A Collection of Notions about The Other 23 Hours (original) (raw)

2018, Residential Treatment for Children & Youth

Being invited to write this commentary is a career high. To prepare, I took an old and tattered autographed copy of The Other 23 Hours down from my bookshelf. It had been many years since I had read this book. When I first read it, I was a young clinician at a residential center. Thinking back on my 'beginnings' I recalled how this book had changed my perspective of my job. My 'aha' moment was that I was not a therapist hired to work individually with emotional troubled children but, instead, I was part of a team. I could play a valuable role in helping staff understand children's behaviors. I could design activities and responses to help children learn new adaptive behaviors! At that time and in that moment, The Other 23 Hours changed my ideas about how residential care could impact children's lives. After reflecting on my first reading, I opened the book and, much to my surprise, this reading became an even more personal journey through my career. Beginning with the first chapter written by Dr Trieschman, my thoughts flashed back to 1981 when I had the honor of meeting Al Trieschman. In celebration of its 20th anniversary, the residential treatment center where I was working invited Dr Trieschman to spend three days in consultation, basically 'living with us' and sharing his observations and recommendations. In 1981, the Walker School was also 20 years old and both agencies cared for about 50 boys. That is where the similarities ended. The Walker School had Al Trieschman as a director and was a reference point for a book that clearly outlined how to maximize the 'transformative power of the therapeutic milieu in the lives of troubled children', essentially to make good use of the Other 23 Hours (Trieschman et al., 1969). This chapter reminded me of how Al helped us see the power of daily interactions and the milieu as a teaching tool-the core of helping children change, grow and develop. Those three days were pivotal for us as an organization. They were also pivotal for me personally when Al described me as 'the heart' of the agency. Al has passed but his words still reverberate with those who work with children. Chapter 2, written by Dr Larry Brendtro brought back a memory in the late 1980's when our residential center invited him to present at a symposium. We sat transfixed as we listened to Dr Brendtro speaking about

Commentary:Recognizing the value of the milieu in therapeutic residential care for children and youth

Residential Treatment for Children & Youth, 2021

Therapeutic residential care differs markedly from other forms of out-of-home care for children and youth. Support for the view that therapeutic residential care needs to be a milieu approach that leverages all interactions in the living environment to achieve a beneficial emotional and behavioral experience for children and youth is presented. A therapeutic milieu has the advantage of maintaining focus on what is in the best clinical interest for a child by aligning and coordinating all interactions and activities. We provide a rationale for a milieu-based foundation for therapeutic residential care that consists of five elements: care, treatment, nurturing, teaching, and order. Attending to milieu as defined will provide a sound foundation upon which effective and well-implemented treatment can be fully expressed.

Working Paper Series Working Paper Series Working Paper Series Work In Progress What Changes in Therapy? Who Changes? Ordering Information What Changes in Therapy? Who Changes?

2020

Relational-Cultural Model of psychological development, which grew out of a collaborative theory-building process led by Jean Baker Miller and her colleagues. The Institute offers workshops, courses, professional trainings, publications, and ongoing projects which explore applications of the relational-cultural approach. At the heart of this work is the belief that the Relational-Cultural model offers new and better ways of understanding the diversity and complexities of human experience. For more information, please visit: www.jbmti.org. The Wellesley Centers for Women Since 1974, the Wellesley Centers for Women has been a driving force, both behind the scenes and in the spotlight, promoting positive change for women and families. All work is grounded in the perspectives of women from diverse backgrounds. Our research and action projects lead to creative solutions and innovative policy alternatives to a range of pressing social concerns.

The Three Pillars of Transforming Care. Healing in the ’Other 23 HOURS’1

2017

This article identifies the three core defining characteristics of healing environments for children and young people who have been exposed to chronic adversity and trauma. A large body of evidence highlights the pervasive and devastating developmental impacts of such exposure but there is also emerging evidence about the elements of living and learning environments that foster recovery and resilience. The Three Pillars framework has been developed to inform and empower those who live with or work with these young people but who are not necessarily engaged in formal therapy. CHRONIC ADVERSITY AND TRAUMA Dr Bruce Perry, one of the doyens of trauma research, has highlighted the plight of children who are ‘safe nowhere’, who are exposed to abuse and neglect, whose homes are chaotic, whose communities are fragmented and prone to violence, and whose schools can barely provide structure and safety. He observes that: These children must learn and grow despite a pervasive sense of threat. (...

Systemic strategies for dealing with problem children in institutional settings

Contemporary Family Therapy, 1986

Family therapy when a problem child enters residential treatment is complicated and treacherous because of the need to coordinate what may often be competing hierarchies (parental, residential, school). If the goal of residential treatment truly is one of deinstitutionalization, of reintegrating the child into his/her home, school, and community, the family therapist must see to it that the parental hierarchy is the primary one and that all institutional hierarchies are kept secondary. This paper presents, through a discussion of the forces that operate as institutionalization of children progresses and through case illustrations, a framework in which family therapy can be conducted within a residential treatment setting. DiCocco and Lott (1982), in an article entitled "Family/School Strategies in Dealing with the Troubled Child," have described ways in which a family/systems approach can be utilized in dealing with a child exhibiting school problems. They suggest in particular that a therapist has enhanced maneuverability when he or she is able to coordinate the energies of both the child's parents as well as the child's teachers (and other school personnel) and thereby to serve as a catalyst in effecting a more potent and efficient connection between the home and school hierarchies. Those authors also suggest that an interven

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