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A family therapy program in an adolescent psychiatric hospital
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A family therapy program in an adolescent psychiatric hospital
A family therapy program in an adolescent psychiatric hospital
Dissertation

A family therapy program in an adolescent psychiatric hospital

1991
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Overview
This study examined the impact on length of stay and discharge placement when a family therapy program was introduced in an adolescent state psychiatric hospital. Data was gathered from hospital records for the entire inpatient population during an 18 month period prior to the family therapy program and during an 18 month period after the family therapy program was in effect. Variables gathered for each patient were: age, sex, race, urban/suburban background, diagnosis, length of stay, discharge placement, and participation in the family therapy program. The study was based on a total of 478 patients who were evenly divided between the two time periods. The age range was from 14 to 18 years. Sex was evenly divided. Race distribution was white: 56%, Black: 29%, and hispanic: 13%. Discharge diagnoses were divided into three categories: Affective, 41%; conduct, 34%; psychotic, 25%. The hypothesis was that those patients who were involved in the systems oriented family therapy program would have a greater likelihood of returning to their families upon discharge and would be discharged more quickly than patients who did not participate. The rationale for this hypothesis lay in the clinical observation that families who were involved in the treatment of their children were more likely to seek their return to the family following discharge. A static-group comparison showed no significant difference between the two populations in either length of stay or ratio of discharge to family versus out-of-family placements. Patients diagnosed as \"affective\" had lengths of stay significantly shorter than other diagnostic categories. Those patients who were selected for the family therapy program had lengths of stay significantly longer than those who were not selected. Within racial categories, both white and black patients had significantly increased lengths of stay in the family therapy program. Hispanic patients, however, had no significant increase in length of stay. A multiple regression analysis showed that black patients were selected for the family therapy program significantly less than either white or hispanic patients.
Publisher
ProQuest Dissertations & Theses
ISBN
9798207718101