1. Outcomes From Wraparound and Multisystemic Therapy in a Center for Mental Health Services System-of-Care Demonstration Site.
- Author
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Stambaugh, Leyla Faw, Mustillo, Sarah A., Burns, Barbara J., Stephens, Robert L., Baxter, Beth, Edwards, Dan, and Dekraai, Mark
- Subjects
PSYCHOTHERAPY ,TREATMENT effectiveness ,HEALTH outcome assessment ,MENTAL health services ,MENTAL health services for teenagers ,COMMUNITY mental health services for teenagers ,EMOTIONAL problems of teenagers ,ADOLESCENT psychology ,PSYCHIATRIC treatment ,PSYCHOTHERAPY patients - Abstract
This study examined outcomes for 320 youth in a Center for Mental Health Services system-of-care demonstration site. Youth received wraparound-only (n = 213),MST-only (n = 54),or wraparound + MST (n = 53). Participants were 12 years old on average and mostly White (90%), and 75% were Medicaid-eligible. Service use and functional and clinical outcomes were examined at 6-month intervals out to 18 months. All three groups improved over the study period. The MST-only group demonstrated more clinical improvement than the other groups. Functional outcomes did not differ significantly across groups. Youth in wrap + MST had higher baseline severity and experienced less clinical and functional change than the other two groups, despite more mental health service use. Targeted, evidence-based treatment may be more effective than system-level intervention alone for improving clinical symptoms among youth with serious emotional disorders served in community-based settings. New or amended approaches may be needed for youth with the most severe disorders. [ABSTRACT FROM AUTHOR]
- Published
- 2007
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