Farmer Elizabeth M Z, Seifert Heather, Wagner H Ryan, Burns Barbara J, Murray Maureen
Virginia Commonwealth University, Richmond, USA.
Duke University, Durham, USA.
J Emot Behav Disord. 2017 Jun;25(2):119-128. doi: 10.1177/1063426616630520. Epub 2016 Mar 14.
Group homes are a frequently used but controversial treatment setting for youth with mental health problems. Within the relatively sparse literature on group homes, there is some evidence that some models of treatment may be associated with more positive outcomes for youth. This article explores this possibility by examining differences across time for youth served in group homes utilizing the Teaching Family Model (TFM) and geographically proximate homes using more eclectic approaches. Data come from a longitudinal quasi-experimental study that included 554 youth. Results suggest that youth showed, on average, significant and rapid improvement during initial months in a group home. Improvement did not differ for TFM and non-TFM homes during this initial period. Post-discharge results, though, show that TFM was associated with continued improvement after discharge and significantly better outcomes by 8 months post-discharge. Results also discuss youth-level factors that may influence outcomes as well as need for additional work to more fully understand processes and practices that are key for maximizing and maintaining youths' positive outcomes during and after group home placements.
集体之家是针对有心理健康问题的青少年常用但颇具争议的一种治疗环境。在关于集体之家的相对较少的文献中，有一些证据表明某些治疗模式可能会给青少年带来更积极的结果。本文通过研究采用教学家庭模式（TFM）的集体之家的青少年与采用更折衷方法的地理位置相近的集体之家的青少年随时间的差异，来探讨这种可能性。数据来自一项纵向准实验研究，该研究包括554名青少年。结果表明，青少年在进入集体之家的最初几个月里平均有显著且快速的改善。在此初始阶段，TFM集体之家和非TFM集体之家的改善情况并无差异。不过，出院后的结果显示，TFM与出院后持续改善相关，且在出院8个月后结果明显更好。结果还讨论了可能影响结果的青少年层面因素，以及需要开展更多工作以更全面地了解在集体之家安置期间及之后最大化并维持青少年积极结果的关键过程和做法。
