Patterns of movement for youth within an integrated continuum of residential services

Jonathan C. Huefner, Sigrid James, Jay Ringle, Ronald W. Thompson, Daniel L. Daly

Research output: Contribution to journalArticlepeer-review

31 Scopus citations


This study examined patterns of movement for youth receiving services within a continuum of intensive and restrictive residentially-based programs. Data were collected for 701 completed episodes of care within a three-program residential continuum of care over a 5. year period, and examined time within program, movement between programs, in-program disruptive behavior, and discharge status. Results showed that most youth either remained in a stable placement in the least restrictive of the programs, or followed a pattern of placements that systematically moved them from more restrictive to less restrictive settings. Of note, transitions from more restrictive to less restrictive programs correspond to deescalating levels of problem behavior; and over 80% of the youth were stepped down to either family-based or independent living situations at the time of departure. Findings support the notion that a continuum of intensive residential services can serve the needs of youth with significant emotional and behavioral needs.

Original languageEnglish (US)
Pages (from-to)857-864
Number of pages8
JournalChildren and Youth Services Review
Issue number6
StatePublished - Jun 2010
Externally publishedYes


  • Adolescent
  • Continuum of care
  • Emotional and behavior disorders
  • Residential care

ASJC Scopus subject areas

  • Education
  • Developmental and Educational Psychology
  • Sociology and Political Science


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