Comparative outcomes of emotionally disturbed children and adolescents in a system of services and usual care.
Comparative outcomes of emotionally disturbed children and adolescents in a system of services and usual care.
复制标题
服务和常规护理系统中情绪困扰儿童和青少年的比较结果。
DOI：
10.1176/ps.48.12.1543
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发表时间：
1997
期刊：
影响因子：
--
通讯作者：
Noser,K
中科院分区：
文献类型：
--
作者：
Bickman,L;Summerfelt,WT;Noser,K
本研究比较了在示范性护理系统中接受服务的严重情绪障碍儿童和青少年的六个月功能和症状结果，以及接受传统护理的儿童的结果。护理系统提供了一个全面和协调的网络的心理健康和其他必要的service.MethodsThe研究采用了随机纵向实验设计。从俄亥俄州斯塔克县社区机构为儿童寻求服务的350个家庭中收集有关症状、功能和家庭特征的基线数据。这些家庭被随机分配到实验组和对照组，实验组接受护理系统的服务，对照组接受社区的常规护理。六个月的儿童的症状和功能的结果措施进行了比较，为两个groups.ResultsAlthough获得照顾和照顾收到的金额增加下，系统的照顾，在护理系统中服务的组和接受常规护理的组之间没有发现临床或功能结果的差异。水平的结果，如获得和护理的成本，并没有出现影响临床结果，如功能和症状。
ObjectiveThis study compared six-month functional and symptom outcomes of children and adolescents with serious emotional disturbance who received services in an exemplary system of care with outcomes of children who received traditional care. The system of care offers a comprehensive and coordinated network of mental health and other necessary services.MethodsThe study used a randomized longitudinal experimental design. Baseline data on symptoms, functioning, and family characteristics were collected from 350 families selected from among those who sought services for children from community agencies in Stark County, Ohio. The families were randomly assigned to either the experimental group, which received services from the system of care, or the control group, which received usual care in the community. Six-month outcome measures of children's symptoms and functioning were compared for the two groups.ResultsAlthough access to care and the amount of care received increased under the system of care, no differences in clinical or functional outcomes were found between the group served in the system of care and the group who received usual care.ConclusionsThe effects of systems of care are primarily limited to system-level outcomes such as access to and cost of care and do not appear to affect clinical outcomes such as functioning and symptoms.