Clinical significance of assertive community treatment among adolescents.

Détails

Ressource 1Demande d'une copie Sous embargo jusqu'au 16/05/2020.
Etat: Serval
Version: Author's accepted manuscript
Licence: Non spécifiée
ID Serval
serval:BIB_82BC25AB60F3
Type
Article: article d'un périodique ou d'un magazine.
Collection
Publications
Titre
Clinical significance of assertive community treatment among adolescents.
Périodique
Social psychiatry and psychiatric epidemiology
Auteur(s)
Mantzouranis G., Baier V., Holzer L., Urben S., Villard E.
ISSN
1433-9285 (Electronic)
ISSN-L
0933-7954
Statut éditorial
Publié
Date de publication
04/2019
Peer-reviewed
Oui
Volume
54
Numéro
4
Pages
445-453
Langue
anglais
Notes
Publication types: Journal Article
Publication Status: ppublish
Résumé
The efficacy of assertive community treatment for children and adolescents is proven in the United States, but remains controversial in Europe. Moreover, most studies showing positive outcomes of assertive community treatment are limited to statistically significant differences and do not consider whether the treatment is also subjectively clinically meaningful for the patient. Using a naturalistic sample, the present study aims to assess statistical and clinical significance of an assertive community treatment unit for adolescents in Europe.
Linear mixed-effects models and reliable change indices were used to respectively assess the statistical and clinical significance of assertive community treatment in 179 adolescents (mean age = 15.76, SD = 1.76) with severe mental illnesses.
Difficulties related to mental health (measured by the Health of the Nation Outcome Scales for Children and Adolescents, HoNOSCA) and overall functioning (measured by the Global Assessment of Functioning scale) statistically improved (all ps < 0.001) from admission to discharge. Additionally, a considerable proportion of patients (from 14% to 21%) clinically recovered to functional levels.
Our results support the fact that assertive community treatment can have convincing and positive clinical outcomes in European settings.
Mots-clé
Adolescents, Assertive community treatment, HoNOSCA, Reliable change index, Treatment efficacy
Pubmed
Web of science
Création de la notice
23/10/2018 10:45
Dernière modification de la notice
30/04/2019 7:36
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