Summary

In this cross-sectional study, we examined differences between 351 adolescents allocated to secure residential youth care and the non-residential alternative educational facility School2Care (12–18 years old, 63% boys). Data were collected by means of the official school registration system and standardized questionnaires.

Findings

Results showed that adolescents in both settings had severe problems. Emergency situations, problems in daily functioning in all life domains, and previous out-of-home placements were found to be associated with allocation to secure residential youth care instead of non-residential alternative education. These three factors may be considered risk factors for secure residential placement of adolescents with complex needs.

Applications

This study provides input for the prevention of secure residential youth care, because the two dynamic (changeable) risk factors for residential out-of-home placement (i.e., emergency situations and adolescent’s daily life functioning) should be considered as intervention targets in non-residential care, while static factors (i.e., history of out-of-home placement) can be used to improve risk assessment of residential out-of-home placement, with higher risk requiring more intensive treatment according to the risk-need-responsivity model for effective mandated treatment.

中文翻译：

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安全住宿照料和非住宿教育设施中的青少年之间的差异

概括

在这项横断面研究中，我们检查了 351 名分配给安全住宿青年护理的青少年与非住宿替代教育机构 School2Care（12-18 岁，63% 为男孩）之间的差异。数据是通过官方学校注册系统和标准化问卷收集的。

发现

结果表明，这两种环境中的青少年都有严重的问题。发现紧急情况、所有生活领域的日常运作问题以及以前的户外安置与确保住宿青年护理而不是非住宿替代教育的分配有关。这三个因素可被视为有复杂需求的青少年安全安置的风险因素。

应用

本研究为预防安全的寄宿青年护理提供了投入，因为应将寄宿家庭外安置的两个动态（可变）风险因素（即紧急情况和青少年的日常生活功能）视为非住院青少年的干预目标。住宿护理，而静态因素（即，外出安置的历史）可用于改进住宿外安置的风险评估，根据风险-需求响应模型，较高的风险需要更深入的治疗为有效的强制治疗。