A comprehensive alternative to residential treatment for adolescents and young adults
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This paper describes a treatment modality for adolescents and young adults who do not respond successfully to treatment within the family context. A comprehensive therapeutic program is implemented in the open community, providing benefits of residential care while avoiding many of the drawbacks. Five key components are discussed: creating individualized programs using community resources; effecting a complete separation from parents; maximizing autonomy and self-reliance; facilitating a corrective family experience; and capitalizing on transference in intensive individual psychotherapy, which is enhanced when a married couple functions as the treatment team. Suggestions for implementing this model are discussed and advantages and limitations are cited.
- Farley JE: Preparing the family to make the decision about residential placement for an adolescent. Hospital and Community Psychiatry 36:662–664, 1985.
- Feinstein SC, Uribe, V: Hospitalization of young people: rationale and criteria. Psychiatric Annals 15:602–605, 1985.
- Kaufmann L: The rationale for the family approach with adolescents. Adolescent Psychiatry 13:493–509, 1986.
- Rossman PG, Freedman JA: Hospital treatment for disturbed adolescents: the role of parent counseling groups. Adolescent Psychiatry 10:391–406, 1982.
- Barker P: The Residential Psychiatric Treatment of Children. London, Crosby Lockwood Staples, 1974.
- Barker P: “The ‘impossible’ child”: some approaches to treatment. Canadian Psychiatric Association Journal, (Spec Suppl) 23:SS-1–SS-21, 1978.
- Barker P: The future of residential treatment for children, in Children in Residential Care: Critical Issues in Treatment. Edited by Schaeffer CE, Swanson AJ. New York, Van Nostrand Reinhold, 1988.
- Bridgland M: Pioneer Work with Maladjusted Children. London, Crosby Lockwood Staples, 1971.
- Noshpitz JD: Notes on the theory of residential treatment, in The Psychiatric Treatment of Adolescents. Edited by Esman AH. New York, International Universities Press, 1983.
- Rinsley DB: The Adolescent in residential treatment: some critical reflections. Adolescence 2:83–95, 1967.
- Rinsley DB: Theory and practice of intensive residential treatment of adolescents. Psychiatric Quarterly 42:611–638, 1968.
- Rivlin LG, Wolfe M: Institutional Settings in Children's Lives. New York, John Wiley, 1985.
- Schaefer CE, Swanson AJ: Children in Residential Care: Critical Issues in Treatment. New York, Van Nostrand Reinhold, 1988.
- Stone LA: Residential treatment, in Basic Handbook of Child Psychiatry, vol 3. Edited by Noshpitz JD. New York, Basic Books, 1979.
- Schneider S: A Model for an alternative educational treatment program for adolescents. Israel Annals of Psychiatry and Related Disciplines 16:1–20, 1978.
- Lewis WW: Ecological factors in successful residential treatment. Behavioral Disorders 7:149–156, 1982.
- Gwynn C, Meyer R, Schaefer C: The influence of the peer culture in residential treatment, in Children in Residential Care: Critical Issues in Treatment. Edited by Schaeffer CE, Swanson AJ. New York, Van Nostrand Reinhold, 1988.
- Adams DB: Adolescent residential treatment: An alternative to institutionalization. Adolescence 15:521–527, 1980.
- Chedoke Child and Family Centre, Hamilton Ontario: Institutions without walls for emotionally disturbed children. Hospital and Community Psychiatry 28:849–851, 1977.
- Bachrach, LL, Talbott, JA, Meyerson, AT: The chronic psychiatric patient as a “difficult” patient: A conceptual analysis. New Directions for Mental Health Services, 33:35–50, 1987.
- Bassuk, E: Psychiatric emergency services: Can they cope as last-resort facilities? New Directions for Mental Health Services, 28:11–20, 1985.
- Baxter, E, Hopper, K: The new mendicancy: Homeless in New York City. American Journal of Orthopsychiatry, 53:393–408, 1982.
- Frances, A, Goldfinger, SM: “Treating” a homeless mentally ill patient who cannot be managed in the shelter system. Hospital and Community Psychiatry 37:577–579, 1986.
- Granet, RB, Talbott, JA: The continuity agent: Creating a new role to bridge the gaps in the mental health system. Hospital and Community Psychiatry 29:132–133, 1978.
- Lamb, HR, ed.: The Homeless Mentally Ill: A Task Force Report of the American Psychiatric Association. Washington, DC, American Psychiatric Association, 1984.
- Tessler, RC, Dennis, DL: A Synthesis of NIMH-funded Research Concerning Persons who are Homeless and Mentally Ill. Rockville, MD: National Institute of Mental Health, 1989.
- Breton, M: A drop-in program for transient women: promoting competence through the environment. Social Work, 29:542–546, 1984.
- Segal, SP, Baumohl, J: The community living room. Social Casework, 66:111–116, 1985.
- Carling, PJ: Major mental illness, housing and supports: The promise of community integration. American Psychologist, 45: 969–975, 1990.
- A comprehensive alternative to residential treatment for adolescents and young adults
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