OUTCOMES OF CLINICAL REFERALS FOR CHILDREN AND YOUTH

总体目标是获得防止衰弱结果所需的数据 儿童和青少年精神病理学的一部分 这一目标将通过以下方式实现：（a） 确定临床治疗后良好与不良结局的预测因素 转诊，以及（B）通过对最佳和最佳治疗方案进行深入的临床比较， 最坏的结果案例。 将使用多个样本数据评估结局， 2，461名美国和2，285名荷兰青少年被统一评估， 进入精神健康诊所。 具体目的是：（1）测试儿童行为特征类型的能力 预测多个数据源评估的结果;（2）确定 儿童和家庭特征的贡献，诊断，服务， 其他变量对预测结果的影响;（3）测试 儿童行为概况和其他初始变量，以预测服务 剂量;（4）交叉验证结果和服务的预测关系 在美国和荷兰使用（5）指导临床评价和PSM 最佳和最差结局基础的诊断（6） 来自多个来源的结果数据和交叉验证的结构 优化与预测因子关系的结果的操作定义 变量 将使用预测结果和临床结局数据 设计针对不良结果病例需求的干预措施。 这些干预措施将在今后的研究中得到检验。 在研究的第一阶段，父母谁完成了标准化的评级表， 入学将报告他们的孩子目前的功能，变化， 新的问题，获得的其他服务，以及当前的帮助需求。 教师将评估学习成绩，适应功能， 行为/情绪问题。 12-27岁的受试者将完成自我- 报道 公共访问文件将用于识别罪犯 定罪和自杀 在第二阶段，100名美国受试者有最好的，300名有最差的 结果将进行临床采访，6岁以下儿童的父母也将接受采访。 18. 最好和最坏结果的比较将提供一个基础 来设计更好的方法来帮助那些目前 结果。

The overall goal is to obtain data needed to prevent debilitating outcomes of child and adolescent psychopathology. This goal will be achieved (a) by identifying predictors of good versus poor outcomes following clinical referral, and (b) by making in-depth clinical comparisons of the best and worst outcomes cases. Outcomes will be assessed using multisource data for 2,461 American and 2,285 Dutch youngsters who were uniformly assessed at intake into mental health clinics. Specific aims are to: (1) test the ability of Child Behavior Profile types to predict outcomes assessed by multiple data sources; (2) determine the contribution of child and family characteristics, diagnoses, services, and other variables to the prediction of outcomes; (3) test the ability of Child Behavior Profiles and other initial variables to predict service dosage; (4) cross-validate predictive relations for outcomes and service usage in the U.S. and Holland (5) to direct clinical evaluation and PSM diagnoses of the best and worst outcome bases (6) In concordance among outcome data from multiple sources and construct cross-validated operational definitions of outcome that optimize relations to predictor variables. The predictive findings and clinical outcome data will be used to design interventions targeted on the needs of the poor outcome cases. Such interventions would then be tested in future research. In Phase 1 of the study, parents who completed standardized rating forms at intake will report on their child's current functioning, changes since intake, new problems, other services obtained, and current need for help. Teachers will rate academic performance, adaptive functioning, and behavioral/emotional problems. Subjects aged 12-27 will complete self- reports. Public access documents will be used to identify criminal convictions and suicides. In Phase 2, 100 American subjects having the best and 300 having the worst outcomes will be clinically interviewed, as will parents of those aged 6- 18. Comparisons of the best and worst outcome cases will provide a basis for designing better ways of helping those who currently have poor outcomes.