Outcomes for youth receiving intensive in-home therapy or residential care

A comparison using propensity scores

Bibliographic Data

ID9053653
AuthorsRichard P Barth (0000-0001-5141-317X, University of Maryland, Baltimore), Johanna K P Greeson (0000-0002-5859-9517, University of North Carolina at Chapel Hill), Shenyang Guo (0000-0003-3643-6415, University of North Carolina at Chapel Hill), Rebecca L Green (0000-0003-1181-9532, University of North Carolina at Chapel Hill), Sarah Hurley (0000-0002-1061-5071, Children’s Village), Jocelyn Sisson (0000-0002-4870-7756, Children’s Village)
Year2007
Volume77
Issue4
Pages497-505
Publication date2007-01-01
Peer ReviewedYes
Open AccessNo
TypeARTICLE
VenueAmerican Journal of Orthopsychiatry (JOURNAL)
Journal identifiersISSN: 0002-9432 • E-ISSN: 1939-0025
PublisherAmerican Psychological Association (APA) (PUBLISHER)
DOI10.1037/0002-9432.77.4.497
PMID18194029
OpenAlexW2026732525
LanguageEN
Citations received31
References cited18

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

Intensive care · Intensive care medicine · Logistic regression · Matching (statistics) · Outcome (game theory) · Propensity score matching · Restrictiveness · Child and Adolescent Psychosocial and Emotional Development · Child Welfare and Adoption · Early Childhood Education and Development · Medicine · Psychology · Surgery

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