Thesis (M.A.)--Miami University, Dept. of Psychology, 2006. / Title from first page of PDF document. Includes bibliographical references (p. 37-40).

This study was an evaluation of the effectiveness of a residential treatment program for adolescents and young adults. The purpose of the investigation was to measure the impact of residential treatment with and without family counseling on the variables of work-school adjustment and return to treatment.

Coping with relapse in the drug addiction treatment is a frequent problem. To accept and admit a possibility of a relapse in an individual, which has already a took part, and duly finished his residential treatment, is important for his future life in abstinence. Relapses must be seen as a natural part of the therapeutic process and its needed to prepare clients and their families to them, during the treatment. Relapses might lead client to a deeper self-knowledge and also to gain the ability to recognize and manage risk situations. Research work was aimed on clients, who underwent at least one or more attempts to addiction treatment, which, although they completed it in due time, they are unable to remain in longer abstinence of drugs, and are reaching back to fall into previous level of drug dosage. Aim of this work was to map into more detaile the factors stading in the backround of relapse in an individual client after each treatment, to examine the circumstances, motivation for abstinence, decisions, and mental states, which clients were aware before starting the relapse, by using semi - structured interviews and anamnestic data. The basic findings of this research include the changing causes which trigger relapses in the majority of clients who had repeated treatments. There was a lack of...

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There is compelling evidence that helping adolescents develop certain traits (especially related to resiliency) can mitigate the confounding effects of suicide. Specific demographics of youth appear to have higher rates of suicidal behavior including those with mental health diagnoses and educational disabilities that affect students' academic achievement. We looked at evidence based social and emotional learning programs (SEL) that fostered adaptive coping skills and resilience. We identified Strong Teens (Carrizales-Engelmann, Merrell, Feuerborn, Gueldner, & Tran, 2016) as a program that could be easily administered and adapted into traditional and nontraditional school settings. This study was conducted in a residential treatment center (RTC) for adolescent males. The RTC permitted one of their therapists to implement the Strong Teens over the course of two consecutively run groups. Group 1 included seven boys and Group 2 included four boys. We relied on the therapist's self-assessment of modifications made to the program; the researcher's field notes collected during observations; emails between the therapist and researcher; the researcher's notes taken during conversations between the therapist and researcher; monthly Youth Outcome Questionnaire Self Report (Y-OQ-SR) test scores; youth Strong Teens pre and post test scores; and youth exit surveys conducted in one-one interviews at the conclusion of the Strong Teens lessons. Fidelity of program implementation was measured by the therapist and researcher completing the Strong Teens fidelity checklist (included in the Strong Teens manual). Based on collected data, we make the following recommendations: Adapt the Strong Teens program to increase student participation and receptiveness; carefully consider the size of the group, taking into account the capacity of the group leader to manage the group's behaviors and attend to individual needs; consider conducting groups sessions in settings that help youth feel safe and comfortable--groups held outside may be preferable to groups held inside classrooms; mental health professionals and teachers who lead the Strong Teens lessons may consider learning about a variety of basic therapeutic strategies and how these strategies might fit participants' needs; when evaluating the effectiveness of Strong Teens, carefully gather, consider, and contextualize a variety of data (quantitative and qualitative) from a variety of sources (youth participants, group leaders, and others who interact with the youth); in addition to focusing on teaching information and skills, group leaders must consider motivational strategies; focus initial conversations on why one would use such strategies to benefit oneself--later conversations may expand to include how strategies benefit others.

