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NCJRS Abstract

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NCJ Number: 149692 Find in a Library
Title: Effectiveness of a Multimodal Day Treatment Program for Children With Disruptive Behavior Problems
Journal: Journal of the American Academy of Child and Adolescent Psychiatry  Volume:32  Issue:1  Dated:(January 1993)  Pages:127-134
Author(s): N Grizenko; D Papineau; L Sayegh
Date Published: 1993
Page Count: 8
Type: Program/Project Evaluation
Format: Article
Language: English
Country: United States of America
Annotation: This article reports on an evaluation of a Canadian program that uses multimodal day treatment to address deficits underlying juvenile disruptive behavioral disorders.
Abstract: The preadolescent day-treatment program provides multimodality therapy with a psychodynamic orientation. The aim is to reintegrate the children into the community as soon as possible. The program can accommodate 15 children. Activities include 2 1/2 hours of special education daily and a 3-hour block of psychotherapy that includes individual play therapy; social skills and task groups; psychodrama; and pet, art, occupation, and group therapies. Family therapy using an integrative approach is conducted weekly. In the evaluation, a quasi-experimental design was used with sequential assignment to groups, with the treatment group being filled first. A mixed model design was used to compare the two groups with repeated measures at intake and discharge. Thirty children assigned to day treatment or a waiting list were compared on measures of behavior, self- perception, academic, peer relations, and family functioning. Multivariate analyses of covariance showed that the treatment group improved significantly more on measures of behavior and self-perception. Six-month follow-up findings show that treated children had improved over time on all measures except academics. The study shows that compared with a waiting-list control group, day treatment produces greater gains and that these gains are maintained at 6 months followup. It also shows the need for a treatment that combines multiple modalities in dealing with children who have disruptive behavior disorders. 1 table, 1 figure, and 50 references
Main Term(s): Juvenile residential treatment centers
Index Term(s): Canada; Foreign crime prevention; Juvenile delinquency prevention programs; Juvenile treatment evaluation; Juvenile treatment methods
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