This study examined behavior changes demonstrated over time by childre
n who had been placed in a residential treatment center. Objective obs
ervation of behavior during such a placement is essential for continue
d treatment planning, including continuing in residence, transfer. or
discharge. Teachers and residential treatment counselors completed Chi
ld Behavior Checklists at admission, discharge, and time points in bet
ween, for 36 patients. The results indicated excellent interjudge reli
ability for externalizing behavior but not for internalizing. Children
who demonstrated oppositional. defiant, or generally conduct-type sym
ptoms seemed to do most poorly in the residential treatment setting. T
he results suggested that the current design of residential treatment
centers may not be effective in dealing with acting-out behavior probl
ems. (C) 1997 John Wiley & Sons, Inc.