Using Self-Determination Theory in Residential Settings

Traumatized youngsters are frequently admitted to psychiatric hospitals and residential treatment facilities (RFTs; Lawson, 1998). Institutionalization can be a traumatic event that involves an assault on personal autonomy and self-direction (Mohr, Mahon, & Noone, 1998). According to Visalli, McNasser, Johnstone, and Lazzaro, (1997) external and/or restrictive interventions are the most frequently used tools for crisis reduction. We assert that such methods do not support residents' abilities to effectively cope with crises. Instead, we propose that developing residents' internal coping methods through self-determination theory is a more effective means for successfully navigating a crisis. The following article addresses the benefits of training RTF staff members in self-determination theory. We describe a three-step process to empower residents to become effective and autonomous in dealing with crisis.