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Presented at the 21st Annual Research Conference

Trends in Outcomes for Youth Served in Residential Treatment: 1996-2006

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Presenting: Sarah Hurley

All Authors for this paper: Sarah Hurley

Presentation Type: element of symposium

Synopsis: Examination of trends in length of stay, outcomes at discharge, and long-term outcomes resulting from residential treatment may provide further understanding of the role of residential treatment within the system of children’s mental health care. Data drawn from the electronic medical records system of a large behavioral health provider are used to describe changes in treatment and outcomes over the past 10 years. Implications for improving outcomes for children following residential treatment are discussed.

Perspectives on the Changing Role of Residential Treatment in the System of Care

Download Handouts: 10.8 pdf

Presenting: Jonathan Brown

All Authors for this paper: Jonathan Brown; Tara Krissik

Presentation Type: element of symposium

Synopsis: Psychiatric residential care for youth is changing in response to the financing of community-based mental health services, increased emphasis on measuring quality, and the expectations of families and policymakers. This project assesses current perceptions and practices of residential care through qualitative interviews with stakeholders and a structured survey of a representative sample of residential center directors. The presentation will discuss early findings on factors affecting the integration of residential treatment into a continuum of care.

State Regulation of Residential Facilities for Children

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Presenting: Henry Ireys

All Authors for this paper: Henry Ireys; Judith Teich

Presentation Type: element of symposium

Synopsis: A recent Congressional hearing on unregulated out-of-home placements for youth with SED raised the question: What strategies do states actually use to monitor residential treatment? Answering this question can help policymakers determine the effectiveness of current policies or the need for new ones. This presentation highlights findings from a survey of state officials about methods that states use to regulate residential facilities for children and discusses their implications for integrating system-of-care concepts into residential settings.

The Role of Residential Care in the Evolving Mental Health Service Systems

Download Handouts: 1.2mb pdf

Session Number: 20 Room: Salon D

Presenting: Kamala Allen; Gary Blau

All Authors for this paper: Kamala Allen; Gary Blau

Presentation Type: brief symposium

Synopsis: At least 50,000 children and adolescents lived in psychiatric residential treatment facilities for some part of 2003. Although lengths of stay in residential care have dropped considerably during the last decade, many youth will continue to enter and be discharged from these settings during the next 10 years. However, until quite recently, residential treatment has been viewed as largely separated and independent from the concepts and practices typically associated with the system-of-care approach. Recent efforts, such as the Building Bridges Summits, aim to integrate residential services into community-based systems and to ensure that important system-of-care concepts are adopted more systematically by residential treatment facilities. This symposium examines key policies, practices, and trends related to these efforts. Specifically, it includes presentations on 1) standards that states use to monitor and license residential facilities for youth, 2) trends in discharge outcomes from one set of residential centers, and 3) preliminary findings from a study of the role of residential care as perceived by key leaders in the field and a large sample of facility directors. The discussant will place findings from these studies into a national context and discuss their implications for the continued evolution in child mental health service systems.


Session Time: 2:30 PM - 3:30 PM