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Outcomes From Wraparound and Multisystemic Therapy in a Center for Mental Health Services System-of-Care Demonstration Site
Oleh:
Stambaugh, Leyla Faw
;
Mustillo, Sarah A.
;
Burns, Barbara J.
;
Stephens, Robert L.
;
Baxter, Beth
;
Edwards, Dan
;
DeKraai, Mark
Jenis:
Article from Journal - ilmiah internasional
Dalam koleksi:
Journal of Emotional and Behavioral Disorders vol. 15 no. 3 (2007)
,
page 143-155.
Topik:
Multisystemic Therapy
;
wraparound
Fulltext:
143.pdf
(195.59KB)
Isi artikel
This study examined outcomes for 320 youth in a Center for Mental Health Services system-of-care demonstration site.Youth received wraparound-only (n = 213),MST-only (n = 54),or wraparound + MST (n = 53). Participants were 12 years old on average and mostly White (90%), and 75% were Medicaid-eligible. Service use and functional and clinical outcomes were examined at 6-month intervals out to 18 months. All three groups improved over the study period. The MST-only group demonstrated more clinical improvement than the other groups. Functional outcomes did not differ significantly across groups.Youth in wrap + MST had higher baseline severity and experienced less clinical and functional change than the other two groups, despite more mental health service use. Targeted, evidence-based treatment may be more effective than system-level intervention alone for improving clinical symptoms among youth with serious emotional disorders served in community-based settings. New or amended approaches may be needed for youth with the most severe disorders.
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