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BMC Psychiatry

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Open Access 01-12-2018 | Research article

Factors associated with treatment intensification in child and adolescent psychiatry: a cross-sectional study

Authors: Richard Vijverberg, Robert Ferdinand, Aartjan Beekman, Berno van Meijel

Published in: BMC Psychiatry | Issue 1/2018

Abstract

Background

More knowledge about characteristics of children and adolescents who need intensive levels of psychiatric treatment is important to improve treatment approaches. These characteristics were investigated in those who need youth Assertive Community Treatment (youth-ACT).

Method

A cross-sectional study among children/adolescents and their parents treated in either a regular outpatient clinic or a youth-ACT setting in a specialized mental health treatment center in the Netherlands.

Results

Child, parent and family/social context factors were associated with treatment intensification from regular outpatient care to youth-ACT. The combination of the child, parent, and family/social context factors adds substantially to the predictive power of the model (Nagelkerke R² increasing from 36 to 45% for the three domains separately, to 61% when all domains are combined). The strongest predictors are the severity of psychiatric disorders of the child, parental stress, and domestic violence.

Conclusions

Using a wide variety of variables that are potentially associated with treatment intensification from regular outpatient clinic to youth-ACT, we constructed a regression model illustrating a relatively strong relation between the predictor variables and the outcome (Nagelkerke R² = 0.61), with three strong predictors, i.e. severity of psychiatric disorders of the child, parental stress, and domestic violence. This emphasizes the importance of a system-oriented approach with primary attention for problem solving and stress reduction within the system, in addition to the psychiatric treatment of the child, and possibly also the parents.

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Title: Factors associated with treatment intensification in child and adolescent psychiatry: a cross-sectional study
Authors: Richard Vijverberg
Robert Ferdinand
Aartjan Beekman
Berno van Meijel
Publication date: 01-12-2018
Publisher: BioMed Central
Published in: BMC Psychiatry / Issue 1/2018
Electronic ISSN: 1471-244X
DOI: https://doi.org/10.1186/s12888-018-1874-9

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Factors associated with treatment intensification in child and adolescent psychiatry: a cross-sectional study

Abstract

Background

Method

Results

Conclusions

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Abstract

Background

Method

Results

Conclusions

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