Changes in mental health outcomes with the intensive in-home child and adolescent psychiatric service: a multi-informant, latent consensus approach
| Autor: | Baptiste Barbot, Mary Jane Bentley, Elena L. Grigorenko, Jean Adnopoz, Kathleen M. B. Balestracci, Johanna Bick, Joseph L. Woolston |
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| Rok vydání: | 2015 |
| Předmět: |
Service (business)
050103 clinical psychology medicine.medical_specialty Institutionalisation business.industry 05 social sciences Service provider Mental health Structural equation modeling Child and adolescent Psychiatry and Mental health Intervention (counseling) medicine 0501 psychology and cognitive sciences Baseline (configuration management) Psychiatry business 050104 developmental & child psychology Clinical psychology |
| Zdroj: | International Journal of Methods in Psychiatric Research. 25:33-43 |
| ISSN: | 1049-8931 |
| DOI: | 10.1002/mpr.1477 |
| Popis: | This study investigates the Intensive In-home Child and Adolescent Psychiatric Service (IICAPS), a large-scale home-based intervention that collaboratively engages the family, school, and various other service providers (e.g. health practitioners or judicial systems) to prevent the hospitalization, institutionalization or out-of-home placement of children and adolescents with serious emotional disturbance. Multi-informant data (youth, parents and clinician) on the level of youth problem severity and functioning was gathered from 7169 youth and their families served by the IICAPS network, pre- and post-intervention. A newly developed "Multi-informant Latent Consensus" (MILC) approach was employed to measure mental health "baseline levels" and change, within a Structural Equation Modeling framework. The MILC approach demonstrated promise integrating information from multiple informants involved in the therapeutic process to yield a more accurate and systemic view of a child's level of functioning and problem severity than each report taken individually. Results indicated that the IICAPS family and community based intervention model led to a reduction of problem severity and improved functioning in children and adolescents with severe emotional disturbance. |
| Databáze: | OpenAIRE |
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