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Factors associated with treatment intensification in child and adolescent psychiatry: a cross-sectional study
BACKGROUND: More knowledge about characteristics of children and adolescents who need intensive levels of psychiatric treatment is important to improve treatment approaches. These characteristics were investigated in those who need youth Assertive Community Treatment (youth-ACT). METHOD: A cross-sec...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BioMed Central
2018
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6131781/ https://www.ncbi.nlm.nih.gov/pubmed/30200911 http://dx.doi.org/10.1186/s12888-018-1874-9 |
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author | Vijverberg, Richard Ferdinand, Robert Beekman, Aartjan van Meijel, Berno |
author_facet | Vijverberg, Richard Ferdinand, Robert Beekman, Aartjan van Meijel, Berno |
author_sort | Vijverberg, Richard |
collection | PubMed |
description | BACKGROUND: More knowledge about characteristics of children and adolescents who need intensive levels of psychiatric treatment is important to improve treatment approaches. These characteristics were investigated in those who need youth Assertive Community Treatment (youth-ACT). METHOD: A cross-sectional study among children/adolescents and their parents treated in either a regular outpatient clinic or a youth-ACT setting in a specialized mental health treatment center in the Netherlands. RESULTS: Child, parent and family/social context factors were associated with treatment intensification from regular outpatient care to youth-ACT. The combination of the child, parent, and family/social context factors adds substantially to the predictive power of the model (Nagelkerke R(2) increasing from 36 to 45% for the three domains separately, to 61% when all domains are combined). The strongest predictors are the severity of psychiatric disorders of the child, parental stress, and domestic violence. CONCLUSIONS: Using a wide variety of variables that are potentially associated with treatment intensification from regular outpatient clinic to youth-ACT, we constructed a regression model illustrating a relatively strong relation between the predictor variables and the outcome (Nagelkerke R(2) = 0.61), with three strong predictors, i.e. severity of psychiatric disorders of the child, parental stress, and domestic violence. This emphasizes the importance of a system-oriented approach with primary attention for problem solving and stress reduction within the system, in addition to the psychiatric treatment of the child, and possibly also the parents. |
format | Online Article Text |
id | pubmed-6131781 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2018 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-61317812018-09-13 Factors associated with treatment intensification in child and adolescent psychiatry: a cross-sectional study Vijverberg, Richard Ferdinand, Robert Beekman, Aartjan van Meijel, Berno BMC Psychiatry Research Article BACKGROUND: More knowledge about characteristics of children and adolescents who need intensive levels of psychiatric treatment is important to improve treatment approaches. These characteristics were investigated in those who need youth Assertive Community Treatment (youth-ACT). METHOD: A cross-sectional study among children/adolescents and their parents treated in either a regular outpatient clinic or a youth-ACT setting in a specialized mental health treatment center in the Netherlands. RESULTS: Child, parent and family/social context factors were associated with treatment intensification from regular outpatient care to youth-ACT. The combination of the child, parent, and family/social context factors adds substantially to the predictive power of the model (Nagelkerke R(2) increasing from 36 to 45% for the three domains separately, to 61% when all domains are combined). The strongest predictors are the severity of psychiatric disorders of the child, parental stress, and domestic violence. CONCLUSIONS: Using a wide variety of variables that are potentially associated with treatment intensification from regular outpatient clinic to youth-ACT, we constructed a regression model illustrating a relatively strong relation between the predictor variables and the outcome (Nagelkerke R(2) = 0.61), with three strong predictors, i.e. severity of psychiatric disorders of the child, parental stress, and domestic violence. This emphasizes the importance of a system-oriented approach with primary attention for problem solving and stress reduction within the system, in addition to the psychiatric treatment of the child, and possibly also the parents. BioMed Central 2018-09-10 /pmc/articles/PMC6131781/ /pubmed/30200911 http://dx.doi.org/10.1186/s12888-018-1874-9 Text en © The Author(s). 2018 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated. |
spellingShingle | Research Article Vijverberg, Richard Ferdinand, Robert Beekman, Aartjan van Meijel, Berno Factors associated with treatment intensification in child and adolescent psychiatry: a cross-sectional study |
title | Factors associated with treatment intensification in child and adolescent psychiatry: a cross-sectional study |
title_full | Factors associated with treatment intensification in child and adolescent psychiatry: a cross-sectional study |
title_fullStr | Factors associated with treatment intensification in child and adolescent psychiatry: a cross-sectional study |
title_full_unstemmed | Factors associated with treatment intensification in child and adolescent psychiatry: a cross-sectional study |
title_short | Factors associated with treatment intensification in child and adolescent psychiatry: a cross-sectional study |
title_sort | factors associated with treatment intensification in child and adolescent psychiatry: a cross-sectional study |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6131781/ https://www.ncbi.nlm.nih.gov/pubmed/30200911 http://dx.doi.org/10.1186/s12888-018-1874-9 |
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