Here is an informative guide to help directors and staff of residential treatment centers (RTCs) cope with the financial and administrative problems resulting from today’s financially turbulent times. Financial problems have closed some centers and managed care or other health care changes will soon reach others. Managing the Residential Treatment Center in Troubled Times deals directly with current difficult financial and management problems in RTCs and presents practical advice, discussions of current problems, and possible solutions. Authors explore a wide range of topics from dealing with community hostility to planning for the future. Specifically, chapters discuss: the application of total quality management to RTCs reasons and rationale for the decline of residential establishments in England how changes in an RTC affect the youngsters who live there privatization and purchase of service contracting profit vs. nonprofit organizations one agency’s experience in establishing an RTC in a resistant neighborhoodManaging the Residential Treatment Center in Troubled Times offers fresh perspectives and alternatives for professionals involved with RTCs, including directors, government regulators, social and child care workers, and psychiatrists and psychologists.

Adopt a more effective approach to temporary and long-term residential care! Presenting the voices of staff, parents, and residents, Family-Centered Services in Residential Treatment: New Approaches for Group Care examines the changes and challenges of residential care from the old-fashioned orphanage to the modern group-care home. These thoughtful essays offer suggestions and methods to provide more effective services in temporary and long-term settings. Containing case studies, personal experiences, and professional insights about the potentials and limitations of residential care, this reliable resource will help you develop improved services for youths and their families. Family-Centered Services in Residential Treatment presents fresh evaluations of new and old techniques as well as ideas for meeting individual needs. By building connections among parents, youths, and staff, you can develop more successful treatment programs and encourage stronger family ties even when children are best served by long-term residential care. Family-Centered Services in Residential Treatment addresses the crucial questions of residential care, including: how can staff ease children's transitions into and out of residential care? what do parents of emotionally disturbed youth need from the staff and professionals in a residential care setting? what was right--and wrong--about the old-fashioned orphanage? Could such an institution work today? how does the transition to the teamwork approach affect staff members? when is residential care most beneficial to children? what kind of care is appropriate for AIDS orphans? Family-Centered Services in Residential Treatment will help psychologists, therapists, and social workers unite theory and practice to create a family-oriented environment for troubled clients.

Residential Education as an Option for At-Risk Youth explores recent residential programs in Israel, draws comparisons with their European counterparts, and recommends practical approaches for the revitalization of such programs in the United States. This volume refutes the conventional professional “wisdom” in the United States that residential group care programs for children and youth are intrinsically flawed and counterproductive. Instead, it delivers effective models for the implementation of effective residential services. The editors and authors demonstrate the growing need for residential programs, given the overburdened family foster care resources, swelling numbers of “zero-parent” families, and homeless youth. Though the United States helped launch and develop residential services in Europe in the aftermath of World War II and has produced many excellent thinkers in the domain of quality residential group care, American programs have languished in recent decades. This book is designed to accelerate and facilitate progress in revamping and establishing excellent residential group care. The authors examine residential education as a developmentally based alternative to the more clinically and correctionally oriented programs for marginal children and youth dominating this field in the United States.The authors present their material in the context of appropriate theoretical principles, yet in practical ways that will permit program developers and managers to implement it effectively. Some of the specific areas chapters discuss are: exemplary Israeli programs as observed by visiting American professional in social work and allied fields important program variables and the cultural influences that may affect them African American experience for such programs a conceptual model for building successful residential education programs key organizational and management considerationsResidential Education as an Option for At-Risk Youth serves as a vital resource for ambitious program developers and managers wishing to reconceptualize and enrich their programs. It will also benefit advanced students, practitioners, and decision makers who have had, heretofore, few resources to rely on when seeking to promote more effective programs for socially marginal children and youth.

