Factors Related to Outcome in a School-based Intensive Mental Health Program: An Examination of Nonresponders |
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Authors: | Anne K. Jacobs Michael C. Roberts Eric M. Vernberg Joseph E. Nyre Camille J. Randall Richard W. Puddy |
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Affiliation: | (1) Clinical Child Psychology Program, University of Kansas, 1000 Sunnyside Avenue, Lawrence, KS 66045, USA;(2) The Hope Institute for Children and Families; Southern Illinois University School of Medicine, Springfield, IL, USA;(3) Present address: Centers for Disease Control and Prevention, Atlanta, GA, USA |
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Abstract: | We examined factors related to treatment responders (n = 35) and nonresponders (n = 16) in a group of 51 children admitted to the Intensive Mental Health Program (IMHP). Children’s response to treatment was coded based on their functioning at intake and discharge using total CAFAS scores. Demographic variables, length of treatment, number of diagnoses and medications, and history of physical/emotional abuse or neglect did not significantly distinguish between responders and nonresponders. Nonresponders were more likely to present with a history of suspected or confirmed sexual abuse, internalizing diagnoses, or comorbid internalizing and externalizing diagnoses. Although the small sample size may limit interpretations, our findings indicate treatment programs need augmentation when children with serious emotional disturbances (SED) may be at risk for not responding to interventions. |
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Keywords: | Treatment nonresponders Program evaluation Serious emotional disturbance School-based mental health |
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