Treatment progress of foster care adolescents with severe behavioral problems : Factors conditioning their performance in the residential treatment centers
Sabaté-Tomas, Marta (Universitat Autònoma de Barcelona. Departament de Teories de l'Educació i Pedagogia Social)
Sala Roca, Josefina (Universitat Autònoma de Barcelona. Departament de Teories de l'Educació i Pedagogia Social)
Arnau-Sabatés, Laura (Universitat Autònoma de Barcelona. Departament de Teories de l'Educació i Pedagogia Social)

Data:	2020
Resum:	Background. Behavioral problems are a recurring issue in the child welfare system population. Normative residential centers do not have the characteristics to address the specific needs of these adolescents, so they are usually treated at therapeutic residential centers. In Catalonia (Spain), these cases are treated in Intensive Educational Residential Centers (CREI), a variant of Therapeutic Residential Care (TRC) facilities. Objective. This exploratory study seeks to understand the treatment progress of adolescents with severe behavioral problems who were placed in the CREIs, a variant of TRC facilities. Participants. Data from 206 cases, the totality of population under treatment in the CREIs, was collected using a questionnaire administered to the treating team. Method. A cross-sectional design was used, applying quantitative methods to analyze the incidence and interrelation of a series of variables related to the progress of adolescents in the CREIs. Results. Significant differences among profiles by sex, place of origin, criminal offences, substance abuse, and mental health disorders were found. Furthermore, adolescents who performed a positive treatment progress according to the professional staff, arrived at the CREI at an earlier age, and had longer stays, than the group with an unremarkable progress. Logistic regression indicated that duration of stay in the center and runaways predict the adolescents' treatment progress. Conclusions. This treatment is working well with the milder cases; however, it does not tend to be successful for adolescents with greater difficulties. It is recommended that interventions focus on factors that engage the adolescents in their own rehabilitation process, include substance abuse programs and consider the gender perspective.
Drets:	Aquest document està subjecte a una llicència d'ús Creative Commons. Es permet la reproducció total o parcial, la distribució, i la comunicació pública de l'obra, sempre que no sigui amb finalitats comercials, i sempre que es reconegui l'autoria de l'obra original. No es permet la creació d'obres derivades.
Llengua:	Anglès
Document:	Article ; recerca ; Versió acceptada per publicar
Matèria:	Difficult behavior ; Therapeutic social work ; Adolescents ; Residential care ; Sex differences
Publicat a:	Child & family social work, 2020, p. 203-213, art. 12798, ISSN 1365-2206

DOI: 10.1111/cfs.12798

Post-print 24 p, 485.4 KB

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