy eliciting film clips were studied in relation to psychopathic traits (n = 416). Results showed that psychopathic traits – especially callous-unemotional traits - were related to lower reported empathy. Moreover, self-acclaimed non-empathic responders showed less physiological reactivity: they showed less heart rate (HR) withdrawal than empathic responders. This infers that, even in a severely antisocial sample, physiological responses may help identify individuals with severely impaired empathic functioning. The biopsychosocial approach on risk assessment was employed by examining the added value of protective and neurobiological factors on top of standard assessment of risk factors (n = 209). Adding protective factors to psychosocial risk factors significantly improved prediction of general reoffending. Adding heart rate variability (HRV) reactivity significantly improved prediction of violent reoffending. More specifically, a blunted decrease in HRV response. Next, we sought to predict quality of life (QoL) from a biopsychosocial perspective. Multivariable mixed model analysis showed that lower trauma and stronger HRV reactivity best predicted increased QoL. It was tested whether the integration of biopsychosocial data could render clinically relevant subgroups related to recidivism. Neurobiological and psychosocial risk factors and recidivism scores were used to identify subgroups in a subsample of 223 juvenile offenders. Latent class regression analysis yielded three relevant subgroups in relation to reoffending behavior. Within these subgroups, specific neurobiological profiles predicted reoffending type (no reoffending, non-violent reoffending and violent reoffending). Psychological, social and neurobiological factors all contributed to the distinction between subgroups, resulting in 98% allocation accuracy. A prototype ‘tool’, designed to assign (new) individuals to the subgroups with accompanying reoffending risk, correctly classifying 92% of these individuals. Finally, several practical recommendations for successful scientific research in youth forensic settings were presented. Being primarily independent, well embedded and accessible, and above all remaining flexible as a research team proved to be key in the SCREEN study. The recommendations can aid researchers in setting up and successfully performing research in different settings of closed youth care. In the seventh and final chapter, key findings of the studies are discussed along the lines of the four distinct tasks suggested by Popma and Raine (2006): diagnostics, risk assessment, intervention options and evaluation of treatment.

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“…Given the morally charged nature of corrections, failing to engage in a discussion of values is particularly problematic (Ward & Heffernan, 2017). Embedded within the correctional field are several important value-based concerns; these include questions of human rights duties and entitlements , harm and victimisation (Ward & Moreton, 2008), punishment and treatment (Glaser, 2003), risk and security, and conceptions of human well-being (Day & Ward, 2010;Van Hecke et al, 2021;Ward & Maruna, 2007). For example, the enduring conflict between rehabilitation and punishment proponents is essentially a normative debate in which ethical, social, and epistemic values are centrally involved, and have major implications for forensic research and practice.…”

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confidence: 99%

Translating Science to Practice in Corrections: A Revised Model of the 5-Step Inquiry Process of Evidence-Based Practice

Fleming¹

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<p>In this thesis, I will examine evidence-based practice (EBP) as a primary example of translating science into practice, and as the predominant model of clinical practice within psychology. I argue that despite the merits of EBP and its value for clinical psychology, key conceptual issues arise from the inquiry component of the EBP model. Second, I examine efforts to incorporate scientific models of psychological practice into the correctional domain, and argue that the Risk-Needs-Responsivity model (RNR) has assumed an impoverished, and therefore, problematic version of an evidence-based model of correctional psychological practice. I then describe three key areas of EBP in which adhering to an RNR-based model of practice is particularly detrimental: flexibility, therapeutic alliance, and psychological expertise. To further my critique of attempts to translate science to practice in corrections, I revisit the conceptual issues of the EBP inquiry process and discuss how these manifest within correctional psychology. Finally, I outline a revised formulation of the EBP inquiry process and discuss how this model can overcome current issues in the translation of science to practice in correctional psychology. To further demonstrate the potential strengths of the proposed model, I then apply it to a fictional case exemplar before suggesting some implications for forensic practice. I argue that the revised EBP model provides a more coherent and comprehensive model than the current approaches.</p>

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Adolescents’ Quality of Life and Mental Health Needs during the Initial Phase in a Closed Institution

Cited by 7 publications

References 67 publications

Mental health treatment programs for children and young people in secure settings: A systematic review

Mental health treatment programs for children and young people in secure settings: A systematic review

What lies beneath

Translating Science to Practice in Corrections: A Revised Model of the 5-Step Inquiry Process of Evidence-Based Practice

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