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Abstract
Though research has focused on clinical characteristics and behavioral problems of youth in out-of-home mental health placement settings, few studies have examined how adolescents and emerging adults (Arnett, 2000) experience and make sense of treatment. In this study, semistructured interviews regarding the experience of mental health placement were conducted with 12 adolescent and emerging adult participants with emotional and behavioral challenges, between the ages of 16 and 23. The participants were previously placed in residential mental health treatment centers, facilities, and inpatient hospitals. At the time of the interviews, all participants were involved in youth-run forums across New York State, through which they engage in peer-support initiatives and advocacy efforts aimed at reforming the children’s mental health system. Miles and Huberman’s suggestions for qualitative data coding (1994) were used to analyze the narratives. The participants identified salient conflicts when describing their experiences in restrictive mental health settings and also described the negative psychosocial ramifications of these experiences, including stigma and alienation. The findings suggest that by eliciting critical youth perspectives on mental health placement, a “counternarrative” emerges (Bamberg, 2004; Solis, 2004), which challenges and complicates clinically oriented discourses on youth with emotional and behavioral challenges. Implications for mental health reform and directions for future research are discussed.
|
Abrams, L.S. , & Aguilar, J.P. ( 2005). Negative trends, possible selves, and behavior change: A qualitative study of juvenile offenders in residential treatment. Qualitative Social Work, 4, 175-196. Google Scholar | SAGE Journals | |
|
Abrams, L.S. ( 2006). Listening to juvenile offenders: Can residential treatment prevent recidivism? Child and Adolescent Social Work Journal , 23(1), 61-85. Google Scholar | Crossref | |
|
Abrams, L.S. , & Hyun, A. ( 2009). Mapping a process of negotiated identity among incarcerated male juvenile offenders. Youth and Society, 41(1), 26-52. Google Scholar | SAGE Journals | ISI | |
|
Adame, A.L. , & Leitner, L.M. ( 2008). Breaking out of the mainstream: The evolution of peer support alternatives to the mental health system. Ethical Human Psychology and Psychiatry, 10, 146-162. Google Scholar | Crossref | |
|
Arnett, J.J. ( 2000). Emerging adulthood: A theory of development from the late teens through the twenties. American Psychologist, 55, 469-480. Google Scholar | Crossref | Medline | ISI | |
|
Bamberg, M. ( 2004). Considering counter narratives. In M. G. W. Bamberg & M. Andrews (Eds.), Considering counter narratives: Narrating, resisting, making sense (pp. 351-371). Amsterdam, Netherlands: John Benjamins. Google Scholar | Crossref | |
|
Burns, B.J. , Hoagwood, K. , & Mrazek, P.J. ( 1999). Effective treatment for mental disorders in children and adolescents. Clinical Child and Family Psychology Review , 2, 199-254. Google Scholar | Crossref | Medline | |
|
Cohen, J.J. ( 2008). Disparities in health care: An overview. Academic Emergency Medicine, 10, 1155-1169. Google Scholar | Crossref | |
|
Collins, W.A. , Maccoby, E. , Steinberg, L. , Hetherington, E.M. , & Bornstein, M. ( 2000). Contemporary research on parenting: The case for nature and nurture. American Psychologist, 55, 218-232. Google Scholar | Crossref | Medline | ISI | |
|
Collins, M.E. , Paris, R. , & Ward, R. ( 2008). The permanence of family ties: Implications for youth transitioning from foster care. American Journal of Orthopsychiatry , 78(1), 54-62. Google Scholar | Crossref | Medline | ISI | |
|
Connor, D.F. , Doerfler, L.A. , Toscano, P.F. , Volungis, A.M. , & Steingard, R.J. (2004). Characteristics of children and adolescents admitted to a residential treatment center. Journal of Child and Family Studies, 13, 497-510. Google Scholar | Crossref | |
|
Corrigan, P. ( 2000). Mental health stigma as social attribution: Implications for research methods and attitude change. Clinical Psychology-Science and Practice, 7, 48-67. Google Scholar | Crossref | ISI | |
|
Corrigan, P. ( 2004). How stigma interferes with mental health care. American Psychologist, 59, 614-625. Google Scholar | Crossref | Medline | ISI | |
|
Courtney, M.E. , Piliavin, I. , Grogan-Kaylor, A. , & Nesmith, A. ( 2001). Foster youth transitions to adulthood: A longitudinal view on youth leaving care. Child Welfare, 80, 685-717. Google Scholar | Medline | ISI | |
|
Curtis, P. , Alexander, G. , & Lunghofer, L. ( 2001). A literature review comparing the outcomes of residential group care and therapeutic foster care. Child and Adolescent Social Work Journal, 18, 377-392. Google Scholar | Crossref | |
|
Daiute, C. , & Fine, M. ( 2003). Youth perspectives on violence and injustice. Journal of Social Issues, 59(1), 1-14. Google Scholar | Crossref | ISI | |
|
Dech, E. , Orlando, S. , Tenney, L. , & Sanchez, D. ( 2008). Youth track: Where have we been? Where are we going? An overview of the Youth Movement. Paper presented at the Families Together in New York State Annual Conference, Albany, NY. Google Scholar | |
