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Huikko E, Aalto-Setälä T, Santalahti P, Lämsä R, Ahlgrén-Rimpiläinen A. Lifelong mental health service use among 15-22 years old offenders: a document-based, mixed-methods descriptive study. BMJ Open 2023; 13:e065593. [PMID: 36927590 PMCID: PMC10030486 DOI: 10.1136/bmjopen-2022-065593] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 03/18/2023] Open
Abstract
OBJECTIVES Among young offenders, psychiatric morbidity and comorbidity are common, but our knowledge about their use of mental health services during childhood and adolescence is scarce. We aimed to describe the lifelong use of mental health services of young offenders who have committed serious crimes. DESIGN AND STUDY SETTING Using data on forensic psychiatric examinations of 42 Finnish offenders aged 15-22 years, we analysed the timing and typical patterns of their prior mental health service use with qualitative and quantitative content analysis and typification. RESULTS Young offenders appeared in this study as children with plenty of perinatal and developmental risks, and risks related to their family situation and peer relations. Most subjects were described as having had emotional or behavioural symptoms, or both, since childhood. Involvement in mental health services was rare before the age of 7 years but increased markedly after that, staying on the same level during adolescence. Five categories of mental health service users were identified: (1) continuing service use around a decade (14.3%), (2) one brief fixed treatment (11.9%), (3) involuntary use of services (31.0%), (4) evasive use of services (21.4%) and (5) no mental health service use (21.4%). CONCLUSIONS Young offenders had symptoms from early ages, but during childhood and adolescence, involvement in mental health services appeared for most as relatively short, repetitive or lacking. To help children at risk of criminal development, a multiprofessional approach, an early evidence-based intervention for behavioural symptoms and screening for learning problems, traumatic experiences and substance use are necessary. Results can help identify children and adolescents with a risk of criminal development, to develop mental health services and to plan further research.
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Affiliation(s)
- Eeva Huikko
- Mental Health, Finnish Institute for Health and Welfare, Helsinki, Finland
| | - Terhi Aalto-Setälä
- Mental Health, Finnish Institute for Health and Welfare, Helsinki, Finland
| | - Päivi Santalahti
- Mental Health, Finnish Institute for Health and Welfare, Helsinki, Finland
- Child Psychiatry, University of Turku, Turku, Finland
| | - Riikka Lämsä
- Mental Health, Finnish Institute for Health and Welfare, Helsinki, Finland
- Public health, University of Helsinki, Helsinki, Finland
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Seibel LF, Peth-Pierce R, Hoagwood KE. Revisiting caregiver satisfaction with children's mental health services in the United States. Int J Ment Health Syst 2021; 15:71. [PMID: 34454565 PMCID: PMC8403344 DOI: 10.1186/s13033-021-00493-9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/21/2021] [Accepted: 08/05/2021] [Indexed: 11/18/2022] Open
Abstract
Nearly four decades ago, Unclaimed Children documented the gaps in the United States between mental health programs and caregivers’ perspectives about those services for their children. This absence of attention to parent or caregiver perspectives, including their satisfaction with these services, was a key finding of the report, which detailed system failure in caring for youth with mental health needs. Since then, the focus on caregiver satisfaction with children’s mental health services has been largely overlooked in research, and when examined has been mostly included as an indicator of the feasibility of program implementation. In striking contrast, overall healthcare system reforms have highlighted the importance of improving consumer’s direct experience of care. However, caregiver satisfaction remains largely disconnected to these overall health system reforms, even as reforms focus increasingly on value-based, coordinated and integrated care. In this paper, we review literature from 2010 to 2020, revisit the measurement of caregiver satisfaction, identify how and when it is being measured, and delineate a research agenda to both realign it with health system improvements, refine its focus on expectancies and appropriateness, and root it more firmly in the principles of user experience (UX) and human-centered design (HCD).
