Outcomes of mental health care for children and adolescents: I. A comprehensive conceptual model

Kimberly Hoagwood, Peter S. Jensen, Theodore Petti, Barbara J. Burns

Research output: Contribution to journalArticle

186 Scopus citations

Abstract

Objective: Accountability for mental health care has become a standard of clinical practice. With the expansion of managed care as a corporate response to health reform, attention to outcomes will intensify. Assessment of clinical treatment has typically focused on symptom reduction at an individual level, whereas assessment of service effectiveness has more often targeted service-level change. Method: A dynamic and interactional model of outcomes is presented that broadens the range of intended consequences of care. The model comprises five domains: symptoms, functioning, consumer perspectives, environmental contexts, and systems. Results: The model reflects the changeable interaction between children's evolving capacities and their primary environments (home, school, and community). Conclusions: As health care practices shift, attention to improved care is likely to depend increasingly on scientifically credible evidence of its impact. Greater integration between research and standard practice will be needed. Such a partnership can be strengthened by a more comprehensive view of the impact of care.

Original languageEnglish (US)
Pages (from-to)1055-1063
Number of pages9
JournalJournal of the American Academy of Child and Adolescent Psychiatry
Volume35
Issue number8
DOIs
StatePublished - Aug 1996

Keywords

  • children and adolescents
  • clinical efficacy
  • health care
  • managed care
  • outcomes
  • service effectiveness

ASJC Scopus subject areas

  • Developmental and Educational Psychology
  • Psychiatry and Mental health

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