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Updated: May 22, 2025

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Measurement-based care in an adolescent partial hospitalization program: Exploring treatment progress and predictors

Angela W Chiu1, Milan Sandhu1, Yiyuan Yu2

  • 1Department of Psychiatry, Weill Cornell Medicine, New York, New York, USA.

Evidence-Based Practice in Child and Adolescent Mental Health
|March 17, 2025
PubMed
Summary

Measurement-based care (MBC) in adolescent partial hospitalization programs (PHP) showed significant patient improvement. Youth-reported problems improved faster early in treatment, especially for those with higher anxiety severity.

Keywords:
AdolescenceAnxietyDepressionIdiographic AssessmentMeasurement-Based CarePartial HospitalTop Problems

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Area of Science:

  • Adolescent Psychiatry
  • Clinical Psychology
  • Mental Health Services Research

Background:

  • Partial hospitalization programs (PHP) are intensive treatments for adolescents with significant mental health concerns.
  • Measurement-based care (MBC) integrates patient-reported outcomes into treatment planning and monitoring.
  • Understanding treatment trajectories and factors influencing improvement is crucial for optimizing adolescent mental healthcare.

Purpose of the Study:

  • To examine patient improvement and change trajectories during treatment in an adolescent PHP using MBC.
  • To explore variations in youth treatment trajectories based on demographics, symptom severity, and diagnosis.
  • To assess the utility of the Top Problems Assessment (TPA) alongside standardized symptom measures.

Main Methods:

  • A cohort of 124 adolescents (aged 13-18) with anxiety and depression diagnoses in a PHP were studied.
  • Weekly administration of the idiographic Top Problems Assessment (TPA) and standardized anxiety/depression questionnaires.
  • Analysis of treatment outcomes and trajectories, examining associations with baseline variables.

Main Results:

  • Adolescents demonstrated significant improvement across all outcome measures during PHP treatment.
  • The rate of improvement on the TPA slowed over time, unlike standardized symptom measures.
  • Higher baseline anxiety severity and anxiety disorder diagnosis were linked to slower TPA improvement.

Conclusions:

  • Adolescents benefit from PHP treatment, with youth-reported problems showing rapid initial improvement.
  • Treatment modifications or closer monitoring may be beneficial for high-anxiety youth admitted to PHP.
  • Integrating MBC and personalized assessments in PHP can identify which youth benefit most and under what conditions.