title: [Youth welfare and therapy: effects of youth welfare alone and youth welfare combined with additional therapy].
abstract: Around 17% of children and adolescents suffer from some form of psychological disorder. Compared to this rate, the prevalence among families seeking youth welfare assistance is substantially higher: 60 to 80% of children in day care and residential educational settings meet the criteria of an ICD-10-diagnosis. While effective psychotherapeutic interventions are available, only a fraction of those children affected receive such help. This study assesses whether the effectiveness of educational day care support can be increased by offering additional treatment. To this end, 89 families were assessed who received an average of two years of day care assistance. One group (n = 23) received additional therapeutic treatment. In order to assess the effectiveness of combined youth welfare and therapeutic intervention, indicative problem areas were evaluated using a pre-post-design. Effect measures indicate small advantages of the combined treatment. The group receiving additional therapeutic treatment suffered from fewer risk factors. They also showed some long term effects and fewer families needed follow-up support. Overall, combined treatment was more effective. However, differences between the two groups were less pronounced than expected, due to the effectiveness of day care groups.
authors.affiliation: Projekt PETRA, Hessen.
authors.forename: Peter
authors.initials: P
authors.lastname: Büttner
authors.forename: Stefan
authors.initials: S
authors.lastname: Rücker
authors.forename: Ulrike
authors.initials: U
authors.lastname: Petermann
authors.forename: Franz
authors.initials: F
authors.lastname: Petermann
mesh_terms: D000124:Achievement; D000293:Adolescent; D002648:Child; D002669:Child Welfare / Q000523:psychology* / Q000706:statistics & numerical data; D003131:Combined Modality Therapy; D003299:Cooperative Behavior; D003430:Cross-Sectional Studies; D003631:Day Care, Medical / Q000458:organization & administration / Q000523:psychology*; D004493:Education; D005260:Female; D005500:Follow-Up Studies; D005858:Germany; D006801:Humans; D033183:Interdisciplinary Communication; D008297:Male; D001523:Mental Disorders / Q000175:diagnosis / Q000453:epidemiology / Q000523:psychology / Q000628:therapy*; D011613:Psychotherapy; D012951:Socialization