title: Parents' Perceived Treatment Match and Treatment Retention Over 12 Months Among Youths in the LAMS Study.
abstract: OBJECTIVE
  The goal of these analyses was to describe the 12-month prevalence of mental health services retention for youths ages six to 12 years and identify predictors of treatment retention. Data were from the Longitudinal Assessment of Manic Symptoms study.
  
  
  METHODS
  In a longitudinal cohort study, 416 children and their parents completed measures of mental health services use and parents' perception of the services and participated in semistructured psychodiagnostic interviews during a baseline and 12-month assessment. Logistic regression analyses examined the effects on 12-month treatment retention of demographic and clinical variables and parents' perception of how well their children's treatment matched their needs.
  
  
  RESULTS
  Sixty-nine percent of youths (N=289) continued to use services at 12 months. After the analyses controlled for other demographic and clinical factors, white race (p<.001) and greater functional impairment (p=.024) were associated with treatment retention; greater perceived treatment match at baseline significantly predicted retention above and beyond the effects of sociodemographic and clinical variables (p=.001).
  
  
  CONCLUSIONS
  Parents' perceptions about appropriateness of treatment, white race, and functional impairment predicted 12-month treatment retention.
authors.affiliation: Dr. Young, Dr. Arnold, and Dr. Fristad are with the Department of Psychiatry, where Dr. Fristad is with the Division of Child and Adolescent Psychiatry, Ohio State University, Columbus (e-mail: andrea.young@osumc.edu ). Dr. Horwitz is with the Department of Pediatrics, Stanford University, and Stanford Health Policy, Stanford, California. Dr. Findling is with the Division of Child and Adolescent Psychiatry, Case Western Reserve University School of Medicine, Cleveland, Ohio, and the Department of Psychiatry, Johns Hopkins Children's Center, Baltimore. Dr. Youngstrom is with the Department of Psychology, University of North Carolina, Chapel Hill.
authors.forename: Andrea S
authors.initials: AS
authors.lastname: Young
authors.affiliation: Dr. Young, Dr. Arnold, and Dr. Fristad are with the Department of Psychiatry, where Dr. Fristad is with the Division of Child and Adolescent Psychiatry, Ohio State University, Columbus (e-mail: andrea.young@osumc.edu ). Dr. Horwitz is with the Department of Pediatrics, Stanford University, and Stanford Health Policy, Stanford, California. Dr. Findling is with the Division of Child and Adolescent Psychiatry, Case Western Reserve University School of Medicine, Cleveland, Ohio, and the Department of Psychiatry, Johns Hopkins Children's Center, Baltimore. Dr. Youngstrom is with the Department of Psychology, University of North Carolina, Chapel Hill.
authors.forename: Sarah
authors.initials: S
authors.lastname: Horwitz
authors.affiliation: Dr. Young, Dr. Arnold, and Dr. Fristad are with the Department of Psychiatry, where Dr. Fristad is with the Division of Child and Adolescent Psychiatry, Ohio State University, Columbus (e-mail: andrea.young@osumc.edu ). Dr. Horwitz is with the Department of Pediatrics, Stanford University, and Stanford Health Policy, Stanford, California. Dr. Findling is with the Division of Child and Adolescent Psychiatry, Case Western Reserve University School of Medicine, Cleveland, Ohio, and the Department of Psychiatry, Johns Hopkins Children's Center, Baltimore. Dr. Youngstrom is with the Department of Psychology, University of North Carolina, Chapel Hill.
authors.forename: Robert L
authors.initials: RL
authors.lastname: Findling
authors.affiliation: Dr. Young, Dr. Arnold, and Dr. Fristad are with the Department of Psychiatry, where Dr. Fristad is with the Division of Child and Adolescent Psychiatry, Ohio State University, Columbus (e-mail: andrea.young@osumc.edu ). Dr. Horwitz is with the Department of Pediatrics, Stanford University, and Stanford Health Policy, Stanford, California. Dr. Findling is with the Division of Child and Adolescent Psychiatry, Case Western Reserve University School of Medicine, Cleveland, Ohio, and the Department of Psychiatry, Johns Hopkins Children's Center, Baltimore. Dr. Youngstrom is with the Department of Psychology, University of North Carolina, Chapel Hill.
authors.forename: Eric A
authors.initials: EA
authors.lastname: Youngstrom
authors.affiliation: Dr. Young, Dr. Arnold, and Dr. Fristad are with the Department of Psychiatry, where Dr. Fristad is with the Division of Child and Adolescent Psychiatry, Ohio State University, Columbus (e-mail: andrea.young@osumc.edu ). Dr. Horwitz is with the Department of Pediatrics, Stanford University, and Stanford Health Policy, Stanford, California. Dr. Findling is with the Division of Child and Adolescent Psychiatry, Case Western Reserve University School of Medicine, Cleveland, Ohio, and the Department of Psychiatry, Johns Hopkins Children's Center, Baltimore. Dr. Youngstrom is with the Department of Psychology, University of North Carolina, Chapel Hill.
authors.forename: L Eugene
authors.initials: LE
authors.lastname: Arnold
authors.affiliation: Dr. Young, Dr. Arnold, and Dr. Fristad are with the Department of Psychiatry, where Dr. Fristad is with the Division of Child and Adolescent Psychiatry, Ohio State University, Columbus (e-mail: andrea.young@osumc.edu ). Dr. Horwitz is with the Department of Pediatrics, Stanford University, and Stanford Health Policy, Stanford, California. Dr. Findling is with the Division of Child and Adolescent Psychiatry, Case Western Reserve University School of Medicine, Cleveland, Ohio, and the Department of Psychiatry, Johns Hopkins Children's Center, Baltimore. Dr. Youngstrom is with the Department of Psychology, University of North Carolina, Chapel Hill.
authors.forename: Mary A
authors.initials: MA
authors.lastname: Fristad
mesh_terms: D002648:Child; D005260:Female; D006801:Humans; D007407:Interviews as Topic; D016015:Logistic Models; D008137:Longitudinal Studies; D008297:Male; D001523:Mental Disorders / Q000628:therapy*; D008605:Mental Health Services / Q000706:statistics & numerical data*; D010290:Parents; D010349:Patient Compliance / Q000706:statistics & numerical data*; D011569:Psychiatric Status Rating Scales; D011613:Psychotherapy; D013315:Stress, Psychological / Q000175:diagnosis*; D011795:Surveys and Questionnaires; D014481:United States