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Research on Social Work Practice
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Treatment of Antisocial Behavior in Adolescent Inpatients: Behavioral Changes and Client Satisfaction

Stephen E. Wong

Florida International University

This study examined antisocial behavior and consumer satisfaction of 29 adolescents in a long-term psychiatric unit with a modified Achievement Place program. Unit staff recorded the daily frequency of 27 inappropriate behaviors exhibited by individual clients. Time-series data on specific problem behaviors were analyzed with change scores and graphic displays. Prior to discharge, clients also completed questionnaires that rated the helpfulness of program components. Change scores for severe behavior problems gradually declined to near zero levels for almost all clients. Scores for moderate and minor problem behaviors showed smaller declines, which were offset by concomitant increases within this same category. Off-unit activities and point store, individual and group therapy, and behavior reduction procedures received the highest, intermediate, and lowest ratings, respectively. Data indicate that long-term treatment within a structured behavioral program may be associated with substantial improvements in serious conduct problems, and that this intervention is generally acceptable to clients.

Research on Social Work Practice, Vol. 9, No. 1, 25-44 (1999)
DOI: 10.1177/104973159900900103
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M. Schiff, S. S. Witte, and N. El-Bassel
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[Abstract] [PDF]