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Annotated contract technic: special adolescent groups.

H A Rosenstock

    Southern Medical Journal
    |September 1, 1978
    PubMed
    Summary

    The Annotated Contract technique shows significant utility in adolescent mental health treatment, proving most effective for adjustment reaction of adolescence and borderline schizophrenia, but less so for antisocial personality disorder.

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    The first 900: a nine-year longitudinal analysis of consecutive adolescent inpatients.

    Adolescence·1985

    Area of Science:

    • Adolescent Psychiatry
    • Psychological Interventions
    • Clinical Psychology

    Background:

    • Adolescent mental health presents unique challenges requiring tailored therapeutic approaches.
    • The efficacy of structured interventions like the Annotated Contract technique needs evaluation across diverse diagnostic groups.

    Purpose of the Study:

    • To prospectively evaluate the efficacy of the Annotated Contract technique in adolescent inpatients.
    • To compare the technique's utility across three distinct diagnostic groups: adjustment reaction of adolescence (ARA), borderline schizophrenia (BL-S), and antisocial personality (A-P).

    Main Methods:

    • A prospective study involving 56 consecutive adolescent inpatients.
    • Analysis of the Annotated Contract technique's acceptance, facilitation in family conferences, and patient adherence across diagnostic groups.

    Main Results:

    • The technique was highly useful for ARA, useful for BL-S, and of questionable value for A-P.
    • Contracts facilitated family conferences in 89% (ARA), 80% (BL-S), and 56% (A-P) of cases.
    • Adherence varied, with 18% of ARA, 50% of BL-S, and 94% of A-P patients ultimately ignoring contracts.

    Conclusions:

    • The Annotated Contract technique is a valuable tool for adolescent mental health, particularly for ARA and BL-S.
    • The technique's adaptability makes it suitable for both clinical research and practice.
    • Differential utility across diagnostic groups suggests the need for tailored application of the contract technique.

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