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 in | Administration and policy in mental health and mental health services research Vol. 42; no. 4; pp. 449 - 461 |
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Main Authors | , , , , , , |
Format | Journal Article |
Language | English |
Published |
New York
Springer US
01.07.2015
Springer Nature B.V |
Subjects | |
Online Access | Get full text |
ISSN | 0894-587X 1573-3289 1573-3289 |
DOI | 10.1007/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. |
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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. |
Author_xml | – sequence: 1 givenname: Sigrid surname: James fullname: James, Sigrid email: ssjames@llu.edu organization: Institute for Social Work and Social Welfare, University of Kassel, Department of Social Work and Social Ecology, Loma Linda University – sequence: 2 givenname: Kim R. surname: Freeman fullname: Freeman, Kim R. organization: Department of Social Work and Social Ecology, Loma Linda University – sequence: 3 givenname: Danessa surname: Mayo fullname: Mayo, Danessa organization: Department of Social Work and Social Ecology, Loma Linda University – sequence: 4 givenname: Matt L. surname: Riggs fullname: Riggs, Matt L. organization: California State University San Bernardino – sequence: 5 givenname: Joshua P. surname: Morgan fullname: Morgan, Joshua P. organization: Department of Social Work and Social Ecology, Loma Linda University, San Bernardino County Behavioral Health Department – sequence: 6 givenname: Mary Ann surname: Schaepper fullname: Schaepper, Mary Ann organization: Loma Linda University Behavioral Medicine Center – sequence: 7 givenname: Susanne B. surname: Montgomery fullname: Montgomery, Susanne B. organization: Department of Social Work and Social Ecology, Loma Linda University, Loma Linda University Behavioral Health Institute |
BackLink | https://www.ncbi.nlm.nih.gov/pubmed/25199812$$D View this record in MEDLINE/PubMed |
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CitedBy_id | crossref_primary_10_1080_15374416_2024_2426142 crossref_primary_10_1186_s13063_016_1431_0 crossref_primary_10_1007_s40894_021_00155_4 crossref_primary_10_18203_2320_6012_ijrms20244133 crossref_primary_10_1007_s10560_024_00961_4 crossref_primary_10_1016_j_eclinm_2018_10_004 crossref_primary_10_1007_s40894_020_00147_w crossref_primary_10_1590_1413_812320202510_31362018 crossref_primary_10_1016_j_cbpra_2021_02_004 crossref_primary_10_1007_s10560_018_0578_9 crossref_primary_10_1016_j_copsyc_2017_08_037 crossref_primary_10_2196_41721 |
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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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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 |
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