Adli Tıp Bülteni (Sep 2014)
Treatment and Rehabilitation of Abused and Neglected Children an Inpatient Center Model
Abstract
Rehabilitation and treatment centers are organizations that provide services for children and adolescents, with the main goal being to implement a “mental health” treatment plan for the individuals under their care. These organizations, which provide a continuous 24-hour service, may differ from one another in terms of the specific programs and treatment methods they apply. The Oğuz Kağan Köksal Children and Youth Center was established in the Adana Province to provide for the treatment and rehabilitation of girls between the ages of 8 and 18 who have been subject to abuse or neglect, who suffer from alcohol/substance abuse, who are in need of treatment for mental problems and/or who live on the streets. A study was made of 72 girls who had been admitted to the institution for treatment and rehabilitation since 2004 with a history abuse and neglect. The girls were assessed with the Beck Depression Inventory (BDI), the State Anxiety Inventory (STAI-I), the Trait Anxiety Inventory (STAI-II) and the Maudsley Obsessive Compulsive Inventory (MOCI) upon being admitted to the institution and at the end of their stay (i.e. their discharge). The differences between the mean admission and discharge scores of the girls in the BDI, STAI-I, STAI-II and MOCI assessments was determined to be statistically significant (p<0.001). According to the duration of stay groups (0–3 months; 4–6 months; 7–9 months and ≥10 months), a statistically significant difference was identified between the mean admission and discharge scores of children who remained in the institution for 3–7 months, with the post-treatment scores of the inventories being significantly lower in comparison to the baseline values (p≤0.05). These results suggest discharging patients from the center prior to their third month of stay or a stay period of longer than seven months does not affect with any significance the scores of the depression, anxiety and obsession inventories. To ensure a healthy society, it is of critical importance that children who have been subjected to abuse and neglect are given the appropriate support in treatment and rehabilitation centers; that plans are made concerning their lives and futures; that efforts are made to ensure that they can adapt to daily life after leaving the center; that measures are taken allowing them to continue their formal education; and that the necessary approaches are implemented so that they can effectively prepare for their occupational life. Keywords: Residential Treatment Center, Children, Sexual Abuse
