Residential Treatment Center - Children and Teens

Children and Teens

RTCs for adolescents provide treatment for issues and disorders such as Oppositional Defiant Disorder, Conduct Disorder, Depression, Bipolar disorder, Attention Deficit Hyperactivity Disorder (ADHD), educational issues, some personality disorders, and phase-of-life issues, as well as drug and alcohol abuse. Most use a behavior-modification paradigm. Others are relationally oriented. Some utilize a community or positive peer-culture model. Generalist programs are usually large (80-plus clients and as many as 250) and level-focused in their treatment approach. That is, in order to manage clients' behavior, they frequently put systems of rewards and punishments in place. Specialist programs are usually smaller (less than 100 clients and as few as 10 or 12). Specialist programs typically are not as focused on behavior modification as generalist programs are.

Different RTCs work with different types of problems, and the structure and methods of RTCs varies. Some RTCs are lock-down facilities; that is, the residents are locked inside the premises. In a locked residential treatment facility, clietns' movements are severely restricted, usually to a single room or cell. By comparison, an unlocked residential treatment facility allows them to move about the facility with relative freedom, but they are only allowed to leave the facility under specific conditions. Residential treatment centers should not be confused with residential education programs, which offer an alternative environment for at-risk children to live and learn together outside their homes.

Residential treatment centers for children and adolescents treat multiple conditions from drug and alcohol addictions, to emotional and physical disorders as well as mental illnesses. Various studies of youth in residential treatment centers have found that many have a history of family-related issues, often including physical or sexual abuse. Some facilities address specialized disorders such as Reactive attachment disorder (RAD).

Residential treatment centers generally are clinically focused and primarily provide behavior management and treatment for adolescents with serious issues. In contrast, therapeutic boarding schools provide therapy and academics in a residential boarding school setting, employing staffs of social workers, psychologists, and psychiatrists to work with the students on a daily basis. This form of treatment has a goal of academic achievement as well as physical and mental stability in children, adolescents, and young adults. Recent trend have ensured that residential treatment facilities have more input from behavioral psychologists to improve outcomes and lessen unethical practices.

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