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Affiliation(s)
- Lauren F Seibel
- Department of Child and Adolescent Psychiatry, New York University Grossman School of Medicine, 1 Park Ave, 7th Floor, New York, NY, 10016, USA.
| | - Robin Peth-Pierce
- Public Health Communications Consulting, LLC, 16678 State Rd., North Royalton, OH, 44133, USA
| | - Kimberly E Hoagwood
- Department of Child and Adolescent Psychiatry, New York University Grossman School of Medicine, 1 Park Ave, 7th Floor, New York, NY, 10016, USA
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Horwitz SM, Hoagwood KE, Guo F, Arnold LE, Taylor HG, Young AS, Youngstrom EA, Fristad MA, Birmaher B, Findling RL. Predictors of Hospitalization in a Cohort of Children with Elevated Symptoms of Mania. ADMINISTRATION AND POLICY IN MENTAL HEALTH AND MENTAL HEALTH SERVICES RESEARCH 2021; 48:171-180. [PMID: 32556647 PMCID: PMC8112451 DOI: 10.1007/s10488-020-01059-6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/24/2022]
Abstract
Describe hospitalization rates in children with elevated symptoms of mania and determine predictors of psychiatric hospitalizations during the 96 month follow-up. Eligible 6-12.9 year olds and their parents visiting 9 outpatient mental health clinics were invited to be screened with the Parent General Behavior Inventory 10-item Mania Scale. Of 605 children with elevated symptoms of mania eligible for follow-up, 538 (88.9%) had ≥ 1 of 16 possible follow-up interviews and are examined herein. Multivariate Cox regression indicated only four factors predicted hospitalizations: parental mental health problems (HR 1.80; 95% CI 1.21, 2.69); hospitalization prior to study entry (HR 3.03; 95% CI 1.80, 4.43); continuous outpatient mental health service use (HR 3.73; 95% CI 2.40, 5.50); and low parental assessment of how well treatment matched child's needs (HR 3.97; 95% CI 2.50, 6.31). Parental perspectives on mental health services should be gathered routinely, as they can signal treatment failures.
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Affiliation(s)
- Sarah McCue Horwitz
- Department of Child and Adolescent Psychiatry, New York University School of Medicine, 1 Park Avenue, New York, NY, 10016, USA.
| | - Kimberly Eaton Hoagwood
- Department of Child and Adolescent Psychiatry, New York University School of Medicine, 1 Park Avenue, New York, NY, 10016, USA
| | - Fei Guo
- Department of Population Health, New York University School of Medicine, 1 Park Avenue, New York, NY, 10016, USA
| | - L Eugene Arnold
- Department of Psychiatry and Behavioral Health, Ohio State University, McCampbell Hall, 1581 Dodd Drive, Columbus, OH, USA
| | - H Gerry Taylor
- Nationwide Children's Hospital Research Institute and Department of Pediatrics, The Ohio State University, 700 Children's Drive, Columbus, OH, 43205, USA
| | - Andrea S Young
- Department of Psychiatry and Behavioral Sciences, Division of Child & Adolescent Psychiatry, Johns Hopkins University School of Medicine, 1800 Orleans Street, Baltimore, MD, 21287, USA
| | - Eric A Youngstrom
- Department of Psychology and Neuroscience, University of North Carolina, Davie Hall, Chapel Hill, NC, 27599-3270, USA
| | - Mary A Fristad
- Department of Psychiatry and Behavioral Health, The Ohio State University Wexner Medical Center, 1670 Upham Hall Suite 460G, Columbus, OH, 43210-1250, USA
| | - Boris Birmaher
- Department of Psychiatry, School of Medicine, University of Pittsburgh, 3811 O'Hara St, Pittsburgh, PA, 15213, USA
| | - Robert L Findling
- Department of Psychiatry, Virginia Commonwealth University, Richmond, VA, 23298-0308, USA
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Does Failure Help or Harm? Linking Parents’ Treatment Histories, Views of Failure, and Expectancies for Child Psychotherapy. CHILD & YOUTH CARE FORUM 2019. [DOI: 10.1007/s10566-019-09523-7] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/26/2022]
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Ross M, Nguyen V, Bridges JF, Ng X, Reeves G, Frosch E, dosReis S. Caregivers' Priorities and Observed Outcomes of Attention-Deficit Hyperactivity Disorder Medication for Their Children. J Dev Behav Pediatr 2019; 39:93-100. [PMID: 29461996 PMCID: PMC5863279 DOI: 10.1097/dbp.0000000000000530] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
