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The present study aimed to examine the relationship between maladaptive schemas and treatment outcomes of adolescent and adult women with an eating disorder receiving residential treatment. Existing data were obtained from 67 females aged 11 to 47 years (m =18.61) that had entered residential treatment for anorexia nervosa (AN), bulimia nervosa (BN), or eating disorder not otherwise specified (EDNOS) at a Western United States residential eating disorder treatment facility. Pre- and posttreatment data were collected by the personnel at the facility on eating disorder symptomatology, mood, and core beliefs. Three hypotheses were tested: (a) that maladaptive schemas would be positively correlated with eating disorder symptom severity, (b) that females endorsing more maladaptive schemas at admission or those with stable maladaptive schemas across their course of treatment would have less favorable posttreatment outcomes at the time of their discharge from residential treatment than females with lower scores initially or improved scores over the course of their treatment and follow-up, and (c) that females endorsing more maladaptive schemas or with greater stability of their maladaptive schemas across treatment will spend more time in residential treatment. To address the above hypotheses a series of hierarchical linear regressions, linear mixed-effects models, and Cox proportional-hazards regressions were conducted. Results ndicated that maladaptive schemas at the start of treatment were predominantly predictive of admit rather than discharge symptomatology. Different combinations of maladaptive schemas were found to have both positive and negative relationships to one's symtomatology across time. The most common maladaptive schemas found to be significantly associated with symptomatology were impaired limits, impaired autonomy and performance, and overvigilance and inhibition. Lastly, a relationship existed between both impaired limits and overvigilance and inhibition and a participant's length of stay in treatment. The results of this study suggest that maladaptive schemas provide some predictability of treatment outcomes and are important targets for psychological interventions aimed at recovery. Furthermore, the results of the study highlight the complexity associated with maladaptive schemas in females with eating disorders and the need for longitudinal research to examine common patterns and therapeutic targets based on diagnosis and status in treatment.

ÖREBRO UNIVERSITY Department of Behavioural, Social and Legal Sciences Program of social work Social Work C C-essay in Social Work, 15 credits Autumn term 2013 The family is the only way back home – A qualitative study on staff’s view on family involvement in the treatment of adolescents Authors: Cakici, Nahrin and Claesson, Sandra Abstract The aim of this study is to investigate how the staff at residential treatment centers works to involve the family and the social network in youth’s treatment and how they experience that the involvement affects the young person. The aim is also to study the difficulties the staff experience in their work to involve the family and the social network. In this study, staff from two residential treatment centers in Sweden participated. The study is conducted based in on qualitative method in which four semi-structured telephone interviews and one group interview have been conducted. The result was analyzed using general system theory, attachment theory and social representations. The result shows that family involvement in treatment will have a positive impact on the young person and the treatment. This may facilitate a positive way to move home. The social network has also an impact on the young person, and then as a support during and after treatment. One difficulty for staff to involve the social network is that they must relate to confidentiality laws which may limit the social network’s participation in the treatment. Keywords: residential treatment center, youth, family, social network, involvement, difficulties.

Diss. (sammanfattning) Stockholm : Karolinska institutet, 2006. / Härtill 4 uppsatser.

The study explores and describes the satisfaction that clients placed at Trinity Children and Family Services have with the agency's therapeutic services. Therapeutic services in this case refers to the therapy that the residents receive from their individual and group therapists, and their interactions with the unit case manager/dorm supervisor and unit counselors.

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Background: Despite most studies have long term and repeatedly confirmed that the prevalence of smoking among individuals treated with other primary addiction is two to four times higher than in the general population, most services do not provide some form of smoking cessation. Smoking cessation is not clearly grounded in these services. An important aspect for the integration and implementation of smoking cessation programs in addiction treatment services are opinions and attitudes of the workers themselves. These opinions and attitudes are very often ambivalent and perceived as controversial. Attitudes and opinions can determine the possibilities and limits of working with the smoking cessation during the treatment of other primary addictions. Aims: The study has four research objectives that reflect the results of theoretical-critical analysis. To map the opinions and attitudes of employees of medium-term institutional treatment of addiction to the smoking cessation within the issue of other primary addiction. To find out whether workers in medium-term institutional treatment for addiction perceive smoking as less harmful than the use of other addictive substances. To determine whether workers in medium-term institutional treatment for addiction perceive smoking cessation as part of the...

The problem of co-occurring substance abuse and mental health disorders among the veteran population can impact numerous aspects of a veteran's life, including self-esteem, relationships, employment, and legal issues. The Mental Health Residential Rehabilitation Treatment Program (MH RRTP) at the Saint Cloud, Minnesota VA Healthcare System is a program that provides residential treatment for this population. Identifying practical and beneficial treatment methods promotes better coping mechanisms for veterans and impacts social change by providing timely and cost-efficient care for veterans, while also leading the way for overall changes and improvements in other VA residential treatment programs. This study identified how using the integrated treatment model in the MH RRTP impacted depression, anxiety, and sobriety protective factors among 1,136 veterans who completed the program between 2016 and 2017, and if there were any significant differences in outcomes among various age groups and lengths of stay in the program. Outcome measures taken at pre and post treatment, using BDI-II, BAI, and BAM, were analyzed by using six one-within one-between (mixed-model) Analysis of Variance (ANOVA) tests. Significant interaction effects were noted for protective factors in length of stay and age group categories and for depression and length of stay. Significant main effects for within-subjects factors were consistently noted for all categories, indicating a reduction in depression and anxiety symptoms, while increasing protective factors for the veterans in this study. The results demonstrated that veterans responded favorably without regard to potential differences in age groups and lengths of stay.

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