Day Treatment for Children with Emotional Disorders: Volume 2 Models Across the Country

I. How to Start a Treatment Program.- 1. Building a Statewide Program of Mental Health and Special Education Services for Children and Youth.- The Georgia Psychoeducational Program Network.- The Development of the Network.- Public and Professional Awareness about Statewide Needs.- A 13-Year Phase-In Plan.- Designing the Prototypes.- Estimating the SED Prevalence.- Determining the Service Areas.- Choosing a Central Location for Each Service Area.- Adjusting Unit Size to Populations.- Staffing Prototypes by Unit Size and Service Load.- The Funding History.- Studies of the Network.- Prevalence of Severe Emotional Disturbance.- Ratio of Direct to Indirect Services.- Characteristics of SED Children and Youth.- Recidivism.- Longitudinal Effect.- Academic Achievement and IQ.- Personnel.- Summary and Conclusion.- References.- 2. Start-Up of a Day Treatment Program in a University Medical Center.- Brief History of Our Experience.- Relationship of the University's Goals to the Day Treatment Program.- Clinical Aspects.- Teaching Aspects.- Advantages.- Disadvantages.- Research Aspects.- Fiscal Aspects.- Using the System.- Facilities Management.- The University Bureaucracy.- Conclusion.- 3. Architectural Considerations in Planning a Day Treatment Center.- The Role of Architecture.- The Fundamental Function.- The Aesthetic Constituent.- The Planning Process.- Recommended Areas.- The Architectural Program.- Site Selection.- Site Planning.- Exterior Functional Requirements.- Building Materials.- Interior Functional Requirements.- Flexibility and Planning for Change.- Conclusion.- References.- II. Program Models.- 4. Developmental Rehabilitation Perspectives in the Day Treatment of Children with Serious Emotional Disorders.- Clinical Aspects of Chronicity.- The Prevalence and Social Status of Severely Emotionally Disturbed Children.- Prevalence.- Social Attitudes and Stigmatization.- Critique of Current Educational and Clinical Services.- Availability and Quality of Services.- Effectiveness of Special Education Services.- Effectiveness of Mental Health Services.- A Developmental Rehabilitation Perspective.- Application of a Physical Disability Model to Psychiatric Disorders.- Transitions in the Life Span.- Community Locus.- Social Networks and Their Assessment.- Skills in Dealing with the World.- Comparisons of Three Human Service Systems.- Application of the Rehabilitation Approach to Patients.- Case of Rondy.- Case of William.- Rehabilitation Perspectives.- Summary.- References.- 5. Child and Adolescent Day Treatment: A General Systems Theory Perspective.- Organizational Subsystem.- Staffing Patterns.- Organizational Structure.- Community Subsystem.- Advisory Board.- Liaison with Community Agencies.- Emergency Treatment.- Third-Party Payers.- Milieu Subsystem.- Behavioral Program.- Activities Therapy.- Educational Subsystem.- Family Subsystem.- Group Subsystem.- Individual Subsystem.- Biologic Subsystem.- Integrating Subsystems.- Conclusion.- References.- 6. A Behavioral Model of Day Treatment.- The Rationale for the Behavioral Model.- Behavioral Models.- Behavioral Interventions.- Aversive Conditioning.- Positive Conditioning.- Behavior Therapy in Day Treatment Settings.- Comprehensive Contingency Management: The Token Economy.- The Brewer-Porch Children's Center System.- Young Children's Program.- Adolescent Program.- References.- 7. The Application of Psychodynamic Principles to Day Treatment.- Psychodynamic Principles.- Essential Elements of Day Treatment.- Principles of Psychodynamic Day Treatment.- Unconscious Motivation.- The Structural Model, or "the Structure of the Psyche".- Peremptory Drives.- Manifestations of Sexuality and Aggression in Day Treatment.- Ego Concepts.- Therapeutic Applications of Mental Structuring.- Self and Object Relations.- Therapeutic Applications of Self and Object Relations.- Transference and Countertransference.- Transference.- Countertransference.- Transference and Countertransference among Staff.- Sp