NEW TREATMENT DELIVERY MODEL FOR ANTISOCIAL CHILDREN

这项研究的目的是提高治疗慢性阻塞性肺疾病的有效性 被转介为品行障碍(攻击性和反社会)的儿童 行为)。该目标通过以下方式实现：1)识别关键的子代、父代、 和家庭领域，缓和治疗的有效性，以及2) 测试一次治疗后提供后续护理的新模式 被终止了。儿童功能和损害，父母功能障碍和 压力，家庭接受治疗的方式有三种 被预测为缓和治疗效果的领域。 善后计划包括系统地监测儿童 并根据需要提供定期治疗。这个 目的是维持治疗成果，防止复发，并 减少治疗后对额外服务的需求和使用。 儿童(N=160，年龄6-12岁)转诊到门诊接受行为治疗 精神障碍将接受治疗，其中包括联合 问题解决技能培训和家长管理培训。之后 在最初的治疗期间，家庭将被随机分配到 接受或不接受为期12个月的善后护理计划。少校 这项研究的预测是：1)对治疗的反应性 在三个方面受到逆境的影响(儿童功能障碍和 损害、父母功能障碍和压力，以及参与的障碍 在治疗中)；2)接受善后计划的儿童将表现出 比那些没有接受计划的人有更大的进步；3) 善后护理的好处将体现在改善父母和家庭上 心理健康和身体健康的功能和使用减少 服务；以及4)善后计划的影响将是 尤其是对于更严厉和顽固的儿童，即， 青年在这三个领域的逆境更大。这项研究提供了 一种对提供以下服务有影响的护理模式 儿童行为障碍症是儿童行为障碍的具体焦点。

The goal of this study is to improve the effectiveness of treatment of children referred for conduct disorder (aggressive and antisocial behavior). This goal is achieved by: 1) identifying key child, parent, and family domains that moderate the effectiveness of treatment, and 2) testing a new model of providing after-care once treatment is terminated. Child functioning and impairment, parent dysfunction and stress, and the ways in which families experience treatment are three domains that are predicted to moderate the effectiveness of treatment. The after-care program consists of systematically monitoring children and families and providing periodic treatment sessions, as needed. The purpose is to maintain treatment gains, to prevent relapse, and to reduce the need for and use of additional services following treatment. Children (N=160, ages 6-12) referred to outpatient treatment for conduct disorder will receive treatment, which includes the combination of problem-solving skills training and parent management training. After an initial treatment period, families will be randomly assigned to receive or not to receive a 12-month after-care program. The major predictions of the study are that: 1) responsiveness to treatment will be influenced by adversity in three domains (child dysfunction and impairment, parent dysfunction and stress, and barriers to participation in treatment); 2) children who receive the after-care program will show greater improvement than those who do not receive the program; 3) the benefits of after care will be reflected in improved parent and family functioning and reduced utilization of mental- and physical-health services; and 4) the impact of the after-care program will be particularly marked for the more severe and recalcitrant children, i.e., youth with greater adversity in the three domains. The study provides a model of care that has implications for delivery of services for children beyond the specific focus on conduct disorder.