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Article
Heterogeneity in Youth Symptom Trajectories Following Psychiatric Crisis: Predictors and Placement Outcomes
Journal of Consulting and Clinical Psychology
  • Colleen A Halliday-Boykins, Medical University of South Carolina
  • Scott W Henggeler, Medical University of South Carolina
  • Melisa D Rowland, Medical University of South Carolina
  • Christian DeLucia, Nova Southeastern University, Center for Psych Studies
Document Type
Article
Publication Date
12-1-2004
Keywords
  • Adolescent,
  • Follow-Up Studies,
  • Hospitalization,
  • Mental Disorders,
  • Prospective Studies
Disciplines
Peer Reviewed
1
Abstract
The authors examined heterogeneity in symptom trajectories among youths following psychiatric crises as well as the psychosocial correlates and placement outcomes associated with identified trajectories. Using semiparametric mixture modeling with 156 youths approved for psychiatric hospitalization, the authors identified 5 trajectories based on symptoms over the 16 months following crisis: high improved, high unimproved, borderline improved, borderline unimproved, and subclinical. Membership in unimproved symptom groups was associated with less suicidality, younger age, more youth hopelessness, and more caregiver empowerment. Improved symptom group membership predicted long-term decreases in days in out-of-home placements. More important, and in contrast with general impressions from the existing literature, findings suggest that a substantive proportion of youths with serious emotional disturbance sustain high levels of symptomatology following intensive mental health services.
DOI
10.1037/0022-006X.72.6.993
Citation Information
Colleen A Halliday-Boykins, Scott W Henggeler, Melisa D Rowland and Christian DeLucia. "Heterogeneity in Youth Symptom Trajectories Following Psychiatric Crisis: Predictors and Placement Outcomes" Journal of Consulting and Clinical Psychology Vol. 72 Iss. 6 (2004) p. 993 - 1003 ISSN: 0022-006X
Available at: http://works.bepress.com/christian-delucia/34/