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Titolo:
Health gain and outcome predictors during inpatient and related day treatment in child and adolescent psychiatry
Autore:
Green, J; Kroll, L; Imrie, D; Frances, FM; Begum, K; Harrison, L; Anson, R;
Indirizzi:
Univ Manchester, Booth Hall Childrens Hosp, Dept Child & Adolescent Psychiat, Manchester M9 7AA, Lancs, England Univ Manchester Manchester Lancs England M9 7AA er M9 7AA, Lancs, England Univ Manchester, Manchester M13 9PL, Lancs, England Univ Manchester Manchester Lancs England M13 9PL M13 9PL, Lancs, England Cherry Tree Hosp, Stockport, Lancs, England Cherry Tree Hosp Stockport Lancs England Hosp, Stockport, Lancs, England
Titolo Testata:
JOURNAL OF THE AMERICAN ACADEMY OF CHILD AND ADOLESCENT PSYCHIATRY
fascicolo: 3, volume: 40, anno: 2001,
pagine: 325 - 332
SICI:
0890-8567(200103)40:3<325:HGAOPD>2.0.ZU;2-K
Fonte:
ISI
Lingua:
ENG
Soggetto:
FOLLOW-UP; THERAPEUTIC ALLIANCE; HOSPITALIZATION; PSYCHOTHERAPY; SCALE;
Keywords:
inpatient; day patient; outcome; treatment alliance;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Social & Behavioral Sciences
Citazioni:
27
Recensione:
Indirizzi per estratti:
Indirizzo: Green, J Univ Manchester, Booth Hall Childrens Hosp, Dept Child & Adolescent Psychiat, Manchester M9 7AA, Lancs, England Univ Manchester Manchester Lancs England M9 7AA , Lancs, England
Citazione:
J. Green et al., "Health gain and outcome predictors during inpatient and related day treatment in child and adolescent psychiatry", J AM A CHIL, 40(3), 2001, pp. 325-332

Abstract

Objective: To investigate health gain and its predictors during inpatient and associated day patient treatment. Method: Consecutive admissions to twoinpatient units for children and young adolescents in northwest England were studied (N= 55). Ascertainments were made from multiple perspectives, including family teacher, clinician, and an independent researcher. Measures were taken at referral, admission, discharge, and 8-month follow-up; healthgain was inferred from change scores on measures. Recruitment lasted from late 1995 to 1997; follow-up was completed during 1998. Independent variables tested as predictors included assessments of presenting symptoms, therapeutic alliance, and family functioning. Results: Significant health gain during hospitalization was found on most measures and sustained to follow-up. There was no symptom change during the waiting-list control condition. Health gain was predicted independently by child and parental therapeutic alliance with the unit early in hospitalization and by preadmission family functioning. Externalizing problems did well if accompanied by good alliance. Conclusions: Assessment of health gain from multiple perspectives is possible and valuable. Inpatient treatment has significant therapeutic effect. Predictors for health gain lie in process variables of therapeutic alliance and family functioning rather than presenting symptoms. The results are discussed in relation to clinical practice and future research.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 03/04/20 alle ore 07:03:25