Frequency, level, and rate of improvement for treatment targets in a children's mental health community-based intensive in-home therapeutic setting

Adm Policy Ment Health. 2014 Jul;41(4):421-33. doi: 10.1007/s10488-013-0480-x.

Abstract

Frequency, level, and rate of improvement on 48 therapist-identified treatment targets were examined for 790 youth in usual care receiving intensive in-home services. Targets related to disruptive behavior, depressive mood, and functional impairment were most common. Overall, targets attained moderate levels of improvement and reached maximum gains in approximately three months. Targets associated with disruptive behavior and depressive mood disorders showed significantly greater improvement than those associated with ADHD. Anxiety-related targets improved quickest and significantly faster than disruptive behavior targets. Outcomes for targets within the same diagnostic group also varied substantially. Practice and implementation implications are discussed.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adolescent
  • Anxiety Disorders / therapy*
  • Attention Deficit Disorder with Hyperactivity / therapy*
  • Attention Deficit and Disruptive Behavior Disorders / therapy
  • Child
  • Child Health Services / methods*
  • Community Mental Health Services / methods*
  • Depressive Disorder / therapy*
  • Female
  • Home Care Services*
  • Humans
  • Male
  • Outcome and Process Assessment, Health Care
  • Psychotherapy / methods*