The present study examined individualized behavioral change of externalizing and internalizing problems of adolescents in residential youth care, divided into different change groups (improvement, no change, or deterioration), by using the reliable change index. We also identified demographic and clinical factors that may predict individual behavioral change. A naturalistic dataset was used which consisted of adolescents referred to open or compulsory residential care who had outcome measures at the beginning and end of treatment. In total 742 reports of behavior problems were included: the sample consists of 265 adolescents with self-reports, 341 adolescents with group care worker reports, and 136 adolescents with parent reports. Only 42 adolescents had three sources of report, 202 adolescents had two sources of report, and 212 adolescents had one source of report. The majority of adolescents (50-73%) showed nonsignificant change in either externalizing or internalizing problems during their stay in residential care, regardless of informant. Higher problem severity at the beginning of treatment was a significant predictor of improvement in externalizing and internalizing problems throughout treatment, but the other factors (i.e., age, gender, ethnicity, and treatment duration) showed no effect. In conclusion, this study shows that with the current system of monitoring, more than half of the adolescents in residential care do not show significant change over time. This may indicate either that residential stay does not necessarily cause a significant change in problems for all adolescents, or that the system currently used for treatment monitoring is suboptimal in detecting such a change. (PsycInfo Database Record (c) 2020 APA, all rights reserved).

中文翻译：

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寄宿青年照料中外化和内化问题的个体化行为变化及预测因素。

本研究通过使用可靠的变化指数，研究了青少年寄宿家庭外化和内化问题的个体化行为变化，分为不同的变化组（改善、无变化或恶化）。我们还确定了可能预测个人行为变化的人口统计学和临床​​因素。使用了一个自然数据集，其中包括在治疗开始和结束时进行结果测量的开放或强制住院护理的青少年。总共包括 742 份行为问题报告：样本包括 265 名有自我报告的青少年，341 名有团体护理员报告的青少年，以及 136 名有父母报告的青少年。只有 42 名青少年有三个报告来源，202 名青少年有两个报告来源，212 名青少年有一个报告来源。大多数青少年（50-73%）在住院期间无论是外化还是内化问题都没有显着变化，无论线人是谁。治疗开始时较高的问题严重程度是整个治疗过程中外化和内化问题改善的重要预测指标，但其他因素（即年龄、性别、种族和治疗持续时间）显示没有影响。总之，本研究表明，在目前的监测系统下，超过一半的寄宿青少年没有随着时间的推移而发生显着变化。这可能表明，住宿并不一定会导致所有青少年的问题发生重大变化，或者当前用于治疗监测的系统在检测这种变化方面不是最理想的。（PsycInfo 数据库记录 (c) 2020 APA，保留所有权利）。