Troubled Affluent Youth’s Experiences in a Therapeutic Boarding School: The Elite Arm of the Youth Control Complex and Its Implications for Youth Justice

Mooney, Heather E.; Leighton, Paul

doi:10.1007/s10612-019-09466-4

Cited by 13 publications

(15 citation statements)

References 28 publications

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“…There are more concerns which may need to be addressed when it comes to AT practice specifically. For example, WT and residential treatment for adolescents in the United States is typically an involuntary practice which comes at a high cost to families (Mooney & Leighton, 2019). Gass et al (2019) reported adolescents remaining in OBH for an average of 90 days at a cost of US$561 per day.…”

Section: Discussion and Implementationmentioning

confidence: 99%

Adventure Therapy and Routine Outcome Monitoring of Treatment: The Time Is Now

Dobud

Cavanaugh

Harper

2020

Journal of Experiential Education

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Background: Routine outcome monitoring (ROM) was popularized in the mid-1990s to improve client outcomes in psychotherapy, though implementation in clinical practice has been slow. Although increased outcome research in adventure therapy (AT) in the last decade has demonstrated AT as a viable treatment option, recent reviews have found worrying trends regarding research methodology and poorly substantiated claims of superiority. Purpose: The purpose of this article is to explore the potential for ROM in AT. Methodology/Approach: We conducted a brief review of the literature on ROM and offered a discussion that positions principles of ROM with the nascent knowledge base of AT. Findings/Conclusions: We propose ROM is a viable next step in AT research and practice. ROM can explore when change is likely to occur during an AT program and provide a platform for improving client engagement and outcomes. Implications: We recommend implementation of ROM in AT and that future AT research explore therapist effects and important therapeutic factors, such as the therapeutic alliance and deterioration.

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Section: Discussion and Implementationmentioning

confidence: 99%

Adventure Therapy and Routine Outcome Monitoring of Treatment: The Time Is Now

Dobud

Cavanaugh

Harper

2020

Journal of Experiential Education

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“…However, Chatfield et al's (2021) research failed to find any association between forcible transport and youths' perceived quality of experience in residential care. IYT has also been criticized as a form of social control or "strong-arm rehabilitation" that can elicit traumatic responses (Mooney & Leighton, 2019;Rosen, 2021). Robbins (2014) and Szalavitz (2006) described such practices as being fraught with contention and coercion which pose a greater risk of harm than benefit to adolescents.…”

Section: Scenario #2mentioning

confidence: 99%

“…Potential benefits of IYT include: reducing safety risks during transport and increasing access to needed treatment for acute youth (Persi et al, 2016). Conversely, potential consequences of IYT include: the violation of human rights and self determination (American Bar Association, 2007;Persi et al, 2016), overuse of IYT for non-acute youth (Persi et al, 2016), and re-traumatization (Mooney & Leighton, 2019;Rosen, 2021).…”

Section: Five-step Ethical Frameworkmentioning

confidence: 99%

“…Should a staff supported (level 3) or secured IYT (level 4) be deemed as the least restrictive approach, it should be noted that the use of procedures relying on threat, deceit, or brute force are contraindicated. Robbins (2014) and Mooney and Leighton (2019) identify a specific deceptive approach to IYT where youth are woken up in the middle of the night without forewarning and "strong-armed" or "kidnapped" into treatment. No evidence supporting the clinical benefit of this approach exists and its use contradicts key elements of ethical practice for IYT.…”

Section: Prioritizing Assessment Of Client Willingnessmentioning

confidence: 99%

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Involuntary Youth Transport (IYT) to Treatment Programs: Best Practices, Research, Ethics, and Future Directions

Gass

Hardy

Norton

et al. 2021

Child Adolesc Soc Work J

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Involuntary youth transport (IYT) is a controversial practice used to admit adolescents into residential care. Critics point out that IYT is in need of regulation and is best used as a last resort. This article examines the risks and benefits of IYT, especially the longterm effects on the client, in order to ensure that all facets of a client’s treatment are trauma-informed and guided by research-based practices and ethical principles. Practices that re-traumatize youth need to be replaced with informed practices that facilitate positive outcomes. This article utilizes an ethical decision-making framework developed for behavioral health professionals to assess and improve the ethical use of IYT. Based on this ethical framework, a more effective and collaborative model is presented that results in less restrictive approaches, greater levels of willingness by the adolescent to enter treatment, and trauma-informed management of difficult emotional or physical behaviors. This model also guides professionals and caregivers on how to proceed when IYT services are deemed necessary. The article presents past research and addresses ethical guidelines and best practices for IYT. Steps for practitioners and future directions are discussed.

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“…Although seldom studied, its workings have important implications for understanding the current terrain of youth social control, and how privatization can create new sites for punishment. Not only do middle-class teens engage in delinquency at similar rates to less privileged young people, these more fortunate youths also experience high rates of anxiety disorders, depression, substance abuse, suicide and somatic symptoms (Mooney and Leighton 2019). While teens from the lower classes become entangled in the justice system, the "unwanted" behaviors of middle-, upper-middle-and upper-class teens often land them in private facilities and institutions.…”

mentioning

confidence: 99%