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Cited by 144Psychiatric care and mental health servicesChild Welfare and AdoptionChild and Adolescent Psychosocial and Emotional Development

One‐Year Follow‐up of Multisystemic Therapy as an Alternative to the Hospitalization of Youths in Psychiatric Crisis

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HENGGELER, SCOTT W., ROWLAND, MELISA D., HALLIDAY‐BOYKINS, COLLEEN, SHEIDOW, ASHLI J., WARD, DAVID M., RANDALL, JEFF, PICKREL, SUSAN G., CUNNINGHAM, PHILLIPPE B. +1 more·2003·Journal of the American Academy of Child & Adolescent Psychiatry
DOI 10.1097/01.chi.0000046834.09750.5f
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Abstract

Objective This study presents findings from a 1-year follow-up to a randomized clinical trial comparing multisystemic therapy (MST), modified for use with youths presenting psychiatric emergencies, with inpatient psychiatric hospitalization.Method One hundred fifty-six children and adolescents approved for emergency psychiatric hospitalization were randomly assigned to home-based MST or inpatient hospitalization followed by usual services. Assessments examining mental health symptoms, out-of-home placement, school attendance, and family relations were conducted at five times: within 24 hours of recruitment, shortly after the hospitalized youth was released from the hospital (1-2 weeks after recruitment), at the completion of MST (average of 4 months postrecruitment), and 10 and 16 months postrecruitment.Results Based on placement and youth-report measures, MST was initially more effective than emergency hospitalization and usual services at decreasing youths' symptoms and out-of-home placements and increasing school attendance and family structure, but these differences generally dissipated by 12 to 16 months postrecruitment. Hospitalization produced a rapid, but short-lived, decrease in externalizing symptoms based on caregiver reports.Conclusion Findings suggest that youths with serious emotional disturbance might benefit from continuous access to a continuum of evidence-based practices titrated to clinical need.

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  • Most recently published brief interventions target specific psychiatric emergencies such as suicidality or trauma exposure, and others focus only on youth in acute crisis and not younger children.

    “However, most of the recently published brief interventions are aimed at specific psychiatric emergencies, such as suicidality [8, 24] and trauma exposure [25, 26]. Others focus exclusively on youth in acute crisis and are not for younger children [27].”

    From Bridging the gap between the emergency department and outpatient care: feasibility of a short-term psychiatric crisis intervention for children and adolescents (2023) · cites this paper as [27]

    Sample and Recruitment reports that participants were 10–17 years old and had been approved for emergency psychiatric hospitalization, supporting the description of the study population. It does not establish that MST is unsuitable for children under 10. Treatment Implementation also reports an average treatment duration of 127 days, so describing this intervention as brief is not clearly supported. (LLM, conf=0.84)

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Authors
HENGGELER, S. W., ROWLAND, M. D., HALLIDAY‐BOYKINS, C., SHEIDOW, A. J., WARD, D. M., RANDALL, J., PICKREL, S. G., CUNNINGHAM, P. B., & EDWARDS, J.
Affiliations
Medical University of South Carolina (US)
Corresponding author
HENGGELER, SCOTT W.
ORCID
Venue
Journal of the American Academy of Child & Adolescent Psychiatry
Publisher
Elsevier BV
Published
2003-05
Volume
42
Issue
5
Pages
543-551
ISSN
0890-8567 (ISSN-L)
DOI
10.1097/01.chi.0000046834.09750.5f
OpenAlex
W1978563741
Cited by
144
References
32
Citations by year
2026: 3 · 2025: 2 · 2024: 11 · 2023: 5 · 2021: 8 · 2020: 3 · 2019: 4 · 2018: 1 · 2017: 3 · 2016: 2 · 2015: 8 · 2014: 6 · 2013: 7 · 2012: 8
FWCI
15.09
Type
journal article
Language
en
Open access
Licence
www.elsevier.com/tdm/userlicense/1.0/ (tdm)
Locations
  • Journal of the American Academy of Child & Adolescent Psychiatry (publishedVersion)
  • PubMed (publishedVersion)
Funders
NIMH (grant R01MH51852)
Topics
  • Social Sciences › Psychology › Clinical Psychology › Psychiatric care and mental health services
  • Social Sciences › Safety Research › Child Welfare and Adoption
  • Social Sciences › Psychology › Clinical Psychology › Child and Adolescent Psychosocial and Emotional Development
Keywords
multisystemic therapy, inpatient psychiatric hospitalization, children and adolescents, serious emotional disturbance, home-based therapy, out-of-home placement, school attendance, family relationships, externalizing problems, long-term follow-up, continuum of care
MeSH terms
Adolescent, Mental Disorders, Child, Combined Modality Therapy, Crisis Intervention, Ethnicity, Female, Follow-Up Studies, Home Care Services, Hospitalization, Humans, Length of Stay, Male, Self Concept, Adolescent Health Services, Treatment Outcome

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