Abstract
OBJECTIVE To document variability among caregivers' priorities when considering medication to treat their Children's attention-deficit hyperactivity disorder (ADHD) and explore associations between these priorities and medication-related improvements. METHODS Caregivers of children, ages 4 to 14 years, diagnosed with ADHD were recruited from outpatient clinics and support groups across Maryland. A survey gathered data on caregiver-reported concerns when considering ADHD medication, demographic characteristics, and observed and desired improvements in their child's ADHD. A validated Best-Worst Scaling instrument assessed priorities among 16 concerns when considering ADHD medication. Latent class analysis identified subgroups with similar ADHD medication concerns. Differences in self-reported medication-related improvements were examined across subgroups. RESULTS The 184 participants (mean = 42 yrs) were primarily the biological mother, 68% white and 25% black. Their children were mostly male (73%) and using medication (81%). Overall, the most important ADHD medication concerns were the child becoming a successful adult (p < 0.0001), school behavior improvements (p < 0.0001), and better grades (p < 0.0001). Others thinking badly of the child was a significantly less important concern (p < 0.0001). Three subgroups were identified: short-term outcomes-oriented group (39%), long-term outcomes-oriented group (37%), and side effects/safety-oriented group (27%). Relative to the other 2 groups, a smaller proportion of the side effects/safety-oriented group desired these improvements (p < 0.2618). CONCLUSION Most caregivers prioritize short- and long-term outcomes when considering ADHD medication. However, those most concerned with long- or short-term outcomes tended to desire additional improvements in their child's ADHD.
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Affiliation(s)
- Melissa Ross
- Department of Pharmaceutical Health Services Research, University of Maryland School of Pharmacy, Baltimore, MD
| | - Vy Nguyen
- Department of Pharmaceutical Health Services Research, University of Maryland School of Pharmacy, Baltimore, MD
| | - John F.P. Bridges
- Department of Health Policy and Management, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD
| | - Xinyi Ng
- Department of Pharmaceutical Health Services Research, University of Maryland School of Pharmacy, Baltimore, MD
| | - Gloria Reeves
- Department of Psychiatry, Division of Child and Adolescent Psychiatry, University of Maryland School of Medicine, Baltimore, MD
| | - Emily Frosch
- Department of Psychiatry, Division of Child and Adolescent Psychiatry, Johns Hopkins University School of Medicine, Baltimore, MD
| | - Susan dosReis
- Department of Pharmaceutical Health Services Research, University of Maryland School of Pharmacy, Baltimore, MD
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Schraeder KE, Reid GJ, Brown JB. "I Think He Will Have It Throughout His Whole Life": Parent and Youth Perspectives About Childhood Mental Health Problems. QUALITATIVE HEALTH RESEARCH 2018; 28:548-560. [PMID: 29160158 DOI: 10.1177/1049732317739840] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/07/2023]
Abstract
Children's mental health (CMH) problems can be long-lasting. Even among children and youth who receive specialized CMH treatment, recurrence of problems is common. It is unknown whether youth and their parents view the possibility of future mental health problems. This has important implications for how CMH services should be delivered. This grounded theory study gained perspectives from youth (aged 12-15 years) who received CMH treatment ( n = 10) and their parents ( n = 10) about the expected course of CMH problems. Three disorder trajectories emerged: (a) not chronic, (b) chronic and persistent, and (c) chronic and remitting, with the majority of youth falling in the third trajectory. A gap in available services between CMH and adult care was perceived by parents, leaving them either help hopeful or help hungry about their child's future care. Improving care for youth with ongoing mental health problems is needed to minimize costs to families and the system.
