Treatment and Rehabilitation of Abused and Neglected Children an Inpatient Center Model
DOI:
https://doi.org/10.17986/blm.2014191788Keywords:
residential treatment center, children, sexual abuseAbstract
Rehabilitation and treatment centers are organizations that provide services for children and adolescents, with the main goal being to implement a “mental health” treatment plan for the individuals under their care. These organizations, which provide a continuous 24-hour service, may differ from one another in terms of the specific programs and treatment methods they apply.
The Oğuz Kağan Köksal Children and Youth Center was established in the Adana Province to provide for the treatment and rehabilitation of girls between the ages of 8 and 18 who have been subject to abuse or neglect, who suffer from alcohol/substance abuse, who are in need of treatment for mental problems and/or who live on the streets.
A study was made of 72 girls who had been admitted to the institution for treatment and rehabilitation since 2004 with a history abuse and neglect. The girls were assessed with the Beck Depression Inventory (BDI), the State Anxiety Inventory (STAI-I), the Trait Anxiety Inventory (STAI-II) and the Maudsley Obsessive Compulsive Inventory (MOCI) upon being admitted to the institution and at the end of their stay (i.e. their discharge). The differences between the mean admission and discharge scores of the girls in the BDI, STAI-I, STAI-II and MOCI assessments was determined to be statistically significant (p<0.001).
According to the duration of stay groups (0–3 months; 4–6 months; 7–9 months and ≥10 months), a statistically significant difference was identified between the mean admission and discharge scores of children who remained in the institution for 3–7 months, with the post-treatment scores of the inventories being significantly lower in comparison to the baseline values (p≤0.05). These results suggest discharging patients from the center prior to their third month of stay or a stay period of longer than seven months does not affect with any significance the scores of the depression, anxiety and obsession inventories.
To ensure a healthy society, it is of critical importance that children who have been subjected to abuse and neglect are given the appropriate support in treatment and rehabilitation centers; that plans are made concerning their lives and futures; that efforts are made to ensure that they can adapt to daily life after leaving the center; that measures are taken allowing them to continue their formal education; and that the necessary approaches are implemented so that they can effectively prepare for their occupational life.
Keywords: Residential Treatment Center, Children, Sexual Abuse
Downloads
References
Burns BJ, Hoagwood K, Mrazek PJ. Effective treatment for mental disorders in children and adolescents. Clin. Child Fam Psychol Rev 1999; 2:199-254. DOI: https://doi.org/10.1023/A:1021826216025
Tuma JM. Mental health services for children: The state of the art. Am Psychol 1989; 44:188-199. DOI: https://doi.org/10.1037//0003-066X.44.2.188
"Residential treatment centers database", residential treatment centers dot me, January 21, 2014.
"Principles of care for treatment of children and adolescents with mental ıllnesses in residential treatment centers". American Academy of Child and Adolescent Psychiatry. Retrieved 2012;11-30.
Lewis M, Jeffrey W, Paul N. “Residential treatment”, child and adolescent psychiatry a comprehensive texbook. Lippincott Williams&Wilkins. Third Edition 2002; 1095-1103.
Kisiel CL, Lyons JS. Dissociation as a mediator of psychopathology among sexually abused children and adolescents. Am J Psychiatry 2001; 158:1034-1039. DOI: https://doi.org/10.1176/appi.ajp.158.7.1034
Leon SC, Lyons JS, Uziel-Miller ND. Evaluating the use of psychiatry hospitalization by residential treatment centers. Journal American Academy Child and Adolescent Psychiatry 2000; 39:1496-1501. DOI: https://doi.org/10.1097/00004583-200012000-00009
Sunshine JH, Witkin MJ,Atay JE, Manderscheid RW. Residential treatment centers and other organized mental health care for children and youth: United States, Ment Health Stat Note, 1991 Jul; 198:1-14. DOI: https://doi.org/10.1037/e478182004-001
Friedrich WN, Baker AJL, Parker R, Schneiderman M, Gries L, Archer M. Youth with problematic sexualized behaviors in the child welfare system: a one-year longitudinal study. Sexual Abuse 2005; 17:391-397. DOI: https://doi.org/10.1177/107906320501700404
Kools S, Kennedy C. Child sexual abuse treatment: Misinterpretation and mismanagement of child sexual behavior. Child: Care, Health & Development 2002; 28:211–218. DOI: https://doi.org/10.1046/j.1365-2214.2002.00264.x
Stone L. A. Residential treatment. In: Noshpitz JD, Eds. Basic handbook of child psychiatry, 2th Ed., New York: Basic Books, 1979.
