title: Assessing the implementation and effects of a trauma-focused intervention for youths in residential treatment.
abstract: This paper describes methods being used to implement and assess the effects of a trauma-focused intervention in residential treatment programs for youths with emotional and behavioral problems, and histories of maltreatment and exposure to family or community violence. Preliminary baseline profiles of the therapeutic environments and youths are also presented. The intervention, referred to as the Sanctuary Model (Bloom, 1997), is based in social psychiatry, trauma theories, therapeutic community philosophy, and cognitive-behavioral approaches. Within the context of safe, supportive, stable, and socially responsible therapeutic communities, a trauma recovery treatment framework is used to teach youths effective adaptation and coping skills to replace nonadaptive cognitive, social, and behavioral strategies that may have emerged earlier as means of coping with traumatic life experiences.
authors.affiliation: Columbia University School of Social Work, New York, NY 10025, USA. jr533@columbia.edu
authors.forename: Jeanne C
authors.initials: JC
authors.lastname: Rivard
authors.forename: Sandra L
authors.initials: SL
authors.lastname: Bloom
authors.forename: Robert
authors.initials: R
authors.lastname: Abramovitz
authors.forename: Lina E
authors.initials: LE
authors.lastname: Pasquale
authors.forename: Mariama
authors.initials: M
authors.lastname: Duncan
authors.forename: David
authors.initials: D
authors.lastname: McCorkle
authors.forename: Andrew
authors.initials: A
authors.lastname: Gelman
mesh_terms: D000293:Adolescent; D000296:Adolescent Psychiatry / Q000379:methods; D000328:Adult; D002648:Child; D002665:Child Psychiatry / Q000379:methods; D005260:Female; D006801:Humans; D008297:Male; D008605:Mental Health Services / Q000458:organization & administration* / Q000592:standards; D017063:Outcome Assessment, Health Care; D015397:Program Evaluation; D011897:Random Allocation; D012114:Residential Treatment / Q000458:organization & administration* / Q000592:standards; D012944:Social Support; D013313:Stress Disorders, Post-Traumatic / Q000209:etiology* / Q000628:therapy*; D013808:Therapeutic Community; D014481:United States; D014754:Violence / Q000523:psychology*