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When Love Is Not Enough: The Management of Covert Dynamics in Organizations that Treat Children and Adolescents
When Love Is Not Enough relates how a multitude of factors--the competence of staff; the safety, nurturing, and protective elements of the emotional, physical, and political setting; and all overt and covert organizational dynamics--determine whether or not a treatment setting accomplishes its therapeutic aims. Authors in When Love Is Not Enough continue the emphasis on the group-as-a-whole \"Group Relation\" model of organizational and group processes begun with Wilfred Bion's work at the Tavistok Clinic in London in the 1940s. This model helps those providing services to children and adolescents evaluate their treatment programs and make the necessary changes toward improvement.
Chapters in When Love Is Not Enough are dedicated to improving the psychological treatment of children and adolescents in postmodern society, a society in which life in interdependent communities is becoming increasingly important for the health and survival of all persons. Topics covered include:
the Tavistok approach to understanding group and organizational behavior
the emphasis on group-as-a-whole in problem solving and treatment design
narrowing the gap between plan and outcome
the dynamics involved in the psychiatric treatment of children
issues of staff selection, training, and development in programs designed to treat children
countertransference responses in the treatment of children and adolescents
revitalizing organizations
the subjective experience of school life
When Love Is Not Enough helps organizations realize the ways in which they may, inadvertently, undermine the emotional and cognitive functioning of the staff or the identified patients and set serious limits on the growth of members of the organization, staff and patients alike. It urges organizations to conduct an ongoing self-scrutiny concerning their rational and irrational processes, as this self-examination is crucial to the health and vitality of the
eBook
Residential interventions for children, adolescents, and families : a best practice guide
\"Now more than ever there is a need to ensure that best practices are being used in residential programs. As the focus on costs and outcomes increase, residential programs must clearly demonstrate that the interventions provided are efficient and effective.This book encourages readers to think strategically about how agencies, communities and systems can identify and implement actions that lead to positive change and how to work more collaboratively to improve the lives of children and adolescents who have experienced emotional and behavioral life challenges and their families\"-- Provided by publisher.
Book
Outcome Assessment in Residential Treatment
As residential treatment centers and psychiatric hospitals are increasingly asked to document their effectiveness, it is essential for mental health care providers to demonstrate the efficacy and cost-effectiveness of the services they provide. Outcome Assessment in Residential Treatment helps health care providers demonstrate that their planned treatment is necessary and active rather than simply custodial. A practitioner’s guide to conducting treatment outcome assessment projects, this innovative book presents readers with historical perspectives, current issues, and practical suggestions for implementing an outcome assessment project.
Outcome Assessment in Residential Treatment guides psychiatrists, psychologists, mental health practitioners, and social program administrators in addressing which therapeutic components contribute to the goals and objectives of their programs and which may require modification, radical revision, or even elimination. It helps residential treatment centers and psychiatric treatment facilities document treatment successes and better understand which factors (within the client, family, environment, treatment setting, or combinations therein) predict successful outcome. This objective data empowers readers to influence government and industry, enhance public awareness of the needs of severely disturbed children and youth, and validate the usefulness of intensive psychiatric treatment.
Unlike other books on treatment outcome, Outcome Assessment in Residential Treatment tells readers how to determine clinically significant improvement and not simply statistically significant change. It gives practical, detailed, proven advice on how to carry out studies that will benefit residential treatment centers and the psychiatric and mental health fields. Contributors provide tools to validate/demonstrate that psychiatric and mental health treatments are effective. They offer insight into:
eBook
In-patient Child Psychiatry
Essential Reading for clinicians, managers and researchers in child psychiatry, this authoritative book provides accessible coverage of essential theory as well as clear practical guidance to inpatient child psychiatric treatment. This method of treatment has fallen out of fashion in recent years in favour of community-based care, but remains a useful setting for treating more seriously ill patients. Bringing together contributions from across the profession, this book covers the 'state-of-the-art' in current clinical treatment, and sets a bold new agenda for the future, arguing that inpatient child psychiatric units retain great potential for creative, effective, relevant treatment.
eBook
The Management of Sexuality in Residential Treatment
Here are practical ideas and help for dealing with problems of sexuality in residential treatment settings. On a day-to-day level, difficulties can arise from the need for child care workers to maintain caring and personal relationships with children in the face of the children's and their own sexuality. Children themselves also may have difficulties in properly expressing their sexuality. The Management of Sexuality in Residential Treatment examines a broad range of problems that often occur and describes several treatment programs and strategies for coping with incidents of abuse or alleged abuse.
Chapters in the book address issues pertinent for professionals working with children in residential treatment. Authors cover topics such as:
residents'needs for love versus sexuality
the impact of sexually stimulating materials
erotic countertransference in a residential treatment center
survey of minor sex problems in the milieu and how to respond to them
personal relationships between residents and staff
The book also describes two treatment programs for abused or abusing children. The first is an eight week multimodal therapeutic program for adolescent girls who have been sexually abused, the other a course for sexually abusive boys that includes counseling, sex education, and journal writing. The Management of Sexuality in Residential Treatment is a valuable resource for the staff of residential treatment centers, group homes, residential schools, and hospital pediatric units who wish to understand how to deal more effectively with issues of sexuality and the children for whom they care.
eBook
Managing the Residential Treatment Center in Troubled Times
Here is an informative guide to help directors and staff of residential treatment centers (RTCs) cope with the financial and administrative problems resulting from today's financially turbulent times. Financial problems have closed some centers and managed care or other health care changes will soon reach others. Managing the Residential Treatment Center in Troubled Times deals directly with current difficult financial and management problems in RTCs and presents practical advice, discussions of current problems, and possible solutions. Authors explore a wide range of topics from dealing with community hostility to planning for the future. Specifically, chapters discuss:
the application of total quality management to RTCs
reasons and rationale for the decline of residential establishments in England
how changes in an RTC affect the youngsters who live there
privatization and purchase of service contracting
profit vs. nonprofit organizations
one agency's experience in establishing an RTC in a resistant neighborhood. Managing the Residential Treatment Center in Troubled Times offers fresh perspectives and alternatives for professionals involved with RTCs, including directors, government regulators, social and child care workers, and psychiatrists and psychologists.
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Riverview Hospital for Children and Youth
A personal history of the groundbreaking children’s mental health facility
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Therapeutic Residential Care for Children and Youth
Therapeutic Residential Care For Children and Youth takes a fresh look at therapeutic residential care as a powerful intervention in working with the most troubled children who need intensive support.
Featuring contributions from distinguished international contributors, it critically examines current research and innovative practice and addresses the key questions: how does it work, what are its critical \"active ingredients\" and does it represent value for money? The book covers a broad spectrum of established and emerging approaches pioneered around with world, with contributors from the USA, Canada, Scandinavia, Spain, Australia, Israel and the UK offering a mix of practice and research exemplars. The book also looks at the research relating to critical issues for child welfare service providers: the best time to refer children to residential care, how children can be helped to make the transition into care, the characteristics of children entering and exiting care, strategies for engaging families as partners, how the substantial cost of providing intensive is best measured against outcomes, and what research and development challenges will allow therapeutic residential care to be rigorously compared with its evidence-based community-centered alternatives. Importantly, the volume also outlines how to set up and implement intensive child welfare services, considering how transferable they are, how to measure success and value for money, and the training protocols and staffing needed to ensure that a programme is effective.
This comprehensive volume will enable child welfare professionals, researchers and policymakers to develop a refined understanding of the potential of therapeutic residential care, and to identify the highest and best uses of this intensive and specialized intervention.
eBook