Fornits
Treatment Abuse, Behavior Modification, Thought Reform => The Troubled Teen Industry => Topic started by: anppd on August 03, 2004, 02:28:00 PM
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I would like to know how most of these places WWASPS aside (I know enough) treat kids with major depression, suididaility and self-injury (without substance abuse or conduct disorder). Drugs, any REAL psychotherapy at any of these places, DBT,?????
Thanks. It's urgent. Trying to help someone
P.A.D.
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Here's a summary found at Struggling Teens from 2001. Seems to suggest that programs are most successful with Suicide, Sexual Permissiveness, and Run Away. Things any good lock-down or prison would be successful with.
The key remarks to notice are:
1/3 were negative or unenthusiastic in their approval indicating they didn't feel they got their money's worth, Suggests inappropriate placements are happening too often, Suggesting that programs promised more than they could deliver.
http://www.strugglingteens.com/archives ... /oe02.html (http://www.strugglingteens.com/archives/2001/11/oe02.html)
526 Participants
261 Parents and Adult Ex-Students
265 Grads, Left Earlys and Currently Enrolled
Referals:
Ed Cons 76
Woodbury 87 (Woodbury conducted the Survey)
Word of Mouth 55
Behaviors that resulted in placement:
158 Drugs
122 School Failure
105 Rebellion
53 Anger
47 Law Breaking
37 Run Away
25 Negative Friends
115 Programs Represented:
9 Drug Tmnt
18 Long term Wilderness
35 Behavior Mod
37 RTC/ Psych
47 Short term Wilderness
Obeservation: Parent and Professionals speaking different languages which could lead to a lot of subtle but important miscommunications. Questions were open-ended, parents used their own descriptions.
Rating
0=Harmful 5=very effective/appropriate
145 rated program a 5
23 rated program a 0
Average: 3.82
Note: 1/3 were negative or unenthusiastic in their approval indicating they didn't feel they got their money's worth.
Highest Satisfaction Ratings:
Sexual Permissiveness 4.7
Suicide 4.6
Run Away 4.2
Suggested reason- structure and staff supervision.
Lowest Satisfaction Ratings:
BiPolar 3.5
Rebellion 3.67
School Failure 3.7
Suggested reason- attitudes, abstract and harder to impact.
Suggests inappropriate placements are happening too often.
23 with Highest Satisfaction Rating used Local Child Care Professionals (Psychs, Therapists, Ed Cons)
16 with Lowest Satisfaction Rating were refered to programs by other programs
Strengths of Program:
160 Staff
57 Structure
47 Therapy
29 Parent Support
24 Communication
Common Weaknesses:
62 Communication
56 Staff
23 Turnovers
Highest Satisfaction Ratings:
Emo. Growth 5
Aftercare 4.75
Consistency 4.56
Prog Planning 4.54
Communication 4.46
Lowest Satisfaction Ratings:
Therapy 1.67
Misled 1.89
Suggesting that programs promised more than they could deliver. Some participants desired more therapy.
[ This Message was edited by: Deborah on 2006-06-11 14:07 ]
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so, lock them up to change their libido or depression?
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Children with depression are treated no differently than those with substance abuse problems or gang affiliation. This truly is counter to established guidelines for treatment. A patient with depression should be given opportunities to build self esteem. Severe punishment will only cause them to sink into a deeper and more dangerous despair. There have been many children who have committed suicide while in placement. Children with depression are often treated with cruelty instead of compassion and kindness. It makes absolutely no sense whatsoever. In residential care most are treated the same and most are highly punitive.
This type of treatment is counterproductive for a depressed and suicidal child. It is the mark of an educated mind to be able to entertain a thought without accepting it.
-- Aristotle
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"Seems to suggest that programs are most successful with Suicide, Sexual Permissiveness,
and Run Away. Things any good lock-down or prison would be successful with."
Um... how does being locked up or put in a prison help with suicidal thoughts?
And being locked up and repeatedly punished will make them unable to have sex or run away, obviously, but how would that fix the problem when they get out?
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bump
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Seems to me that they may be taking those perceived pathologies that are most likely to be either entirely in the imagination of the parents or go resolve themselves.
Remember that some of these places classify piercings (other than females having both ears pierced) as self mutilation. Suicidal ideation is nothing to sneeze at, but a pissed off 13 year old shouting "Ah! I just want to kill myself" is not necessarily driven by real thoughts of suicide. Major depression is completely subjective.
So, again, the Program and a buck fifty will cure teen angst in exactly the same way as the Program and a buck fifty will get you a low grade cup of coffee @ Starbucks.God grant me the senility to forget the people I never liked anyway, the good fortune to run into the ones I do, and the eyesight to tell the difference.
Perl Services
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If your needing an RTC that offers DBT then you need to look at sites on BPD. I have found the following to be helpful.
http://www.mhsanctuary.com/borderline/ (http://www.mhsanctuary.com/borderline/)
I strongly advise avioding any Private owned program if you are dealing with a cutter or fire or hair pulling, ect. You need Highly trained and specilized care for these things. You need to know what Questions to ask and you need to make sure they are working from current and up to date information. Otherwise, you will do far more harm than good.
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Before you make any decision, please look through the warning signs and the advice to parents posted in this site: http://www.isaccorp.com (http://www.isaccorp.com). Good luck in your search.
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I am trying to help a young friend of mine trapped at an RTC in Utah. This is one of my major concerns - that they are using her cutting as part of her behav. mod. program even though it's in combination with DBT. I tried to pry push in the pretense of being an interested mother re: their program and cutting and they *seemed* to be saying that they would not be punitive if she cut. That was not enough for me to hear. I do not have much experience with cutting except for what I've read on the net. What would you explicity say to a therapist in one of these places to be assured as you could be (I know, I know) that the cutting was being treated appropriately?
Thx.
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Same poster as above here. BTW, this place IS in Utah but it's not WWASP and not one of the worst, I'm sure. But I am appropriately concerned and suspicious about their competency in dealing with things like cutting along with a zillion other things but this one I might be able to raise with them indirectly.
Thanks again.