Outcomes of inpatient psychiatric treatment for adolescents: A multiple perspectives evaluation
Autor: | YingMin Lee, Peter Martin, Pippa Hembry, Simon Lewis |
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Rok vydání: | 2017 |
Předmět: |
Male
050103 clinical psychology medicine.medical_specialty Injury control Adolescent Accident prevention Poison control Psychiatric Department Hospital Suicide prevention Occupational safety and health 03 medical and health sciences 0302 clinical medicine Patient Admission Injury prevention Outcome Assessment Health Care Medicine Humans 0501 psychology and cognitive sciences Psychiatry Inpatients business.industry Mental Disorders 05 social sciences Human factors and ergonomics General Medicine Patient Discharge 030227 psychiatry Patient Outcome Assessment Personnel Hospital Psychiatry and Mental health Clinical Psychology Pediatrics Perinatology and Child Health Female business |
Zdroj: | Clinical child psychology and psychiatry. 23(3) |
ISSN: | 1461-7021 |
Popis: | Adolescent inpatient psychiatric treatment was evaluated from the multiple perspectives of clinicians, young people and parents using standardised measures and goal-based outcomes (GBOs). The sample included cases ( N = 128) discharged from a London adolescent unit between April 2009 and December 2015. Measures were completed at admission and discharge, and change in ratings was analysed to assess treatment outcomes. Ratings of clinicians and young people on the Health of the Nation Outcome Scales for Children and Adolescents (HoNOSCA) were compared. Adolescents demonstrated significant improvement across all measures from admission to discharge. Correlation between clinicians’ and adolescents’ HoNOSCA ratings was weak at admission ( r = .25) but stronger at discharge ( r = .63). Standardised effect sizes were larger for GBOs ( d = 1.73 and 3.16 for adolescent and clinician-rated goals, respectively) compared to all standardised measures ( d = 0.31–0.93). Improvement was observed across all measures of functioning and symptoms following inpatient treatment. Clinicians and young people developed better shared understanding of the problems from admission to discharge. GBOs are more sensitive to change compared to standardised measures and may be meaningfully adopted by inpatient units for routine outcome monitoring. |
Databáze: | OpenAIRE |
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