Kazdin AE, Siegel JC, Bass D. Cognitive problem-solving skills training and parent management trains in the treatment of antisocial behavior in children. J Consult Clin Psychol 1992; 60:733-747. DOI: https://doi.org/10.1037//0022-006X.60.5.733
Blackman M, Eustace J, Chowdhury T. Adolescent residential treatment: a one to three year follow-up. Can J Psychiatry 1991; 36:472-479. DOI: https://doi.org/10.1177/070674379103600702
Weiner A, Kupermintz H. Facing adulthood alone: The long-term impact of family break-up and infant institutions: A longitudinal study. B Soc Work 2001; 31:213-234. DOI: https://doi.org/10.1093/bjsw/31.2.213
Brodie I. Children’s homes and school exclusion: Redefining the problem. Support for Learning 2000; 15:25–29. DOI: https://doi.org/10.1111/1467-9604.00138
Shin SH. Building evidence to promote educational competence of youth in foster care. Child Welfare 2003; 82:615–632.
Schiff M, Benbenishty R. Functioning of Israeli group-homes alumni: Exploring the differences and in-care correlates. Child Youth Serv Rev 2006; 28:133–157. DOI: https://doi.org/10.1016/j.childyouth.2005.02.010
National council for the child. children in Israel: statistical abstract. jerusalem: Israel national council for the child (hebrew), 2006.
Jackson S. Educating children in residential and foster care. Oxf Rev Educ 1994; 20: 267–279. DOI: https://doi.org/10.1080/0305498940200301
Zetlin AG, Weinberg LA, Kimm C. Helping social workers address the educational needs of foster children. Child Abuse Negl 2005; 29:811–823. DOI: https://doi.org/10.1016/j.chiabu.2004.12.009
Jackson S, Martin PY. Surviving the care system: Education and resilience. J Adolesc 1998; 21:569–583. DOI: https://doi.org/10.1006/jado.1998.0178
Hukkanen R, Sourander A, Bergroth L, Piha J. Psychosocial factors and adequacy of services for children in children’s homes. Eur Child Adolesc Psychiatry 1999; 8:268–275. DOI: https://doi.org/10.1007/s007870050101
Gilligan, R. Adversity, resilience and young people: The protective value of positive school and spare time experiences. Children & Society 2000; 14:37–47. DOI: https://doi.org/10.1111/j.1099-0860.2000.tb00149.x
Zito JM, Craig TJ, Wanderling J. Child/adolescent psychiatric patients. J Pharmacoepidemiology 1994; 3:47–62. DOI: https://doi.org/10.1300/J055V03N01_04
Öy B. Çocuklar için depresyon ölçeği: Geçerlik ve güvenirlik çalışması. Türk Psikiyatri Dergisi, 1991; 2:132-136.
Özusta Ş. Çocuklar için durumluk-sürekli kaygı envanter’inin uyarlama, geçerlik ve güvenirlik çalışması. Türk Psikoloji Dergisi, 1995; 10:32-44.
Sanavio E, Vidotto G. The components of the Maudsley obsessional compulsive questionaire. Behav Res Ther, 1985; 26:659-662. DOI: https://doi.org/10.1016/0005-7967(85)90061-0
Erol N, Savaşır I. Maudsley obsesif kompulsif soru listesi. XXXIV. Ulusal Psikiyatri ve Nörolojik Bilimler Kongresi, 1988; GATA, Ankara.
