Residential Trajectories of Participants in North Carolina's Willie-M. Program

Nash, James K.; Thompson, Shealy; Kim, Jong Sung

doi:10.1300/j079v33n01_06

Cited by 7 publications

(4 citation statements)

References 18 publications

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“…In spite of the skepticism about their continued use (Dishion, Dodge, & Lansford, 2008), these settings have remained an integral component of the system of services for youth (Geller & Biebel, 2006; McCurdy & Mclntyre, 2004). This is supported by some research evidence that group homes and residential treatment centers care for children with greater treatment needs (Nash, Thompson, & Kim, 2006; Preyde, Adams, Cameron, & Frensch, 2009), and continue to be the most frequently utilized placements within the continuum of intensive and restrictive services available (James et al, 2006; McMillen et al, 2004). …”

Section: Introductionmentioning

confidence: 87%

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Patterns of movement for youth within an integrated continuum of residential services

Huefner

James

Ringle

et al. 2010

Children and Youth Services Review

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This study examined patterns of movement for youth receiving services within a continuum of intensive and restrictive residentially-based programs. Data were collected for 701 completed episodes of care within a three-program residential continuum of care over a 5 year period, and examined time within program, movement between programs, in-program disruptive behavior, and discharge status. Results showed that most youth either remained in a stable placement in the least restrictive of the programs, or followed a pattern of placements that systematically moved them from more restrictive to less restrictive settings. Of note, transitions from more restrictive to less restrictive programs correspond to deescalating levels of problem behavior; and over 80% of the youth were stepped down to either family-based or independent living situations at the time of departure. Findings support the notion that a continuum of intensive residential services can serve the needs of youth with significant emotional and behavioral needs.

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Section: Introductionmentioning

confidence: 87%

“…For the most part, researchers have found a high level of correspondence between youth problems and the restrictiveness of the setting in which they receive care (Handwerk, Friman, Mott, & Stairs, 1998; Nash et al, 2006), although this is not always the case (Fields & Ogles, 2004). …”

Section: Introductionmentioning

confidence: 99%

Patterns of movement for youth within an integrated continuum of residential services

Huefner

James

Ringle

et al. 2010

Children and Youth Services Review

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“…Other investigators indicate that youth served by more restrictive residential programs have greater emotional and behavioral needs than youth receiving less restrictive community- or family-based care (Briggs et al, 2012; Handwerk et al, 1998; Nash, Thompson, & Kim, 2006; Pottick, Warner, & Yoder, 2005). The preceding studies report that youth across various residential programs (e.g., acute care shelter, group homes, wilderness program, or residential treatment center) have high rates of externalizing and internalizing behavior problems, academic problems, comorbid diagnoses, substance use problems, suicidal or self-injurious behavior, and trauma, including abuse or neglect.…”

Section: Match Between Clinical Needs and Level Of Carementioning

confidence: 99%

Patterns of maltreatment and diagnosis across levels of care in group homes

Seifert

Farmer

Wagner

et al. 2015

Child Abuse & Neglect

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Patterns of Axis I psychiatric diagnosis and maltreatment history were explored among youth in group homes, including match of clinical need to level or restrictiveness of care. Data on demographics, diagnoses, maltreatment, and group home level of care (Level I, II, or III homes, representing lower to higher intensity of supervision and treatment) were obtained from 523 youth who participated in a quasi-experimental study of group homes. Three quarters of youth had a diagnosis and two thirds of youth had a maltreatment history. Youth in higher level homes had more diagnoses and higher rates of all disorders except adjustment disorders. Youth in Level I homes had a history of more maltreatment types, particularly high rates of neglect. Sexual abuse, physical abuse, and emotional abuse were most common among youth in higher level homes. Regardless of diagnosis history, comparable proportions of youth had a maltreatment history, and similar patterns were found across levels of care. Together, findings indicate that group homes with varying degrees of restrictiveness serve youth with different psychiatric diagnosis and maltreatment histories. Youth triaged to higher level homes had more diagnoses, while youth placed in the least restrictive homes had a history of more maltreatment subtypes. Further, distinct patterns of diagnosis types and maltreatment subtypes were seen across homes. Implications include the importance of assessing unique clinical needs of youth to promote an appropriate match to level of care and treatment plan.

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“…Some studies have indicated that movement to a more restrictive placement and an increase in the severity of behavior problems are correlated (Handwerk, Friman, Mott, & Stairs, 1998; Huefner, James, Ringle, Thompson, & Daly, 2010; Nash, Thompson, & Kim, 2006). Yet there is also countervailing evidence that a substantial number of children placed into the most restrictive settings have needs that are no more severe than those of children in lower level family-based care (Breland-Noble, Farmer, Dubs, Potter, & Burns, 2005; Farmer, Mustillo, Burns, & Holdern, 2008; James, Roesch, & Zhang, 2011; Lyons, Libman-Mintzer, Kisiel, & Shallcross, 1998).…”

Section: Introductionmentioning

confidence: 99%

12-month follow-up outcomes for youth departing an integrated residential continuum of care

Ringle

Huefner

James

et al. 2012

Children and Youth Services Review

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This study examined the 12-month post-departure outcomes for youth who exited a residential treatment program at differing levels of restrictiveness. Study participants were 120 youth who entered an integrated residential continuum of care at its most restrictive level and then either departed the program at the same level or stepped down and departed at a lower level of restrictiveness. Results indicate that youth who stepped down and exited at the lowest level of restrictiveness were the most likely to be living at home or in a homelike setting and experienced fewer formal post-departure out-of-home placements. However, there were no differences in post-departure rates of substance use, arrests, or being in school or having graduated. These results suggest that youth who were served in the integrated continuum and departed at the lowest level of restrictiveness had more positive outcomes at 12-month post-discharge.

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Residential Trajectories of Participants in North Carolina's Willie-M. Program

Cited by 7 publications

References 18 publications

Patterns of movement for youth within an integrated continuum of residential services

Patterns of movement for youth within an integrated continuum of residential services

Patterns of maltreatment and diagnosis across levels of care in group homes

12-month follow-up outcomes for youth departing an integrated residential continuum of care

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