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Moderate to Severe Retardation) and None Was Psychotic. the 8.67 Judged

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Moderate to Severe Retardation) and None Was Psychotic. the 8.67 Judged DOCUMENT RESUME EC 003 429 ED 026 784 Study of Emotionally DisturbedChildren. Committee on Children and Youth. Illinois Commission on Children,Springfield. Interdepartmental Pub Date Nov 67 Note-115p. EDRS Price MF-$0.50HC-$5.85 Community Agencies (Public),*Emotionally Descriptors- Ag_ency Role, CaseRecords, Caseworker Approach, Child Research, HospitalizedChildren,InstitutionalFacilities,Institutionalized Disturbed,*Exceptional Program Evaluation, (Persons), InteragencyCoordination, InterinstitutionalCooperation, Private Agencies, Psychiatric Hospitals, PsychiatricServices, Rehabilitation, Services,*State Programs Identifiers- Illinois disturbed children under18 years of age in statemental Of the 720 emotionally for institutions,150 were selected bytheIllinoisInterdepartmental Committee selected by theIllinois Youth Commission as intensive study;35 youths were also data being in need of mentaltreatment. Two schedules weredesigned for automatic processing and cases werereviewed by two committeemembers, two social workers, and two childpsychiatrists. The 17.87who were designated asinappropriately hospitalized more oftenpresented problems inmanagement and training(as from tosevereretardation) and none waspsychotic.The 8.67 judged moderate characterized bysocially hospitalizedfor an inappropriatelylongtime were unacceptable behaviordue to psychoticbreak. Findings andrecommendations considered the institutions' programs,comprehensive treatmentplan for each child, aftercare,therolesofdisciplines, case records,and release planning and early problem communication betweenagencies. The lackof community resources, identification and prevention,modification of the child'senvironment, community programs tohandle the acting outchild, 6nd guardianship werejudged for each child's community; and theinstitution-communityrelationship was treated.(SN) OD JD r\I STATE OF ILLINOIS STUDY OF C) sTATE ...... ..... °AN .1 i EMOTIONALLY 14.1 im DISTURBED OTTO KERNER, Governor CHILDREN BY INTERDEPARTMENTALCOMMITTEE ON CHILDREN ANDYOUTH of ILLINOIS COMMISSION ONCHILDREN c)) November, 1967 ; STUDY OF EMOTIONALLY DISTURBED CHILDREN ii who were in the State Mental Hospitals of the Department of Mental Health or the Institutions of the Illinois Youth Com- o mission on June 30, 1964 by INTERDEPARTMENTAL COMMITTEE ON CHILDREN AND YOUTH of ILLINOIS COMMISSION ON CHILDREN Room 1010 Myers Building 101 South Fifth Street Springfield, Illinois e I 12TC =IAA CO 6.1. 11) kw "Az gi.alas = 'IlYIP W CO Sift yer = = ad .22. c, = 0 ..4gag ..,c IAA CS = =Ole = = I00; IA cogam c3 November, 1967 = ale cj co 0= co ga Rtar s= 44b ag 74 e= 11:1. u. 8,trot coCU Walter F. Brissenden, Chairman, Commission on Children Raymond E. Robertson, M.D., Chairman, Interdepartmental Committee on Children and Youth Miss Naomi Hiett, ACSW, Executive Director Mrs. Edith Davis, ACSW, Consultant TABLE OF CONTENTS PAGE LETTER OF TRANSMITTAL 5 FOREWORD 6 SECTION 1. INTRODUCTION 7 SECTION 11.PROGRAM DESCRIPTION 11 A. Department of Mental Health, State Hospital Programs 11 B.Illinois Youth Commission, Institutional Program 14 SECTION III. STUDY DESIGN, SCHEDULES AND PROCEDURES... 18 A. Case Selection 18 B. Method 18 C. Schedules 19 D. Procedures 20 E.Instructions Used by Committee Members for Reviewing Cases 20 F. Data Processing and Analysis 21 SECTION IV. THE CHILDREN 23 I.Illustrative Case Summaries 23 II. Description of Children as Reflected in Statistical Data From Schedules. 36 A. Profile of Total Sample 36 1.Data on Children in Sample (185 Cases) 37 (A) Institutionalization 37 (B) Clinical Findings 40 2.Data on Families of Children in Sample 42 3.Data on Parents of Children in Sample 44 4.Data on Siblings of Children in Sample 45 B. Classification Tables of Total Sample 45 Table I. Percent of Children and Their Families Having Needs... 46 Table II. Percent of Children and Their Families Needing A Type of Service and Percent of Those Needing But Not Re- ceiving It 47 Table III. Percent of Children and Their Families Needing But Not Receiving Service in Relation to 10 State Agencies and 8 Local Public and Private Agencies Set Up to Provide Such Services 48 Table IV. Percent of Cases as Rated in Respect to Coordina- tion of Services and Collaboration Between Agencies 49 Table V. Percent of Cases as Rated in Respect to Appropriate- ness of Institutionalization and Length of Stayin Institution 49 C. Profile of Those Children Identified as Being Inappropriately Institutionalized 50 1.Data on Children in the Inappropriately Institutionalized Group 50 (A.) Institutionalization 51 (B.) Clinical Findings 2.Data on Families of Children in the Inappropriately Institu- C1 tionalized Group ..).