珊瑚树家庭服务家庭住院单位的有效性:一项探讨家庭功能变化的纵向研究

IF 0.7 4区 心理学 Q4 FAMILY STUDIES
Leah J. Plunkett, John Reece, Matthew P. Symond, Tania Leung
{"title":"珊瑚树家庭服务家庭住院单位的有效性:一项探讨家庭功能变化的纵向研究","authors":"Leah J. Plunkett,&nbsp;John Reece,&nbsp;Matthew P. Symond,&nbsp;Tania Leung","doi":"10.1002/anzf.1535","DOIUrl":null,"url":null,"abstract":"<p>Child mental health disorders represent a major burden to public health in Australia due to high prevalence rates, the widespread impact across domains, and the potential for difficulties to persist into adolescence and adulthood. Extensive evidence exists for the use of parent management training and cognitive behavioural therapy to treat difficulties experienced by children; however, a proportion of children do not benefit as expected from these treatments. The use of complementary therapeutic approaches and variations to the mode and intensity of existing intervention is warranted; family inpatient units represent a unique example of this. The aim of this study is to evaluate the effectiveness of a well-established Australian inpatient unit that admits the whole family, for children aged 12 years and younger referred with mental health, behavioural, or emotional difficulties. This study's longitudinal within-subject study design utilised routinely collected outcome data from the systemic clinical outcome and routine evaluation, 15 item (SCORE-15)—a valid and reliable measure of family functioning—from a sample of 980 participants attending the Family Residential Program. This study reported significant improvement in family functioning across all outcome variables between baseline and post-intervention, with no variables returning to pre-intervention levels at follow-up. Clinically significant changes in overall family functioning showed that 37% of participant scores moved from the clinical range at baseline to the nonclinical range post-intervention. This study represents the first empirical evaluation of the Family Residential Program, and the reported results provide compelling evidence for the program to effect improvement in family functioning for families with long-standing and severe difficulties. Poor rates of questionnaire completion following intervention frequent the literature base of family inpatient units, with low post-intervention (56%) and follow-up (12%) rates evident in this study. This study uniquely contributes to the growing evidence base of family inpatient units using rigorous evaluation methods.</p>","PeriodicalId":51763,"journal":{"name":"Australian and New Zealand Journal of Family Therapy","volume":null,"pages":null},"PeriodicalIF":0.7000,"publicationDate":"2023-05-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/anzf.1535","citationCount":"0","resultStr":"{\"title\":\"Effectiveness of the Coral Tree Family Service family inpatient unit: a longitudinal study exploring change in family functioning\",\"authors\":\"Leah J. Plunkett,&nbsp;John Reece,&nbsp;Matthew P. Symond,&nbsp;Tania Leung\",\"doi\":\"10.1002/anzf.1535\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p>Child mental health disorders represent a major burden to public health in Australia due to high prevalence rates, the widespread impact across domains, and the potential for difficulties to persist into adolescence and adulthood. Extensive evidence exists for the use of parent management training and cognitive behavioural therapy to treat difficulties experienced by children; however, a proportion of children do not benefit as expected from these treatments. The use of complementary therapeutic approaches and variations to the mode and intensity of existing intervention is warranted; family inpatient units represent a unique example of this. The aim of this study is to evaluate the effectiveness of a well-established Australian inpatient unit that admits the whole family, for children aged 12 years and younger referred with mental health, behavioural, or emotional difficulties. This study's longitudinal within-subject study design utilised routinely collected outcome data from the systemic clinical outcome and routine evaluation, 15 item (SCORE-15)—a valid and reliable measure of family functioning—from a sample of 980 participants attending the Family Residential Program. This study reported significant improvement in family functioning across all outcome variables between baseline and post-intervention, with no variables returning to pre-intervention levels at follow-up. Clinically significant changes in overall family functioning showed that 37% of participant scores moved from the clinical range at baseline to the nonclinical range post-intervention. This study represents the first empirical evaluation of the Family Residential Program, and the reported results provide compelling evidence for the program to effect improvement in family functioning for families with long-standing and severe difficulties. Poor rates of questionnaire completion following intervention frequent the literature base of family inpatient units, with low post-intervention (56%) and follow-up (12%) rates evident in this study. This study uniquely contributes to the growing evidence base of family inpatient units using rigorous evaluation methods.</p>\",\"PeriodicalId\":51763,\"journal\":{\"name\":\"Australian and New Zealand Journal of Family Therapy\",\"volume\":null,\"pages\":null},\"PeriodicalIF\":0.7000,\"publicationDate\":\"2023-05-26\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://onlinelibrary.wiley.com/doi/epdf/10.1002/anzf.1535\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Australian and New Zealand Journal of Family Therapy\",\"FirstCategoryId\":\"102\",\"ListUrlMain\":\"https://onlinelibrary.wiley.com/doi/10.1002/anzf.1535\",\"RegionNum\":4,\"RegionCategory\":\"心理学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q4\",\"JCRName\":\"FAMILY STUDIES\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Australian and New Zealand Journal of Family Therapy","FirstCategoryId":"102","ListUrlMain":"https://onlinelibrary.wiley.com/doi/10.1002/anzf.1535","RegionNum":4,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"FAMILY STUDIES","Score":null,"Total":0}
引用次数: 0