McCrae, Julie S., Mimi V. Chapman, and Sharon L. Christ. "Profile of children investigated for sexual abuse: association with psychopathology symptoms and services." American Journal of Orthopsychiatry (2006). DOI: https://doi.org/10.1037/0002-9432.76.4.468
McClellan J, Adams J, Douglas D, McCurry C, Storck M. Clinical characteristics related to severity of sexual abuse: a study of seriously mentally ill youth. Child Abuse Negl. 1995 Oct; 19 (10):1245-54. DOI: https://doi.org/10.1016/0145-2134(95)00087-O
Topbaş M. İnsanlığın büyük bir ayıbı: çocuk istismarı. TSK Koruyucu Hekimlik Bülteni. 2004; 3(4).
David LH, Shenyang G. Forecasting length of stay in child residential treatment. Child Psychiatry and Human Development, 2005 Fall; 36(1):95-111. DOI: https://doi.org/10.1007/s10578-004-3490-9
Dale N, Baker AJL, Anastasio E, Purcell J. Characteristics of children in residential treatment in newyork state. Child Welfare League of America. 2007: 5-27.
Şahiner ÜM, Yurdakök K, Kavak US ve ark. Tıbbi açıdan çocuk istismarı. Katkı Pediatri Dergisi. 2001; 22:276-85.
Yalın A, Kerimoğlu E, Erman H. Okul öncesi çocuklarda cinsel istismarı önleme programı: ana-babaların tutum, görüş ve davranışlarının taranması. Çocuk ve Gençlik Ruh Sağlığı Dergisi. 1995; 2:19-27.
Akduman GG, Ruban C, Akduman B, Korkusuz İ. Çocuk ve cinsel istismar. Adli Psikiyatri Dergisi. 2005 Ocak; 3(1):9-14.
Gölge ZB. Cinsel travma sonrası oluşan ruhsal sorunlar. Nöropsikiyatri Arşivi. 2005; 42(1-4):19-28.
Brady KL, Caraway SJ. Home away from home: factors associated with current functioning in children living in a residential treatment setting.Child Abuse and Neglect. 2002; 26: 1149-1163. DOI: https://doi.org/10.1016/S0145-2134(02)00389-7
Gorske TT, Srebalus DJ, Walls RT. Adolescents in residential centers: characteristics and treatment outcome. Child and Youth Services Review. 2003; 25(4): 317-326. DOI: https://doi.org/10.1016/S0190-7409(03)00014-8
Nickel MK, Tritt K, Mitterlehner FO, Leiberich P, Nickel C, Lahmann C, Forthuber P, Rother WK, Loew TH. Sexual abuse in childhood and youth as psychopathologically relevent life occurrence: cross-sectional survey. 2004; 45(4): 483-489.
Browne, A., & Finkelhor, D. (1986). Impact of child sexual abuse: A review of the research. Psychological Bulletin, 99, 66- 76. DOI: https://doi.org/10.1037//0033-2909.99.1.66
Kendall-Tackett KA, Williams LM, Finkelhor D. Impact of sexual abuse on children. Psychol Bull. 1993; 113: 164-180. DOI: https://doi.org/10.1037//0033-2909.113.1.164
Nan D, Baker AJL, Anastasio E, Purcell J. Characteristics of children in residential treatment in new york state. Child Welfare League of America. 2007 Jan/Feb; 86 (1): 5-27.
Pelkovitz D, Kaplan S, Goldenberg B, et al. Post-traumatic stress disorder in physically abused adolescents. 1994; 33:305-12. DOI: https://doi.org/10.1097/00004583-199403000-00002
Ferol E, Mennen DSW, Meadow D. The relationship of sexual abuse to symptom levels in emotionally disturbed girls. 1993 August; 10 (4):318-328. DOI: https://doi.org/10.1007/BF00758262
Hussey DL, Guo S. Characteristics and trajectories of treatment foster care youth. 2005 Jul-Aug; 84(4):485-506.
Kubsinel MM, Dubsky DD. Behaviorally impaired children in out-of-home care. Child Welfare. 1999 Mar-Apr;78(2):297-310.
Downloads
Published
Issue
Section
License
The Journal and content of this website is licensed under the terms of the Creative Commons Attribution (CC BY) License. The Creative Commons Attribution License (CC BY) allows users to copy, distribute and transmit an article, adapt the article and make commercial use of the article. The CC BY license permits commercial and non-commercial re-use of an open access article, as long as the author is properly attributed.
