Effectiveness and Costs of a Therapeutic Residential Care Program for Adolescents with a Serious Behavior Problem (MultifunC). Short-Term Results of a Non-Randomized Controlled Trial

IF 1 Q3 PSYCHOLOGY, CLINICAL
Cecilia Andrée Löfholm, Tina M Olsson, K. Sundell
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引用次数: 1

Abstract

ABSTRACT Although research has repeatedly shown that residential care for youth with a serious behavior problem has little rehabilitation success, there is a group of youth for whom residential care in a locked setting is necessary. In this article, a manualized therapeutic residential treatment model for adolescents with serious behavior problems, MultifunC, is evaluated. The program theory of MultifunC is based on a review of the literature and synthesis effective treatment components. This study included 80 youth aged 15–17 years with a medium high or high risk for reoffending. Half of the participants received MultifunC, and half treatment as usual (TAU). Although non-randomized, the two groups were found to be equivalent on important background variables. After 24 months, this first evaluation of MultifunC demonstrated that youth participating in MultifunC had a reduced need for residential care in a locked setting as well as out-of-home placement in general compared to youth in the TAU group. The economic analysis found MultifunC to be a cost-effective alternative to TAU due to the reduced need of residential care in locked settings. There were no significant effects on reoffending or psychiatric care.
针对有严重行为问题的青少年的治疗性住院护理计划(MultifunC)的有效性和成本。非随机对照试验的短期结果
摘要尽管研究一再表明,对有严重行为问题的青少年进行寄宿护理的康复成功率很低,但仍有一部分青少年需要在封闭的环境中进行寄宿护理。在这篇文章中,对一种针对有严重行为问题的青少年的手动治疗性住院治疗模式MultifunC进行了评估。MultifunC的程序理论是基于文献综述和有效治疗成分的综合。这项研究包括80名15-17岁的中高或高再犯风险青年。一半的参与者接受了MultifunC,一半的参与者照常接受治疗(TAU)。尽管这两组患者是非随机化的,但在重要的背景变量上发现他们是相等的。24个月后,对MultifunC的首次评估表明,与TAU组的年轻人相比,参与MultifunC项目的年轻人对封闭环境中的寄宿护理和家庭外安置的需求总体上减少了。经济分析发现,MultifunC是TAU的一种具有成本效益的替代品,因为在封闭环境中对住院护理的需求减少了。对再次犯罪或精神病治疗没有显著影响。
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
CiteScore
2.00
自引率
33.30%
发文量
27
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