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Symptom Persistence In Seriously Emotionally Disordered Children: Findings Of A Two-Year Follow-Up After Residential Treatment, Rebecca Cuthbert, Jeff St. Pierre, Shannon Stewart, Steven Cook, Andrew Johnson, Alan Leschied
Symptom Persistence In Seriously Emotionally Disordered Children: Findings Of A Two-Year Follow-Up After Residential Treatment, Rebecca Cuthbert, Jeff St. Pierre, Shannon Stewart, Steven Cook, Andrew Johnson, Alan Leschied
Andrew M. Johnson
Residential treatment is arguably the most costly and intensive part of the children’s mental health system. Yet, research suggests that a subset of the emotionally disordered children and youth admitted to intensive tertiary care treatment facilities fail to demonstrate symptom reductions upon discharge, with many continuing to deteriorate in their adjustment during the follow-up period. This study reports on the factors that characterize the children and youth that, while showing marginal benefit from residential treatment, continue to show community conduct problems at a two-year follow-up period. The results are discussed in the context of how knowledge of these factors can …
The Trajectory Of Change For Children And Youth In Residential Treatment, J. Noftle, Steven Cook, Alan Leschied, Jeff St. Pierre, Shannon Stewart, Andrew Johnson
The Trajectory Of Change For Children And Youth In Residential Treatment, J. Noftle, Steven Cook, Alan Leschied, Jeff St. Pierre, Shannon Stewart, Andrew Johnson
Andrew M. Johnson
This study examined the symptom response trajectories for 225 children and youth throughout a period of residential treatment. With the 10-item Conners' Global Index (CGI) as the primary outcome measure, assessments were completed on a bi-weekly basis during the average 4 month stay within the youth's residential treatment. Clients demonstrated an ongoing reduction of symptoms, and the severity of baseline symptoms influenced the trajectory of the symptom reduction. In addition, symptom reduction was characterized as logarithmic, particularly when controlling for the baseline severity of symptoms. Implications of these findings for administrators, practitioners, and researchers of residential treatment are discussed.