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A Review of Family Therapy in Residential Settings

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Abstract

This article provides an overview of the history of family involvement in residential treatment as well as a synthesis of the research showing family-centered interventions and outcomes for youth in residential settings. There are many methods for engaging families in residential treatment that are discussed in the literature; however, there is a significant gap as the field has not yet identified specific family therapy approaches that demonstrate efficacy in working with youth and their families in this particular setting. A review of the literature over the past 10 years will highlight the emerging family therapy models being utilized in this setting, which include multiple-family group intervention, family-directed structural therapy, and narrative family therapy. The article will also include a discussion of three major, well-established theoretical approaches that have been found to be effective in working with youth with conduct issues and show promise in treating youth and families in the complex setting of residential treatment: brief strategic family therapy, multi systemic therapy, and functional family therapy.

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References

  • Alexander, J. F., & Parsons, B. V. (1973). Short-term behavioral intervention with delinquent families: Impact on family process and recidivism. Journal of Abnormal Psychology, 81(3), 219–225.

    Article  PubMed  Google Scholar 

  • Alexander, J., & Parsons, B. V. (1982). Functional family therapy. California: Brooks/Cole Publishing Company.

    Book  Google Scholar 

  • Báez, J. C. (2015). Bridging the distance: A clinical phase model of family therapy with adolescent residential treatment. Families in Society: The Journal of Contemporary Social Services, 96(1), 41–48.

    Article  Google Scholar 

  • Bates, B. C., English, D. J., & Kouidou-Giles, S. (1997). Residential treatment and its alternatives: A review of the literature. In Child and youth care forum (Vol. 26, No. 1, pp. 7–51). Kluwer Academic Publishers-Human Sciences Press.

  • Bean, P., White, L., Neagle, L., & Lake, P. (2005). Is residential care an effective approach for treating adolescents with co-occurring substance abuse and mental health diagnoses? Best Practices in Mental Health, 1(2), 50–60.

    Google Scholar 

  • Borduin, C. M., Mann, B. J., Cone, L. T., Henggeler, S. W., Fucci, B. R., Blaske, D. M., & Williams, R. A. (1995). Multisystemic treatment of serious juvenile offenders: Long-term prevention of criminality and violence. Journal of Consulting and Clinical Psychology, 63(4), 569.

    Article  PubMed  Google Scholar 

  • Burns, B. J., Hoagwood, K., & Mrazek, P. J. (1999). Effective treatment for mental disorders in children and adolescents. Clinical Child and Family Psychology Review, 2(4), 199–254.

    Article  PubMed  Google Scholar 

  • Cafferty, H., & Leichtman, M. (2001). Facilitating the transition from residential treatment into the community: II. Changing social work roles. Residential Treatment for Children & Youth, 19(2), 13–25.

    Article  Google Scholar 

  • Chamberlain, P. (1999). Residential care for children and adolescents with oppositional defiant disorder and conduct disorder. In H. C. Quay (Ed.), Handbook of disruptive behavior disorders (pp. 495–506). Berlin: Springer.

    Chapter  Google Scholar 

  • Chambless, D. L., & Ollendick, T. H. (2001). Empirically supported psychological interventions: Controversies and evidence. Annual Review of Psychology, 52(1), 685–716.

    Article  PubMed  Google Scholar 

  • Coatsworth, J. D., Santisteban, D. A., McBride, C. K., & Szapocznik, J. (2001). Brief strategic family therapy versus community control: Engagement, retention, and an exploration of the moderating role of adolescent symptom severity*. Family Process, 40(3), 313–332.

    Article  PubMed  Google Scholar 

  • Connor, D. F., Miller, K. P., Cunningham, J. A., & Melloni, R. H, Jr. (2002). What does getting better mean? Child improvement and measure of outcome in residential treatment. American Journal of Orthopsychiatry, 72(1), 110.

