Universität zu Köln

Graf, Daniel, Lerch, Stefan, Boehnke, Ulrich, Reichl, Corinna, Kindler, Jochen, Koenig, Julian and Kaess, Michael . Treatment outcome of an intensive psychiatric home treatment for children and adolescents: a non-randomized controlled pilot evaluation. Eur. Child Adolesc. Psych.. NEW YORK: SPRINGER. ISSN 1435-165X

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Abstract

Home treatment (HT) may offer an effective and cost-efficient alternative to inpatient treatment for children and adolescents with acute mental disorders. This study introduces and evaluates a pilot HT project from Bern, Switzerland, with HT completely replacing an inpatient treatment. A total of n = 133 children and adolescents with acute mental disorders and inpatient treatment needs were treated either in the new HT program (n = 37) or in an active control group with inpatient treatment as usual (I-TAU, n = 96). Psychopathological burden was assessed by the Health of the Nation Outcome Scale for Children and Adolescents clinician-rated (HoNOSCA) and self-rated (HoNOSCA-SR) at the time of admission and at discharge. Treatment effects were assessed and compared using Augmented Inverse Probability Weights to adjust for baseline differences and to control for treatment duration. Participants ranged in age from 6 to 17 years (M = 13.71 years, SD = 2.93), 54% were female. HT resulted in significant improvements in the HoNOSCA (d = 0.79, p < .001) and HoNOSCA-SR (d = 0.63, p = .006). No significant differences on treatment effects were observed between HT and the reference group I-TAU in the HoNOSCA (d = 0.01, p = .96) or the HoNOSCA-SR (d = 0.11, p = .63). Overall, results indicate HT to be an effective alternative for children and adolescents with acute mental health disorders instead of hospitalization. Further evaluation with random group allocation and long-term follow-up should attempt to replicate and extend the current findings.

Item Type:	Journal Article
Creators:	Creators Email ORCID ORCID Put Code Graf, Daniel UNSPECIFIED UNSPECIFIED UNSPECIFIED Lerch, Stefan UNSPECIFIED UNSPECIFIED UNSPECIFIED Boehnke, Ulrich UNSPECIFIED UNSPECIFIED UNSPECIFIED Reichl, Corinna UNSPECIFIED UNSPECIFIED UNSPECIFIED Kindler, Jochen UNSPECIFIED UNSPECIFIED UNSPECIFIED Koenig, Julian UNSPECIFIED UNSPECIFIED UNSPECIFIED Kaess, Michael UNSPECIFIED UNSPECIFIED UNSPECIFIED
URN:	urn:nbn:de:hbz:38-583563
DOI:	10.1007/s00787-021-01919-y
Journal or Publication Title:	Eur. Child Adolesc. Psych.
Publisher:	SPRINGER
Place of Publication:	NEW YORK
ISSN:	1435-165X
Language:	English
Faculty:	Unspecified
Divisions:	Unspecified
Subjects:	no entry
Uncontrolled Keywords:	Keywords Language MULTISYSTEMIC THERAPY; PARENT SATISFACTION; GLOBAL ASSESSMENT; HEALTH; DISORDERS; CARE; PATIENT; SERVICES; ELEMENTS; YOUTHS Multiple languages Psychology, Developmental; Pediatrics; Psychiatry Multiple languages
URI:	http://kups.ub.uni-koeln.de/id/eprint/58356