|
Dishion, T.J. , McCord, J. , & Poulin, F. ( 1999). When interventions harm: Peer groups and problem behavior . American Psychologist, 54, 755-764. Google Scholar | Crossref | Medline | ISI | |
|
Dore, M.M. ( 1994). Guidelines for placement decision-making. New York, NY: Child Welfare Administration, Human Resources Administration of the City of New York. Google Scholar | |
|
Eisengart, J. , Martinovich, Z. , & Lyons, J.S. ( 2007). Discharge due to running away from residential treatment: Youth and setting effects. Residential Treatment for Children and Youth, 24, 327-343. Google Scholar | Crossref | |
|
Fox, A. , & Berrick, J.D. ( 2007). A response to no one ever asked us: A review of children’s experiences of out-of-home care. Child and Adolescent Social Work Journal, 24(1), 23-51. Google Scholar | Crossref | |
|
Hair, H. ( 2005). Outcomes for children and adolescents after residential treatment: A review of research from 1993-2003. Journal of Child & Family Studies, 14, 551-575. Google Scholar | Crossref | |
|
Hussey, D.L. , & Guo, S. ( 2002). Behavioral change trajectories of partial hospitalization children. American Journal of Orthopsychiatry, 72, 539-547. Google Scholar | Crossref | Medline | ISI | |
|
James, S. , Leslie, L.K. , Hurlbert, M.S. , Slymen, D.J. , Landsverk, J. , Davis, I. , . . . Zhang, J.J. ( 2006). Children in out-of-home care: Entry into intensive or restrictive residential treatment placements. Journal of Emotional and Behavioral Disorders, 14, 196-208. Google Scholar | SAGE Journals | ISI | |
|
King, N. , & Horrocks, C. ( 2010). Interviews in qualitative research. Thousand Oaks, CA: SAGE. Google Scholar | |
|
Kufeldt, K. , Armstrong, J. , & Dorosh, M. ( 1995). How children in care view their own and their foster families: A research study. Child Welfare, 74, 695-715. Google Scholar | ISI | |
|
Lee, B.R. , & Thompson, R. ( 2009). Examining externalizing behavior trajectories of youth in group homes. Is there evidence for peer contagion? Journal of Abnormal Child Psychology, 37(1), 31-44. Google Scholar | Crossref | Medline | ISI | |
|
Lyons, J.S. , Terry, P. , Martinovich, Z. , Peterson, J. , & Bouska, B. ( 2001). Outcome trajectories for adolescents in residential treatment: A statewide evaluation. Journal of Child and Family Studies , 10, 333-345. Google Scholar | Crossref | |
|
McMillen, J.C. , & Tucker, J. ( 1999). The status of older adolescents at exit from out-of-home care. Child Welfare, 78, 339-359. Google Scholar | Medline | ISI | |
|
McNeal, R. , Handwerk, M.L. , Field, C.E. , Roberts, M.C. , Soper, S. , Huefer, J.C. , & Ringle, J.L. ( 2006). Hope as an outcome variable among youth in a residential setting. American Journal of Orthopsychiatry, 76, 304-311. Google Scholar | Crossref | Medline | ISI | |
|
Miles, M.B. , & Huberman, A.M. (1994). Qualitative data analysis: An expanded sourcebook. Thousand Oaks, CA: SAGE. Google Scholar | |
|
Miller, J. , Hunt, D. , & Georges, M. ( 2006). Reduction of physical restraints in residential treatment facilities. Journal of Disability Policy Studies, 16, 202-208. Google Scholar | SAGE Journals | |
|
Mohr, W.K. , & Pumariega, A.J. (2004). Level systems: Inpatient programming whose time has passed. Journal of Child and Adolescent Psychiatric Nursing, 17(3), 113-125. Google Scholar | Crossref | Medline | |
|
Pottick, K.J. , Warner, L.A. , & Yoder, K.A. ( 2005). Youths living away from families in the U.S. Mental Health System: Opportunities for targeted intervention. Journal of Behavioral Health Services & Research, 32, 264-281. Google Scholar | Crossref | Medline | ISI | |
|
Pumariega, A.J. ( 2007). Residential treatment for children and youth: Time for reconsideration and reform. American Journal of Orthopsychiatry , 77, 343-345. Google Scholar | Crossref | Medline | ISI | |
|
Rhule, D. ( 2005). Take care to do no harm: Harmful interventions for youth problem behavior. Professional Psychology, Research and Practice , 36, 618-625. Google Scholar | Crossref | ISI | |
|
Santor, C. , & Youniss, J. ( 2002). The relationship between positive parental involvement and identity achievement during adolescence. Adolescence, 37, 221-234. Google Scholar | Medline | |
|
Solis, J. ( 2004). Narrating and counter-narrating illegality as an identity . In C. Daiute & C. Lightfoot (Eds.), Narrative analysis: Studying the development of individuals in society (pp. 181-200). Thousand Oaks, CA: SAGE. Google Scholar | |
|
Thorne, A. , & McClean, K.C. ( 2003). Telling traumatic events in adolescence: A study of master narrative positioning. In R. Fivush & C. A. Haden (Eds.), Autobiographical memory and the construction of a narrative self (pp. 169-186). Mahwah, NJ : Lawrence, Erlbaum. Google Scholar | |
|
Whiting, J.B. , & Lee, R.E. ( 2003). Voices from the system: A qualitative study of foster children’s stories. Family Relations, 52, 288-295. Google Scholar | Crossref | ISI | |
|
Wilson, L. , & Conroy, J. ( 1999). Satisfaction of children in out-of-home care. Child Welfare, 78, 53-69. Google Scholar | Medline | ISI |
