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Enhancing adolescents' motivation for treatment in compulsory residential care: A clinical review

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  • Brauers, Malou
  • Kroneman, Leoniek
  • Otten, René
  • Lindauer, Ramón
  • Popma, Arne

Abstract

Youths in compulsory residential care show a high prevalence of various mental health problems but often lack motivation to engage in therapeutic treatment. Although the self-determination-theory (SDT) and the transtheoretical model of change (TTM) offer a useful framework for treatment motivation, they do not describe which interventions therapists can use to improve treatment motivation in juveniles, nor do they focus specifically on treatment motivation in a compulsory residential care setting. This article provides an overview of opportunities to enhance adolescents' motivation for treatment in compulsory residential care. Results show that in the reviewed literature, increasing autonomy and competence has received relatively little attention compared to relatedness. In addition, results show that treatment motivation can be enhanced in several different ways, ranging from interventions on an individual to an organizational level. This may indicate that enhancing motivation for treatment in a residential setting needs intervention on multiple levels, involving youths, therapists, group workers and parents. Scientific evidence, however, is limited. Regarding the lack of studies that examine the need for autonomy and competence, future studies should focus on these basic needs for motivation.

Suggested Citation

  • Brauers, Malou & Kroneman, Leoniek & Otten, René & Lindauer, Ramón & Popma, Arne, 2016. "Enhancing adolescents' motivation for treatment in compulsory residential care: A clinical review," Children and Youth Services Review, Elsevier, vol. 61(C), pages 117-125.
    • Handle: RePEc:eee:cysrev:v:61:y:2016:i:c:p:117-125
    DOI: 10.1016/j.childyouth.2015.12.011
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    References listed on IDEAS

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    1. Englebrecht, Christine & Peterson, Dana & Scherer, Aaron & Naccarato, Toni, 2008. ""It's not my fault": Acceptance of responsibility as a component of engagement in juvenile residential treatment," Children and Youth Services Review, Elsevier, vol. 30(4), pages 466-484, April.
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    Cited by:

    1. Mälarstig, Ida & Tyrberg, Marten J & Lundgren, Tobias & Alfonsson, Sven, 2023. "Experiences of conducting a substance use disorder treatment, A-CRA, in compulsory institutional care for youth – The challenge of promoting openness in a closed, temporary setting," Children and Youth Services Review, Elsevier, vol. 148(C).
    2. van der Helm, G.H.P. & Kuiper, C.H.Z. & Stams, G.J.J.M., 2018. "Group climate and treatment motivation in secure residential and forensic youth care from the perspective of self determination theory," Children and Youth Services Review, Elsevier, vol. 93(C), pages 339-344.
    3. DiPierro-Sutton, Moneika & Fite, Paula J. & Gudiño, Omar, 2021. "Assessing the links between internalizing symptoms and treatment motivation in incarcerated juveniles," Children and Youth Services Review, Elsevier, vol. 121(C).

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