title: Change trajectories for the Youth Outcome Questionnaire self-report: identifying youth at risk for treatment failure.
abstract: This study used longitudinal youth outcome data in routine mental health services to test a system for identifying cases at risk for treatment failure. Participants were 2,715 youth (M age = 14) served in outpatient managed care and community mental health settings. Change trajectories were developed using multilevel modeling of archival data. Expected change trajectories served as the basis for a warning system designed to identify cases at risk for treatment failure. Tests of the predictive accuracy of the warning system yielded moderately high sensitivity rates for both youth self-report and parent-report measures. Incorporating data from multiple sources (youth, parents, and others) yielded the highest sensitivity in identifying at-risk cases. Results emphasize the importance of using empirically derived methods for identifying youth at risk for negative outcomes in usual care.
authors.affiliation: Department of Psychology, Brigham Young University, Provo, UT 84602, USA.
authors.forename: Jennifer A N
authors.initials: JA
authors.lastname: Cannon
authors.forename: Jared S
authors.initials: JS
authors.lastname: Warren
authors.forename: Philip L
authors.initials: PL
authors.lastname: Nelson
authors.forename: Gary M
authors.initials: GM
authors.lastname: Burlingame
mesh_terms: D000293:Adolescent; D002648:Child; D003156:Community Mental Health Services / Q000379:methods / Q000706:statistics & numerical data; D005260:Female; D006801:Humans; D008137:Longitudinal Studies; D008297:Male; D001523:Mental Disorders / Q000628:therapy*; D010045:Outpatients / Q000523:psychology; D010290:Parents / Q000523:psychology; D011613:Psychotherapy / Q000379:methods / Q000706:statistics & numerical data; D012307:Risk Factors; D011795:Surveys and Questionnaires / Q000592:standards*; D017211:Treatment Failure; D014481:United States