Assessing Needs and Outcomes of Children and Youth Receiving Intensive Services

IF 16.4 1区化学 Q1 CHEMISTRY, MULTIDISCIPLINARY

Accounts of Chemical Research Pub Date : 2021-08-25 DOI:10.1080/0886571X.2021.1964415

L. Theall, K. Arbeau, K. Willoughby, J. St. Pierre, Gwynne Ng, S. Stewart

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引用次数: 2

Abstract

ABSTRACT This study investigated whether children/youth in Ontario triaged to residential services showed a higher intensity of need than those referred to outpatient services, and whether residential treatment gains were sufficient for transition to community services. Participants included 2053 children/youth assessed at 23 diverse mental health agencies across Ontario using the interRAI™ Child and Youth Mental Health (ChYMH) instrument. Various presenting problems were examined utilizing scales including: Disruptive/Aggressive Behavior, Hyperactive/Distraction, Social Disengagement, Anxiety, and Sleep Difficulties. Analyses were conducted separately for boys and girls. Notable differences were found in the initial assessment, with residential boys scoring higher on all scales than outpatient boys, and residential girls scoring higher on the externalizing scales (Disruptive/Aggressive Behavior, Hyperactive/Distraction) than outpatient girls. Treatment gains at residential discharge included improvements in Anxiety, Social Disengagement, Hyperactive/Distraction and Sleep Difficulties for boys and girls to levels at or below the initial scores of outpatient peers. Disruptive/Aggressive Behavior is still a high need following residential services. The results highlight differences in severity of mental health presentation between children/youth receiving residential and outpatient services, and how multiple agencies in Ontario are providing services that successfully reduce the severity of mental health needs.

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评估接受强化服务的儿童及青少年的需要及结果

摘要:本研究调查安大略省住院治疗的儿童/青少年是否比转介到门诊治疗的儿童/青少年表现出更高的需求强度，以及住院治疗的收益是否足以过渡到社区服务。参与者包括2053名儿童/青少年，在安大略省23个不同的心理健康机构使用interRAI™儿童和青少年心理健康(ChYMH)工具进行评估。使用量表检查了各种表现问题，包括:破坏/攻击行为、多动/分心、社交脱离、焦虑和睡眠困难。对男孩和女孩分别进行了分析。在初步评估中发现显著差异，住院男生在所有量表上的得分都高于门诊男生，而住院女生在外化量表(破坏/攻击行为，多动/分心)上的得分高于门诊女生。住院出院治疗的收益包括男孩和女孩在焦虑、社交脱离、多动/注意力分散和睡眠困难方面的改善，达到或低于门诊同龄人的初始得分。在住宿服务之后，破坏性/攻击性行为仍然是一个很高的需求。结果强调了接受住院和门诊服务的儿童/青少年在心理健康表现的严重程度上的差异，以及安大略省的多个机构如何提供成功地降低心理健康需求严重程度的服务。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Accounts of Chemical Research 化学-化学综合

CiteScore

31.40

自引率

1.10%

发文量

312

审稿时长

2 months

期刊介绍： Accounts of Chemical Research presents short, concise and critical articles offering easy-to-read overviews of basic research and applications in all areas of chemistry and biochemistry. These short reviews focus on research from the author’s own laboratory and are designed to teach the reader about a research project. In addition, Accounts of Chemical Research publishes commentaries that give an informed opinion on a current research problem. Special Issues online are devoted to a single topic of unusual activity and significance. Accounts of Chemical Research replaces the traditional article abstract with an article "Conspectus." These entries synopsize the research affording the reader a closer look at the content and significance of an article. Through this provision of a more detailed description of the article contents, the Conspectus enhances the article's discoverability by search engines and the exposure for the research.