Effectiveness of brief intervention and case management for children and adolescents with mental health difficulties |
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| Institution: | 1. School of Psychology, Faculty of Health and Behavioural Sciences, Deakin University, Australia;2. Child and Youth Mental Health Service, Eastern Health, Australia;3. Rural Clinical School, School of Medicine, The University of Queensland, Australia;4. School of Clinical Sciences, Monash University, Australia;1. Department of Applied Economics, University of Minnesota, 1994 Buford Avenue, St. Paul, MN 55108, United States;2. Human Capital Research Collaborative, University of Minnesota, 301 19th Avenue South, Minneapolis, MN 55455, United States;3. Institute of Child Development, University of Minnesota, 51 E River Road, Minneapolis, MN 55455, United States;4. Humphrey School of Public Affairs, University of Minnesota, 301 19th Avenue South, Minneapolis, MN 55455, United States;5. Department of Organizational Leadership, Policy and Development, University of Minnesota, 206 Burton Hall, Minneapolis, MN 55455, United States;1. Department of Didactics and School Organization, Faculty of Education, Philosophy and Anthropology, University of the Basque Country (UPV/EHU), Tolosa Avenue 70, 20018 San Sebastian, (Spain);2. Departament of History and Theory of Education, Faculty of Education, Philosophy and Anthropology, University of the Basque Country (UPV/EHU), Tolosa Avenue 70, 20018 San Sebastian, (Spain);3. Department of Evolutionary Psychology and Education, Faculty of Psychology, University of the Basque Country (UPV/EHU), Tolosa Avenue 70, 20018 San Sebastian, (Spain);1. Department of Psychology, Royal Holloway University of London, TW20 0EX, UK;2. Children''s HIV Association, The Wool Hall. 12 St. Thomas Street, Bristol BS1 6JJ, UK;1. University of Wisconsin—Milwaukee, Helen Bader School of Social Welfare, Department of Social Work, Enderis Hall, Room 1045, 2400 E. Hartford Ave, Milwaukee, WI 53211, United States;2. University of Wisconsin—Milwaukee, Center for Aging and Translational Research, Milwaukee, United States;3. Mid-Atlantic Region, Huntington''s Disease Youth Organization, Washington D.C., United States |
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| Abstract: | ObjectiveTo compare the effectiveness of a Brief Intervention (BI) and Treatment As Usual (TAU) in a sample of children and adolescents seeking mental health treatment from a Child and Youth Mental Health Service (CYMHS). BI comprised up to six sessions of psychological therapy from trainee psychologists, and TAU involves case management incorporating assessment and psychological treatment (e.g., individual, parent, family therapy), plus linkage to other services.MethodA matched subjects design was used to evaluate the BI (n = 79) and TAU (n = 79) treatment conditions. Participants were matched according to age, gender, and baseline symptom scores on the Health of the Nations Outcome Scale for Children and Adolescents (HoNOSCA), which was completed at pre- and post-treatment. The HoNOSCA is a clinician-rated measure of symptoms experienced in the previous two weeks.ResultsBI and TAU both significantly reduced mental health symptoms, with no significant difference between treatments overall, on Externalising or Emotional problems subscales, or on the percentage of most problematic items for participants.ConclusionsBI was as effective as TAU in reducing mental health symptoms in some children and adolescents. BI however is briefer, and could form part of a Stepped Care model for CYMHS. Further research is required to establish the most effective elements of BI in reducing mental health symptoms. |
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