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Effectiveness and Costs of a Therapeutic Residential Care Program for Adolescents with a Serious Behavior Problem (MultifunC). Short-Term Results of a Non-Randomized Controlled Trial
The Swedish National Board of Institutional Care, Stockholm, Sweden.
Department of Social Work, Gothenburg University, Sweden.ORCID iD: 0000-0002-7351-9140
Medical Management Centre, Department of Learning, Informatics, Management, & Ethics, Karolinska Institutet, Sweden.
2020 (English)In: Residential Treatment for Children & Youth, ISSN 0886-571X, E-ISSN 1541-0358, Vol. 37, no 3, p. 226-243Article in journal (Refereed) Published
Abstract [en]

Although research has repeatedly shown that residential care for youth with a serious behavior problem has little rehabilitation success, there is a group of youth for whom residential care in a locked setting is necessary. In this article, a manualized therapeutic residential treatment model for adolescents with serious behavior problems, MultifunC, is evaluated. The program theory of MultifunC is based on a review of the literature and synthesis effective treatment components. This study included 80 youth aged 15–17 years with a medium high or high risk for reoffending. Half of the participants received MultifunC, and half treatment as usual (TAU). Although non-randomized, the two groups were found to be equivalent on important background variables. After 24 months, this first evaluation of MultifunC demonstrated that youth participating in MultifunC had a reduced need for residential care in a locked setting as well as out-of-home placement in general compared to youth in the TAU group. The economic analysis found MultifunC to be a cost-effective alternative to TAU due to the reduced need of residential care in locked settings. There were no significant effects on reoffending or psychiatric care. 

Place, publisher, year, edition, pages
Taylor & Francis, 2020. Vol. 37, no 3, p. 226-243
Keywords [en]
effectiveness trial, Juvenile offenders, MultifunC, therapeutic residential care
National Category
Social Work
Identifiers
URN: urn:nbn:se:hj:diva-58916DOI: 10.1080/0886571X.2019.1619500Scopus ID: 2-s2.0-85085351052OAI: oai:DiVA.org:hj-58916DiVA, id: diva2:1711656
Available from: 2022-11-17 Created: 2022-11-17 Last updated: 2022-11-17Bibliographically approved

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Olsson, Tina M.

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