Treatment programs for youth with emotional and behavioral disorders: an outcome study of two alternate approaches.
Youth with severe emotional and behavioral disorders (EBD) were randomly assigned for 3 months of intensive treatment to a 5-day residential program (5DR Program) or a community-based alternative, family preservation program (FP Program). Programs differed not only in method of service delivery (residential unit vs. home-based), but also in treatment philosophy (solution focused brief therapy vs. cognitive behavioral). Results confirmed high rates of comorbidity in this population for externalizing and internalizing disorders. A significant Treatment x Program interaction was evident for internalizing disorders. At 1-year follow-up, significantly higher percentages of youth from the FP Program revealed a reduction of clinical symptoms for ADHD, as well as, general anxiety and depression, whereas significant proportion of youth from the 5DR Program demonstrated clinical deterioration and increased symptoms of anxiety and depression. Results have implications for future treatment of youth with EBD and suggest that greater emphasis be placed on research linking treatment to specific symptom clusters, especially highly comorbid clusters in this hard to serve population.
Wilmshurst
Linda A
LA
Department of Psychology & Philosophy, Texas Woman's University, Denton 76204, USA. lwilmshurst@twu.edu
D000293:Adolescent; D016497:Adolescent Health Services / Q000458:organization & administration*; D000342:Affective Symptoms / Q000628:therapy; D019958:Attention Deficit and Disruptive Behavior Disorders / Q000628:therapy*; D002648:Child; D002653:Child Behavior Disorders / Q000628:therapy*; D002662:Child Health Services / Q000458:organization & administration*; D015928:Cognitive Behavioral Therapy; D003156:Community Mental Health Services; D015897:Comorbidity; D005196:Family Therapy; D005260:Female; D006301:Health Services Needs and Demand; D006302:Health Services Research; D006801:Humans; D008297:Male; D009864:Ontario; D017063:Outcome Assessment, Health Care; D015397:Program Evaluation; D011614:Psychotherapy, Brief; D012114:Residential Treatment