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Youth engagement and service dosage in a mandated setting: A study of residential treatment centers

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  • Huang, Yufan
  • Duffee, David E.
  • Steinke, Camela
  • Larkin, Heather

Abstract

Treatment theory in residential treatment centers (RTCs) is conceived as a two-stage process of first engaging the client and then delivering services or interventions aimed at presenting problems. This treatment logic has been criticized for "creaming clients" or reserving services for clients easier to engage or more amenable to treatment but less in need. The present study examines whether higher early levels of engagement by youth in RTCs leads to more intervention and compares the relative effects of engagement and seriousness of presenting problems on the quantity of services provided by the mid-point in the adolescents' stay. Data come from interviews with a clinical sample of 71 male and 59 female adolescents in two RTCs in an eastern state. Findings indicate that higher level of engagement predicts more treatment interventions. Treatment staff delivered higher dosages of services to youth with more current behavioral problems, not those with problematic behaviors at intake. Youth with positive peer group backgrounds also received more services. Findings extend knowledge of how treatment staff provide treatment to clients and the role engagement plays in RTC service delivery.

Suggested Citation

  • Huang, Yufan & Duffee, David E. & Steinke, Camela & Larkin, Heather, 2011. "Youth engagement and service dosage in a mandated setting: A study of residential treatment centers," Children and Youth Services Review, Elsevier, vol. 33(9), pages 1515-1526, September.
    • Handle: RePEc:eee:cysrev:v:33:y:2011:i:9:p:1515-1526
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    References listed on IDEAS

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    1. Chen, Huey-Tsyh & Rossi, Peter H., 1989. "Issues in the theory-driven perspective," Evaluation and Program Planning, Elsevier, vol. 12(4), pages 299-306, January.
    2. Berrick, Jill Duerr & Courtney, Mark & Barth, Richard P., 1993. "Specialized foster care and group home care: Similarities and differences in the characteristics of children in care," Children and Youth Services Review, Elsevier, vol. 15(6), pages 453-473.
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    Cited by:

    1. Coll, Kenneth M. & Sawyer, Stephanie & Scholl, Stacey & Hauser, Nicole, 2019. "A logic model development for an adolescent based intervention to improve benefits from Therapeutic Residential Care (TRC)," Evaluation and Program Planning, Elsevier, vol. 76(C), pages 1-1.

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