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Systemic crisis intervention as a response to adolescent crises: an outcome study
S E Gutstein1, M D Rudd, J C Graham
1Development and Evaluation, Houston Child Guidance Center, Program, TX.
Family Process
|June 1, 1988
Summary
This study shows Systemic Crisis Intervention is a safe and effective outpatient program for adolescent crises. It improves family functioning and reduces hospitalizations, proving economically viable.
Area of Science:
- Psychiatry and Behavioral Sciences
- Family Systems Therapy
- Adolescent Mental Health
Background:
- Adolescent crises often necessitate intensive interventions.
- Family dynamics significantly impact adolescent mental health outcomes.
- Existing treatments may involve high hospitalization rates and costs.
Purpose of the Study:
- To evaluate the safety and effectiveness of Systemic Crisis Intervention (SCI) for adolescents.
- To assess the impact of SCI on family functioning and adolescent behavior.
- To determine the economic viability of SCI as an alternative to hospitalization.
Main Methods:
- A cohort of 75 adolescents at risk for hospitalization participated.
- Systemic Crisis Intervention was implemented as an outpatient program.
- Follow-up assessments were conducted up to 24 months post-treatment.
Main Results:
- Systemic Crisis Intervention demonstrated clear safety and effectiveness.
- Significant improvements were observed in offspring and family functioning.
- Reduced suicidal behavior and institutional use were noted.
- The program proved to be economically viable.
Conclusions:
- Systemic Crisis Intervention is a safe, effective, and cost-efficient alternative for adolescent crises.
- Mobilizing the family kinship system is crucial for successful intervention.
- Outpatient family-centered approaches can prevent costly hospitalizations.