title: Changes in mental health outcomes with the intensive in-home child and adolescent psychiatric service: a multi-informant, latent consensus approach.
abstract: This study investigates the Intensive In-home Child and Adolescent Psychiatric Service (IICAPS), a large-scale home-based intervention that collaboratively engages the family, school, and various other service providers (e.g. health practitioners or judicial systems) to prevent the hospitalization, institutionalization or out-of-home placement of children and adolescents with serious emotional disturbance. Multi-informant data (youth, parents and clinician) on the level of youth problem severity and functioning was gathered from 7169 youth and their families served by the IICAPS network, pre- and post-intervention. A newly developed "Multi-informant Latent Consensus" (MILC) approach was employed to measure mental health "baseline levels" and change, within a Structural Equation Modeling framework. The MILC approach demonstrated promise integrating information from multiple informants involved in the therapeutic process to yield a more accurate and systemic view of a child's level of functioning and problem severity than each report taken individually. Results indicated that the IICAPS family and community based intervention model led to a reduction of problem severity and improved functioning in children and adolescents with severe emotional disturbance.
authors.affiliation: Department of Psychology, Pace University, New York, USA.|Child Study Center, Yale University, New Haven, CT, USA.
authors.forename: Baptiste
authors.initials: B
authors.lastname: Barbot
authors.affiliation: Boston Children's Hospital/Harvard Medical School, Boston, MA, USA.
authors.forename: Johanna
authors.initials: J
authors.lastname: Bick
authors.affiliation: Child Study Center, Yale University, New Haven, CT, USA.
authors.forename: Mary Jane
authors.initials: MJ
authors.lastname: Bentley
authors.affiliation: Child Study Center, Yale University, New Haven, CT, USA.
authors.forename: Kathleen M B
authors.initials: KM
authors.lastname: Balestracci
authors.affiliation: Child Study Center, Yale University, New Haven, CT, USA.
authors.forename: Joseph L
authors.initials: JL
authors.lastname: Woolston
authors.affiliation: Child Study Center, Yale University, New Haven, CT, USA.
authors.forename: Jean A
authors.initials: JA
authors.lastname: Adnopoz
authors.affiliation: Child Study Center, Yale University, New Haven, CT, USA.|Moscow State University of Psychology and Education, Moscow, Russia.
authors.forename: Elena L
authors.initials: EL
authors.lastname: Grigorenko
mesh_terms: D000293:Adolescent; D002648:Child; D002675:Child, Preschool; D032921:Consensus; D005260:Female; D006304:Health Status; D006801:Humans; D008297:Male; D001523:Mental Disorders / Q000628:therapy*; D008603:Mental Health; D010290:Parents / Q000523:psychology; D011569:Psychiatric Status Rating Scales; D011613:Psychotherapy / Q000379:methods*; D012189:Retrospective Studies; D011795:Surveys and Questionnaires; D055815:Young Adult
keywords: IICAPS, in-home intervention; Ohio Scales; adolescents; children; psychiatric hospitalizations; severe emotional disturbance