Beyond Point and Level Systems: Moving Toward Child-Centered Programming.
Many residential treatment facilities and child inpatient units in the United States have been structured by way of motivational programming such as the point and/or level systems. On the surface, they appear to be a straightforward contingency management tool that is based on social learning theory...
| Published in: | American Journal of Orthopsychiatry Vol. 79; no. 1; pp. 8 - 19 |
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| Main Authors: | , , , , |
| Format: | Article |
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American Psychological Association
Jan2009
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| Subjects: | |
| Online Access: | View this record in EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ssf&AN=37239340&site=ehost-live header: @attributes: shortDbName: ssf uiTerm: 37239340 longDbName: Social Sciences Full Text (H.W. Wilson) uiTag: AN controlInfo: bkinfo: jinfo: jid: 00029432 AJO jtl: American Journal of Orthopsychiatry issn: 00029432 maglogo: N pubinfo: dt: Jan2009 vid: 79 iid: 1 pid: 34 pub: American Psychological Association artinfo: ui: 37239340 10.1037/a0015375 ppf: 8 ppct: 11 formats: tig: atl: Beyond Point and Level Systems: Moving Toward Child-Centered Programming. aug: au: Mohr, Wanda K. Martin, Andres Olson, James N. Pumariega, Andres J. Branca, Nicole affil: University of Medicine and Dentistry, New Jersey Yale University, Connecticut, US University of Texas—Permian Basin, TX Temple University su: United States Institutional care Institutional care of children Motivation (Psychology) Social learning theory Problem solving Inpatient care Child-centered education Milieu therapy sug: subj: Institutional care Institutional care of children Motivation (Psychology) Social learning theory Problem solving United States Residential Mental Health and Substance Abuse Facilities Other Residential Care Facilities All other residential care facilities Inpatient care Child-centered education Milieu therapy keyword: children's inpatient treatment children's programming collaborative problem solving milieu residential treatment children's inpatient treatment children's programming collaborative problem solving milieu residential treatment ab: Many residential treatment facilities and child inpatient units in the United States have been structured by way of motivational programming such as the point and/or level systems. On the surface, they appear to be a straightforward contingency management tool that is based on social learning theory and operant principles. In this article, the authors argue that the assumptions upon which point and level systems are based do not hold up to close empirical scrutiny or theoretical validity, and that point and level system programming is actually counterproductive with some children, and at times can precipitate dangerous clinical situations, such as seclusion and restraint. In this article, the authors critique point and level system programming and assert that continuing such programming is antithetical to individualized, culturally, and developmentally appropriate treatment, and the authors explore the resistance and barriers to changing traditional ways of "doing things." Finally, the authors describe a different approach to providing treatment that is based on a collaborative problem-solving approach and upon which other successful models of treatment have been based. pubtype: Academic Journal doctype: Article src: R language: English refInfo: copyright: @attributes: flag: N holdings: @attributes: islocal: N |
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