This study investigated the magnitude of treatment and client perceptions of change within a partial hospitalization program (PHP) for adolescents with mental health concerns. Participants were 35 adolescents (19 girls; 16 boys) with a mean age of 14.91 years who were predominately Caucasian (n = 31) and experiencing the symptoms of mood disorders (n = 30). Results of a mixed methodology sequential explanatory design indicated that a 6-week PHP effectively decreased symptom severity and increased relational health of participants over time. Qualitative data yielded four themes identified as renewed well-being, relationships, perceptions of effective programming, and areas of dissatisfaction.
American Psychiatric Association. (2000). Diagnostic and statistical manual of mental disorders(4th ed., text rev.). Washington, DC: Author.
2.
American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders-5 (5th ed.). Washington, DC: Author.
3.
BiegelG. M.ShapiroS. L.BrownK. W.SchubertC. M. (2009). Mindfulness-based stress reduction for the treatment of adolescent psychiatric outpatients: A randomized clinical trial. Journal of Consulting and Clinical Psychology, 77, 855–866. doi:10.1037/a0016241
4.
BreslauJ.LaneM.SampsonN.KesslerR. C. (2008). Mental disorders and subsequent educational attainment in a US national sample. Journal of Psychiatric Research, 42, 708–716. doi:10.1016/j.jpsychires.2008.01.016
5.
ChamblessD. L.BakerM. J.BaucomD. H.BeutlerL. E.CalhounK. S.Crits-ChristophP.…WoodyS. R. (1998). Update on empirically validated therapies, II. The Clinical Psychologist, 51, 3–16.
6.
ChamblessD. L.SandersonW. C.ShohamV.Bennett JohnsonS.PopeK. S.Crits-ChristophP.…McCurryS. (1996). An update on empirically validated therapies. The Clinical Psychologist, 49, 5–18.
7.
CohenJ. (1988). Statistical power analysis for the behavioral sciences (2nd ed.). Hillsdale, NJ: Lawrence Erlbaum.
8.
CollK. M.JuhnkeG. A.ThorboP.HaasR.RobinsonM. S. (2008). Family disengagement of youth offenders: Implications for counselors. The Family Journal, 16, 359–363.
9.
CollK. M.ThorboP.HaasR. (2006). Outcome evaluation of adolescent offender psychosocial development: A comparative study. Journal of Humanistic Counseling, Education, and Development, 45, 208–220.
10.
DerogatisL. R. (1994). Symptom checklist-90-Revised administration, scoring, and procedures manual. Minneapolis, MN: National Computer Systems, Inc.
11.
FaulF.ErdfelderE.LangA. G.BuchnerA. (2007). G*Power 3: A flexible statistical power analysis for the social, behavioral, and biomedical sciences. Behavior Research Methods, 39, 175–191.
12.
GarfieldR. L.LoveJ. R.DonohueJ. M. (2010). Health reform and the scope of benefits for mental health and substance use disorder services. Psychiatric Services, 61, 1082–1086.
13.
GundersonJ. G. (1978) Defining the therapeutic process in psychiatric milieus. Psychiatry, 41, 327–335.
14.
GrossmanJ. M.LiangB. (2008). Discrimination distress among Chinese American adolescents. Journal of Youth and Adolescence, 1, 1–11.
15.
GrovesS.BackerH.van de BoschW.MillerA. (2012). Dialectical behaviour therapy with adolescents. Child and Adolescent Mental Health, 17, 65–75. doi:10.1111/j.1475-3588.2011.00611.x
JamesS.LeslieL.HurlburtM.SlymenD.LandsverkJ.DavisI.…ZhangJ. (2006). Children in out-of-home care: Entry into intensive or restrictive mental health and residential care placements. Journal of Emotional and Behavioral Disorders, 14, 196–208.
18.
KesslerR. C.BerglundP.DemlerO.JinR.WaltersE. E. (2005). Lifetime prevalence and age-of-onset distributions of DSM-IV disorders in the National Comorbidity Survey Replication. Archives of General Psychiatry, 62, 617–627.
19.
LenzA. S.HolmanR. L.DominguezD. L. (2010). Encouraging connections: Integrating expressive art and drama into therapeutic social skills training with adolescents. Journal of Creativity in Mental Health, 5, 142–157. doi:10.1080/15401383.2010.485086
20.
LenzA. S.SpecialeM.AquilarJ. V. (2012). Relational-cultural therapy intervention with incarcerated adolescents: A single-case effectiveness design. Counseling OutcomeResearch and Evaluation, 3, 17–29.
21.
LiangB.TracyA.GlenC.BurnsS.TingD. (2007). The relational health indices: Confirming factor structure for use with men. The Australian Community Psychologist, 19, 35–52.
22.
LiangB.TracyA. J.KennyM. E.BroganD.GathaR. (2010). The relational health indices for youth: An examination of reliability and validity aspects. Measurement and Evaluation in Counseling and Development, 42, 255–274. doi:101.177/0748175609354596
23.
LiangB.TracyA.TaylorC. A.WilliamsL. M.JordanJ. V. (2002). The relational health indices: A study of women’s relationships. Psychology of Women Quarterly, 26, 25–35. doi:10.1111/1471-6402.00040
24.
LincolnY.GubaE. (1985). Naturalistic inquiry. New York, NY: Sage.
25.
MinuchinS., (1974). Families and family therapy. Cambridge, MA: Harvard University Press.
26.
MoustakasC. E. (1994). Phenomenological research methods. Thousand Oaks, CA: Sage.
27.
PattonM. Q. (2002). Qualitative research and evaluation methods (3rd ed.). Thousand Oaks, CA: Sage.
28.
PiagetJ. (1963). The psychology of intelligence. New York, NY: Routledge.
29.
SchwarzS. W. (2009). Adolescent mental health in the United States. New York, NY: National Center for Children in Poverty.
30.
Self-BrownS. R.LeBlancM.KelleyM. L.HansonR.LaslieK.WingateA. (2006). Effects of community violence exposure and parental mental health on the internalizing problems of urban adolescents. Violence and Victims, 2, 183–198. doi:10.1891/088667006780644253
31.
ShirkS. R.KarverM. S.BrownR. (2011). The alliance in child and adolescent psychotherapy. Psychotherapy, 48, 17–24. doi:10.1037/a0022181
32.
StrammI. (1985). The hospital as a “Holding Environment.”International Journal of Therapeutic Communities, 6, 19–39.
33.
UtayJ.UtayC. (2005). Improving social skills: A training presentation to parents. Education, 126, 251–258.
34.
WinnicottD.W. (1965). The maturational process and the facilitating environment: Studies in the theory of emotional development. New York, NY: International University Press.
35.
Zahn-WaxlerC.ShirtliffE. A.MarceauK. (2008). Disorders of childhood and adolescence: Gender and psychopathology. Annual Review of Clinical Psychology, 4, 275–303.
