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Related Experiment Videos

Intensive home and community interventions.

Elizabeth M Z Farmer1, Shannon Dorsey, Sarah A Mustillo

  • 1Department of Psychiatry and Behavioral Sciences, Duke University School of Medicine, Box 3454, Durham, NC 27710-3454, USA. bfarmer@psych.mc.duke.edu

Child and Adolescent Psychiatric Clinics of North America
|September 24, 2004
PubMed
Summary

Community-based interventions show strong evidence for multisystemic therapy and treatment foster care. Case management also has a developed evidence base, with recommendations for future research provided.

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Area of Science:

  • Public Health
  • Child and Adolescent Psychiatry
  • Social Work

Background:

  • Community-based interventions are crucial for addressing complex needs.
  • A systems of care perspective integrates various services for comprehensive support.
  • Previous reviews highlight the need for updated evidence on intervention effectiveness.

Purpose of the Study:

  • To review the evidence base for community-based interventions.
  • To provide updates on recent and ongoing studies from a systems of care viewpoint.
  • To offer recommendations for future intervention development and research.

Main Methods:

  • Systematic review of existing literature on community-based interventions.
  • Synthesis of findings from previous reviews.

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  • Analysis of current research trends and ongoing studies.
  • Main Results:

    • Strongest evidence supports multisystemic therapy (MST) and treatment foster care (TFC).
    • Case management demonstrates a relatively well-developed evidence base.
    • Evidence varies across different types of community-based interventions.

    Conclusions:

    • Multisystemic therapy and treatment foster care are highly effective.
    • Case management offers a viable option with a solid evidence foundation.
    • Future research should focus on refining and expanding these interventions within a systems of care framework.