Day treatment programs for children are based on the need for more intensive therapeutic treatments for children who do not respond to outpatient programs. Day treatment costs less than hospitalization, does not disrupt family, peer or community ties, and do not result in the child's dependence on them. The authors review studies on the effectiveness of day treatment programs. Findings are discussed and methodological questions are raised for future evaluative research.
References
1.
EvangelakisM.G.A manual for residential and day treatment of children.Springfield IL: Thomas,1974.
2.
ConnellP.H.The day hospital approach in child psychiatry.J Ment Sci1961; 107(450): 969–977.
3.
WestmanJ.C.Psychiatric day treatment. In: Noshpitz JD, ed. Basic handbook of child psychiatry, volume 3.New York: Basic Books,1979.
4.
GabelS., FinnM.Outcome in children's day-treatment programs: review of the literature and recommendations for future research.Int J Partial Hosp1986; 3(4): 261–271.
5.
ZimetS.G., FarleyG.K.Review article: day treatment for children in the United States.J Am Acad Child Psychiatry1985; 24(6): 732–738.
6.
WirthB.Factors affecting discharge and referral outcomes in a child/adolescent day treatment program. Paper presented at the First National Conference on Child/Adolescent Day Treatment, Pasadena CA, May 1987.
7.
KiserL.J., PruittD.B., McColganE.B.A survey of child and adolescent day-treatment programs: establishing definitions and standards.Int J Partial Hosp1986; 3(4): 247–259.
8.
BlomG.E., EkangerC.A., ParsonsP.C.A psychoeducational approach to day care treatment.J Am Acad Child Psychiatry1972; 11: 492–510.
9.
BlomG.E.Psychoeducation in the clinical setting. In: Noshpitz JD, ed. Basic handbook of child psychiatry, volume 3.New York: Basic Books,1979.
10.
BaenenR.S., Parris-StephensM.A., GlenwickD.S.Outcome in psychoeducational day school programs: a review.Am J Orthopsychiatry1986; 56(2): 263–270.
11.
LaVietesR.L., HulseW.C., BlauA.A psychiatric day treatment center and school for young children and their parents.Am J Orthopsychiatry1960; 30: 468–482.
12.
CantwellD.P.Implications of research in child psychiatry. In: Noshpitz JD, ed. Basic handbook of child psychiatry, volume 4.New York: Basic Books,1979.
13.
NeyP.G., AdamR.R., HantonB.R.The effectiveness of a child psychiatric unit: a follow-up study.Can J Psychiatry1988; 33(9): 793–799.
14.
BentovimA., LansdownR.Day hospitals and centres for disturbed children in the London area.Br Med J1973; 4: 536–538.
15.
LinnihanP.C.Adolescent day treatment: a community alternative to institutionalization of the emotionally disturbed adolescent.Am J Orthopsychiatry1977; 47(4): 679–688.
16.
LillesandD.B.A behavioral-psychodynamic approach to day treatment for emotionally disturbed children.Child Welfare1977; LVI(9): 613–619.
17.
LaVietesR., CohenR., ReensR.Day treatment center and school: seven years experience.Am J Orthopsychiatry1965; 35: 160–169.
18.
GoldJ., ReismanJ.M.An outcome study of a day treatment unit school in a community mental health center.Am J Orthopsychiatry1970; 40: 286–287.
19.
GabelS., FinnM., AhmadA.Day treatment outcome with severely disturbed children.J Am Acad Child Adolesc Psychiatry1988; 27(4): 479–482.
20.
HalpernW.I., KisselS., GoldJ.Day treatment as an aid to mainstreaming troubled children.Community Ment Health J1978; 14(4): 319–326.
21.
KiserL.J., AckermanB.J., PruittD.B.A comparison of intensive psychiatric services for children and adolescents: cost of day treatment versus hospitalization.Int J Partial Hosp1987; 4(1): 17–27.
22.
Prentice-DunnS., WilsonD.R., LymanR.D.Client factors related to outcome in a residential and day treatment program for children.J Clin Child Psychol1981; 10: 188–191.
23.
GrizenkoN., SayeghL.Evaluation of the effectiveness of a psychodynamically oriented day treatment program for children with behaviour problems: a pilot study.Can J Psychiatry1990; 35(6): 519–525.
24.
ZimetS.G., FarleyG.K., SilverJ.Behavior and personality changes in emotionally disturbed children enrolled in a psychoeducational day treatment center.J Am Acad Child Psychiatry1980; 19: 240–256.
25.
CookT.D., CampbellD.T.Quasi-experimentation: design and analysis issues for field settings.Boston MA: Houghton Mifflin Co.,1979.
26.
HersovL., BentovimA.In-patient and day-hospital units. In: Rutter M, Hersov L, eds. Child and adolescent psychiatry, modern approaches.Cambridge MA: Blackwell Scientific Publications,1985.
27.
WoollacottS., GrahamP., StevensonJ.A controlled evaluation of the therapeutic effectiveness of a psychiatric day centre for pre-school children.Br J Psychiatry1978; 132: 349–355.
28.
WinsbergB.G., BialerI., KupietzS.Home vs hospital care of children with behavior disorders.Arch Gen Psychiatry1980; 37: 413–418.
29.
CohenN.J., BradleyS., KoleisN.Outcome evaluation of a therapeutic day treatment program for delayed and disturbed preschoolers.J Am Acad Child Adolesc Psychiatry1987; 26(5): 687–693.
30.
CohenN.J., KolersN., BradleyS.Predictors of the outcome of treatment in a therapeutic preschool.J Am Acad Child Adolesc Psychiatry1987; 26(6): 829–833.
31.
GlavinJ.P., QuayH.C., WerryJ.S.Behavioral and academic gains of conduct problem children in different classroom settings.Except Child1971; 37(6): 441–446.
32.
BaumannE.H.A day treatment program for severely disturbed young children.Hosp Community Psychiatry1976; 27: 174–179.
33.
FreedmanM.Day treatment for emotionally disturbed adolescents: follow-up and analysis of the effect of placement.School Psychol Review1982; 11(4): 425–427.
34.
BarrettC.L., HampeI.E., MillerL.C.Research on child psychotherapy. In: GarfieldS.L., BerginA.E., eds. Handbook of psychotherapy and behavior change: an empirical analysis.New York: John Wiley and Sons,1978.
35.
ZimetS.G., FarleyG.K., AvitableN.Establishing a comprehensive data base in a day-treatment program for children.Int J Partial Hosp1987; 4(1): 1–15.
36.
AchenbachT.M.Psychopathology of childhood: research problems and issues.J Consult Clin Psychol1978; 46: 756–776.
37.
BarlowD.H., HersenM.Single-case experimental designs.Arch Gen Psychiatry1973; 29: 319–325.
38.
GottmanJ., MarkmanH.J.Experimental designs in psychotherapy research. In: GarfieldS.L., BerginA.E., eds. Handbook of psychotherapy and behavior change: an empirical analysis.New York: John Wiley and Sons,1978.
