title: Integrating treatment and education for mood disorders: an adolescent case report.
abstract: This case study illustrates one successful outcome of an intensive, outpatient, treatment project for adolescents with mood disorders. An 18-year-old female with symptoms across several DSM-IV Axis I classifications, including a depressive disorder, and her parents participated in a year-long, multimodal intervention that included mood-focused psychoeducation and coaching designed to impact on her, her family, school, and community systems. Self-report, clinician-driven, and ecologically valid measures were used to assess treatment effects on psychiatric symptoms and psychosocial functioning. Results on the Child and Adolescent Functional Assessment Scale demonstrated considerable gains in the following areas: Home, school/work, social behavior, self-harm, thinking/communication, and substance use. During the intervention, she went from failing several of her classes to graduating from high school. In addition, she made the Honours' List in her first semester at a local community college. A discussion of intervention pluses and pitfalls specific to the case highlight the necessity to influence the various spheres of the young person's life.
authors.affiliation: Child Outpatient Program and Developmental Biopsychiatry Research Program, McLean Hospital, Belmont 02478-9106, USA. cnavalta@mclean.harvard.edu
authors.forename: Carryl P
authors.initials: CP
authors.lastname: Navalta
authors.forename: Jessica
authors.initials: J
authors.lastname: Goldstein
authors.forename: Laura
authors.initials: L
authors.lastname: Ruegg
authors.forename: David A
authors.initials: DA
authors.lastname: Perna
authors.forename: Jean A
authors.initials: JA
authors.lastname: Frazier
mesh_terms: D000124:Achievement; D000293:Adolescent; D000553:Ambulatory Care; D000928:Antidepressive Agents / Q000627:therapeutic use; D001289:Attention Deficit Disorder with Hyperactivity / Q000150:complications / Q000175:diagnosis / Q000628:therapy*; D002908:Chronic Disease; D003131:Combined Modality Therapy; D039721:Diagnostic and Statistical Manual of Mental Disorders; D005260:Female; D006266:Health Education; D006801:Humans; D034982:Integration Host Factors; D008603:Mental Health; D019964:Mood Disorders / Q000150:complications / Q000175:diagnosis / Q000628:therapy*; D011584:Psychology; D011613:Psychotherapy / Q000379:methods; D012919:Social Behavior; D012931:Social Environment; D011795:Surveys and Questionnaires; D016896:Treatment Outcome; D016312:Treatment Refusal
chemical_list: D000928:Antidepressive Agents; D034982:Integration Host Factors