Transformative journeys: how childhood experiences in residential treatment centres shape adult mental health perspectives

Objective The purpose of this narrative study was to understand how adults who were discharged from a residential treatment centre (RTC) as a child perceive the role of the RTC in shaping their outlook on mental health.Methods A narrative approach was employed to gather in-depth qualitative data from six diverse adults in the Midwestern United States who had been discharged from RTCs during childhood. Participants engaged in multiple interviews, allowing them to share personal narratives about their RTC experiences and their subsequent mental health journeys. Data were analysed through open and axial coding to identify themes.Results The findings revealed two major themes: (1) participants’ opinions about mental health treatment became more positive over time, largely influenced by their RTC experiences; and (2) participants developed a greater understanding and empathy for others facing mental health challenges.Conclusion The study highlights the transformative potential of RTCs in shaping individuals’ long-term mental health perspectives and empathy. It underscores the need for early, consistent, and culturally sensitive interventions within RTCs to foster mental health resilience. These findings offer important insights for mental health professionals and policymakers aiming to improve therapeutic outcomes for children in RTCs.