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Long-term effects of an early home-based intervention
1Department of Child Psychiatry, Helsinki University, Children's Castle Hospital, Finland.
Journal of the American Academy of Child and Adolescent Psychiatry
|December 1, 1996
Summary
Early home-based intervention significantly reduced psychiatric symptoms in adolescents, improving mental health long-term for both low- and high-risk families. This supports early prevention programs for children.
Area of Science:
- Child and Adolescent Psychiatry
- Developmental Psychology
- Public Health
Background:
- Psychiatric symptoms in adolescence can have long-term consequences.
- Early intervention programs aim to mitigate these risks.
- Longitudinal studies are crucial for understanding intervention efficacy.
Purpose of the Study:
- To assess the long-term impact of an early home-based intervention on adolescent psychiatric symptoms.
- To evaluate the intervention's effects on symptom quantity and quality.
- To determine if intervention benefits differ between low- and high-risk families.
Main Methods:
- A 5-year home-based family counseling program was implemented for 80 families.
- 160 families were stratified into low- and high-risk groups based on a weighted risk index.
- Adolescent mental state was assessed at 14-15 years using the Child Behavior Checklist and Youth Self-Report.
Main Results:
- Adolescents in the intervention group reported significantly fewer total psychiatric symptoms.
- The counseling intervention was more effective in reducing internalizing than externalizing symptoms.
- Intervention predicted better adolescent mental health in both risk groups.
Conclusions:
- Early home-based interventions demonstrate positive and lasting effects on adolescent mental health.
- Findings support the integration of such programs into primary prevention strategies for families with young children.
- Long-term benefits observed across different family risk levels underscore intervention's broad applicability.