Children's behavioral response to residential treatment

Abstract

This study examined behavior changes demonstrated over time by children who had been placed in a residential treatment center. Objective observation of behavior during such a placement is essential for continued treatment planning, including continuing in residence, transfer, or discharge. Teachers and residential treatment counselors completed Child Behavior Checklists at admission, discharge, and time points in between, for 36 patients. The results indicated excellent interjudge reliability for externalizing behavior but not for internalizing. Children who demonstrated oppositional, defiant, or generally conduct-type symptoms seemed to do most poorly in the residential treatment setting. The results suggested that the current design of residential treatment centers may not be effective in dealing with acting-out behavior problems.

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