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Theses/Dissertations

Family, Life Course, and Society

Theses and Dissertations

Family therapy

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Full-Text Articles in Social and Behavioral Sciences

Presenting Issue Agreement And The Therapeutic Alliance In Family Therapy, Emilee Oldroyd Jul 2023

Presenting Issue Agreement And The Therapeutic Alliance In Family Therapy, Emilee Oldroyd

Theses and Dissertations

Research has consistently shown a positive association between the therapeutic alliance and family therapy outcome. Theory and preliminary research suggest that parent and adolescent agreement on the presenting problem would be a significant predictor of the therapeutic alliance in family therapy. This study used de-identified data from the Marriage and Family Therapy Practice Research Network. The presenting problem was assessed at the first session, and agreement in presenting problems was determined by matching the responses between the parents and adolescents. The within-system alliance item of the Intersession Alliance Measures-Family (IAM-F), assessed at the fourth session, was used to measure the …


Adolescent's Perceptions Of The Parent's Marital Relationship And The Impact On Their Suicide Risk, Savannah Heaton Hurt Jun 2023

Adolescent's Perceptions Of The Parent's Marital Relationship And The Impact On Their Suicide Risk, Savannah Heaton Hurt

Theses and Dissertations

Suicide risk is rapidly increasing in children and adolescents. It is vital that research explores the causes in child and adolescent suicide risk. Research has failed to identify if the marital relationship may be correlated with this increase in suicide ideation in children. This study set out to determine if a child's perception of their parents' marital conflict impacts the child's suicidal risk. Using the Family Foundations of Youth Development project this study analyzed 1,692 parent and child participants to test if the child's perceptions of the marital conflict impacted their suicide risk and if the parent's own report of …


Cost-Effectiveness Of Psychotherapy And Dementia: A Comparison By Treatment Modality And Healthcare Provider, Megan Ruth Story Jun 2016

Cost-Effectiveness Of Psychotherapy And Dementia: A Comparison By Treatment Modality And Healthcare Provider, Megan Ruth Story

Theses and Dissertations

Dementia is a chronic disorder that affects approximately 40 million individuals throughout the globe. This study provides a preliminary description of psychotherapeutic treatment for the management of dementia. This study compares treatment outcomes by both modality (individual, family, and mixed) and provider type. Results found that therapy is a low-cost treatment, however, it is not being often used for people with dementia, or their family members. Participants (n=327) include individuals with ages ranging from 46-95(M=70.52, SD=12.16). Females made up 57.5% (n=188), while males made up 42.5% (n=139) of the sample. Descriptive statistics found that the number of sessions ranged from …


Cost-Effectiveness Of Treating Pervasive Developmental Disorders: A Comparison By Treatment Modality, Jaime Elizabeth Ballard Mar 2013

Cost-Effectiveness Of Treating Pervasive Developmental Disorders: A Comparison By Treatment Modality, Jaime Elizabeth Ballard

Theses and Dissertations

This study examined the costs of pervasive developmental disorder (PDD) treatment in a large healthcare organization. When compared to individual therapy and mixed therapy, family therapy had significantly fewer sessions, fewer episodes of care, and better cost-effectiveness. Individual therapy had significantly shorter treatment length than mixed therapy. There were no differences in treatment length or number of episodes by license, but dropout and cost-effectiveness were significantly different. Medical doctors had the highest dropout and best cost-effectiveness, while Marriage and Family Therapists had the lowest dropout and Masters of Social Work had the poorest cost-effectiveness. Children had significantly higher dropout than …


Mental Health Treatment For Children And Adolescents: Cost Effectiveness, Dropout, And Recidivism By Presenting Diagnosis And Therapy Modality, David Fawcett Nov 2012

Mental Health Treatment For Children And Adolescents: Cost Effectiveness, Dropout, And Recidivism By Presenting Diagnosis And Therapy Modality, David Fawcett

Theses and Dissertations

As many as one in five children and adolescents may suffer from a mental health disorder, yet there are barriers that often prevent children from receiving optimal treatment. The current study explores the influence of practitioner license type, therapy modality, diagnosis, age, and gender on mental health therapy for children and adolescents. Data was provided by Cigna, a leading health care insurance provider in the United States. Participants include 106,374 boys (53.2%) and 93,753 girls (46.8%) ages 3 to 18 (M = 12.1, SD = 3.9) who were treated in outpatient facilities throughout the United States of America. Results indicate …


The Cost Effectiveness Of Individual And Family Therapy For Schizophrenia In Managed Care, Fufan Chiang Oct 2011

The Cost Effectiveness Of Individual And Family Therapy For Schizophrenia In Managed Care, Fufan Chiang

Theses and Dissertations

Much research has explored the cost effectiveness of psychotherapy for schizophrenia. However, to date, no studies have investigated the cost effectiveness of family and individual therapy for schizophrenia in the "real world" of managed care. The purpose of the present study is to compare the cost effectiveness of individual and family therapy for schizophrenia in one leading Health Care Insurer: CIGNA. Six years of outpatient data (2001–2006) and more than 2,100 unique schizophrenic outpatients are included. Research questions in this study concern the total treatment costs, the cost effectiveness, recidivism rates and the dropout rates of individual and family outpatient …


The Influence Of Profession And Therapy Type For The Cost Effective Treatment Of Sexual Dysfunction, David Fawcett May 2011

The Influence Of Profession And Therapy Type For The Cost Effective Treatment Of Sexual Dysfunction, David Fawcett

Theses and Dissertations

Sexual dysfunctions are serious mental health issues that impact an estimated one in three Americans. Due to the complex, relational nature of most sexual dysfunctions, mental health professionals trained to work with couples and their relationship interactions are likely to have better outcomes when treating clients with sexual dysfunction. Data from CIGNA Health Solutions was analyzed to explore differences in therapy outcome for various types of mental health professions when treating clients with sexual dysfunctions. The current research is a retrospective analysis of administrative data that explores whether or not type of profession (i.e. psychologists, Masters of social work, marriage …


Relational Diagnosis And Psychotherapy Treatment Cost Effectiveness, Adam Mousley Moore Mar 2011

Relational Diagnosis And Psychotherapy Treatment Cost Effectiveness, Adam Mousley Moore

Theses and Dissertations

Despite a call by researchers for estimates of the treatment clinical and cost effectiveness for relational problems, very little has been done to answer this call. The present study is an examination of actual treatment costs and recidivism rates for patients treated for a relational problem (either in individual or conjoint therapy sessions) in the CIGNA network. Despite the fact that this study compares treatment provider cost-effectiveness for treating relational problems, analyses do not control for average amounts paid by provider license type. Policymakers and third-party payers may use such clinical-effectiveness and cost-effectiveness data to make decisions regarding treatment of …


Predictors Of General Medical Use Among Individuals Seeking Therapy For Marital And Family Problems, Jacob D. Christenson Nov 2003

Predictors Of General Medical Use Among Individuals Seeking Therapy For Marital And Family Problems, Jacob D. Christenson

Theses and Dissertations

A number of studies have examined variables associated with medical use. However, most of the studies deal with samples that are not easily generalizable to other populations. In particular, no study is known to have looked at general medical use among people seeking services for marital and family problems. In this study, medical use of participants from the marriage and family therapy services at Brigham Young University Comprehensive Clinic was investigated to determine the best predictors of general medical use. Best subsets multiple linear regression showed that the best overall predictors of general medical use were anxiety and hostility.