Collaborative Treatment for Sexual Behavior Problems in an Adolescent Residential Center

Abstract

Many residential treatment and sex offender programs for adolescents historically have used coercion-based interventions. Treatment programs employing coercive techniques often replicate the same destructive and intrusive behaviors they seek to eliminate. Tension between departments coupled with poor communication and discomfort around sexual behavior issues within the staff of residential treatment centers are more likely to inhibit the progress of the youths they serve.

Collaboration among residential, educational, and clinical components enables staff to work in a direct, genuine, and respectful fashion with students who have histories of sexually abusive behavior. It further assists in maintaining a safe and predictable environment for these students. Finally, it helps students eliminate destructive behaviors by directly and consistently addressing four key areas: sexually abusive behavior, antisocial attitudes, social/emotional functioning, and overall self-care. It is not the author's intention to hold Bennington School, Inc.up as a model residential treatment program or to criticize other residential facilities. Rather, it is hoped that what is working in Bennington may be helpful to others.

Many who have worked on the front lines of residential treatment with sexually abusive adolescents have received training in elements specific to sexually abusive behavior. The origins of treatment for youth who have sexually abused were noteworthy for their lack of offense-specific interventions (National Adolescent Perpetration Network, 1993). However, a wealth of literature soon emerged addressing the need for assessment and treatment techniques specific to this population (Perry & Orchard, 1992; Barbaree, Marshall & Hudson, 1993). Much of this literature made assumptions regarding high levels of chronicity (Perry & Orchard,1992) while other contributions stressed the role of denial and minimization (Barbaree & Cortoni, 1993). As a result, while many issue-specific forms of assessment and treatment were developed, they often did not take into account other developmental needs and issues in the lives of sexually abusive youths (Lane, 1997).

Concurrent with this emerging research was a substantial increase in the number of treatment programs for juvenile sex offenders (National Adolescent Perpetration Network, 1993). In this context, it is not surprising that many treatment programs relied heavily on treatment targeting denial, minimization, and perceived sexual deviance without taking into account other treatment needs of youths. Although a recent literature review of adolescent residential programs (Curwen, 2000) notes a trend away from shame-based approaches, there appears to be less clarity on specific criteria on which to base residential treatment of adolescents who have sexually abused (Curwen, 2000).

Finally, recent research shows that among adult populations, accepting responsibility for abusive behavior in treatment is more likely to result from a warm, genuine, and empathic treatment style (Marshall, Fernandez, & Anderson, 1999). Group therapy participation, similarly, results from encouragement, open questions, and nonconfrontational challenge. The emerging themes of recent trends and research should inspire those at the front lines of residential treatment to reconsider not just basic treatment approaches, but the most minute elements of their interactions with youths.     

论商品房住宅小区中会所、车库的所有权归属——从我国物权法的相关规定谈起

我国物权法有关商品房住宅小区停车位、车库所有权归属的规定和对会所所有权归属的回避,既未能平衡相关各方(主要是业主与开发商)之间的利益,也难于达到定纷止争的预期效果,所以有待进一步完善。文章认为,基于我国的实际,应通过相关的过渡性的立法解释、司法解释或者政策、法规,最终实现会所和车库、车位归业主共有。     

Impression management in the market for residential care for children and youth in Sweden

In what has become quite a turbulent quasi‐market for residential care for children and youth, providers now compete for public contracts. To create visibility and attract customers, many providers use marketing activities to project the desired impression of themselves to maintain or strengthen their market position. In this article, we analyse how companies that provide residential care for children manage the impressions they project on their websites and in advertisements. The results reveal that residential care providers use a range of impression management strategies to enhance their organizational image and to respond to potentially damaging or threatening images. The information providers choose to disclose leaves customers—in this case, the social workers responsible for choosing and purchasing care on behalf of clients—with rather limited opportunities to evaluate the quality of care. This is a significant problem considering other, more reliable, sources of information are difficult to access.     

