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Abstract
Family-driven, youth-guided practices have shaped the development of community-based mental health services for children and youth; however, the extent to which residential treatment providers have adopted these practices is unclear. This study reports the findings from a survey of 293 residential treatment providers conducted to examine the adoption of family-driven, youth-guided care. Residential treatment providers reported several practices consistent with family-driven, youth-guided care, including strength-based individualized treatment planning, collaboration with community-based providers to develop treatment plans, and the provision of various forms of support to families. Thirty percent of providers reported that the youth or family member was the primary decision maker in the development of treatment plans, 20.9% included youth or family members in program oversight, and 88.0% reported that staff had not heard of family-driven, youth-guided principles or required further training to implement them.
Mathematica Policy Research conducted the Survey of Residential Treatment Facilities with support from the Center for Health Care Strategies (CHCS), the Annie E. Casey Foundation, and SAMHSA. The views expressed are those of the authors and do not necessarily reflect the views of CHCS, the Annie. E. Casey Foundation, or SAMHSA. We appreciate the guidance of our project advisory panel in the development of the survey. Ebo Dawson-Andoh assisted with the collection of survey data. Abel Ortiz, PhD provided guidance throughout the project and feedback on earlier drafts of this manuscript. Dan Foley and Jim Maedke helped to facilitate access to the SMHTF. Sharon Clark provided editorial assistance.