Journal of the American Academy of Child & Adolescent Psychiatry
ArticlesOne‐Year Follow‐up of Multisystemic Therapy as an Alternative to the Hospitalization of Youths in Psychiatric Crisis
Section snippets
Sample and Recruitment
As discussed in the article describing the short‐term outcomes of the first 116 youths participating in this study (Henggeler et al., 1999), all youths met American Academy of Child and Adolescent Psychiatry (1996) level‐of‐care placement criteria for psychiatric illness. Additional inclusion criteria were youth age between 10 and 17 years, Medicaid‐funded or no health insurance, and existence of a noninstitutional residential environment (e.g., family or relative home, foster home [n = 5]).
Sample Characteristics
The average age of youth participants was 12.9 years, with 65% male, 65% African American, 33% white, 1% Asian American, and 1% Hispanic. Thirty‐one percent of the youths lived in two‐parent households that included at least one biological or adoptive parent, 50% lived in singleparent households that included at least one biological or adoptive parent, and 18% lived with someone other than a biological or adoptive parent. Parental employment status and income describe a relatively disadvantaged
DISCUSSION
The central purpose of this report was to examine the effects of treatment on individual change trajectories for symptoms, family functioning, and out‐of‐home placements from the time that youths in psychiatric crisis have been approved for emergency psychiatric hospitalization to 16 months later. With regard to the course of symptoms, two sets of findings are noteworthy. First, across treatment conditions and measures, symptoms generally decreased from well above the clinical range to below
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2020, Children and Youth Services ReviewIntensive home-based programs for youth with serious emotional disturbances: A comprehensive review of experimental findings
2018, Children and Youth Services ReviewCitation Excerpt :More than a decade after empirical studies first demonstrated the capacity of home-based interventions to reduce hospitalization rates in adult populations, and twenty years after the first calls to deinstitutionalize minors with psychiatric disabilities, the first experimental studies of home-based, family-focused interventions for child and adolescent populations were performed (Bond, Miller, Krumwied, & Ward, 1988; Kiesler, 1982). To date, compared to the more than dozen experimental studies of home-based interventions for the juvenile justice population, only five experimental or quasi-experimental studies have been performed on the efficacy of IHBTs for children's emotional and behavioral disturbances (Barth et al., 2007; Crane et al., 2005; Evans et al., 2003; Henggeler et al., 2003; Rowland et al., 2005; Wilmshurst, 2002). All five studies demonstrated long-term improvements in clinical severity, but most failed to document differences between treatment conditions with regard to clinical severity or out-of-home-placements.
This project was funded by NIMH grant R01MH51852 . The authors gratefully acknowledge the support of Thom Hiers, Ph.D., and Bill McDaniel, M.Ed., from the South Carolina Department of Mental Health; and Stacey A. Miller, M.A., Joseph J. Zealberg, M.D., Lisa D. Hand, M.D., Alberto B. Santos, M.D., Mark Demidovich, M.F.A., Anita Gordon, M.S.W., Mary Price, M.Ed., Flo Sanders, M.A., Brad Benjamin, Beth Cunningham, M.S., Janice Key, M.D., Linda Marsh, R.N., Byron Hammer, M.D., Langdon Ellington, and Linda D. Lewis, R.N., from MUSC.
Drs. Henggeler and Rowland are stockholders in MST Services Inc., which has the exclusive licensing agreement through MUSC for the dissemination of MST technology and intellectual property.