This research aims to provide evidence that will serve to better the quality of treatment in residential care settings for the at-risk adolescent population. Because of the various factors associated with iatrogenic effects in residential care settings and because of the impact that the developmental stage of adolescence has on later adulthood, attempts to increase this treatment quality type becomes salient. Contemporarily, dialectical behavioral therapy is utilized in residential care settings with the at-risk adolescent population and has research supporting its’ efficacy. Although dialectical behavioral therapy is utilized in this context and has demonstrated effective, it is often only provided in therapy and not in the milieu. Because of the quantity of time clients in residential care settings spend in the milieu with milieu staff, these experiences likely influence their overall therapy progress. Therefore, this research hypothesizes that dialectical behavioral therapy’s use in the milieu in addition to therapy will increase overall therapy progress for the client population than if treatment as usual were to proceed. This research was conducted in a residential care setting for at-risk adolescents and collected data during a treatment as usual assessment period; provided the intervention of training milieu staff in dialectical behavioral therapy theory, strategies, and adolescent adaptations; and collected data during a dialectical behavioral therapy treatment assessment period. Concluding is a statistical analysis of the measurable changes between assessment periods, an interpretation of the results, a discussion regarding generalization of the findings, limitations, and future considerations.
|Advisor:||Piccari, Joseph F.|
|School Location:||United States -- Arizona|
|Source:||MAI 55/03M(E), Masters Abstracts International|
|Subjects:||Behavioral psychology, Counseling Psychology, Cognitive psychology|
|Keywords:||Adolescence, At-risk adolescents, Dialectical behavioral therapy, Milieu therapy, Residential care setting|
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