    Article  PubMed  Google Scholar 

  • DeMille, S. M., & Montgomery, M. (2015). Integrating narrative family therapy in an outdoor behavioral healthcare program: A case study. Contemporary Family Therapy, 1–11. doi:10.1007/s10591-015-9362-6.

  • Fairhurst, S. K. (1996). Promoting change in families: Treatment matching in residential treatment centers. Residential Treatment for Children & Youth, 14(2), 21–32.

    Article  Google Scholar 

  • Freedman, J., & Combs, G. (1996). Narrative therapy. W. W. Norton & Company.

  • Frensch, K. M., & Cameron, G. (2002). Treatment of choice or a last resort? A review of residential mental health placements for children and youth. In Child and youth care forum (Vol. 31, No. 5, pp. 307–339). Kluwer Academic Publishers-Plenum Publishers.

  • Gehart, D. (2013). Mastering competencies in family therapy: A practical approach to theory and clinical case documentation. Boston: Cengage Learning.

    Google Scholar 

  • Geurts, E. M., Boddy, J., Noom, M. J., & Knorth, E. J. (2012). Family-centred residential care: The new reality? Child & Family Social Work, 17(2), 170–179.

    Article  Google Scholar 

  • Gordon, L., & Matel, B. (2015). Parental support and involvement in children’s residential treatment. Doctoral dissertation.

  • Hair, H. J. (2005). Outcomes for children and adolescents after residential treatment: A review of research from 1993 to 2003. Journal of Child and Family Studies, 14(4), 551–575.

    Article  Google Scholar 

  • Henggeler, S. W., Letourneau, E. J., Chapman, J. E., Borduin, C. M., Schewe, P. A., & McCart, M. R. (2009). Mediators of change for multisystemic therapy with juvenile sexual offenders. Journal of Consulting and Clinical Psychology, 77(3), 451.

    Article  PubMed  PubMed Central  Google Scholar 

  • Henggeler, S. W., & Sheidow, A. J. (2012). Empirically supported family-based treatments for conduct disorder and delinquency in adolescents. Journal of Marital and Family Therapy, 38(1), 30–58.

    Article  PubMed  PubMed Central  Google Scholar 

  • James, S. (2011). What works in group care? A structured review of treatment models for group homes and residential care. Children and Youth Services Review, 33(2), 308–321.

    Article  PubMed  PubMed Central  Google Scholar 

  • Jenson, J. M., & Whittaker, J. K. (1987). Parental involvement in children’s residential treatment: From preplacement to aftercare. Children and Youth Services Review, 9(2), 81–100.

    Article  Google Scholar 

  • Kalke, T., Glanton, A., & Cristalli, M. (2007). Positive behavioral interventions and supports: Using strength-based approaches to enhance the culture of care in residential and day treatment education environments. Child Welfare, 86(5), 151.

    PubMed  Google Scholar 

  • Karver, M. S., Handelsman, J. B., Fields, S., & Bickman, L. (2006). Meta-analysis of therapeutic relationship variables in youth and family therapy: The evidence for different relationship variables in the child and adolescent treatment outcome literature. Clinical Psychology Review, 26(1), 50–65.

    Article  PubMed  Google Scholar 

  • Kazdin, A. E. (1987). Treatment of antisocial behavior in children: Current status and future directions. Psychological Bulletin, 102(2), 187.

    Article  PubMed  Google Scholar 

  • Keiley, M. K. (2007). Multiple-family group intervention for incarcerated adolescents and their families: A pilot project. Journal of Marital and Family Therapy, 33(1), 106–124.

    Article  PubMed  Google Scholar 

  • Kemp, C. J. (1971). Family treatment within the milieu of a residential treatment center. Child Welfare, 50(4), 229–235.

    PubMed  Google Scholar 

  • Laird, J. (1979). An ecological approach to child welfare: Issues of family identity and continuity. In C. B. Germain (Ed.), Social work practice: People and environments (pp. 174–209). New York: Columbia University Press.

