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Statewide Implementation of Parenting with Love and Limits Among Youth with Co-Existing Internalizing and Externalizing Functional Impairments Reduces Return to Service Rates and Treatment Costs

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Abstract

Many community mental health (CMH) systems contain inefficiencies, contributing to unmet need for services among youth. Using a quasi-experimental research design, we examined the implementation of an adapted structural-strategic family intervention, Parenting with Love and Limits, in a state CMH system to increase efficiency of services to youth with co-existing internalizing and externalizing functional impairments (PLL n = 296; Treatment-As-Usual n = 296; 54% male; 81% Caucasian). Youth receiving PLL experienced shorter treatment durations and returned to CMH services at significantly lower rates than youth receiving treatment-as-usual. They also demonstrated significant decreases in internalizing and externalizing symptoms over time. Findings lay the foundation for further examination of the role of an adapted structural-strategic family treatment in increasing the efficiency of CMH systems.

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Notes

  1. Idaho changed databases in the summer of 2011. Prior to that, return to services was measured by payment data; afterwards return to services was measured by new program enrollments. It is possible that, under the earlier system, a youth who was receiving multiple types of treatment concurrently might have been charged with a return to service due to a periodic payment made for ongoing treatment. Under the new system there are almost no children who are enrolled in multiple treatments at once, so the impact of this discrepancy is expected to be very low.

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Authors and Affiliations

  1. Couple and Family Therapy Program, Kent School of Social Work, University of Louisville, 310 N. Whittington Pkwy Burhans Hall 134, Louisville, KY, 40222, USA

    Emma M. Sterrett-Hong & Eli Karam

  2. Hornby Zeller Associates, Inc., Troy, USA

    Lynn Kiaer

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  1. Emma M. Sterrett-Hong
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Correspondence to Emma M. Sterrett-Hong.

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Sterrett-Hong, E.M., Karam, E. & Kiaer, L. Statewide Implementation of Parenting with Love and Limits Among Youth with Co-Existing Internalizing and Externalizing Functional Impairments Reduces Return to Service Rates and Treatment Costs. Adm Policy Ment Health 44, 792–809 (2017). https://doi.org/10.1007/s10488-016-0788-4

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