TY - JOUR
T1 - Outcomes for Youth Receiving Intensive In-Home Therapy or Residential Care
T2 - A Comparison Using Propensity Scores
AU - Barth, Richard P.
AU - Greeson, Johanna K.P.
AU - Guo, Shenyang
AU - Green, Rebecca L.
AU - Hurley, Sarah
AU - Sisson, Jocelyn
PY - 2007/10
Y1 - 2007/10
N2 - This study compares outcomes for behaviorally troubled children receiving intensive in-home therapy (IIHT) and those receiving residential care (RC). Propensity score matching is used to identify matched pairs of youth (n = 786) with equivalent propensity for IIHT. The majority of pretreatment differences between the IIHT and RC groups are eliminated following matching. Logistic regression is then conducted on outcome differences at 1 year postdischarge. Results show that IIHT recipients had a greater tendency (.615) toward living with family, making progress in school, not experiencing trouble with the law, and placement stability compared with RC youth (.558; p < .10). This suggests that IIHT is at least as effective for achieving positive outcomes. Given IIHT's reduced restrictiveness and cost, intensive in-home services should be the preferred treatment over RC in most cases.
AB - This study compares outcomes for behaviorally troubled children receiving intensive in-home therapy (IIHT) and those receiving residential care (RC). Propensity score matching is used to identify matched pairs of youth (n = 786) with equivalent propensity for IIHT. The majority of pretreatment differences between the IIHT and RC groups are eliminated following matching. Logistic regression is then conducted on outcome differences at 1 year postdischarge. Results show that IIHT recipients had a greater tendency (.615) toward living with family, making progress in school, not experiencing trouble with the law, and placement stability compared with RC youth (.558; p < .10). This suggests that IIHT is at least as effective for achieving positive outcomes. Given IIHT's reduced restrictiveness and cost, intensive in-home services should be the preferred treatment over RC in most cases.
KW - child welfare outcomes
KW - multisystemic therapy
KW - propensity score matching
KW - residential care
UR - https://www.scopus.com/pages/publications/38749111444
U2 - 10.1037/0002-9432.77.4.497
DO - 10.1037/0002-9432.77.4.497
M3 - 文章
C2 - 18194029
AN - SCOPUS:38749111444
SN - 0002-9432
VL - 77
SP - 497
EP - 505
JO - American Journal of Orthopsychiatry
JF - American Journal of Orthopsychiatry
IS - 4
ER -
