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Related Experiment Videos

Predicting outcome in a multimodal day treatment program for children with severe behaviour problems

N Grizenko1, L Sayegh, D Papineau

  • 1Lyall Preadolescent Day Treatment Program, Douglas Hospital, Montreal, Quebec.

Canadian Journal of Psychiatry. Revue Canadienne De Psychiatrie
|November 1, 1994
PubMed
Summary

Children with less severe behavioral issues and family problems showed the most improvement in day treatment programs. Early identification of child characteristics can predict successful outcomes for behavioral interventions.

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Area of Science:

  • Child Psychology
  • Behavioral Health Interventions
  • Developmental Pediatrics

Background:

  • Increasing demand for day treatment programs for children with severe behavioral problems.
  • Need to identify predictors of successful outcomes in these programs.
  • Understanding child characteristics that influence treatment effectiveness is crucial.

Purpose of the Study:

  • To identify characteristics of children who benefit most from day treatment programs.
  • To determine factors associated with behavioral improvement.
  • To identify predictors of successful school reintegration.

Main Methods:

  • Multivariate analyses of 63 children (aged 5-13) at program admission and discharge.
  • Assessment of behavioral improvement and school reintegration.

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  • Evaluation of child characteristics including problem severity, IQ, ADHD, reading skills, and family functioning.
  • Main Results:

    • Children with less severe behavior problems, lower IQ, and more disturbed family functioning showed greatest behavioral improvement.
    • Successful school reintegration was linked to younger age, better reading skills, absence of ADHD, and less parental marital discord.
    • Intake characteristics significantly predict treatment outcomes.

    Conclusions:

    • Successful outcomes in day treatment programs can be predicted by specific child and family characteristics at intake.
    • A multimodal approach is essential to address diverse problem areas for optimal child outcomes.
    • Tailoring interventions based on initial assessments can enhance treatment efficacy.