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An evaluation of dialectical behavior therapy for juveniles in secure residential facilities
Journal of Offender Rehabilitation Pub Date : 2020-08-28 , DOI: 10.1080/10509674.2020.1808557
Andrew M. Fox 1 , Dylan Miksicek 1 , Sarah Veele 1 , Beth Rogers 2
Affiliation  

Abstract This study evaluates implementation levels (dosage) and impact on recidivism of Dialectical Behavior Therapy, as adapted for juveniles in secure residential facilities in Washington State. Actual dosage was compared with agency standards for three DBT modes, coaching on the floor (environmental adherence), individual counseling sessions, and skills group sessions. Recidivism was measured as a conviction for any offense, a felony offense, or a misdemeanor offense committed within 18 months of release from a residential facility. The results of logistic regression analysis, from a sample of 1,031 youth, indicate that increases in individual counseling and skills group sessions did not have a significant effect on recidivism. Increases in environmental adherence, however, were significantly related to reductions in recidivism, the impact being greatest for younger youth and those with mental health risk. Overall, the more that living unit environments were structured for skill generalization, behavioral change, and goal achievement, the better the anticipated outcomes. The challenges related to quality assurance and implementation in secure facilities are discussed.

中文翻译:

安全住宅设施中青少年辩证行为疗法的评估

摘要本研究评估了适用于华盛顿州安全住宅设施中青少年的辩证行为疗法的实施水平(剂量)及其对再犯的影响。将实际剂量与三种DBT模式的代理标准,现场指导(环境依从性),个人咨询课程和技能小组课程进行了比较。累犯被视为对从住宅设施中释放出来的任何罪行,重罪或轻罪的定罪。来自1,031名青年的样本的逻辑回归分析结果表明,个人咨询和技能小组课程的增加对累犯没有显着影响。但是,环境依从性的提高与累犯率的降低显着相关,对年轻的年轻人和有精神健康风险的人的影响最大。总体而言,为技能概括,行为改变和目标达成而构造的居住单元环境越多,预期的结果就越好。讨论了与质量保证和在安全设施中实施有关的挑战。
更新日期:2020-08-28
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