    Google Scholar 

  • Lakin, B. L., Brambila, A. D., & Sigda, K. B. (2004). Parental involvement as a factor in the readmission to a residential treatment center. Residential Treatment for Children & Youth, 22(2), 37–52.

    Article  Google Scholar 

  • Landsman, M. J., Groza, V., Tyler, M., & Malone, K. (2001). Outcomes of family-centered residential treatment. Child Welfare, 80(3), 351.

    PubMed  Google Scholar 

  • Larzelere, R. E., Dinges, K., Schmidt, M. D., Spellman, D. F., Criste, T. R., & Connell, P. (2001). Outcomes of residential treatment: A study of the adolescent clients of Girls and Boys Town. In Child and youth care forum (Vol. 30, No. 3, pp. 175–185). Kluwer Academic Publishers-Plenum Publishers.

  • Leichtman, M. (2008). The essence of residential treatment: III. Change and adaptation. Residential Treatment for Children & Youth, 25(3), 189–207.

    Article  Google Scholar 

  • Letulle, L. J. (1979). Family therapy in residential treatment for children. Social Work, 24(1), 49–51.

    Google Scholar 

  • Lyman, R. D., & Campbell, N. R. (1996). Treating children and adolescents in residential and inpatient settings. Thousand Oaks: Sage Publications Inc.

    Google Scholar 

  • Lyons, J. S., Terry, P., Martinovich, Z., Peterson, J., & Bouska, B. (2001). Outcome trajectories for adolescents in residential treatment: A statewide evaluation. Journal of Child and Family Studies, 10(3), 333–345.

    Article  Google Scholar 

  • Martone, W. P., Kemp, G. F., & Pearson, S. J. (1989). The continuum of parental involvement in residential treatment: Engagement-participation-empowerment-discharge. Residential Treatment for Children & Youth, 6(3), 11–37.

    Article  Google Scholar 

  • McLendon, T., McLendon, D., & Hatch, L. (2012). Engaging families in the residential treatment process utilizing family-directed structural therapy. Residential Treatment for Children & Youth, 29(1), 66–77.

    Article  Google Scholar 

  • Multisystemic Therapy Services. (1998). Multisystemic therapy. Retrieved September 2, 2015, from http://mstservices.com/what-is-mst/nine-principles.

  • Nickerson, A. B., Salamone, F. J., Brooks, J. L., & Colby, S. A. (2004). Promising approaches to engaging families and building strengths in residential treatment. Residential Treatment for Children & Youth, 22(1), 1–18.

    Article  Google Scholar 

  • Ollendick, T. H., & King, N. J. (2000). Empirically supported treatments for children and adolescents. In P. C. Kendall (Ed.), Child and adolescent therapy: Cognitive behavioural procedures (2nd ed., pp. 386–425). New York: Guilford Publications.

    Google Scholar 

  • Ollendick, T. H., & King, N. J. (2004). Empirically supported treatments for children and adolescents: Advances toward evidence-based practice. In P. M. Barrett & T. H. Ollendick (Eds.), Handbook of interventions that work with children and adolescents: Prevention and treatment (pp. 3–25). New York: Wiley.

    Google Scholar 

  • Pratt, S. I., & Moreland, K. L. (1996). Introduction to treatment outcome: Historical perspectives and current issues. In S. I. Pfeiffer (Ed.), Outcome assessment in residential treatment (pp. 1–27). New York: Haworth Press.

    Google Scholar 

  • Robbins, M. S., Bachrach, K., & Szapocznik, J. (2002). Bridging the research-practice gap in adolescent substance abuse treatment: The case of brief strategic family therapy. Journal of Substance Abuse Treatment, 23(2), 123–132.

    Article  PubMed  Google Scholar 

  • Rosen, M. (1998). Treating children in out-of-home placements. London: Routledge.

