Abstract

THERE IS a specific treatment problem, especially in large metropolitan cities, for disturbed adolescents whose destructive actions do not allow them to be maintained in the community, yet for whom state hospitalization does not seem to be the treatment of choice. In general, the available treatment programs in privately endowed institutions are encumbered with long waiting lists,1and are often reluctant to accept patients who have already engaged in or who have the potential for antisocial activity. When the project to be reported was initiated, there were virtually no public facilities in the city of New York for long-term, intensive inpatient treatment of adolescents with delinquent behavior. This paper describes the early experience in the establishment and operation of an intensive treatment ward for female adolescents within the structure of a large municipal diagnostic and dispositional hospital service. The adolescent intensive treatment unit was established in the fall of 1962.

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