Capacity and Competence in Child and Adolescent Psychiatry

Tan, Jacinta; Fegert, Jörg M.

doi:10.1007/s10728-004-6636-9

Cited by 37 publications

(28 citation statements)

References 35 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Therefore, despite how clients arrive to counseling, positive treatment outcomes remain achievable. Although minimal research exists examining the experiences of adolescents who enter treatment involuntarily, researchers suggested that counselors' early engagement of adolescent clients in the treatment process significantly increased clients' motivation and perceived treatment effectiveness (Tan & Fegert, 2004).…”

Section: Adolescent Help Seekingmentioning

confidence: 99%

A predictive model of adolescent persistence in counseling

Holm

2016

Children and Youth Services Review

View full text Add to dashboard Cite

Adolescence is a developmental period characterized by profound social and emotional changes. Counseling can serve as a protective factor for decreasing the long-term negative emotional effects. Despite this fact, counselors continue to struggle with high rates of attrition among adolescent clients. When examining trends of client persistence in counseling across the lifespan, researchers found a relationship between the presence of internalizing and externalizing behaviors. Additionally, they found that high levels of familial stress predicted premature termination from counseling.The purpose of the current study was to create a predictive model of adolescent persistence in counseling. I examined both personal and environmental characteristics of adolescents who sought counseling services (N = 72) from an on-campus university counseling clinic that serves as a training facility for master's and doctoral students at an accredited counselor education program in the southwestern United States. Participants were predominantly White (67.6%, n = 50), with a mean age of 14.23 (SD = 1.65). Nearly 60% (n = 44) of the clients were female, and 37.8% were male (n = 28). Beyond descriptive variables, eight predictor variables were examined: adolescent involvement in their intake, time spent on the wait list, four domains of parental stress, and parent perceptions of adolescent internalizing and externalizing behaviors. A multiple linear regression was conducted to understand how much of the variance in the number of counseling sessions attended by adolescent clients was explained by the predictor variables. The regression analysis was statistically significant (p = .008) and accounted for 29.1% (R 2 adj = .192) of the variance in sessions attended. Of the variables examined, externalizing behaviors (42.82%) accounted for the most variance in internalizing behaviors (12.96%), and parent-focused stress (10.30%). An examination of the two strongest predictors in correlation to the number of sessions attended revealed a negative relationship with externalizing behaviors and a positive relationship with involvement in the intake, suggesting that adolescents who present with externalizing behaviors and who are not involved in their intake are likely to attend fewer counseling sessions.To understand the differences among adolescents who prematurely terminate from counseling and those who persist in counseling, I conducted a series of univariate and multivariate analyses. Comparing the means of the predictor variables revealed no significant differences between any of the predictor variables examined, although internalizing and externalizing behavior scores fell within the borderline clinical range for adolescents who persisted in counseling. Finally, a predictive discriminant analysis to assess to what degree identified variables predicted premature termination from or persistence in counseling yielded a 75% hit rate. Given this knowledge, counselors may be able to pro-actively identify adolescents who are at risk of prematurely t...

show abstract

Section: Adolescent Help Seekingmentioning

confidence: 99%

A predictive model of adolescent persistence in counseling

Holm

2016

Children and Youth Services Review

View full text Add to dashboard Cite

show abstract

“…(4) perceived stigma related to medication; (5) viewing medication as unnecessary; (6) perceived unhelpfulness of medication; (7) mistrust of medication or prescribers; (8) concerns about long-term effects of medications, and (9) preferring self as is/without medication.…”

Section: Samplementioning

confidence: 99%

“…As minors and dependents, youth are asked to give assent, but are not given the right of consent, which is a right to either accept or deny treatment; this is reserved for their parents or legal guardians [6][7][8][9]. Because many youth receiving psychiatric treatment are not full participants in decision-making [10], a question arises about the extent to which youth prescribed psychotropic medication are committed to this treatment.…”

Section: Introductionmentioning

confidence: 99%

Adolescents’ Commitment to Continuing Psychotropic Medication: A Preliminary Investigation of Considerations, Contradictions, and Correlates

Moses

2010

Child Psychiatry Hum Dev

View full text Add to dashboard Cite

This mixed-method study examines (1) the extent to which fifty adolescents receiving wraparound treatment and prescribed psychotropic medication for various psychiatric disorders report that they would continue taking medication if the decision was entirely their own (termed "medication commitment"); (2) their general subjective experiences with medication; and (3) which medication experiences and clinical, social, and demographic factors are associated with greater medication commitment. We found that most adolescents (62%) would discontinue treatment; these "less committed" youth were more likely to report various negative medication perceptions and experiences in open-ended questions, relative to "committed" youth. Multivariate analysis indicated that significant correlates of commitment to medication were: taking antipsychotic medication, greater perceived family support, and lack of perceived coercion to take the medication; clinical or demographic factors were not significantly related to medication commitment. The results reinforce the importance of addressing youths' concerns about medication and maximizing their participation in treatment decision-making.

show abstract

“…Research also suggests that children with attention-deficit/hyperactivity dis- Even if they have competence to make decisions, because of their close relationships with their parents, many children and adolescents may prefer to have a group or joint decision-making model, making decisions together with parents and other trusted adults. Children and adolescents who are suffering from mental disorders are probably more likely to prefer, and benefit from, a joint decision-making model [35].…”

Section: : "States Parties Undertake To Ensure the Child Such Protectmentioning

confidence: 99%

The ethics of psychopharmacological research in legal minors

Tan

Koelch

2008

Child Adolesc Psychiatry Ment Health

View full text Add to dashboard Cite

Research in psychopharmacology for children and adolescents is fraught with ethical problems and tensions. This has practical consequences as it leads to a paucity of the research that is essential to support the treatment of this vulnerable group. In this article, we will discuss some of the ethical issues which are relevant to such research, and explore their implications for both research and standard care. We suggest that finding a way forward requires a willingness to acknowledge and discuss the inherent conflicts between the ethical principles involved. Furthermore, in order to facilitate more, ethically sound psychopharmacology research in children and adolescents, we suggest more ethical analysis, empirical ethics research and ethics input built into psychopharmacological research design.

show abstract

Capacity and Competence in Child and Adolescent Psychiatry

Cited by 37 publications

References 35 publications

A predictive model of adolescent persistence in counseling

A predictive model of adolescent persistence in counseling

Adolescents’ Commitment to Continuing Psychotropic Medication: A Preliminary Investigation of Considerations, Contradictions, and Correlates

The ethics of psychopharmacological research in legal minors

Contact Info

Product

Resources

About