239Downloaded by [Brunel University London] at 08:29 22 December 2014 240 L. R. Greyber et al. emotional disorders. Demographic information was unavailable for two of the 28 participants in this study. Data Collection and Measures: Participants' BMI ( N = 28) was measured at pre-and post-testing by the staff members at the RTF as well as demographic and diagnostic data including gender, ethnicity, age, and mental and physical health diagnosis ( N = 26). Data Analysis and Results: Demographic and diagnostic data was analyzed using descriptive frequencies. Data on pre-post BMI measures was analyzed using McNemar chi-square analyses. All of the hypotheses were supported. Results indicate that participants significantly improved their BMI scores from pre-to posttesting-specifically the number of youth in unhealthy ranges significantly improved to healthy ranges; and, the number of youth who moved from obese to overweight, and overweight to healthy improved. Lastly, results indicate that pre-BMI categories were significantly predictive of post-BMI percentage. Conclusions: The findings of this pilot study have implications for practice, policy, and research in all areas of child and adolescent wellness, including social work, psychology, health, medical, and education, to name a few. Results indicate that providing a
comprehensive health and wellness intervention that integrates all aspects of well-being, is perhaps a worthwhile intervention to improving the health of youth in residential treatment facilities.Limitations include a small sample size and limited methodological rigor due to design (pre-posttest single group design with no control). An additional limitation is the lack of data on psychotropic medication use for the sample. While the current research is a pilot exploratory study, it provides valuable information for future research with larger sample sizes and the use of control groups.