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Affiliation(s)
| | - Graham J Reid
- 1 Western University, London, Ontario, Canada
- 2 Lawson Health Research Institute, London, Ontario, Canada
- 3 Children's Health Research Institute, London, Ontario, Canada
| | - Judith Belle Brown
- 1 Western University, London, Ontario, Canada
- 4 King's University College, London, Ontario, Canada
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Imran N, Ashraf S, Shoukat R, Pervez MI. Mother's perceptions of child mental health problems and services: A cross sectional study from Lahore. Pak J Med Sci 2016; 32:778-81. [PMID: 27375732 PMCID: PMC4928441 DOI: 10.12669/pjms.323.9775] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Open
Abstract
Objective: To assess the perceptions of mothers regarding child mental health problems, its causes, preferred treatment options, and to determine whom they would consult, if their child had a psychiatric illness. Methods: Following informed consent, a questionnaire covering perceptions regarding various aspects of child mental illness was used for data collection from mothers. They were asked to identify the symptoms and behaviours they considered psychopathological in children, which treatments they would prefer, where they would turn for help with a mentally ill child, and their understanding of the causes of child psychiatric disorders in addition to ways to increase awareness of child psychiatric issues in the society. Results: Ninety one mothers participated in the study. They equally perceived emotional, behavioural and cognitive symptoms as suggestive of mental ill health in childhood. Mothers perceived multiple causes of child mental health problems, including family problems, economic difficulties, social adversity and possession by evil spirits. A substantial proportion preferred medication, recitation of Holy Quran and psychotherapy as the preferred treatment options. Overall, mothers preferred consulting health professionals than religious scholars and faith healers. They were keen for steps to increase mental health awareness within their society. Conclusion: Despite different cultural perspective, mothers exhibit good understanding of symptoms of child mental health issues and appear open to various services and treatment options. Understanding parental perceptions and expectations from child psychiatric services are crucial in increasing families’ engagement in treatment.
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Affiliation(s)
- Nazish Imran
- Dr. Nazish Imran, MBBS; MRCPsych (London). Associate Professor, Child & Family Psychiatry Department, King Edward Medical University/Mayo Hospital, Lahore, Pakistan
| | - Sania Ashraf
- Dr. Sania Ashraf, Resident Medical Officer. Child & Family Psychiatry Department, King Edward Medical University/Mayo Hospital, Lahore, Pakistan
| | - Rabia Shoukat
- Miss Rabia Shoukat, Intern Psychologist, Department of Psychiatry & Behavioural Sciences, King Edward Medical University/Mayo Hospital, Lahore, Pakistan
| | - Muhammad Ijaz Pervez
- Dr. Muhammad Ijaz Pervez, MBBS. House Officer, Academic Department of Psychiatry & Behavioural Sciences, King Edward Medical University/Mayo Hospital, Lahore, Pakistan
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Young AS, Horwitz S, Findling RL, Youngstrom EA, Arnold LE, Fristad MA. Parents' Perceived Treatment Match and Treatment Retention Over 12 Months Among Youths in the LAMS Study. Psychiatr Serv 2016; 67:310-5. [PMID: 26522675 PMCID: PMC4775290 DOI: 10.1176/appi.ps.201400553] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
Abstract
OBJECTIVE The goal of these analyses was to describe the 12-month prevalence of mental health services retention for youths ages six to 12 years and identify predictors of treatment retention. Data were from the Longitudinal Assessment of Manic Symptoms study. METHODS In a longitudinal cohort study, 416 children and their parents completed measures of mental health services use and parents' perception of the services and participated in semistructured psychodiagnostic interviews during a baseline and 12-month assessment. Logistic regression analyses examined the effects on 12-month treatment retention of demographic and clinical variables and parents' perception of how well their children's treatment matched their needs. RESULTS Sixty-nine percent of youths (N=289) continued to use services at 12 months. After the analyses controlled for other demographic and clinical factors, white race (p<.001) and greater functional impairment (p=.024) were associated with treatment retention; greater perceived treatment match at baseline significantly predicted retention above and beyond the effects of sociodemographic and clinical variables (p=.001). CONCLUSIONS Parents' perceptions about appropriateness of treatment, white race, and functional impairment predicted 12-month treatment retention.
