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Children's behavioral response to residential treatment
1Johns Hopkins University, Baltimore, Md., USA.
Journal of Clinical Psychology
|October 8, 1997
Summary
Residential treatment may not effectively manage acting-out behaviors in children. Objective behavior observation is key for treatment planning, but internalizing behaviors showed poor reliability. Further research is needed.
Area of Science:
- Child psychology
- Behavioral science
- Clinical psychology
Background:
- Objective behavior observation is crucial for effective treatment planning in residential settings.
- Assessing behavioral changes over time informs decisions regarding patient placement, transfer, or discharge.
- Understanding treatment efficacy for different behavioral profiles is essential.
Purpose of the Study:
- To examine behavioral changes in children within a residential treatment center.
- To evaluate the reliability of behavior checklists for internalizing and externalizing behaviors.
- To determine the effectiveness of residential treatment for conduct-type symptoms.
Main Methods:
- Utilized Child Behavior Checklists completed by teachers and counselors.
- Collected data at admission, discharge, and interim time points for 36 patients.
- Assessed interjudge reliability for observed behaviors.
Main Results:
- Achieved excellent interjudge reliability for externalizing behaviors.
- Demonstrated poor interjudge reliability for internalizing behaviors.
- Children with oppositional or conduct-type symptoms showed poorer outcomes in residential treatment.
Conclusions:
- Residential treatment centers may be ineffective for managing acting-out behaviors.
- Reliability issues with internalizing behavior assessment need addressing.
- Treatment approaches may require adaptation for children with conduct disorders.
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