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Outcomes in residential treatment for youth: The role of early engagement

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  • Smith, Brenda D.
  • Duffee, David E.
  • Steinke, Camela M.
  • Huang, Yufan
  • Larkin, Heather

Abstract

Client engagement is commonly believed to be an important condition for the attainment of positive outcomes in human services. This paper addresses client engagement in the context of residential treatment centers (RTCs) for youth. Three waves of data from interviews with adolescents in two RTCs are used to test hypotheses reflecting competing explanations for whether and how engagement may relate to self-view, school, and family outcomes. Findings suggest that youths who are more engaged early in treatment tend to have more positive outcomes, lesser engaged youths show the greatest degree of positive change, and that a relationship between early engagement and certain outcomes, but not others, may be mediated by certain treatment interventions.

Suggested Citation

  • Smith, Brenda D. & Duffee, David E. & Steinke, Camela M. & Huang, Yufan & Larkin, Heather, 2008. "Outcomes in residential treatment for youth: The role of early engagement," Children and Youth Services Review, Elsevier, vol. 30(12), pages 1425-1436, December.
    • Handle: RePEc:eee:cysrev:v:30:y:2008:i:12:p:1425-1436
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    References listed on IDEAS

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    1. Wells, Kathleen & Whittington, Dale, 1993. "Characteristics of youths referred to residential treatment: Implications for program design," Children and Youth Services Review, Elsevier, vol. 15(3), pages 195-217.
    2. Knorth, Erik J. & Harder, Annemiek T. & Zandberg, Tjalling & Kendrick, Andrew J., 2008. "Under one roof: A review and selective meta-analysis on the outcomes of residential child and youth care," Children and Youth Services Review, Elsevier, vol. 30(2), pages 123-140, February.
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    Cited by:

    1. Van Damme, Lore & Hoeve, Machteld & Vanderplasschen, Wouter & Vermeiren, Robert & Grisso, Thomas & Colins, Olivier F., 2015. "Detained girls' treatment engagement over time: The role of psychopathology and quality of life," Children and Youth Services Review, Elsevier, vol. 59(C), pages 47-56.
    2. Strijbosch, E.L.L. & Wissink, I.B. & van der Helm, G.H.P. & Stams, G.J.J.M., 2019. "Building a positive group climate together: How monitoring instruments are part of an improvement process in residential care for children," Children and Youth Services Review, Elsevier, vol. 96(C), pages 266-277.
    3. Lindqvist, Erik, 2011. "Planned treatment and outcomes in residential youth care: Evidence from Sweden," Children and Youth Services Review, Elsevier, vol. 33(1), pages 21-27, January.
    4. Nickerson, Amanda B. & Hopson, Laura M. & Steinke, Camela M., 2011. "School connectedness in community and residential treatment schools: The influence of gender, grades, and engagement in treatment," Children and Youth Services Review, Elsevier, vol. 33(6), pages 829-837, June.

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    Child welfare Outcomes Engagement;

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