Reliable Change and Outcome Trajectories Across Levels of Care in a Mental Health System for Youth

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• 作者：David S. Jackson ; Scott S. Keir ; Max Sender…
• 关键词：Children’s mental health ; Outcome trajectory ; Treatment response ; System of care ; Reliable change
• 刊名：Administration and Policy in Mental Health and Mental Health Services Research
• 出版年：2017
• 出版时间：January 2017
• 年：2017
• 卷：44
• 期：1
• 页码：141-154
• 全文大小：
• 刊物类别：Medicine
• 刊物主题：Public Health; Health Administration; Clinical Psychology; Psychiatry; Health Informatics;
• 出版者：Springer US
• ISSN：1573-3289
• 卷排序：44

文摘

Knowledge of mental health treatment outcome trajectories across various service types can be valuable for both system- and client-level decision-making. Using longitudinal youth functional impairment scores across 2807 treatment episodes, this study examined outcome trajectories and estimated the number of months required for reliable change across nine major services (or levels of care). Results indicate logarithmic improvement trajectories for a majority of levels of care and significant differences in time until improvement ranging from 4 to 12 months. Findings can guide system-level policies on lengths of treatment and service authorizations and provide expected treatment response data for client-level treatment decisions.