A B S T R A C TThis study examined the association between family engagement and consumer satisfaction for the seriously emotionally disturbed children and adolescents admitted to an in-patient psychiatric unit in a large medical center. Participants were 45 male and female in-patients, aged 7-17, and their parents. At the time their child was discharged, parents completed a demographic questionnaire, the Achenbach Child Behavior Checklist, and the Inpatient Parental Satisfaction Index. At the same time, the child's psychiatrist completed the Family Engagement Questionnaire. Results indicated that engagement is related to satisfaction, prior in-patient treatment is negatively related to engagement, and satisfaction with prior in-patient services is highly predictive of satisfaction with current services. At 9-month follow-up, 32% of the sample had been re-hospitalized. Rehospitalization was associated with poorer engagement in treatment and lower parent ratings of satisfaction with care. These results suggest the existence of a group of patients who undergo repeat hospitalizations with poor levels of engagement in their care.

The aim of the pilot study was to evaluate a multidisciplinary program for nonspecific low back pain (NSLBP) at a major U.S. Navy base. In this single blinded randomized clinical trial, subjects were drawn from a larger, prospective cohort of active duty service members seeking care for NSLBP pain at a U.S. Navy Branch Medical Clinic. Outcome measures included return to work, self-reported pain, function, and psychological distress. Subjects were randomly allocated to one of two study arms: a multidisciplinary reconditioning program or the current standard of care for low back pain. The intervention lasted 4 weeks with a 12-week follow-up. Thirty-three subjects were enrolled. Subjects allocated to multidisciplinary care reported significantly lower perceived disability (p = 0.014) and less pain than those allocated to usual care at the end of the intervention period. All subjects returned to their usual duty following the conclusion of the intervention. The implementation of the intervention program was successful. Subjects in the multidisciplinary program showed a clinically significant improvement in the perception of disability compared to the usual care group. This is an important finding since perception of disability is associated with long-term functional outcome.

Religious appraisals, Secular coping, Pain outcomes,

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