Background: Several studies have shown that substance use levels among adolescents living in residential youth care are high. However, it is not clear to what extent adolescents initiate (heavy) substance during their stay and to what extent these rates are higher than would be expected based on their risk profile. Objective: The aim of the…

The Nimkee NupiGawagan Healing Centre (NNHC) in Muncey, ON provides residential treatment to First Nations and Inuit youth who abuse solvents. As a complement to its culture-based programming, in 2008 the centre began offering weekly equine-assisted learning (EAL) curriculum to its clients in partnership with the Keystone Equine Centre and the…

The present study was conducted to identify predictors of residential treatment outcome for youth. Data were collected and analyzed on multiple variables including each subject's psychiatric diagnoses, previous treatment attempts and success or failure in these respective settings, length of stay in prior treatment settings, past psychiatric…

Much controversy exists regarding the effectiveness of residential treatment. Recently, emerging research has demonstrated that community-based residential treatment has more positive long-term outcomes for youth. This article describes a community-based program that was implemented at a residential treatment agency serving youth. Targeted…

Recent studies analyzing juvenile delinquents participating in wilderness therapy programs have reported little statistical effectiveness. Interpretation of these findings may be unjustified due to definitional confusion more than a clear examination of program effectiveness. Using a research methodology similar to Jones, Lowe, and Risler (2004),…

A variety of factors are putting great pressure on residential treatment centers to justify their role in the child serving system through evidence of impact on the lives of children, youth, and families. The present study describes the role of residential treatment from an outcomes perspective in a midsized state over the course of a 5 year…

The Teaching Family program is one of the most extensively researched models for residential care. A major meta-analysis found that the Teaching Family Model (TFM) was one of the five most consistently effective treatments for delinquents. However, two recent publications imply that behaviorally based and/or group treatments might be harmful.…

Children cannot be reduced to an illness. They are not things, objects, or diagnoses. They are human beings who can grow and change. Rather than focusing on fixing children, care givers must transform themselves and the environments offered children. Establishing a change-oriented therapeutic milieu is essential in our work with reclaiming…