Residential and inpatient treatment of children and adolescents is
a field that is still in the process of defining itself and of
demonstrating its effectiveness. Because of the continuous nature
of the field's development, it is especially important that a broad
range of its theoretical orientations and therapeutic techniques be
considered and critically appraised. Residential and inpatient
treatment is unique in its potential for both positive and negative
outcomes. No other interventions can bring about the major changes
in all aspects of a child's environment that inpatient
hospitalization or residential treatment can. These changes may
result in rapid and significant improvements in a child's
condition, or they may conceivably lead to additional maladaptive
behavioral patterns or inappropriate emotional and cognitive
responses. Therefore, the obligation to consider the entire range
of treatment alterna tives and to empirically determine the
effectiveness of specific interventions is particularly great.
Residential and inpatient treatment is also an expensive and
limited resource, and our wise utilization of it should be guided
by a comprehensive understanding of its benefits and limitations."
General
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