Practitioner Review: Preconditions and Outcome of Inpatient Treatment in Child and Adolescent Psychiatry

Blanz, Bernhard; Schmidt, Martin H.

doi:10.1017/s0021963099005983

Cited by 38 publications

(54 citation statements)

References 23 publications

(39 reference statements)

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“…A final consideration is the therapeutic relationship between the client and service provider. Successful outcomes can be directly related to the quality of the alliance (Blanz & Schmidt, 2000; Connors et al, 2000; Florsheim, Shotorbani, Guest-Warnick, Barratt, & Hwang, 2000). Although there may be other EBP that could meet the recommendations listed above, the one being put forth addresses these considerations as well as follows the National Institute on Alcohol Abuse and Alcoholism’s request.…”

Section: Considering An Ebpmentioning

confidence: 99%

Organizational and Clinical Implications of Integrating an Alcohol Screening and Brief Intervention Within Non-Substance Abuse Serving Agencies

2010

Journal of Evidence-Based Social Work

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Although there have been efforts to advance evidenced-based practices into community-based organizations the limited successes of dissemination and poor implementation of efficacious treatments within these organizations are beginning to be documented. This article builds on the knowledge gained from organizational research and those internal structures (e.g., culture and climate), which possibly impede or enhance evidenced-based practice implementation within community-based organizations. While there are many evidenced-based practices available to human services organizations, there seems to be a gap between research and the implementation of these clinical practices. Recommendations are provided to better enable community-based organizations to integrate evidenced-based practice into its existing service structures.

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Section: Considering An Ebpmentioning

confidence: 99%

Organizational and Clinical Implications of Integrating an Alcohol Screening and Brief Intervention Within Non-Substance Abuse Serving Agencies

2010

Journal of Evidence-Based Social Work

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“…In child and adolescent psychiatric clinical practice, therapeutic intervention requires an additional factor: the active collaboration of the patient’s family. Consequently, noncompliance in treatment may be higher, but this issue has not been studied equally [9,10,11,12,13,14,15,16]. …”

Section: Introductionmentioning

confidence: 99%

Treatment Compliance and Early Termination of Therapy: A Comparative Study

Lazaratou

Anagnostopoulos²,

Vlassopoulos³

et al. 2006

Psychother Psychosom

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Background: Compliance in therapy appears to be linked to the process of therapeutic alliance. A positive patient–therapist relationship usually leads to successful completion of therapy. The aim of this study was to compare evidence, collected at two time periods in a Community Mental Health Center in Athens, on factors affecting treatment compliance. The hypothesis was that by modifying the therapeutic team’s functioning, noncompliance could be reduced. Methods: Epidemiological data were collected from child and adolescent out-patient files at two time periods: time period A, 1990–1994, n = 455 (sample A) and time period B, 2000–2002, n = 476 (sample B). Variables pertaining to the patient, his family and recommended treatment were examined. Student’s t test and the Pearson χ² test were used in order to explore the correlation of the variables with treatment completion in each sample. Logistic regression analyses were used to determine whether the effect of each variable on treatment completion differed between the two samples. Results: In sample A, most patients (58.6%) did not comply with therapy. The type of recommended treatment, the number of sessions, season of admission and the type of presented problem were found to correlate with treatment completion. Between the two time periods, certain modifications were implemented in the team’s functioning (less diagnostic sessions, focused psychotherapy techniques, less time interval between referral and first diagnostic appointment). A significant reduction in the early termination rate (45.7%) was noted in sample B. The type of recommended treatment, the number of sessions, the family’s situation, the mother’s educational level and the patient’s gender were related to treatment completion in sample B. The effect of the type of proposed treatment and the mean number of sessions of the completed treatments differed significantly between the two samples. Conclusions:Early termination rates in therapy decreased between two time periods. This decrease may be attributed to modifications in the team’s functioning, aimed at improving the therapeutic relationship. The limitation of this study is that only those factors pertaining to the service’s organization and functioning were investigated.

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“…There is strong evidence that inpatient services are effective from the meta-analysis of Pfeiffer and Strzelecki (1990), a review by Blantz and Schmidt (2000) and the recent large scale study (CHYPIE) of inpatient services for children and young people (Green et al, 2007). The average cost of admission in the CHYPIE study was £24,000 for 116 days, with an associated average cost to the family of £1,180.…”

Section: Discussionmentioning

confidence: 99%

Tier 4 Child and Adolescent Mental Health Services (CAMHS) ‐ Inpatient Care, Day Services and Alternatives: An Overview of Tier 4 CAMHS Provision in the UK

McDougall¹,

Worrall‐Davies

Hewson

et al. 2008

Child Adoles Ment Health

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This paper addresses Tier 4 services for children and young people whose needs require highly specialised services, and describes the range of provision which is currently available for this group. Although the evidence base is in its infancy, what is known about clinical outcomes, cost effectiveness and the views of users is summarised. The current shortfalls in tier 4 provision are highlighted, the drivers for change are identified and recommendations are made for future service improvements.

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Practitioner Review: Preconditions and Outcome of Inpatient Treatment in Child and Adolescent Psychiatry

Cited by 38 publications

References 23 publications

Organizational and Clinical Implications of Integrating an Alcohol Screening and Brief Intervention Within Non-Substance Abuse Serving Agencies

Organizational and Clinical Implications of Integrating an Alcohol Screening and Brief Intervention Within Non-Substance Abuse Serving Agencies

Treatment Compliance and Early Termination of Therapy: A Comparative Study

Tier 4 Child and Adolescent Mental Health Services (CAMHS) ‐ Inpatient Care, Day Services and Alternatives: An Overview of Tier 4 CAMHS Provision in the UK

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