Dose effect in child psychotherapy: Outcomes associated with negligible treatment

被引:55
作者
Andrade, AR [1 ]
Lambert, EW [1 ]
Bickman, L [1 ]
机构
[1] Vanderbilt Univ, Ctr Mental Hlth Policy, Nashville, TN 37212 USA
关键词
children's mental health services; dose effect; Fort Bragg; negligible treatment; longitudinal repeated measures;
D O I
10.1097/00004583-200002000-00014
中图分类号
B844 [发展心理学(人类心理学)];
学科分类号
040202 ;
摘要
Objective: To compare the outcomes of children who received negligible amounts of outpatient treatment to children receiving more treatment. Method: A random regression longitudinal model was used to analyze outcomes of children (aged 5-17 years) from the Fort Bragg Evaluation Project. Results: In examining several outcomes, the results show no statistically significant dose effect. Conclusions: Children receiving substantial amounts of treatment showed no better mental health outcomes than those receiving negligible amounts of treatment. The results do not support the existence of a dose effect consistent enough to guide clinicians, administrators, or policymakers.
引用
收藏
页码:161 / 168
页数:8
相关论文
共 56 条
[1]  
Achenbach T., 1991, Manual for the youth self-report and 1991 profile
[2]  
Achenbach T.M., 1994, USE PSYCHOL TESTING, P517
[3]  
Achenbach T.M., 1991, MANUAL CHILD BEHAV C
[4]  
[Anonymous], COST OUTCOME METHODS
[5]  
[Anonymous], 1996, Journal of Child and Family Studies, DOI DOI 10.1007/BF02237936
[6]   CONTROLLING THE FALSE DISCOVERY RATE - A PRACTICAL AND POWERFUL APPROACH TO MULTIPLE TESTING [J].
BENJAMINI, Y ;
HOCHBERG, Y .
JOURNAL OF THE ROYAL STATISTICAL SOCIETY SERIES B-STATISTICAL METHODOLOGY, 1995, 57 (01) :289-300
[7]   Long-term effects of a system of care on children and adolescents [J].
Bickman, L ;
Noser, K ;
Summerfelt, WT .
JOURNAL OF BEHAVIORAL HEALTH SERVICES & RESEARCH, 1999, 26 (02) :185-202
[8]   A continuum of care - More is not always better [J].
Bickman, L .
AMERICAN PSYCHOLOGIST, 1996, 51 (07) :689-701
[9]   Measuring quality in mental health services - Introduction [J].
Bickman, L ;
Salzer, MS .
EVALUATION REVIEW, 1997, 21 (03) :285-291
[10]   Meeting the challenges in the delivery of child and adolescent mental health services in the next millennium: The continuous quality improvement approach [J].
Bickman, L ;
Noser, K .
APPLIED & PREVENTIVE PSYCHOLOGY, 1999, 8 (04) :247-255