Behavioural problems are a recurring issue in the child welfare system population. Normative residential centres do not have the characteristics to address the specific needs of these adolescents, so they are usually treated at therapeutic residential centres. In Catalonia (Spain), these cases are treated in intensive educational residential centres (CREIs), a variant of therapeutic residential care (TRC) facilities. This exploratory study seeks to understand the treatment progress of adolescents with severe behavioural problems who were placed in the CREIs, a variant of TRC facilities. Data from 206 cases, the totality of population under treatment in the CREIs, were collected using a questionnaire administered to the treating team. A cross‐sectional design was used, applying quantitative methods to analyse the incidence and interrelation of a series of variables related to the progress of adolescents in the CREIs. Significant differences among profiles by sex, place of origin, criminal offences, substance abuse and mental health disorders were found. Furthermore, adolescents who performed a positive treatment progress according to the professional staff arrived at the CREI at an earlier age and had longer stays than the group with an unremarkable progress. Logistic regression indicated that duration of stay in the centre and runaways predict the adolescents' treatment progress. This treatment is working well with the milder cases; however, it does not tend to be successful for adolescents with greater difficulties. It is recommended that interventions focus on factors that engage the adolescents in their own rehabilitation process, include substance abuse programmes and consider the gender perspective.

中文翻译：

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行为严重问题的寄养青少年的治疗进展：制约其在住院治疗中心表现的因素

行为问题是儿童福利系统人口中经常发生的问题。规范性居住中心没有满足这些青少年特定需求的特征，因此通常在治疗性居住中心接受治疗。在加泰罗尼亚（西班牙），密集治疗性教育住宿中心（CREI）对这些病例进行了治疗，CREI是治疗性住宿护理（TRC）设施的一种变体。这项探索性研究旨在了解被安置在CREI（TRC设施的一种）中的，患有严重行为问题的青少年的治疗进展。使用对治疗团队进行的问卷调查，收集了206例CREI中接受治疗的人群的数据。使用了横截面设计，应用定量方法来分析与CREI中青少年进步有关的一系列变量的发生率和相互关系。发现在性别，出身地点，刑事犯罪，药物滥用和精神疾病方面的资料之间存在显着差异。此外，根据专业医务人员的治疗进展积极的青少年到达CREI的年龄较早，并且比该组的住院时间更长，进展并不明显。Logistic回归表明，停留在中心的时间和失控可预测青少年的治疗进度。对于较轻的病例，这种治疗效果很好。但是，对于困难较大的青少年来说，这往往不成功。