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Psychiatr Serv ; 66(10): 1113-7, 2015 Oct.
Artículo en Inglés | MEDLINE | ID: mdl-26030316

RESUMEN

OBJECTIVE: Research to determine the best approach for providing early intervention for mood and anxiety disorders is imperative. The authors describe a process evaluation of an early-intervention program for transition-age youths with mood or anxiety disorders. METHODS: Causal and logic models for pathways to care for the program, as well as descriptive data from 548 participating youths, are presented. Follow-up measures of functional improvement are reported. RESULTS: Diagnostic characterization, symptom severity, and functional impairment of participants indicated that the model selected an appropriate catchment population without creating excessive overinclusion. Self-referred youths reported greater anxiety and substance use. Acceptance by the program was predictive of greater follow-through with treatment. Several variables, including frequent lifetime marijuana use, predicted loss to follow-up. At follow-up, youths were significantly functionally improved. CONCLUSIONS: This process evaluation indicated that the model provided appropriate early intervention for youths with mood or anxiety disorders without causing excessive overinclusion.


Asunto(s)
Trastornos de Ansiedad/terapia , Intervención Médica Temprana/métodos , Trastornos del Humor/diagnóstico , Trastornos del Humor/terapia , Evaluación de Procesos, Atención de Salud , Adolescente , Adulto , Trastornos de Ansiedad/diagnóstico , Trastornos de Ansiedad/epidemiología , Femenino , Humanos , Masculino , Trastornos del Humor/epidemiología , Escalas de Valoración Psiquiátrica , Índice de Severidad de la Enfermedad , Adulto Joven
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