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The relationship between restrictiveness of care and behavior impairment
Abstract
Levels of care are used implicitly whenever professionals refer youth for mental health care. One rationale for placing youth in highly restrictive settings is the belief that less restrictive options cannot adequately address their mental health problems. Restrictiveness refers to the degree that the treatment offered and the setting provided constrains choices and limit freedoms of the youth. This investigation examined the relationship between scores on the Child and Adolescent Functional Assessment Scale (CAFAS) and program restrictiveness across three programs within a system of care: group-home, foster-care, and home-based wraparound. Results indicated that higher CAFAS scores, indicating more impairment, were associated with the group-home youth, with respectively. The results of the restrictiveness ratings suggest that direct care staff of the three settings do not perceive many setting differences in the degree to which they constrain a youth's time, physical freedoms, or treatment.
Subject Area
Behaviorial sciences|Psychotherapy|Mental health
Recommended Citation
Reay, William Edwin, "The relationship between restrictiveness of care and behavior impairment" (1999). ETD collection for University of Nebraska-Lincoln. AAI9952691.
https://digitalcommons.unl.edu/dissertations/AAI9952691