    Google Scholar 

  • Santisteban, D. A., Coatsworth, J. D., Perez-Vidal, A., Kurtines, W. M., Schwartz, S. J., LaPerriere, A., & Szapocznik, J. (2003). Efficacy of brief strategic family therapy in modifying Hispanic adolescent behavior problems and substance use. Journal of Family Psychology, 17(1), 121.

    Article  PubMed  PubMed Central  Google Scholar 

  • Serketich, W. J., & Dumas, J. E. (1996). The effectiveness of behavioral parent training to modify antisocial behavior in children: A meta-analysis. Behavior Therapy, 27(2), 171–186.

    Article  Google Scholar 

  • Sexton, T. L., & Alexander, J. F. (2002). Functional family therapy for at-risk adolescents and their families. Comprehensive Handbook of Psychotherapy: Cognitive-Behavioral Approaches, 2, 117–140.

    Google Scholar 

  • Shadish, W. R., Montgomery, L. M., Wilson, P., Wilson, M. R., Bright, I., & Okwumabua, T. (1993). Effects of family and marital psychotherapies: A meta-analysis. Journal of Consulting and Clinical Psychology, 61(6), 992.

    Article  PubMed  Google Scholar 

  • Stage, S. A. (1998). Predicting adolescents’ discharge status following residential treatment. Residential Treatment for Children & Youth, 16(3), 37–56.

    Article  Google Scholar 

  • Stouthamer-Loeber, M. A., Wei, E., Loeber, R., & Masten, A. S. (2004). Desistance from persistent serious delinquency in the transition to adulthood. Development and Psychopathology, 16(04), 897–918.

    Article  PubMed  Google Scholar 

  • Stroul, B. A., & Friedman, R. M. (1996). The system of care concept and philosophy. In B. A. Stroul (Ed.), Children’s mental health: Creating systems of care in a changing society (pp. 3–21). Baltimore: Paul H Brookes Publishing Company.

    Google Scholar 

  • Sunseri, P. A. (2001). The prediction of unplanned discharge from residential treatment. In Child and youth care forum (Vol. 30, No. 5, pp. 283–303). Kluwer Academic Publishers-Plenum Publishers.

  • Sunseri, P. A. (2004). Family functioning and residential treatment outcomes. Residential Treatment for Children & Youth, 22(1), 33–53.

    Article  Google Scholar 

  • Taylor, D. A., & Alpert, S. W. (1973). Continuity and support following residential treatment. Washington: Child Welfare League of America.

    Google Scholar 

  • Walter, U. M., & Petr, C. G. (2008). Family-centered residential treatment: Knowledge, research, and values converge. Residential Treatment for Children & Youth, 25(1), 1–16.

    Article  Google Scholar 

  • Whittaker, J. K. (2000). Family partnerships in residential child care and treatment: Empirical support/practice challenge. In M. Kluger, G. Alexander, & P. Curtis (Eds.), What works in child welfare? Washington, DC: Child Welfare League of America.

    Google Scholar 

  • Wilmshurst, L. A. (2002). Treatment programs for youth with emotional and behavioral disorders: An outcome study of two alternate approaches. Mental Health Services Research, 4(2), 85–96.

    Article  PubMed  Google Scholar 

  • Zimmerman, D. P., Nansel, T. R., Raines, S., Jackson, D. L., Teal, C. R., Force, R. C., & Burdsal, C. A. (1998). A survey of residential treatment centers’ outcome research practices. Residential Treatment for Children & Youth, 15(4), 45–59.

    Article  Google Scholar 

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  1. Marriage and Family Therapy Program, Mount Mercy University, 1330 Elmhurst Dr NE, Cedar Rapids, IA, 52402, USA

    Ashley Merritts

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  1. Ashley Merritts
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Correspondence to Ashley Merritts.

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Merritts, A. A Review of Family Therapy in Residential Settings. Contemp Fam Ther 38, 75–85 (2016). https://doi.org/10.1007/s10591-016-9378-6

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