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Multicomponent Treatment in a Day Hospital for Adolescents: A Case of Good Practice
Zagorka Bradic1, Zeljka Kosutic1, Marija Mitkovic Voncina1
1The authors are with the Institute of Mental Health, Belgrade, Serbia. Dr. Mitkovic Voncina and Prof. Lecic Tosevski are also with the School of Medicine, University of Belgrade, Belgrade. Ms. Aleksic is also with the Department of Psychology, Faculty of Media and Communications, Singidunum University, Belgrade. Send correspondence to Dr. Mitkovic Voncina (e-mail: mitkovic_marija@yahoo.com ). Marcela Horvitz-Lennon, M.D., M.P.H., is editor of this column.
Abstract:
The dynamics of adolescence require adjustments in psychiatric treatment because of the challenges of this developmental stage in life. This column describes the Day Hospital for Adolescents (DHA) of the Institute of Mental Health in Belgrade, Serbia, which was established in December 2007. The DHA is a holistic program for the treatment of youths ages 15-25 with emotional disorders. The multicomponent therapeutic program includes individual treatment, several group therapeutic activities, and work with patients' families and the school system. An evaluation of data obtained for 102 patients indicated that DHA treatment was associated with significant reductions in depression symptom severity and improved functioning. The adolescents reported a high level of treatment satisfaction. The results suggest that a multicomponent day hospital is an effective treatment modality for adolescents with emotional disorders.
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