Youth and Family Outcomes of Community Mental Health Treatment

This study documents the high rate of parent andfamily concerns among the families of adolescents(ages 11-18) entering publicly-funded outpatientmental health treatment in San Diego County, andexamines the effects of treatment on familycontextual concerns. Significant improvementsare observed in caregiver strain and familyrelationship quality six months after treatmententry, but not in other family contextual outcomes(parental depression, social support). Parent,family, and adolescent outcomes are significantlycorrelated, with the strongest association betweenreduction of youth externalizing problems andreduction of parental strain and depression. Betterparent-therapist alliance predicts better parentaldepression, strain and family relationship outcomes.Family systems theoretical orientation predictsgreater reduction of parental strain. Increasedattention to family concerns may be critical forimproving the effectiveness of real world youthmental health services and to create more stableenvironments in which youths therapeutic gains canbe fostered and maintained.

Autorentext
Caroline Lewczyk Boxmeyer, Ph.D. is a Research Scientist in theCenter for the Prevention of Youth Behavior Problems at TheUniversity of Alabama. She specializes in identifying effectiveinterventions for youth disruptive behavior problems and intraining mental health providers to implement evidence-basedinterventions.

Klappentext
This study documents the high rate of parent and family concerns among the families of adolescents (ages 11-18) entering publicly-funded outpatient mental health treatment in San Diego County, and examines the effects of treatment on family contextual concerns. Significant improvements are observed in caregiver strain and family relationship quality six months after treatment entry, but not in other family contextual outcomes (parental depression, social support). Parent, family, and adolescent outcomes are significantly correlated, with the strongest association between reduction of youth externalizing problems and reduction of parental strain and depression. Better parent-therapist alliance predicts better parental depression, strain and family relationship outcomes. Family systems theoretical orientation predicts greater reduction of parental strain. Increased attention to family concerns may be critical for improving the effectiveness of "real world" youth mental health services and to create more stable environments in which youths' therapeutic gains can be fostered and maintained.