B Lay1, B Blanz, M H Schmidt. 1. Clinic for Child and Adolescent Psychiatry and Psychotherapy, Central Institute of Mental Health, Mannheim, Germany. LAY@as200-zi.mannheim.de
Abstract
OBJECTIVE: The study examines effectiveness of home treatment in children and adolescents with severe externalizing behavior disorders. METHODS: Fifty patients with ICD-10 diagnosis F90, F91, or F92 aged 5-16 years were treated in a home treatment setting for 3.5 months. Assessments were made using multiple informants (patients, parents, therapists, supervisors, and clinicians not involved in the treatment) to evaluate psychiatric symptoms, various aspects of psychosocial functioning, and global treatment outcome. RESULTS AND CONCLUSIONS: Findings showed a significant decrease in psychiatric symptoms and improvement in psychosocial adjustment. Positive treatment effects were seen in almost every area of social functioning. The child's compliance and the therapist's professionalism were found to be the most important predictors of treatment outcome. Findings suggest that extent of achieved home treatment effects in externalizing disorders is similar to that in internalizing disorders.
OBJECTIVE: The study examines effectiveness of home treatment in children and adolescents with severe externalizing behavior disorders. METHODS: Fifty patients with ICD-10 diagnosis F90, F91, or F92 aged 5-16 years were treated in a home treatment setting for 3.5 months. Assessments were made using multiple informants (patients, parents, therapists, supervisors, and clinicians not involved in the treatment) to evaluate psychiatric symptoms, various aspects of psychosocial functioning, and global treatment outcome. RESULTS AND CONCLUSIONS: Findings showed a significant decrease in psychiatric symptoms and improvement in psychosocial adjustment. Positive treatment effects were seen in almost every area of social functioning. The child's compliance and the therapist's professionalism were found to be the most important predictors of treatment outcome. Findings suggest that extent of achieved home treatment effects in externalizing disorders is similar to that in internalizing disorders.
Authors: Denisa A Clisu; Imogen Layther; Deborah Dover; Russell M Viner; Tina Read; David Cheesman; Sally Hodges; Lee D Hudson Journal: Clin Child Psychol Psychiatry Date: 2021-11-26 Impact factor: 2.544