Reported maltreatment among clinic-referred children: implications for presenting problems, treatment attrition, and long-term outcomes.

Abstract:

OBJECTIVE:To examine the treatment implications of a reported history of maltreatment in a sample of 343 children referred to Los Angeles area mental health clinics for emotional and behavioral problems. METHOD:Child Protective Service records identified 161 of the 343 families as having a documented history of maltreatment. Parent reports of child behavior problems were obtained following clinic intake and at 2-year follow-up, and attrition was assessed via medical records. The authors examined the associations between a history of maltreatment and severity of child presenting problems, treatment attrition, and long-term mental health outcomes. RESULTS:Compared to other clinic-referred children, youngsters with a history of maltreatment entered treatment with more externalizing behavior problems, were more likely to exit treatment early and without therapist consent, and continued to show greater externalizing problems 2 years later. CONCLUSIONS:Maltreated children have significant mental health needs that may not be well addressed currently in community mental health clinics.

authors

Lau AS,Weisz JR

doi

10.1097/01.CHI.0000085754.71002.14

subject

Has Abstract

pub_date

2003-11-01 00:00:00

pages

1327-34

issue

11

eissn

0890-8567

issn

1527-5418

pii

S0890-8567(09)62106-7

journal_volume

42

pub_type

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