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

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.Engagement Intervention Residential treatment centers Service delivery Therapeutic milieu

Outcomes in residential treatment for youth: The role of early engagement

Client engagement is commonly believed to be an important condition for the attainment of positive outcomes in human services. This paper addresses client engagement in the context of residential treatment centers (RTCs) for youth. Three waves of data from interviews with adolescents in two RTCs are used to test hypotheses reflecting competing explanations for whether and how engagement may relate to self-view, school, and family outcomes. Findings suggest that youths who are more engaged early in treatment tend to have more positive outcomes, lesser engaged youths show the greatest degree of positive change, and that a relationship between early engagement and certain outcomes, but not others, may be mediated by certain treatment interventions.Child welfare Outcomes Engagement