Does Insurance Matter? Implementing Dialectical Behavior Therapy with Two Groups of Youth Engaged in Deliberate Self-harm

This paper presents the outcomes of a Dialectical Behavior Treatment (DBT) program, implemented in intensive outpatient care with two groups of adolescents ( n  = 55 and n  = 45), ages 12–18, who engaged in deliberate self-harm (DSH) but had different insurance/funding sources and risk backgrounds....

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Published inAdministration and policy in mental health and mental health services research Vol. 42; no. 4; pp. 449 - 461
Main Authors James, Sigrid, Freeman, Kim R., Mayo, Danessa, Riggs, Matt L., Morgan, Joshua P., Schaepper, Mary Ann, Montgomery, Susanne B.
Format Journal Article
LanguageEnglish
Published New York Springer US 01.07.2015
Springer Nature B.V
Subjects
Online AccessGet full text
ISSN0894-587X
1573-3289
1573-3289
DOI10.1007/s10488-014-0588-7

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Abstract This paper presents the outcomes of a Dialectical Behavior Treatment (DBT) program, implemented in intensive outpatient care with two groups of adolescents ( n  = 55 and n  = 45), ages 12–18, who engaged in deliberate self-harm (DSH) but had different insurance/funding sources and risk backgrounds. This pre-post study examined variability in clinical functioning and treatment utilization between the two groups and investigated moderating risk factors. Findings support DBT’s effectiveness in improving clinical functioning for youth with DSH regardless of insurance type. However, lower rates of treatment completion among youth without private insurance call for extra engagement efforts to retain high-risk youth in DBT.
AbstractList This paper presents the outcomes of a Dialectical Behavior Treatment (DBT) program, implemented in intensive outpatient care with two groups of adolescents (n = 55 and n = 45), ages 12-18, who engaged in deliberate self-harm (DSH) but had different insurance/funding sources and risk backgrounds. This pre-post study examined variability in clinical functioning and treatment utilization between the two groups and investigated moderating risk factors. Findings support DBT's effectiveness in improving clinical functioning for youth with DSH regardless of insurance type. However, lower rates of treatment completion among youth without private insurance call for extra engagement efforts to retain high-risk youth in DBT.This paper presents the outcomes of a Dialectical Behavior Treatment (DBT) program, implemented in intensive outpatient care with two groups of adolescents (n = 55 and n = 45), ages 12-18, who engaged in deliberate self-harm (DSH) but had different insurance/funding sources and risk backgrounds. This pre-post study examined variability in clinical functioning and treatment utilization between the two groups and investigated moderating risk factors. Findings support DBT's effectiveness in improving clinical functioning for youth with DSH regardless of insurance type. However, lower rates of treatment completion among youth without private insurance call for extra engagement efforts to retain high-risk youth in DBT.
This paper presents the outcomes of a Dialectical Behavior Treatment (DBT) program, implemented in intensive outpatient care with two groups of adolescents (n=55 and n=45), ages 12–18, who engaged in deliberate self-harm (DSH) but had different insurance/funding sources and risk backgrounds. This pre-post study examined variability in clinical functioning and treatment utilization between the two groups and investigated moderating risk factors. Findings support DBT’s effectiveness in improving clinical functioning for youth with DSH regardless of insurance type. However, lower rates of treatment completion among youth without private insurance call for extra engagement efforts to retain high-risk youth in DBT.
This paper presents the outcomes of a Dialectical Behavior Treatment (DBT) program, implemented in intensive outpatient care with two groups of adolescents ( n  = 55 and n  = 45), ages 12–18, who engaged in deliberate self-harm (DSH) but had different insurance/funding sources and risk backgrounds. This pre-post study examined variability in clinical functioning and treatment utilization between the two groups and investigated moderating risk factors. Findings support DBT’s effectiveness in improving clinical functioning for youth with DSH regardless of insurance type. However, lower rates of treatment completion among youth without private insurance call for extra engagement efforts to retain high-risk youth in DBT.
Author Montgomery, Susanne B.
Mayo, Danessa
Riggs, Matt L.
Schaepper, Mary Ann
James, Sigrid
Freeman, Kim R.
Morgan, Joshua P.
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Snippet This paper presents the outcomes of a Dialectical Behavior Treatment (DBT) program, implemented in intensive outpatient care with two groups of adolescents ( n...
This paper presents the outcomes of a Dialectical Behavior Treatment (DBT) program, implemented in intensive outpatient care with two groups of adolescents (n...
This paper presents the outcomes of a Dialectical Behavior Treatment (DBT) program, implemented in intensive outpatient care with two groups of adolescents...
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StartPage 449
SubjectTerms Adolescent
Ambulatory Care
Behavior modification
Behavior Therapy
Child
Clinical outcomes
Clinical Psychology
Female
Financing, Organized
Health Administration
Health Informatics
High risk
Humans
Insurance
Insurance, Health - statistics & numerical data
Male
Medicine
Medicine & Public Health
Original Article
Outpatient treatment
Psychiatry
Public Health
Risk factors
Self destructive behavior
Self injury
Self-Injurious Behavior - therapy
Treatment Outcome
Youth
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Title Does Insurance Matter? Implementing Dialectical Behavior Therapy with Two Groups of Youth Engaged in Deliberate Self-harm
URI https://link.springer.com/article/10.1007/s10488-014-0588-7
https://www.ncbi.nlm.nih.gov/pubmed/25199812
https://www.proquest.com/docview/1685139200
https://www.proquest.com/docview/1686071643
https://pubmed.ncbi.nlm.nih.gov/PMC4362888
Volume 42
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