A psychometric evaluation of a residential treatment facility: an illustration of an interpretable research design without a control group.

This paper reports on the interim results of an evaluation study which followed a group of disordered-delinquent adolescents discharged from a long-term residential treatment program. Findings from the first cohort of adolescents tested at admission and discharge with the Tennessee Self-Concept Scale (TSCS) indicate statistically significant improvement in all the areas of self-concept, significant decreases in all areas of psychopathology, and no systematic response set at either testing. The research design is unique in that, without a control group, competing interpretations of treatment effectiveness have been ruled out. Using design features, clinical observation, and common sense, four competing explanations of the favorable results have been eliminated. Both the instrument and research design are of interest to those undertaking evaluation research in underfunded settings where control groups are difficult to obtain due to financial or logistical problems.