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Social and Behavioral Sciences Commons™
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Full-Text Articles in Social and Behavioral Sciences
Changes In Family Functioning And Child Behavior Following Intensive In-Home Therapy, Richard P. Barth, Johanna K.P. Greeson, Shenyang Guo, Rebecca L. Green, Sarah Hurley, Jocelyn Sisson
Changes In Family Functioning And Child Behavior Following Intensive In-Home Therapy, Richard P. Barth, Johanna K.P. Greeson, Shenyang Guo, Rebecca L. Green, Sarah Hurley, Jocelyn Sisson
Johanna K.P. Greeson, PhD, MSS, MLSP
Mechanisms by which intensive in-home therapy results in positive outcomes are little explored. This study tests the efficacy of standardized intake assessments to predict educational, correctional and placement outcomes for troubled youth after an intervention derived from MST (Intercept). Demographics, prior risk, and assessments of family functioning (FAM-Gen III), family structure (FACES-III) and child behavior (CBCL) were completed for 862 youth at intake who received intensive in-home therapy. One year post-discharge outcomes including living situation, out-of-home placement, trouble with the law, and educational progress are described. Cox–Snell pseudo-R2 is used to assess the contribution of the independent variables. Results show …
Outcomes For Youth Receiving Intensive In-Home Therapy Or Residential Care: A Comparison Using Propensity Scores, Richard P. Barth, Johanna K.P. Greeson, Shenyang Guo, Rebecca L. Green, Sarah Hurley, Jocelyn Sisson
Outcomes For Youth Receiving Intensive In-Home Therapy Or Residential Care: A Comparison Using Propensity Scores, Richard P. Barth, Johanna K.P. Greeson, Shenyang Guo, Rebecca L. Green, Sarah Hurley, Jocelyn Sisson
Johanna K.P. Greeson, PhD, MSS, MLSP
This study compares outcomes for behaviorally troubled children receiving intensive in-home therapy (IIHT) and those receiving residential care (RC). Propensity score matching is used to identify matched pairs of youth (n=786) with equivalent propensity for IIHT. The majority of pretreatment differences between the IIHT and RC groups are eliminated following matching. Logistic regression is then conducted on outcome differences at 1 year postdischarge. Results show that IIHT recipients had a greater tendency (.615) toward living with family, making progress in school, not experiencing trouble with the law, and placement stability compared with RC youth (.558; p<.10). This suggests that IIHT is at least as effective for achieving positive outcomes. Given IIHT’s reduced restrictiveness and cost, intensive in-home services should be the preferred treatment over RC in most cases.