TY - JOUR
T1 - Family-Centeredness in Secure Residential Treatment and Its Relationship With Parental Involvement and Adolescent Behavioural Outcomes
AU - Broekhoven, Jorinde L.
AU - Blankestein, Annemarieke M. M. M.
AU - van Santvoort, Floor
AU - Asscher, Jessica J.
AU - van Domburgh, Lieke
AU - Simons, Inge
AU - Albrecht, Gonnie
AU - van der Rijken, Rachel E. A.
AU - Rijnhart, Judith J. M.
AU - Popma, Arne
N1 - Funding Information: We received funding from the Netherlands Organization for Health Research and Development (ZonMw) grant number 729300014. In addition, the foundations Stichting Burgerweeshuis Haarlem, Stichting Levvel and Mr. F. Couvee-stichting contributed financially to this study. We thank all the participating institutions for making this study possible. Furthermore, we thank the adolescents, their parents, and group care workers who participated in this study. We would also like to thank the research assistants and students for their contribution to the data collection. And last but not least, we thank Martijn Heijmans for running imputations. Correspondence concerning this article should be addressed Jorinde L. Broekhoven, Pluryn, Postbus 53, 6500 AB Nijmegen. Email: lbroekhoven@pluryn.nl. Publisher Copyright: © 2023, The Author(s).
PY - 2023/12
Y1 - 2023/12
N2 - Various Dutch secure residential youth care (SRYC) institutions are implementing a family-centered approach aiming to increase parental involvement and improve treatment outcomes. However, it remains unclear if and how family-centeredness (FC) is related to increased parental involvement and to improved treatment outcomes of adolescents. In this study, we unravelled the relation between FC, parental involvement, and behaviour problems of adolescents in SRYC. Families of 404 adolescents admitted to one of seven participating Dutch SRYC institutions completed a survey (at the start, at the end, and at 6-months follow-up) on problem behaviour of adolescents. In addition, 411 group care workers filled out a questionnaire about their residential group’s level of FC every 6 months. Moreover, the mentor of each adolescent filled out a questionnaire about the level of parental involvement. We analysed the data using multiple mediator models. Associations were found between FC and parental involvement. However, no relation was found between FC and adolescent problem behaviour, and no mediation and no moderation effects of parental involvement were found. Overall, results showed that most parents were involved during the residential stay, and, independent of FC, adolescent problem behaviour decreased over time. Implementing FC in SRYC institutions seems to be helpful in involving parents during the residential stay, but was not found to be associated with adolescent behavioural outcomes. Our results indicate that institutions could improve their level of FC by offering more informal contact moments for parents and by addressing barriers to FC among residential staff.
AB - Various Dutch secure residential youth care (SRYC) institutions are implementing a family-centered approach aiming to increase parental involvement and improve treatment outcomes. However, it remains unclear if and how family-centeredness (FC) is related to increased parental involvement and to improved treatment outcomes of adolescents. In this study, we unravelled the relation between FC, parental involvement, and behaviour problems of adolescents in SRYC. Families of 404 adolescents admitted to one of seven participating Dutch SRYC institutions completed a survey (at the start, at the end, and at 6-months follow-up) on problem behaviour of adolescents. In addition, 411 group care workers filled out a questionnaire about their residential group’s level of FC every 6 months. Moreover, the mentor of each adolescent filled out a questionnaire about the level of parental involvement. We analysed the data using multiple mediator models. Associations were found between FC and parental involvement. However, no relation was found between FC and adolescent problem behaviour, and no mediation and no moderation effects of parental involvement were found. Overall, results showed that most parents were involved during the residential stay, and, independent of FC, adolescent problem behaviour decreased over time. Implementing FC in SRYC institutions seems to be helpful in involving parents during the residential stay, but was not found to be associated with adolescent behavioural outcomes. Our results indicate that institutions could improve their level of FC by offering more informal contact moments for parents and by addressing barriers to FC among residential staff.
KW - Adolescents
KW - Behaviour problems
KW - Family-centered
KW - Parental involvement
KW - SRYC
UR - http://www.scopus.com/inward/record.url?scp=85175102865&partnerID=8YFLogxK
U2 - https://doi.org/10.1007/s10826-023-02603-2
DO - https://doi.org/10.1007/s10826-023-02603-2
M3 - Article
SN - 1062-1024
VL - 32
SP - 3697
EP - 3713
JO - Journal of Child and Family Studies
JF - Journal of Child and Family Studies
IS - 12
ER -