TY - JOUR
T1 - Home-based multisystemic therapy as an alternative to the hospitalization of youths in psychiatric crisis
T2 - Clinical outcomes
AU - Henggeler, Scott W.
AU - Rowland, Melisa D.
AU - Randall, Jeff
AU - Ward, David M.
AU - Pickrel, Susan G.
AU - Cunningham, Phillippe B.
AU - Miller, Stagey L.
AU - Edwards, James
AU - Zealberg, Joseph J.
AU - Hand, Lisa D.
AU - Santos, Alberto B.
N1 - Funding Information:
Accepted May 26, 1999. From the Department of Psychiany and Behavioral Sciences (S. WH., M. D. R., J.R., S.G.l?, l?%.C,S .L.M.,JE.,JJZ, L.D.N., A.B.S.)artdtheDppartmentof Health Administration and Policy (D.M. Wj, Medical University of South Carolina, Charleston. This project wasfinchd by NIMHgrant ROIMH51852. The authorsgratefilly acknowledge the support of Thom Him, PhB, Barbara Trout, PhD., and Bill McDaniel, M.Ed, porn the South Carolina Department of Mental Health; and Mark Demidovich, M.EA., Anita Gordon, M.S.W, Mary Price, M.Ed., Flo Sanders, M.A., Brad Benjamin, Beth Cunningham, M.S., Janice Kg M.D., Linda Marsh, R.N., Byron Hammer, M.D., Langdon Ellingon, Lin& D. Lewis, R.N., and Michael’/. Brondino, Ph.D., fiom the Medical University of South Carolina. Reprint requests to Dr. Hengeler, Family Services Research Center, Deparr-ment of Psychiatry and Behavioral Sciences, Medical University of South Carolina, 67 President Street, Suite CPR Box 25086I, Charleston, SC29425; e-mail, henggesw@musce. du.
PY - 1999
Y1 - 1999
N2 - Objective: The primary purpose of this study was to determine whether multisystemic therapy (MST), modified for use with youths presenting psychiatric emergencies, can serve as a clinically viable alternative to inpatient psychiatric hospitalization. Method: One hundred sixteen children and adolescents approved for emergency psychiatric hospitalization were randomly assigned to home-based MST or inpatient hospitalization. Assessments examining symptomatology, antisocial behavior, self-esteem, family relations, peer relations, school attendance, and consumer satisfaction were conducted at 3 times: within 24 hours of recruitment into the project, shortly after the hospitalized youth was released from the hospital (1-2 weeks after recruitment), and at the completion of MST home-based services (average of 4 months postrecruitment). Results: MST was more effective than emergency hospitalization at decreasing youths' externalizing symptoms and improving their family functioning and school attendance. Hospitalization was more effective than MST at improving youths' self-esteem. Consumer satisfaction scores were higher in the MST condition. Conclusions: The findings support the view that an intensive, well-specified, and empirically supported treatment model, with judicious access to placement, can effectively serve as a family and community-based alternative to the emergency psychiatric hospitalization of children and adolescents.
AB - Objective: The primary purpose of this study was to determine whether multisystemic therapy (MST), modified for use with youths presenting psychiatric emergencies, can serve as a clinically viable alternative to inpatient psychiatric hospitalization. Method: One hundred sixteen children and adolescents approved for emergency psychiatric hospitalization were randomly assigned to home-based MST or inpatient hospitalization. Assessments examining symptomatology, antisocial behavior, self-esteem, family relations, peer relations, school attendance, and consumer satisfaction were conducted at 3 times: within 24 hours of recruitment into the project, shortly after the hospitalized youth was released from the hospital (1-2 weeks after recruitment), and at the completion of MST home-based services (average of 4 months postrecruitment). Results: MST was more effective than emergency hospitalization at decreasing youths' externalizing symptoms and improving their family functioning and school attendance. Hospitalization was more effective than MST at improving youths' self-esteem. Consumer satisfaction scores were higher in the MST condition. Conclusions: The findings support the view that an intensive, well-specified, and empirically supported treatment model, with judicious access to placement, can effectively serve as a family and community-based alternative to the emergency psychiatric hospitalization of children and adolescents.
KW - Crisis
KW - Multisystemmic therapy
KW - Psychiatric hospitalization
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U2 - 10.1097/00004583-199911000-00006
DO - 10.1097/00004583-199911000-00006
M3 - Article
C2 - 10560218
AN - SCOPUS:13044311400
SN - 0890-8567
VL - 38
SP - 1331
EP - 1339
JO - Journal of the American Academy of Child and Adolescent Psychiatry
JF - Journal of the American Academy of Child and Adolescent Psychiatry
IS - 11
ER -