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Affiliation(s)
- Andrea S Young
- Dr. Young, Dr. Arnold, and Dr. Fristad are with the Department of Psychiatry, where Dr. Fristad is with the Division of Child and Adolescent Psychiatry, Ohio State University, Columbus (e-mail: ). Dr. Horwitz is with the Department of Pediatrics, Stanford University, and Stanford Health Policy, Stanford, California. Dr. Findling is with the Division of Child and Adolescent Psychiatry, Case Western Reserve University School of Medicine, Cleveland, Ohio, and the Department of Psychiatry, Johns Hopkins Children's Center, Baltimore. Dr. Youngstrom is with the Department of Psychology, University of North Carolina, Chapel Hill
| | - Sarah Horwitz
- Dr. Young, Dr. Arnold, and Dr. Fristad are with the Department of Psychiatry, where Dr. Fristad is with the Division of Child and Adolescent Psychiatry, Ohio State University, Columbus (e-mail: ). Dr. Horwitz is with the Department of Pediatrics, Stanford University, and Stanford Health Policy, Stanford, California. Dr. Findling is with the Division of Child and Adolescent Psychiatry, Case Western Reserve University School of Medicine, Cleveland, Ohio, and the Department of Psychiatry, Johns Hopkins Children's Center, Baltimore. Dr. Youngstrom is with the Department of Psychology, University of North Carolina, Chapel Hill
| | - Robert L Findling
- Dr. Young, Dr. Arnold, and Dr. Fristad are with the Department of Psychiatry, where Dr. Fristad is with the Division of Child and Adolescent Psychiatry, Ohio State University, Columbus (e-mail: ). Dr. Horwitz is with the Department of Pediatrics, Stanford University, and Stanford Health Policy, Stanford, California. Dr. Findling is with the Division of Child and Adolescent Psychiatry, Case Western Reserve University School of Medicine, Cleveland, Ohio, and the Department of Psychiatry, Johns Hopkins Children's Center, Baltimore. Dr. Youngstrom is with the Department of Psychology, University of North Carolina, Chapel Hill
| | - Eric A Youngstrom
- Dr. Young, Dr. Arnold, and Dr. Fristad are with the Department of Psychiatry, where Dr. Fristad is with the Division of Child and Adolescent Psychiatry, Ohio State University, Columbus (e-mail: ). Dr. Horwitz is with the Department of Pediatrics, Stanford University, and Stanford Health Policy, Stanford, California. Dr. Findling is with the Division of Child and Adolescent Psychiatry, Case Western Reserve University School of Medicine, Cleveland, Ohio, and the Department of Psychiatry, Johns Hopkins Children's Center, Baltimore. Dr. Youngstrom is with the Department of Psychology, University of North Carolina, Chapel Hill
| | - L Eugene Arnold
- Dr. Young, Dr. Arnold, and Dr. Fristad are with the Department of Psychiatry, where Dr. Fristad is with the Division of Child and Adolescent Psychiatry, Ohio State University, Columbus (e-mail: ). Dr. Horwitz is with the Department of Pediatrics, Stanford University, and Stanford Health Policy, Stanford, California. Dr. Findling is with the Division of Child and Adolescent Psychiatry, Case Western Reserve University School of Medicine, Cleveland, Ohio, and the Department of Psychiatry, Johns Hopkins Children's Center, Baltimore. Dr. Youngstrom is with the Department of Psychology, University of North Carolina, Chapel Hill
| | - Mary A Fristad
- Dr. Young, Dr. Arnold, and Dr. Fristad are with the Department of Psychiatry, where Dr. Fristad is with the Division of Child and Adolescent Psychiatry, Ohio State University, Columbus (e-mail: ). Dr. Horwitz is with the Department of Pediatrics, Stanford University, and Stanford Health Policy, Stanford, California. Dr. Findling is with the Division of Child and Adolescent Psychiatry, Case Western Reserve University School of Medicine, Cleveland, Ohio, and the Department of Psychiatry, Johns Hopkins Children's Center, Baltimore. Dr. Youngstrom is with the Department of Psychology, University of North Carolina, Chapel Hill
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Khazanov GK, Cui L, Merikangas KR, Angst J. Treatment patterns of youth with bipolar disorder: results from the National Comorbidity Survey-Adolescent Supplement (NCS-A). JOURNAL OF ABNORMAL CHILD PSYCHOLOGY 2015; 43:391-400. [PMID: 24958307 DOI: 10.1007/s10802-014-9885-6] [Citation(s) in RCA: 16] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
Abstract
