James Sigrid, Freeman Kim R, Mayo Danessa, Riggs Matt L, Morgan Joshua P, Schaepper Mary Ann, Montgomery Susanne B
Institute for Social Work and Social Welfare, University of Kassel, Kassel, Germany,
Adm Policy Ment Health. 2015 Jul;42(4):449-61. doi: 10.1007/s10488-014-0588-7.
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.
本文介绍了一项辩证行为疗法（DBT）项目的成果，该项目在强化门诊护理中实施，针对两组年龄在12至18岁之间、有故意自伤行为（DSH）但保险/资金来源和风险背景不同的青少年（n = 55和n = 45）。这项前后对照研究考察了两组之间临床功能和治疗利用情况的差异，并调查了调节风险因素。研究结果支持DBT对有DSH行为的青少年改善临床功能的有效性，无论其保险类型如何。然而，没有私人保险的青少年治疗完成率较低，这就需要做出额外的努力，以使高风险青少年继续接受DBT治疗。
