This study reports on the extent to which pharmacological and behavioral consequences were applied to behavior problems within a population of 31,000 adults in New York's developmental services system. Findings indicated that these consequences were significantly related to variables of intellectual level, residential setting type, type and extent…

An evaluation was conducted of community support services in Minnesota that provide treatment options to individuals with developmental disabilities who display behaviors that put them at risk of losing their current community placement and being placed in a large state facility. Evaluation results and the outreach service model are considered.…

Guidelines are presented for individualizing daily schedules or routines to reflect better the preferred lifestyles of persons with severe handicaps. Four dimensions that can be systematically manipulated to address challenging behavior are presented, including timing of routines, form of the activities, pattern of succession of activities, and…

The current study explores discharge destinations, length of stay, and reasons for return to residential treatment for youth transferred from a residential treatment center (RTC) to a group home. Four entry cohorts (60 boys) were followed from admission through discharge. Results demonstrated that over half of the young persons went to a lower…

This study evaluated the effectiveness of a military-style residential treatment program for adolescents with academic and conduct problems. Two hundred twelve referred adolescents were separated into 3 groups for analyses: (a) adolescents who completed the 22-week program, (b) adolescents who prematurely withdrew, and (c) wait-list controls.…

A survey of 20 health districts in England identified specialist services for individuals with intellectual disabilities and challenging behaviors. Great diversity was found in such services as specialized teams, staffed housing, assessment and short-term admission, and respite care facilities. Entitlement to appropriate treatment was more…

Language intervention approaches were built into a residential environment for 13 women with severe mental retardation. Two residents were assigned to an intensive signing program, two to an "Intro-talker and signing" group, and the remaining residents to various comparison-intervention and comparison groups. Increases in positive communicative…

This study found that accuracy in predicting the out-of-home placement of children with severe disabilities increased little in a large cross-sectional sample (n=5,992) over a smaller semilongitudinal sample (n=141). Factors such as age, adaptive and maladaptive behavior, and ethnicity are discussed. (Author/JDD)

We conducted interviews with staff members, parents, and adolescents at a residential treatment center to examine the frequency, nature, and satisfaction with contact between parents and adolescents and parents and staff. We also assessed perceived barriers to family involvement and possible solutions for improving this involvement. Results…

The background, organization, and operation of the Alaska Psychiatric Institute (API), a residential program for behavior disordered and emotionally disturbed children and adolescents, are described. Components of the educational program at API, including academic and social assessment, individual education plans, and elementary and secondary…

The Pendleton Project residential service is a short term intensive care alternative to the long term, costly, and ineffective non-community based institutional model for treating children and families suffering from behavior problems. The residential services are designed to develop community competency from the vantage point of its unique…

Compares the course of change of two groups of conduct-disoriented adolescents in two theoretically distinct residential treatment programs. Despite an overall trend toward improvement in both groups, there was little significant difference between the rates of progress over time. Supports the need for qualitative research focusing on the…

This study examined placement stability (planned discharge) among 8,933 children and adolescents admitted into residential treatment facilities in California. Reducing multiple placements among foster children is a concern for child welfare agencies due to increased emphasis on federal and state outcomes and accountability standards. The results…

The Child Welfare League of America (CWLA) is the nation's oldest and largest membership-based child welfare organization committed to engaging people everywhere in promoting the well-being of children, youth, and their families and protecting every child from harm. By publishing a diverse range of views on a wide array of topics, "Children's…

This study addresses three questions about the population of children and families served in the highest level of care in the child welfare system in New York State residential treatment centers (RTCs): (1) How prevalent are emotional and behavioral problems in the youth entering RTCs? (2) Has the proportion of youth with such problems increased…