Skip to main content
Log in

Expanding a Continuum of Care: A Report on a Partial-Day Treatment Program

  • Published:
Child and Youth Care Forum Aims and scope Submit manuscript

Abstract

Day treatment has been used to treat children with disruptive behavior disorders for over 20 years. This modality is increasingly appealing with the move toward providing children with the least-restrictive treatment. These less-intensive services are also cost-effective, which aligns with managed-care goals. Several studies over the past decade have supported the effectiveness of the day treatment model, and now this model has evolved to include partial-day treatment programs. Partial-day treatment programs are attended for as little as 6 hours per week, in contrast to the 6–8 hour full-day treatment setting. Partial treatment settings offer the added advantage of allowing referred children to continue in their regular school programs. The present article describes the design and implementation of an after-school partial-day treatment program for children referred to community mental health services for emotional and behavioral problems. Program evaluation is needed to determine whether these less intensive services can be effective in treating referred children.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  • Achenbach, T. M. (1991). Manual for the child behavior checklist 4–18 and 1991 profile. Burlington, VT: University of Vermont Department of Psychiatry.

    Google Scholar 

  • American Psychiatric Association (1987), Diagnostic and statistical manual of mental disorders, 3rd edition-revised. Washington, DC: American Psychiatric Association.

    Google Scholar 

  • Anderson, J. C., Williams, S., McGee, R., & Silva, P. A. (1987). DSM-III disorders in preadolescent children. Archives of General Psychiatry, 44, 69-76.

    Google Scholar 

  • Barker, P. (1993). The future of residential treatment for children. In C. E. Schaefer & A. J. Swanson (Eds.), Children in Residential Care: Critical Issues in Treatment (pp. 1-16). Northvale, NJ: Jason Aronson.

    Google Scholar 

  • Befera, M., & Barkley, R. A. (1985). Hyperactive and normal girls and boys: Mother-child interactions, parent psychiatric status, and child psychopathology. Journal of Child Psychology and Psychiatry, 26, 439-452.

    Google Scholar 

  • Burns, B., Costello, J., & Angold, A. (1995). Children's mental health service use across service system sectors. Health Affairs.

  • Burns, B. J., & Taube, C. A. (1990). Mental health services for adolescents. Background paper for U.S. Congress, Office of Technology Assessment's Adolescent Health Project.

  • Clark, L. (1985). SOS Help For Parents. Bowling Green, KY: Parents Press.

    Google Scholar 

  • Childrens Mental Health Statistics (1993). SAMHSA home page. [On-line]. www.mentalhealth.org/Whatsnew/mh96pr.htm Available.

  • Goldstein, A. P., Sprafkin, R. P., Gershaw, N. J., & Klein, P. (1980). Skillstreaming the Elementary Child. Champaign, IL: Research Press.

    Google Scholar 

  • Jenson, W. R. (1984). Parent training for tough kids. Salt Lake City, UT: Preferred Practices Press.

    Google Scholar 

  • Keller, M. B., Lavori, P. W., Beardslee, W. R., Wunder, J., Schwartz, C. E., Roth, J., & Biederman, J. (1992). The disruptive behavioral disorder in children and adolescents: Comorbidity and clinical course. Journal of the American Academy of Child and Adolescent Psychiatry, 31(2), 204-209.

    Google Scholar 

  • O'Leary, K. D., & Emery, R. E. (1984). Marital discord and child behavioral problems. In M.D. Levine & P. Satz (Eds.), Middle childhood: Development and dysfunction (pp. 345-364). Baltimore: University Park Press.

    Google Scholar 

  • O'Neil, R. E., Horner, R. H., Albin, R. W., Storey, K., & Sprague, J. R. (1990). Functional analysis of problem behavior: A practical assessment guide. DeKalb, IL: Sycamore Publishing Co.

    Google Scholar 

  • Patrick, C., Padgett, D. K., Burns, B. J., Schlesinger, H. J., & Cohen, J. (1993). Use of inpatient services by a national population: Do benefits make a difference? Journal of the American Academy of Child and Adolescent Psychiatry, 32(1), 144-152.

    Google Scholar 

  • Patterson, G. R. (1982). Coercive family process. Eugene, OR: Castalia Publishing.

    Google Scholar 

  • Prevost, J. (1981). Partial hospitalization—dynamics of underutilization. In Proceedings of the Annual Conference on Partial Hospitalization. San Diego, CA: American Association for Partial Hospitalization.

    Google Scholar 

  • Pruitt, D. B., & Kiser, L. J. (1991). Day treatment: Past, present and future. In M. Lewis (Ed.), Child and adolescent psychiatry: A comprehensive textbook. Baltimore, MD: Williams & Wilkins. 878-890.

    Google Scholar 

  • Rhode, G., Jenson, W. R., & Reavis, H. K. (1992). The tough kid book: Practical classroom management strategies. Longmont, CO: Sopris West.

    Google Scholar 

  • Robinson, K. E. (1998). Use of a group contingency model to reduce sibling aggression. In T. Nelson (Ed.), 101 Family Therapy Interventions, Vol. I, pp. 21-26. New York: Haworth Press, pp. 21-26.

    Google Scholar 

  • Robinson, K. E., & Sheridan, S. M. (in press). Use of the mystery motivator to improve child bedtime compliance. Child & Family Behavior Therapy.

  • Sayegh, L., & Grizenko, N. (1991). Studies of the effectiveness of day treatment programs for children. Canadian Journal of Psychiatry, 36, 246-253.

    Google Scholar 

  • Stroul, B., & Friedman, R. (1986). A system of care for severely emotionally disturbed children and youth. Washington, DC: CASSP Technical Assistance Center, Georgetown University Child Development Center.

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Kristin E. Robinson.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Robinson, K.E., Dow, R.T. & Nicholas, P.M. Expanding a Continuum of Care: A Report on a Partial-Day Treatment Program. Child & Youth Care Forum 28, 221–228 (1999). https://doi.org/10.1023/A:1021947912777

Download citation

  • Issue Date:

  • DOI: https://doi.org/10.1023/A:1021947912777

Keywords

Navigation