Partial hospitalization treatment for preschoolers with severe behavior problems: child age and maternal functioning as predictors of outcome

Martin, Sarah E.; McConville, David; Williamson, Lauren R.; Feldman, Greg; Boekamp, John R.

doi:10.1111/j.1475-3588.2012.00661.x

Cited by 9 publications

(6 citation statements)

References 40 publications

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“…In 1 Canadian study, Grizenko and colleagues found significant improvement in externalizing problems of children who attended their 4-month program. 21 Similar findings were found with elementary-age children, 19,22,23 preschoolers, 24,25 and adolescents. 26 –28 Some studies have found little to no effect though.…”

Section: Introductionsupporting

confidence: 84%

Effectiveness and Predictors of Outcomes in a Psychiatric Day Treatment Program for Elementary-Age

et al. 2021

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Objective: In this study, we aimed to (1) assess the effectiveness of an intensive multimodal day treatment program in improving externalizing problems and function in elementary-age children and (2) examine 3 predictors of the treatment outcome (i.e., family functioning, baseline severity, and comorbid disorders). Methods: The sample included 261 children (80.9% boys) between ages of 5 and 12. A retrospective chart review, from 2013 to 2018, and a prospective chart review, from 2018 to 2019, were conducted to extract all relevant data for the present study. Parents and teachers provided reports on children’s externalizing problems (i.e., aggressive behavior, attention problems, and rule-breaking behavior) and their level of function across different domains. The level of family functioning was also reported by parents, while clinicians assessed children’s severity of disturbance and their diagnoses at intake. Results: Based on both parents’ and teachers’ reports, children showed significant improvement in their externalizing problems. Moreover, children showed functional improvement at home, at school, with peers, and in hobbies by the end of the program. Based on teacher’s reports, children with lower level of severity showed less improvement in their attention problems, and those with comorbid developmental problems showed less improvement in their aggressive and rule-breaking behaviors. Family functioning did not predict any treatment outcome. Conclusion: An intensive multimodal day treatment program was effective in reducing the symptoms of externalizing problems in elementary-age children. However, children with less severe difficulties and comorbid developmental problems showed less improvement in their externalizing problems.

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Section: Introductionsupporting

confidence: 84%

Effectiveness and Predictors of Outcomes in a Psychiatric Day Treatment Program for Elementary-Age

et al. 2021

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“…Group therapy, including family therapy, psychotherapy, wellness and substance misuse counselling, demonstrated effectiveness, notably in reducing hospital readmission rates for CYP in family-based interventions. 34 Older adolescents in these therapies exhibited diverse mental health symptoms (anxiety, autism spectrum, behavioural disorders, depression, eating disorders, psychosis, self-harm/suicidal ideation) 23 , 25 , 35 , 42 , 45 …”

Section: Resultsmentioning

confidence: 99%

“… 18 , 23 , 25 , 39 , 45 Medication, combined with other therapies, showed significant improvements in mental health symptoms, particularly for externalising symptoms (Cohen's d = 0.99) and total problems (Cohen's d = 0.86). 23 Older adolescents received pharmacotherapy for a range of mental health conditions, such as attention-deficient hyperactivity disorder, autism and depression. 18 , 25 , 39 However, some studies lacked specific medication details (type and dose) and effects.…”

Section: Resultsmentioning

confidence: 99%

“…18,20,26,28,39,45,47 Group therapy Group therapy, including family therapy, psychotherapy, wellness and substance misuse counselling, demonstrated effectiveness, notably in reducing hospital readmission rates for CYP in family-based interventions. 34 Older adolescents in these therapies exhibited diverse mental health symptoms (anxiety, autism spectrum, behavioural disorders, depression, eating disorders, psychosis, self-harm/ suicidal ideation) 23,25,35,42,45 Cognitive-behavioural therapy (CBT) was evaluated in four low-level evidence studies (14%) 24,39,45,46 of CBT programmes for CYP (age range: 8-16 years). 24,44,49,51 A group-based CBT programme effectively reduced suicidal ideation at 30 days and 3 months post-intervention for adolescents aged 12-17 years.…”

Section: Crisis Interventionmentioning

confidence: 99%

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Evidence-based brief interventions targeting acute mental health presentations for children and adolescents: systematic review

Eapen,

Gerstl,

Ahinkorah

et al. 2024

BJPsych open

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Background Brief intervention services provide rapid, mobile and flexible short-term delivery of interventions to resolve mental health crises. These interventions may provide an alternative pathway to the emergency department or in-patient psychiatric services for children and young people (CYP), presenting with an acute mental health condition. Aims To synthesise evidence on the effectiveness of brief interventions in improving mental health outcomes for CYP (0–17 years) presenting with an acute mental health condition. Method A systematic literature search was conducted, and the studies’ methodological quality was assessed. Five databases were searched for peer-reviewed articles between January 2000 and September 2022. Results We synthesised 30 articles on the effectiveness of brief interventions in the form of (a) crisis intervention, (b) integrated services, (c) group therapies, (d) individualised therapy, (e) parent–child dyadic therapy, (f) general services, (g) pharmacotherapy, (h) assessment services, (i) safety and risk planning and (j) in-hospital treatment, to improve outcomes for CYP with an acute mental health condition. Among included studies, one study was rated as providing a high level of evidence based on the National Health and Medical Research Council levels of evidence hierarchy scale, which was a crisis intervention showing a reduction in length of stay and return emergency department visits. Other studies, of moderate-quality evidence, described multimodal brief interventions that suggested beneficial effects. Conclusions This review provides evidence to substantiate the benefits of brief interventions, in different settings, to reduce the burden of in-patient hospital and readmission rates to the emergency department.

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“…Granello and colleagues found that a child and adolescent partial hospitalization program providing interdisciplinary treatment for children with Axis I diagnoses on admission produced significant reductions in attention problems, anxiety withdrawal, conduct disorder, muscle tension excess, and socialized aggression (Granello et al, 2000). Partial hospitalization programs have also been found to reduce externalizing, internalizing, and total behavior problems to a normative or nonclinical range from admission to discharge in children as young as 2 years old and as old as 19 (Martin et al, 2013; Milin et al, 2000).…”

Section: Review Of Current Outcomes Literaturementioning

confidence: 99%

Partial hospitalization: Are treatment effects maintained post‐discharge?

Durbin¹,

Preddy²,

Stewart³

et al. 2016

Child Adolescent Behavior

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Child partial hospitalization programs (CPHPs) provide specialized, intensive, interdisciplinary day treatment for children with significant social, emotional, and behavioral needs that warrant a higher level of care than outpatient therapy, but a less intensive care setting than admission to an inpatient unit. In many cases, partial hospitalization programs function as a step down from inpatient care to provide a gradual transition back into the home and school environments, where children's mental health challenges may have initially manifested, or as a means of averting a more restrictive form of care.

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Partial hospitalization treatment for preschoolers with severe behavior problems: child age and maternal functioning as predictors of outcome

Cited by 9 publications

References 40 publications

Effectiveness and Predictors of Outcomes in a Psychiatric Day Treatment Program for Elementary-Age

Effectiveness and Predictors of Outcomes in a Psychiatric Day Treatment Program for Elementary-Age

Evidence-based brief interventions targeting acute mental health presentations for children and adolescents: systematic review

Partial hospitalization: Are treatment effects maintained post‐discharge?

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