Eating Disorder-Diabetes Mellitus Type 1 (ED-DMT1) refers to individuals who have type 1 diabetes and a co-occurring eating disorder. The aim of this study was to identify current treatment practices for individuals with ED-DMT1 in a residential eating disorder treatment setting. Clinical nutrition managers (CNMs) at 18 residential eating disorder treatment facilities were interviewed about treatment practices for patients with type 1 diabetes. Four themes were identified through qualitative case study analysis: 1) nutrition interventions for patients with diabetes, 2) medical diabetes management, 3) interdisciplinary diabetes team, and 4) CNM's assessment of diabetes care. The majority of CNMs interviewed reported utilizing an exchange- based meal plan, which is well suited for patients with type 1 diabetes. Dietitians described the use of diabetes technology (e.g., insulin pumps and continuous glucose monitors) and described a gradual advancement of responsibility and autonomy with portioning food at meals and snacks and managing diabetes care. The dietitian is heavily involved in providing diabetes education along with the medical and/or nursing team. The majority of CNMs interviewed demonstrated knowledge deficits related to diabetes management and expressed the need and desire for increased education for themselves and other staff members in order to provide the highest quality of care.

This study of 24 therapists and 64 family members representing 109 adolescent residents of six residential treatment centers aimed to better understand therapists' and family members' points of view about family involvement in residential treatment for troubled adolescents. The study also provided the therapists' and family members' recommendations for family involvement in residential treatment. Findings from this mixed-methods study suggest that (a) the families from this study were involved in many different ways in their adolescents' treatment, including phone calls, visits to the treatment center, participation in therapy, and so forth; (b) there were areas in which therapists and family members agreed (e.g., whether families used phone calls as a form of contact) and areas in which they disagreed about how involved the families were in treatment and therapy (e.g., how often any family member was involved in therapy with the adolescent); and (c) the therapists and family members recommended that families should be involved in therapy but recommend some forms of involvement over others.

The United States is in the midst of an opioid crisis, with more than 130 people dying each day from an opioid overdose (Centers for Disease Control and Prevention [CDC], 2018a). Given the recent spike in overdose deaths associated with highly potent synthetic opioids (i.e., fentanyl), there are few signs of the crisis abating (CDC, 2018a). Compared to other age groups, the prevalence of both heroin and prescription opioid use is particularly elevated among young adults (Sharma, Bruner, Barnett, & Fishman, 2016). While there is a large body of evidence demonstrating the effectiveness of substance use treatment in general, only 40-60% of individuals remain abstinent in the year following treatment (McLellan, Lewis, O’Brien, & Klebler, 2000). Less attention has been given to the process of treatment, making it challenging to determine what works and what needs improvement. This information is necessary in developing a comprehensive understanding of the treatment process, which in turn, will inform treatment decisions and improve client outcomes. The current study adds to existing literature by assessing during-treatment change on four proximal outcomes measuring substance-related cognitions (i.e., abstinence self-efficacy and commitment to sobriety) and self-concept (i.e., internalized shame and self-compassion). It was hypothesized that participants would demonstrate significant changes in the favorable direction on all four proximal outcomes. A sample comprised of primarily young adults with opioid use disorders attending short-term residential substance use treatment were enrolled in a naturalistic longitudinal study and assessed at intake, mid-treatment, and discharge. Individual growth curve models were used to examine change over time at both the aggregate and individual levels on the four proximal outcomes. Several potential moderating influences (e.g., demographic information, substance use history, mental health symptoms) were explored to better understand initial status and responses to treatment. Results revealed significant changes in the expected direction on all four proximal outcomes. In addition, several variables emerged as significant predictors of initial status and rates of change. These results provide further evidence that residential substance use treatment is not only a viable option in reducing substance use, but also impacts other important outcomes relevant to clients’ functioning and overall well-being.

This report is a descriptive analysis of data obtained from the files of girls terminated from treatment at Albertina Kerr Center between January 1st, 1975 and July 1st, 1976. The purpose of the study is to identify factors that contribute to the high runaway rate which plagues the Center, and to offer the agency suggestions for dealing with the growing problem. Our findings suggest that there are two groups of residents who are apt to be prematurely terminated from the program due to running behavior. We have called the first group character disordered children, while the second consists of children who experience extreme separation anxiety when placed in the institution. The report concludes with recommendations for dealing with the identified groups.

This study concerns one fifteen year old boy in residential treatment in the State of Oregon. He is a diabetic, has been called emotionally disturbed and for nine years and eight months has been a ward of the Children's Services Division.