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Evaluation of outcome in child and adolescent mental health services: children with persistent conduct problems

journal contribution
posted on 2001-01-01, 00:00 authored by E Luk, Petra StaigerPetra Staiger, J Mathai, L Wong, P Birleson, R Adler
This article focuses on the evaluation of outcome in child and adolescent mental health services. We examined the outcomes of 46 children with persistent conduct problems by gathering at baseline and six months information from multiple informants on multiple domains including the functioning of the child, risk factors, and parents’ and children’s perceptions of the treatment process. A statistically significant reduction in oppositional/conduct symptoms was reported six months after the initial clinical contact. However, the majority of the group still scored within the clinical range. The various outcome measures are correlated to only a mild to moderate degree. Teachers did not notice the same degree of change at school, despite the changes noticed by parents. Symptom improvement and satisfaction with a service are two separate issues. Parents’ satisfaction was related to their perception of the therapist and the therapy offered. Their satisfaction was high if they perceived that the therapist was able to communicate well, show care and concern, and if the therapy was perceived as organized. Much can be learned from a comprehensive outcome measurement system within a mental health service.

History

Journal

Clinical child psychology and psychiatry

Volume

6

Issue

1

Pagination

109 - 124

Publisher

Sage Publications Ltd

Location

London, England

ISSN

1359-1045

eISSN

1461-7021

Language

eng

Publication classification

C1.1 Refereed article in a scholarly journal

Copyright notice

2001, Sage Publications Ltd