Cited by 81Child Welfare and AdoptionPsychiatric care and mental health servicesPsychotherapy Techniques and Applications

Determinants and outcomes of social climate in therapeutic residential youth care: A systematic review

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Leipoldt, Jonathan D., Harder, Annemiek T., Kayed, Nanna S., Grietens, Hans, Rimehaug, Tormod·2019·Children and Youth Services Review

Abstract

Background Previous studies on effectiveness of therapeutic residential youth care (TRC) have indicated that, compared to short-term effects, long-term effects are less convincing. Moreover, there is limited evidence on how TRC achieves treatment goals: TRC remains too much of a “black box”. To gain durable treatment results we need to know more about how results are achieved, rather than investigating the achieved results itself. One of the factors associated with this process of change is the social climate within TRC institutions. Up until now, no literature reviews about how social climate is affected by institution and youth characteristics, and how social climate affects outcomes has been performed. Objective To provide an overview of the literature on associations between determinants and social climate and between social climate and outcomes in TRC. Method We searched multiple databases with a predetermined set of search criteria in the years 1990 and March 2017. We identified 8408 studies and reduced the final sample to 36 studies. Most studies were empirical assessments with a correlational design and were conducted in Western countries. Results Effect sizes for the studies ranged from small to large and varied between and within studies. Most associations were found between social climate and positive outcomes. The most mentioned social climate constructs were: an open climate, support, and autonomy. Conclusions The results are challenging to summarize due to variations in the concepts and operationalizations of social climate. The organizational culture must support a social climate which is supportive, structured and caring, and provide youth with an environment to grow. A positive social climate must constantly be evaluated and recreated based on combining the perspectives of residents, staff and external perspectives.

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  • Leipoldt et al. (2019) found that a smaller size of facility creates more space for a constructive focus on behavioural issues.

    “Leipoldt et al. (2019) finding that a smaller size of facility creates more space for a constructive focus on behavioural issues.”

    From Residential care as an alternative care option: A review of literature within a global context (2022) · cites this paper as Leipoldt et al. (2019)

    The Discussion (p. 8) says that small program size, structure, daily routines, and incident protocols are related to a positive social climate, and that these program aspects create more space to focus constructively on behavioural problems. It does not establish that smaller facility size alone creates that space. (LLM, conf=0.84)

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Cited by

Sorted by citations

Authors
Leipoldt, J. D., Harder, A. T., Kayed, N. S., Grietens, H., & Rimehaug, T.
Affiliations
  • University of Groningen (NL)
  • Erasmus University Rotterdam (NL)
  • Norwegian University of Science and Technology (NO)
Corresponding author
Leipoldt, Jonathan D.
Venue
Children and Youth Services Review
Publisher
Elsevier BV
Published
2019-04
Volume
99
Pages
429-440
ISSN
0190-7409 (ISSN-L)
OpenAlex
W2912566142
Cited by
81
References
3
Citations by year
2026: 6 · 2025: 12 · 2024: 14 · 2023: 19 · 2022: 6 · 2021: 14 · 2020: 9 · 2019: 1
FWCI
2.01
Type
journal article
Language
en
Update notices
erratum (2020-12-01)
Open access
Locations
  • Children and Youth Services Review (publishedVersion, cc-by)
  • EUR Research Repository (Erasmus University Rotterdam) (publishedVersion, other-oa)
  • University of Groningen research database (University of Groningen / Centre for Information Technology) (acceptedVersion, cc-by)
  • Lirias (KU Leuven) (submittedVersion, other-oa)
  • EUR Research Repository (Erasmus University Rotterdam) (submittedVersion, other-oa)
  • University of Groningen research database (University of Groningen / Centre for Information Technology) (submittedVersion, other-oa)
  • University of Groningen research database (University of Groningen / Centre for Information Technology) (submittedVersion, cc-by)
Topics
  • Social Sciences › Safety Research › Child Welfare and Adoption
  • Social Sciences › Psychology › Clinical Psychology › Psychiatric care and mental health services
  • Social Sciences › Psychology › Clinical Psychology › Psychotherapy Techniques and Applications
Keywords
social climate, organizational culture, support, autonomy, long-term treatment outcomes, youth characteristics, care homes, change processes

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