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Symptoms Improve for Inpatient Adolescents According to Measurement-Based Care
Alison A Tebbett-Mock1, Shannon Gasparro2, William Chaplin2
1Northwell, New Hyde Park, New York, USA.
Journal of Child and Adolescent Psychopharmacology
|May 27, 2026
Summary
Adolescents in acute psychiatric care showed symptom improvement across anxiety, mania, depression, and psychosis measures. This study highlights the effectiveness of inpatient psychiatric treatment for improving adolescent mental health outcomes.
Area of Science:
- Child and Adolescent Psychiatry
- Mental Health Services Research
- Clinical Psychology
Background:
- Acute psychiatric inpatient treatment is crucial for adolescents with severe mental health conditions.
- Measurement-based care (MBC) offers a systematic approach to tracking treatment progress.
- Dialectical behavior therapy (DBT) and psychopharmacology are common interventions in acute care.
Purpose of the Study:
- To evaluate symptom changes in adolescents undergoing acute psychiatric inpatient treatment using MBC.
- To assess treatment effectiveness across various diagnostic categories.
- To analyze the impact of treatment on anxiety, mania, depression, psychosis, and well-being.
Main Methods:
- Retrospective chart review of adolescents (aged 12-17) admitted to an acute psychiatric unit.
- Analysis of symptom data from at least two timepoints within the first 15 days of admission.
- Application of mixed-effects regression models to assess linear change in five outcome measures: GAD-7, GBI-10M, PHQ-9, PQB-21, and SOS-10.
Main Results:
- Significant symptom reduction was observed across all five measures (GAD-7, GBI-10M, PHQ-9, PQB-21, SOS-10).
- Adolescents with higher initial symptom severity demonstrated greater symptom reduction.
- Individual variation in symptom change rates indicates personalized treatment responses.
Conclusions:
- Adolescents in acute psychiatric inpatient treatment experience notable improvements in symptoms of anxiety, mania, depression, and psychosis.
- The study underscores the positive impact of acute psychiatric inpatient care on adolescent mental health.
- MBC is valuable for monitoring and demonstrating treatment efficacy in this population.
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