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Indication of different forms of therapy in long-term in-patient treatment
M Ippen1, U Hebborn-Brass, M H Schmidt
1Medical Pedagogical-psychotherapeutical Children's home Die gute Hand, Kürten-Biesfeld.
Insights
This study identifies key child disturbance characteristics to guide treatment choices. Specific indicators help differentiate between medical-pedagogical and psychotherapeutic interventions for better outcomes.
Area of Science:
- Child Psychology
- Developmental Pediatrics
- Clinical Psychiatry
Background:
- Accurate diagnosis is crucial for effective child treatment.
- Differentiating between medical-pedagogical and psychotherapeutic approaches requires clear criteria.
- Previous literature suggests various indicators for child mental health interventions.
Purpose of the Study:
- To demonstrate disturbance characteristics in children as differential indicators.
- To guide the selection between medical-pedagogical and psychotherapeutic treatments.
- To compare treatment success rates with known remission rates in child psychiatric practice.
Main Methods:
- Examination of 171 children discharged from a specialized institution between 1968 and 1987.
- Analysis of disturbance characteristics including partial performance weakness, hyperkinetic/developmental disorders, dissocial disturbances, central nervous system disturbances, neurotic/emotional disturbances, and intelligence levels.
- Comparison of observed disturbance conditions with established treatment indication criteria.
Main Results:
- Partial performance weakness, hyperkinetic/developmental or dissocial disturbances, and central nervous system disturbances indicate medical-pedagogical measures.
- Neurotic/emotional disturbances and average intelligence suggest analytical child psychotherapy.
- Observed disturbance conditions align with specialist literature indicators for treatment selection.
Conclusions:
- Specific child disturbance characteristics serve as reliable indicators for choosing between medical-pedagogical and psychotherapeutic interventions.
- The findings support the differential diagnostic utility of these indicators in clinical practice.
- Treatment success rates were comparable to established remission rates in child psychiatry.
Abstract:
The contribution presented attempts to demonstrate disturbance characteristics in children who are used in practice as differential indication criteria in the choice between medical-pedagogical and psychotherapeutic methods of treatment. 171 of a total of 238 children in a medical-pedagogical/psychotherapeutic children's home were examined; these children were discharged between the foundation of the institution in 1968 and July 1987. Apparently, the presence of a partial performance weakness, a hyperkinetical/development-dependent or dissocial disturbance as well as a disturbance of the central nervous system can be regarded as indicators for medical-pedagogical measures, the diagnosis of a neurotic/emotional disturbance as well as at least average intelligence level as indication criteria for an analytical child therapy. The disturbance conditions found correspond with the indicators for a medical-pedagogical and/or psychotherapeutical treatment described in specialist literature. Moreover, the success quota was compared with the remission rate known in child psychiatric practice.