Parenting a Child in Residential Treatment: Mother’s Perceptions of Programming Needs

Herbell, Kayla; Breitenstein, Susan M.

doi:10.1080/01612840.2020.1836536

Cited by 10 publications

(11 citation statements)

References 51 publications

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“…Clients are discharged when they achieve intended outcomes [19], age out [6,11], drop out [37], have insurance issues [11], or staff perceive a lack of bene t [6,11]. A stepped approach to discharge is used: Clients are moved into higher, lower or equally secure settings [3,15,64].…”

Section: Dischargementioning

confidence: 99%

“…A stepped approach to discharge is used: Clients are moved into higher, lower or equally secure settings [3,15,64]. Discharge destinations include community destinations [3,6,11,64], hospital settings [3,11,63,64], and corrections settings [3,11].…”

Section: Dischargementioning

confidence: 99%

“…Moreover, the systems in which secure treatment programs are embedded commonly change, and professionals in positions to refer children and young people to secure treatment may not be aware of the programs [9]. These can be barriers to access, collaboration, and coordination [8][9][10][11].…”

Section: Introductionmentioning

confidence: 99%

“…Little is known about their clinical outcomes [15]. The literature raises questions about their effectiveness [10,11,[15][16][17][18][19][20][21][22], e ciency and timeliness [4,5,9], and equity [4,8,9,[23][24][25]. Quality processes are limited by a lack of consistent data within and across programs [9,14,26].…”

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

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: Dischargementioning

confidence: 99%

Section: Dischargementioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

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

“…In the home, caregivers (e.g., biological, adoptive, foster, kin; hereafter referred to as parents) may have inadequate support and limited access to strategies to manage this high-stress caregiving scenario (Sheidow et al, 2014 ). A second factor is that treatment plans may focus on the presenting disruptive behaviors with limited attention on preparing the family and adolescent for discharge (Herbell & Breitenstein, 2020 ). Thus, families may feel unprepared for discharge, and adolescents may enter the same unchanged home environment (Ringle et al, 2015 ).…”

Section: Parent Training and Treatment Gain Maintenancementioning

confidence: 99%

Web-Based Parent Training in Parents with Adolescents Admitted to Psychiatric Residential Treatment: A Mixed-Methods Study

2022

Self Cite

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Despite intensive treatment, adolescents discharged from residential treatment (RT) often do not maintain treatment gains in the community. Providing support and education to caregivers through parent training may ameliorate the loss of treatment gains. Successful parent training programs have been delivered to this population; however, these interventions were delivered in-person, posing significant barriers affecting reach, access, and engagement. A convergent mixed methods design was used to assess the acceptability, appropriateness, and feasibility of a web-based parent training in a sample of parents ( N = 20) with adolescents admitted to RT. Parents completed two interviews and an end-of-program survey. Parents completed at least 80% of the assigned modules and felt that PW was easy to use and that the features facilitated learning. Parents reported practicing the skills in their daily lives and found it beneficial to have a partner to practice with. Consistent with previous studies, parents perceived the delivery method as a strength because the web-based delivery circumvented multiple known barriers to in-person interventions. A large subset of parents related to the scenarios, while a small subset of parents felt the modules were challenging to relate to because of the severity of their adolescent’s mental health challenges. Overall, findings indicate that web-based parent training programs may be an acceptable, appropriate, and feasible adjuvant evidence-based support. However, tailoring the intervention content is necessary to create a more relatable intervention that captures the breadth and severity of mental health challenges adolescents in RT face.

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Associations Among Parenting Competence and Practices, Household Chaos, and Behavior Problems in Adolescents Accessing Residential Treatment

Herbell

Eisner

Ault

et al. 2023

Child Adolesc Soc Work J

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Parenting a Child in Residential Treatment: Mother’s Perceptions of Programming Needs

Cited by 10 publications

References 51 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

Web-Based Parent Training in Parents with Adolescents Admitted to Psychiatric Residential Treatment: A Mixed-Methods Study

Associations Among Parenting Competence and Practices, Household Chaos, and Behavior Problems in Adolescents Accessing Residential Treatment

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