Integrate psychotherapy with residential treatment to achieve positive results for patients in group care! This book addresses the complex issues that arise in the effort to provide individual therapy in group care settings. It reviews classical case material, presents contemporary case studies, and examines practical and theoretical issues important to the effective delivery of treatment to individuals living in residential care. Noted experts who have been associated with The Sonia Shankman Orthogenic School at the University of Chicago and the Menninger Clinic in Topeka, Kansas, share knowledge garnered from years of real-world experience to help you stay at the leading edge of the field and provide effective individual treatment to your clients in long- and short-term residential care. Psychotherapy in Group Care: Making Life Good Enough includes practical and theoretical chapters exploring important aspects of the group care paradigm. The book: presents a case study that describes vital aspects of the analytic process that emerged in work with an adolescent boy in a group home who felt as though he was a psychological orphan illustrates the role of play as a continuous and basic function in therapy and presents play-themed vignettes from analytic work with two young people in residential care revisits Joey: A Mechanical Boy and Tommy the Space Childclassic case studies from Bruno Bettelheim and Rudolph Ekstienand explores the implications of contemporary relational theory for using the meaning and metaphor of behaviors and communications addresses issues of transference and counter-transference in the psychodynamic psychotherapy of a young girl in residential carewith a discussion of unrecognized rescue fantasies and projective identification, and of the need for residential childcare workers to recognize and work through the difficult feelings evoked in the process of working with seriously disturbed young people examines the structural basis for the integration of psychotherapy and residential treatment, considering the meaning of integration, variables that affect the manner and degree to which integration can be accomplished, and changes in the psychotherapists' roles that can maximize the potential of each variable explores three sets of theoretical issues facing clinicians as they play multiple roles in short-term residential treatment, discussing how conflicts in the roles of therapists and team leaders can be resolved, the implications of such a resolution in terms of confidentiality, and ways in which major approaches to psychotherapy can be adapted to new conditions considers the role of the primary clinician in relation to the residential team and explores the ways in which integration of psychotherapy and residential treatment can be implemented in the early phase of the treatment process

This book seeks to answer the question of how providers of residential treatment services can improve the transition process when children in their care are transferred to less restrictive situations. It looks at working with sexually aggressive youth, adolescents with behavioral or conduct disorders and the families of young people in residential care facilities as well as model transitional living programs, ways to integrate family work into residential care and programs that focus on social/life skills training.

Meet the challenge of coordinating effective board-staff teamwork! Using specific real-life examples and informed recommendations for board management, The New Board: Changing Issues, Roles and Relationships explains why and how to consider redesigning your board form and practice. The innovations suggested here, from minor adjustments to far-reaching reorganization, can help you find and keep board members, make board functioning more efficient, and help you comply with the new, stricter rules of managed care. The New Board informs the boards and staff of nonprofit residential service agencies about the nature of major contemporary challenges to board functioning. This innovative book offers an unusually diverse collection of contributors, including board members, executive staff, and academics. The resulting diversity of viewpoint produces a satisfying range of theoretical conversation and detailed description of actual practice. The New Board explores all the issues that affect boards in these days of rapid change: variations of board structures the pressures of managed care the increased complexity of service reduced board member availability the challenge of fund raising by modern boards contemporary considerations of legal liability of nonprofit boards The innovative ideas found in The New Board will help you and your nonprofit organization face the changes and challenges of the world of managed care. It is an essential resource for anyone interested in nonprofit organizations: CEOs and executive staff, academics and students in the field of nonprofit management, and board members themselves.

An award-winning journalist's breathtaking mosaic of the tough-love industry and the young adults it inevitably fails. In the middle of the night, they are vanished. Each year thousands of young adults deemed out of control--suffering from depression, addiction, anxiety, and rage--are carted off against their will to remote wilderness programs and treatment facilities across the country. Desperate parents of these "troubled teens" fear it's their only option. The private, largely unregulated behavioral boot camps break their children down, a damnation the children suffer forever. Acclaimed journalist Kenneth R. Rosen knows firsthand the brutal emotional, physical, and sexual abuse carried out at these programs. He lived it. In Troubled, Rosen unspools the stories of four graduates on their own scarred journeys through the programs into adulthood. Based on three years of reporting and more than one hundred interviews with other clients, their parents, psychologists, and health-care professionals, Troubled combines harrowing storytelling with investigative journalism to expose the disturbing truth about the massively profitable, sometimes fatal, grossly unchecked redirection industry. Not without hope, Troubled ultimately delivers an emotional, crucial tapestry of coming of age, neglect, exploitation, trauma, and fraught redemption.