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Behavioral Approaches to Residential Treatment Joseph H Evans, PhD Munroe-Meyer Institute University of Nebraska Medical Center.

Published byJonathan Short Modified over 9 years ago

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Presentation on theme: "Behavioral Approaches to Residential Treatment Joseph H Evans, PhD Munroe-Meyer Institute University of Nebraska Medical Center."— Presentation transcript:

1 Behavioral Approaches to Residential Treatment Joseph H Evans, PhD Munroe-Meyer Institute University of Nebraska Medical Center

2 Deinstitutionalization Movement – Late 1960’s Reaction to Institutional Abuses in Reaction to Institutional Abuses in State “Mental Hospitals” State “Mental Hospitals” State “Homes for the Mentally Retarded” State “Homes for the Mentally Retarded” Juvenile Offender “Industrial Schools” Juvenile Offender “Industrial Schools” To a lesser degree, State “Prisons” To a lesser degree, State “Prisons”

3 Common Institutional Problems Long, often unnecessary, stays Long, often unnecessary, stays Programs designed for staff (not client treatment) convenience Programs designed for staff (not client treatment) convenience Poor staffing ratios Poor staffing ratios Poorly trained staff Poorly trained staff “Therapy” provided hour(s) per week “Therapy” provided hour(s) per week Physical and emotional abuses of clientele Physical and emotional abuses of clientele Removal of contacts with family and community Removal of contacts with family and community Little or no objective criteria for release Little or no objective criteria for release

4 Landmark Legal Cases Against Institutions Pennsylvania - Pennhurst Pennsylvania - Pennhurst New York - New York - Alabama - Alabama - Nebraska – Horacek vs Exon Nebraska – Horacek vs Exon

5 Behavioral Attempts to Improve Residential Care Anna State Hospital- IL (Ayllon and Azrin) Anna State Hospital- IL (Ayllon and Azrin) Camarillo State Hospital- CA (Lieberman) Camarillo State Hospital- CA (Lieberman) Sunland Centers – FL (Pennypacker) Sunland Centers – FL (Pennypacker)

6 Teaching Family Project Residential Behavioral Program for Children and Adolescents in the Community Residential Behavioral Program for Children and Adolescents in the Community Developed at the University of Kansas - Developed at the University of Kansas - Dept of Human Development and Family Life Dept of Human Development and Family Life Developed in Response to Local Needs in Lawrence, Kansas Developed in Response to Local Needs in Lawrence, Kansas Funded by National Institute for Mental Health Funded by National Institute for Mental Health Adopted by Boys Town - 1975 Adopted by Boys Town - 1975

7 Goals of the Teaching Family Project: A Program that is: Community-Based Community-Based Cost-Efficient Cost-Efficient Researched Researched Replicable Replicable Satisfying to Consumers Satisfying to Consumers

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