- 3.Data on Parents of Children in the Inappropriately Institu- tionalized Group 53 4.Data on Siblings of Children in the Inappropriately Institu- tionalized Group 53 D. Classification Tables of Children Identified as Inappropriately Institutionalized 54 Table VI. Comparison With Total Sample of the Percent of Inappropriately Institutionalized Children and Their Families Having Needs 54 PAG E Table VII. Comparison With Total Sample of the Percent of Inappropriately Institutionalized Children and Their Families Needing a Type of Service But Not Receiving It 55 Table VIII. Comparison With Total Sample of the Percent of Inappropriately Institutionalized Cases as Rated in Respect to Coordination of Services and Collaboration Between Agencies 55 Table IX. Comparison With Total Sample of the Percent of Inappropriately Institutionalized Cases as Rated in Respect to Length of Stay in Institution 56 E. Profile of Those Children Identified as Having a Prolonged Stay in the Institution 56 1. Data on Children in the Prolonged Stay Group 57 (A) Institutionalization 57 (B) Clinical Findings 57 2.Data on Families of Children in the Prolonged Stay Group 58 3.Data on Parents of Children in Prolonged Stay Group 59 4.Data on Siblings of Children in the Prolonged Stay Group 60 F. Classification Tables of Children Identified as Having a Pro- longed Stay in the Institution 60 Table X. Comparison With Total Sample of the Percent of Prolonged Stay Children and Their Families Having Needs 60 Table Xl. Comparison With Total Sample of Percent of Pro- longed Stay Children and Their Families Needing a Type of Service But Not Receiving It 60 Table XII. Comparison With Total Sample of Percent of Pro- longed Stay Cases in Respect to Coordination of Services and Collaboration Between Agencies 61. SECTION V.FINDINGS AND RECOMMENDATIONS 62-87 I. The Institutions 63 A. The Institutions' Programs 63 Findings 63 Recommendations 63 B. Comprehensive Treatment Plan for Each Child 64 Findings 64 Recommendations 64 C. Release Planning and Aftercare 65 Findings 65 Recommendations 65 D. The Roles of Various Professional Disciplines and the Team Approach 65 Findings 65 Recommendations 66 E. Case Record 66 Findings 66 Recommendations 67 F. Communication Between Agencies Particularly With Regard to Each Agency's Function 67 Findings 67 Recommendations 68 II. The Community 69 A. Lack of Community Resources 69 Findings 69 Table XIII. An Abridged Table of Types of Services Needed 69 Table XIV. Agency Activity or Lack of It In Relationship to the Institutionalization 70 Medical and Psychiatric Services 71 Findings 71 Recommendations 72 Social Work Services 74 Findings 74 2 VT1 PAGE Recommendations 75 Educational Services 75 Findings 75 Recommendations 75 Vocational Rehabilitation Services 76 Findings 76 Recommendations 76 Religious, Character Building and Leisure Time Services 76 Findings 76 Recommendations 76 B. Early Problem Identification and Prevention 77 Findings 77 Recommendations 77 C. Modification of Environment in Which the Child Lives 78 Findings 78 Recommendations 79 D. Programs to Handle the Acting Out Child in the Community 80 Findings 80 Recommendations 80 E. Guardianship 80 Findings 80 Recommendations 81 III.Institution Community Relationship 82 A. Communication, Coordination and Collaboration 82 Findings 82 Recommendations 83 IV. General Considerations 85 Findings 85 Recommendations 87 APPENDIX A. Acknowledgments and Participants in Study 88 B. Members of Illinois Commission on Children 90 C.Identifying, Administrative and SociologicM Data Schedule 91 D. Schedule on Needs of Child and Agency Services 100 E. Changes Made in Department of Mental Health Program Since Study Began , 108 F. Follow-up of the 720 Department of Mental Health Cases in the Study 113 3 LETTER OF TRANSMITTAL TO:THE HONORABLE OTTO KERNER, GOVERNOR MEMBERS OF THE GENERAL ASSEMBLY CONCERNED CITIZENS IN ILLINOIS This Study, though limited to the emotionally disturbed children in the State hospitals of the Department of Mental Health and the institu- tions of the Illinois Youth Commission, brings clear indication ofweak- nesses in programs and services andthe urgency Of improving the services for emotionally disturbed children both in the institutionsand in the community. Not only must we add new services such as a vitally necessary closed treatment resource for aggressively acting-out emotionallydis- turbed children, but also there is an imperative need for a clear-cut designation of responsibility for children with varying degrees ofdis- turbance. This Committee has tried, to spell out some more appropriate delineations of responsibility for these children and theimportance of much closer collaboration between the various departments andagencies involved as well as between the institutions and the community. Many of the findings of this Study were well known tostaff of agencies
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