Despite growing evidence that bipolar disorder often emerges in adolescence, there are limited data regarding treatment patterns of youth with bipolar disorder in community samples. Our objective was to present the prevalence and clinical correlates of treatment utilization for a nationally representative sample of US adolescents with bipolar disorder. Analyses are based on data from the National Comorbidity Survey-Adolescent Supplement, a face-to-face survey of 10,123 adolescents (ages 13-18) identified in household and school settings. We found that of adolescents meeting DSM-IV criteria for bipolar I or II disorder (N = 250), 49 % were treated for depression or mania, 13 % were treated for conditions other than depression or mania, and 38 % did not report receiving treatment. Treatment for depression or mania was associated with increased rates of suicide attempts, as well as greater role disability and more comorbid alcohol use relative to those who had not received treatment. Treated adolescents had triple the rate of ADHD and double the rates of behavior disorders than those without treatment. Our findings demonstrate that a substantial proportion of youth with bipolar disorder do not receive treatment, and of those who do, many receive treatment for comorbid conditions rather than for their mood-related symptoms. Treatment was more common among youth with severe manifestations and consequences of bipolar disorder and those with behavior problems. These trends highlight the need to identify barriers to treatment for adolescents with bipolar disorder and demonstrate that those in treatment are not representative of youth with bipolar disorder in the general population.
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Affiliation(s)
- Gabriela Kattan Khazanov
- Genetic Epidemiology Research Branch, National Institute of Mental Health, Bldg. 35A, Rm 2E410, 35 Convent Dr. MSC 3720, Bethesda, MD, 20892-0001, USA
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Delaney KR. Why Do We Need A Child Psychiatric Nursing Specialty? JOURNAL OF CHILD AND ADOLESCENT PSYCHIATRIC NURSING 2015; 28:1-2. [DOI: 10.1111/jcap.12101] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
Affiliation(s)
- Kathleen R. Delaney
- Community and Mental Health Nursing; Rush College of Nursing; Chicago IL USA
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Beidas RS, Lindhiem O, Brodman DM, Swan A, Carper M, Cummings C, Kendall PC, Albano AM, Rynn M, Piacentini J, McCracken J, Compton SN, March J, Walkup J, Ginsburg G, Keeton CP, Birmaher B, Sakolsky D, Sherrill J. A probabilistic and individualized approach for predicting treatment gains: an extension and application to anxiety disordered youth. Behav Ther 2014; 45:126-36. [PMID: 24411120 PMCID: PMC3893713 DOI: 10.1016/j.beth.2013.05.001] [Citation(s) in RCA: 19] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/05/2013] [Revised: 04/28/2013] [Accepted: 05/05/2013] [Indexed: 11/15/2022]
Abstract
The objective of this study was to extend the probability of treatment benefit method by adding treatment condition as a stratifying variable, and illustrate this extension of the methodology using the Child and Adolescent Anxiety Multimodal Study data. The probability of treatment benefit method produces a simple and practical way to predict individualized treatment benefit based on pretreatment patient characteristics. Two pretreatment patient characteristics were selected in the production of the probability of treatment benefit charts: baseline anxiety severity, measured by the Pediatric Anxiety Rating Scale, and treatment condition (cognitive-behavioral therapy, sertraline, their combination, and placebo). We produced two charts as exemplars which provide individualized and probabilistic information for treatment response and outcome to treatments for child anxiety. We discuss the implications of the use of the probability of treatment benefit method, particularly with regard to patient-centered outcomes and individualized decision-making in psychology and psychiatry.
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Delaney KR. Getting Serious About Treatment Engagement and Partnership With Families. JOURNAL OF CHILD AND ADOLESCENT PSYCHIATRIC NURSING 2013; 26:223-4. [DOI: 10.1111/jcap.12063] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
Affiliation(s)
- Kathleen R Delaney
- Community and Mental Health Nursing; Rush College of Nursing; Chicago IL USA
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