我国居民住宅区名称文本功能考察

居民住宅区名称类属于地名范畴,通过语言的音、形、义要素的互动传达了名称的信息、表情、美感和祈使四项功能。现有大部分小区名称方位定向的信息功能已被命名者弱化,祈使功能因其美感和表情功能的强化得以突显;同时,名称的英译也进一步彰显其祈使功能。     

“Unexpected and Distressing”: Understanding and Improving the Experience of Transferring Palliative Care Inpatients to Residential Care

The survival of patients with advanced cancer, coupled with the increased presence of end-stage chronic illnesses in an aging population, is leading to a demand in palliative care. Due to the ongoing need for acute-pain and symptom control in hospice/palliative care units, few are able to offer long-stay admission for those whose symptoms have stabilized. When a patient no longer requires specialist palliative care services, transfer from an inpatient palliative care facility may then be necessary. A core component of the role of palliative-care social workers involves working with patients and their families/carers when the care pathway shifts and the option of residential aged care facility (RACF) needs to be considered. This research explored several issues, including the impact of this transition on the patient and their families and on the interdisciplinary health care team treating the patient. An investigation was undertaken to identify concerns and barriers regarding the transition from hospice care to RACF and opportunities were highlighted to improve clinical practice in this area. A tripartite approach was adopted conducting face-to-face interviews with patients, their families/carers, and health care professionals. Members of the interdisciplinary team were interviewed and social workers working in similar inpatient palliative-care facilities undertook telephone interviews to gauge their experiences. A thematic analysis discerned a number of themes highlighting the impact of this transition on key stakeholders and incorporated recommendations to improve or best manage this process. The research has highlighted the difficulties that patients/families encounter in this transition, as well as the emphases of protecting the integrity of the patient and family. This is achieved by holding open and ongoing dialogue, particularly through family meetings and working in collaboration with the patient, the family, and the team. Understanding the experience and impact of this transition on key stakeholders is helpful in building up a knowledge base and to ensure a more effective relationship occurs. This research incorporated the voices of terminally ill patients, families, and members of the health care team in order to understand their views and recommendations for best managing the transition from a hospice/inpatient palliative-care facility to a RACF. This enables their input to have some real impetus in clinical practice and service delivery.     

21世纪城市居住小区新模式研究

在综合当前居住小区模式几种提法及内涵的基础上，根据人居环境满足可持续发展的原则，给出面向普通居民的２１世纪城市居住小区模式－－现代绿色小区，为城市住宅建设提供一种新思路和新选择。     

"五个统筹"背景下的风景区居民点调控问题研究

风景区的发展不仅带动了对资源和环境的保护,同时也给风景区内部和周边居民点带来了社会经济与生态环境的双重影响。居民点问题在当前每个风景区中都是确实存在和无法回避的。在＂五个统筹＂背景下,结合国内外的理论和实践,以苏州澄湖为例,探讨了风景区居民点调控问题,并提出了相关的对策建议。     

“商居分离”:社区重建的另一种模式

中国背景下的社区重建有3个重要主题:政社分离、商居分离、灾后重建。通过武汉市汉正街商业街区从"商居混杂"到"商居分离"的变迁过程,说明了"商居分离",即社区与市场的分离是"政社分离"、"灾后重建"之外的另一种社区重建模式。"政社分离"通过重新厘定"政府"与"社区"的关系而重建社区的社会性与公共性;"商居分离"则是通过重新厘定"市场"与"社区"的关系而重建社区的公共性与社会性。     

绿色住宅室内设计中的关键问题

随着生活水平的不断提高,人们对室内设计的要求不断提升。当前室内设计存在的主要问题是室内设计与建筑设计不协调、过分装修等。确立"绿色设计"概念是住宅室内设计发展的必然趋势。"绿色设计"的关键在于对绿色环保理念的灌输、注重以人为本的人文关怀、高效智能设备的采用、绿色家具的选用以及室内设计师与建筑设计师的协作。     

农村宅基地使用权登记发证中的疑难问题初论

在制定农村宅基地的确权和登记发证的规则中，“农村村民”的内涵应该是广义的；“一户一宅”应理解为对宅基地使用权初始取得上的限制，而不是运行中的绝对限制；农村宅基地的超标问题应该分类区别对待。