Partial Hospitalization Programs for Children and Adolescents

  • Benjamin B. Lahey
  • David L. Kupfer
Chapter
Part of the Applied Clinical Psychology book series (NSSB)

Abstract

The confluence of several important contemporary trends has recently given strong support to the development of partial hospitalization programs for children and adolescents. Partial hospitalization programs provide institutional care and treatment for exceptional children on a part-time basis (less than 24 hours per day), while the child remains in the community the rest of the time. This treatment strategy has received strong support from three movements within the human services field: (1) Under the banner of “deinstitutionalization,” nearly every state has mandated that as many full-time residents of institutions as possible be returned to the community; (2) an increasing body of clinical research strongly suggests that parents can be trained to be effective therapists even with very deviant children, and that successful parent-therapists apparently can have even more durable and pronounced effects on the maladaptive behavior of their children than professional therapists who work with the child outside of the family setting (O’Dell, 1974); and (3) there is increasing realization of the need for families to have regular relief from the care of exceptional children. This needs to be relieved from full-time parenting is particulary great if there are other children in the family, if both parents are employed, or if the exceptional child belongs to a single-parent family (one including a single, widowed, or divorced parent).

Keywords

Treatment Center Residential Treatment Maladaptive Behavior Community Mental Health Center Apply Behavior Analysis 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.
This is a preview of subscription content, log in to check access.

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. Ahmed, M. B., Stein, D. D. Children’s mental health services: A case study of a successful grant proposal. Hospital and Community Psychiatry, 1974, 25, 591–595.Google Scholar
  2. Astrachan, B. M. The five-day week: An alternate model in residential treatment centers. Child Welfare, 1975, 54, 21–26.Google Scholar
  3. Atthowe, J. M. Behavior innovation and persistence. American Psychologist, 1973, 28, 34–41.CrossRefGoogle Scholar
  4. Bowlby, J. M. Attachment and loss. New York: Basic Books, 1969.Google Scholar
  5. Braga, L.D., & Braga, J. L. Child development and community mental health services: An important partnership. Child Psychiatry and Human Development, 1975, 6, 47–54.CrossRefGoogle Scholar
  6. Drabman, R., Spitalnik, R., Hagaman, M. B., Van Witsen, B. The five-two program: An integrated approach to treating severely disturbed children. Hospital and Community Psychiatry, 1973, 24, 33–36.Google Scholar
  7. Evangelakis, M. G. A manual for residential and day treatment of children. Springfield, Illinois: Charles C Thomas, 1974.Google Scholar
  8. Felner, R. D., Stolberg, A., & Cowen, E. L. Crisis events and school mental health referral patterns of young children. Journal of Consulting and Clinical Psychology, 1975, 43, 305–310.CrossRefGoogle Scholar
  9. Fraser, M. Children in conflict. London: Seeker and Warburg, 1973.Google Scholar
  10. Freeman, A. M. Day hospitals for severely disturbed schizophrenic children. American Journal of Psychiatry, 1959, 115, 893–898.Google Scholar
  11. Freeman, B. I., Ornitz, E. M., & Tanguay, P. E. Educational approaches at the Behavior Research Institute, Providence, Rhode Island. In E. R. Ritvo (Ed.), Autism: Diagnosis, current research, and management. New York: Halsted Press, 1977.Google Scholar
  12. Harris, S. L. Involving college students and parents in a child-care setting: A day school for the child with autistic behaviors. Child Care Quarterly, 1974, 3, 188–194.CrossRefGoogle Scholar
  13. Koret, S. The children’s community mental health center emerges. Child Psychiatry and Human Development, 1973, 3, 243–254.CrossRefGoogle Scholar
  14. Lovaas, O. I., Koegel, R., Simmons, J. Q., & Long, J. S. Some generalization and follow-up measures on autistic children in behavior therapy. Journal of Applied Behavior Analysis, 1973, 6, 131–166.CrossRefGoogle Scholar
  15. Marshall, K. A., & Stewart, M. F. Day treatment as a complementary adjunct to residential treatment. Child Welfare, 1969, 48, 40–44.Google Scholar
  16. O’Dell, S. Training parents in behavior modification: A review. Psychological Bulletin, 1974, 81, 418–433.CrossRefGoogle Scholar
  17. O’Leary, K. D., & Wilson, G. T. Behavior therapy: Application and outcome. Englewood Cliffs, New Jersey: Prentice-Hall, 1975.Google Scholar
  18. Phillips, E. L., Phillips, E. A., Fixsen, D. L., & Wolf, M. M. Achievement Place: Modification of the behaviors of predelinquent boys within a token economy. Journal of Applied Behavior Analysis, 1971, 4, 45–59.CrossRefGoogle Scholar
  19. Silver, L. Difficulties in integrating child and adolescent training and service in a community mental health center. Hospital and Community Psychiatry, 1977, 28, 26–30.Google Scholar
  20. Thompson, R. J., Garret, D. J., Striffler, N., Rutins, I. A., Palmer, S., & Held, C. S. A model interdisciplinary diagnostic and treatment nursery. Child Psychiatry and Human Development, 1976, 6, 224–232.CrossRefGoogle Scholar

Copyright information

© Plenum Press, New York 1979

Authors and Affiliations

  • Benjamin B. Lahey
    • 1
  • David L. Kupfer
    • 1
  1. 1.Department of PsychologyUniversity of GeorgiaAthensUSA

Personalised recommendations