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Addressing the most damaged adolescents in the child protection system: An analysis of the profiles of young people in therapeutic residential care

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  • Águila-Otero, A.
  • Bravo, A.
  • Santos, I.
  • Del Valle, J.F.

Abstract

In many countries, adolescents in the child protection system present with serious emotional and behavioral problems. In order to address their specific needs, therapeutic residential care (TRC) programs have been created. The goal of this study is to analyze the profile of 353 adolescents in TRC in Spain. Data on family history, high-risk behaviors and their process of intervention in the child welfare system were collected, as well as the clinical profile through the Youth Self-Report (YSR). Results showed a high frequency of high-risk behaviours, especially violent behaviours, substance abuse, running away and suicidal behaviors. About 90% of the sample had a history of continuous mental health treatments starting at an average of 10 years old. About 70% of the sample scored above the clinical threshold of the YSR. Girls exhibited a specific pattern of risk behaviors and mental health needs, showing greater psychological distress and a more complex profile.

Suggested Citation

  • Águila-Otero, A. & Bravo, A. & Santos, I. & Del Valle, J.F., 2020. "Addressing the most damaged adolescents in the child protection system: An analysis of the profiles of young people in therapeutic residential care," Children and Youth Services Review, Elsevier, vol. 112(C).
  • Handle: RePEc:eee:cysrev:v:112:y:2020:i:c:s0190740919314549
    DOI: 10.1016/j.childyouth.2020.104923
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    References listed on IDEAS

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    1. Desjardins, Julie & Lafortune, Denis & Cyr, Francine, 2017. "Psychopharmacotherapy in children placed in group homes and residential centres in Canada: Psychopathological portrait of children receiving psychotropic medications and educators' perception of treat," Children and Youth Services Review, Elsevier, vol. 81(C), pages 197-206.
    2. Attar-Schwartz, Shalhevet, 2013. "Runaway behavior among adolescents in residential care: The role of personal characteristics, victimization experiences while in care, social climate, and institutional factors," Children and Youth Services Review, Elsevier, vol. 35(2), pages 258-267.
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    4. Lightfoot, Elizabeth & Hill, Katharine & LaLiberte, Traci, 2011. "Prevalence of children with disabilities in the child welfare system and out of home placement: An examination of administrative records," Children and Youth Services Review, Elsevier, vol. 33(11), pages 2069-2075.
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    Cited by:

    1. Castro, Emma & Magalhães, Eunice & del Valle, Jorge Fernández, 2023. "A systematic review of non-specific and specific treatment factors associated with lower or greater internalising and externalising symptoms in therapeutic residential care," Children and Youth Services Review, Elsevier, vol. 147(C).
    2. Vamvakos, Christopher & Berger, Emily, 2024. "Residential care worker perceptions on the implementation of trauma-informed practice," Children and Youth Services Review, Elsevier, vol. 159(C).
    3. Muela, Alexander & García-Ormaza, Jon & Sansinenea, Eneko, 2024. "Suicidal behavior and deliberate self-harm: A major challenge for youth residential care in Spain," Children and Youth Services Review, Elsevier, vol. 158(C).
    4. Carla González-García & Alba Águila-Otero & Carme Montserrat & Susana Lázaro & Eduardo Martín & Jorge Fernandez del Valle & Amaia Bravo, 2022. "Subjective Well-Being of Young People in Therapeutic Residential Care from a Gender Perspective," Child Indicators Research, Springer;The International Society of Child Indicators (ISCI), vol. 15(1), pages 249-262, February.

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