Service Delivery

Residential behavior therapy for children with conduct disorders.

Matthys (1997) · Behavior modification 1997
★ The Verdict

Fold parent training and CBT into one seamless residential day instead of running two side programs.

✓ Read this if BCBAs who design or supervise 24-hour programs for youth with conduct disorders.
✗ Skip if Clinicians who only provide outpatient one-to-one therapy.

01Research in Context

01

What this study did

Foltin (1997) wrote a how-to paper. It shows how to weave parent-training lessons and cognitive-behavioral drills into one full-time residential program for kids with conduct disorders.

The paper is a roadmap, not an experiment. It tells staff what to teach, when to teach it, and how to keep the two methods from stepping on each other.

02

What they found

No new data are given. Instead, the author maps a single daily schedule that mixes points, social praise, self-talk skills, and family-style meetings.

The goal is to stop running parent groups and child groups on separate tracks so the same skills get practiced all day.

03

How this fits with other research

Evenhuis (1996) warned that most severe-behavior programs collapse after discharge because teams forget to plan for upkeep. Foltin (1997) answers that call by baking maintenance into every shift: staff hand off data sheets, parents visit on set nights, and points thin to praise before kids go home.

Kozma et al. (2009) later showed that smaller, community-based homes beat large congregate ones for adults with ID. W’s model is large and inpatient, yet it copies the same key feature—high contact with typical social routines—so the size gap may matter less than daily density of real-life practice.

Regnier et al. (2022) found that token gains vanish unless you pair thinning with self-management. Foltin (1997) already tells staff to fade tokens and add child self-monitoring, so the newer review supports the old plan rather than replaces it.

04

Why it matters

If you run or consult in a group home, stop thinking of parent training and CBT as add-ons. Slot them into the same activity: morning points, noon role-play, evening family meeting. Use one data sheet for both strands and fade the points while you boost self-rating. This keeps the gains Evenhuis (1996) says are usually lost.

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Add a single shared data sheet that tracks both token points and CBT self-ratings for each shift.

02At a glance

Intervention
comprehensive aba program
Design
theoretical
Population
other
Finding
not reported

03Original abstract

Children with conduct disorders are often referred to residential treatment centers (RTCs). RTCs shorten the length of treatment and thus feel they need to reconceptualize the purpose and process of treatment. Two intervention strategies have been found to affect conduct disorder in outpatient settings: parent training programs that are based on operant learning principles and cognitive-behavioral programs that focus on the relation between cognition and behavior. These strategies should not be transferred to the RTC but adapted to the characteristics of residentially treated conduct disordered children and their parents. These methods should be used together to integrate and strengthen the various learning processes that residential treatment can foster. An outline is given of a comprehensive and integrated residential treatment program based on behavioral methods that have been proven to affect conduct disorder.

Behavior modification, 1997 · doi:10.1177/01454455970214007