Investigating family-based alternatives to institution-based mental health services for youth: lessons learned from the pilot study of a randomized field trial.

S. W. Henggeler, M. D. Rowland, S. G. Pickrel, S. L. Miller, P. B. Cunningham, A. B. Santos, S. K. Schoenwald, J. Randall, J. E. Edwards

Research output: Contribution to journalArticlepeer-review

48 Scopus citations

Abstract

The development and validation of family-based alternatives to out-of-home placements for children is an important goal in the mental health services field. The rigorous evaluation of such alternatives, however, can be difficult to accomplish. The purpose of this article is to describe initial barriers experienced during the pilot study of a randomized trial, funded by the National Institute of Mental Health, conducted in a field setting, and the strategies that were used to overcome these barriers. The randomized trial is examining home-based multisystemic therapy as an alternative to the psychiatric hospitalization of youths presenting psychiatric emergencies. The pilot study illuminated the interface of treatment and services research issues, prompting significant changes in the project's clinical procedures, organization, and supervisory processes, as well as in the project's interface with existing community resources for serving youths with serious emotional disturbances.

Original languageEnglish (US)
Pages (from-to)226-233
Number of pages8
JournalJournal of clinical child psychology
Volume26
Issue number3
DOIs
StatePublished - Sep 1997

ASJC Scopus subject areas

  • General Medicine

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