Conference Handouts

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Presented at the 17th Annual Research Conference

Follow-up of Multisystemic Therapy as an Alternative to Psychiatric Hospitalization

Download Handouts: 502kb pdf

Session Number: 19 Room: Salon H

Presenting: Melissa Rowland

All Authors for this paper: Melissa Rowland; Colleen Halliday-Boykins

Presentation Type: part of symposium

Synopsis: Findings from a 1-year follow-up to a randomized clinical trial comparing multisystemic therapy (MST), modified for use with youth presenting psychiatric emergencies, with inpatient psychiatric hospitalization will be presented. MST was initially more effective than emergency hospitalization and usual services in decreasing symptoms and out-of-home placements and increasing school attendance and family structure. Yet, these differences dissipated by 12 to 16 months post-recruitment. Hospitalization produced a rapid, but short-lived, decrease in externalizing symptoms based on caregiver reports. Findings suggest that youth presenting serious emotional and behavioral problems require continuous access to a continuum of evidence-based practice titrated to clinical need.

Date: Monday, March 1, 2004

Session Time: 3:00 PM - 4:30 PM

Intensive, In-home, Child and Adolescent Psychiatric Services Implementation of a State-wide Service

Download Handouts: 948kb pdf

Session Number: 19 Room: Salon H

Presenting: Joseph Woolston

All Authors for this paper: Joseph Woolston

Presentation Type: part of symposium

Synopsis: Intensive In-home, Child and Adolescent Psychiatric Services (IICAPS) is a state-wide, 16 site, manualized intervention for seriously psychiatrically disturbed children and youth in Connecticut. IICAPS is a comprehensive, intensive, in-home psychiatric service that blends medical model precepts with system of care values and is informed by principles of developmental psychopathology. IICAPS employs an array of strategies to enhance fidelity to the treatment model. These fidelity adherence strategies provide the necessary infrastructure for continuous quality improvement and randomized controlled studies. Two pilot outcomes studies have been completed and one is currently underway as the preparation for a randomized controlled trial.

Date: Monday, March 1, 2004

Session Time: 3:00 PM - 4:30 PM

Home-based Psychiatric Treatment of Children and Adolescents

Download Handouts: 247kb pdf

Session Number: 19 Room: Salon H

Presenting: Douglas Robbins

All Authors for this paper: Douglas Robbins

Presentation Type: part of symposium

Synopsis: Outcome data are presented from Anchor, a community-and home-based intensive treatment program for severely emotionally disturbed (SED) children and adolescents at high risk for out-of-home treatment or placement, compared with similarly-ill children in case management with usual community services. Anchor patients showed significant decreases in total child adolescent functional assessment scale (CAFAS) ratings and in 5 of 8 domains of outcome, relative to patients of comparable severity receiving case management and usual community treatment. Intensive home-based treatment appears to be effective at decreasing out-of-home placement, improving function, and decreasing symptoms in SED children and adolescents.

Date: Monday, March 1, 2004

Session Time: 3:00 PM - 4:30 PM

Collaboration in Action: Sharing Goals, Risks and Outcomes

Download Handouts: 465kb pdf

Session Number: 19 Room: Salon H

Presenting: Katherine Grimes

All Authors for this paper: Katherine Grimes

Presentation Type: part of symposium

Synopsis: Massachusetts' Mental Health Services Program for Youth (MHSPY) is the only integrated system-of-care for children and adolescents in the country. Blended funding and shared governance support stakeholder collaboration. MHSPY combines delivery of medical, mental health/substance abuse and wraparound care. Specified clinical, administrative and financial performance measures are tracked to provide aggregate and child specific outcomes. Evidence of service system effectiveness is emerging as data is collected from a new, second site. This five year old innovative system-of-care is mission-driven, with stakeholders willing to risk radically different service delivery and funding mechanisms having been rewarded with enhanced efficacy over usual care.

Date: Monday, March 1, 2004

Session Time: 3:00 PM - 4:30 PM