摘要

儿童精神健康障碍是澳大利亚公共卫生的一个主要负担,原因是患病率高、跨领域的广泛影响以及困难可能持续到青春期和成年期。有大量证据表明,使用家长管理培训和认知行为疗法来治疗儿童所经历的困难;然而,一部分儿童并没有像预期的那样从这些治疗中受益。补充治疗方法的使用和现有干预的模式和强度的变化是必要的;家庭住院单位就是一个独特的例子。本研究的目的是评估澳大利亚一个完善的住院单位的有效性,该单位允许整个家庭接受12岁及以下有精神健康、行为或情感问题的儿童。本研究的纵向主题内研究设计利用常规收集的结果数据,这些数据来自系统临床结果和常规评估,15项(SCORE-15) -一种有效可靠的家庭功能测量-来自参加家庭住宿计划的980名参与者样本。该研究报告了在基线和干预后的所有结果变量中家庭功能的显著改善,没有变量在随访时恢复到干预前的水平。总体家庭功能的临床显著变化表明,37%的参与者得分从基线时的临床范围转移到干预后的非临床范围。本研究是对家庭住宿计划的首次实证评估,报告结果为该计划对长期和严重困难家庭的家庭功能改善提供了令人信服的证据。干预后问卷完成率低是家庭住院单位的文献基础,本研究中干预后问卷完成率(56%)和随访率(12%)明显较低。本研究采用严格的评估方法,为家庭住院单位的证据基础不断增加做出了独特的贡献。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

Effectiveness of the Coral Tree Family Service family inpatient unit: a longitudinal study exploring change in family functioning

Effectiveness of the Coral Tree Family Service family inpatient unit: a longitudinal study exploring change in family functioning

Child mental health disorders represent a major burden to public health in Australia due to high prevalence rates, the widespread impact across domains, and the potential for difficulties to persist into adolescence and adulthood. Extensive evidence exists for the use of parent management training and cognitive behavioural therapy to treat difficulties experienced by children; however, a proportion of children do not benefit as expected from these treatments. The use of complementary therapeutic approaches and variations to the mode and intensity of existing intervention is warranted; family inpatient units represent a unique example of this. The aim of this study is to evaluate the effectiveness of a well-established Australian inpatient unit that admits the whole family, for children aged 12 years and younger referred with mental health, behavioural, or emotional difficulties. This study's longitudinal within-subject study design utilised routinely collected outcome data from the systemic clinical outcome and routine evaluation, 15 item (SCORE-15)—a valid and reliable measure of family functioning—from a sample of 980 participants attending the Family Residential Program. This study reported significant improvement in family functioning across all outcome variables between baseline and post-intervention, with no variables returning to pre-intervention levels at follow-up. Clinically significant changes in overall family functioning showed that 37% of participant scores moved from the clinical range at baseline to the nonclinical range post-intervention. This study represents the first empirical evaluation of the Family Residential Program, and the reported results provide compelling evidence for the program to effect improvement in family functioning for families with long-standing and severe difficulties. Poor rates of questionnaire completion following intervention frequent the literature base of family inpatient units, with low post-intervention (56%) and follow-up (12%) rates evident in this study. This study uniquely contributes to the growing evidence base of family inpatient units using rigorous evaluation methods.

求助全文
通过发布文献求助,成功后即可免费获取论文全文。 去求助
来源期刊
CiteScore
1.60
自引率
14.30%
发文量
40
期刊介绍: The ANZJFT is reputed to be the most-stolen professional journal in Australia! It is read by clinicians as well as by academics, and each issue includes substantial papers reflecting original perspectives on theory and practice. A lively magazine section keeps its finger on the pulse of family therapy in Australia and New Zealand via local correspondents, and four Foreign Correspondents report on developments in the US and Europe.
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
确定
请完成安全验证×
copy
已复制链接
快去分享给好友吧!
我知道了
右上角分享
点击右上角分享
0
联系我们:info@booksci.cn Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术官方微信