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Young People Who Meaningfully Improve Are More Likely to Mutually Agree to End Treatment

Edbrooke-Childs, J; Costa da Silva, L; Čuš, A; Liverpool, S; Pinheiro Mota, C; Pietrabissa, G; Bardsley, T; ... Ferreira, N; + view all (2021) Young People Who Meaningfully Improve Are More Likely to Mutually Agree to End Treatment. Frontiers in Psychology , 12 , Article 641770. 10.3389/fpsyg.2021.641770. Green open access

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Abstract

Objective: Symptom improvement is often examined as an indicator of a good outcome of accessing mental health services. However, there is little evidence of whether symptom improvement is associated with other indicators of a good outcome, such as a mutual agreement to end treatment. The aim of this study was to examine whether young people accessing mental health services who meaningfully improved were more likely to mutually agree to end treatment. / Methods: Multilevel multinomial regression analysis controlling for age, gender, ethnicity, and referral source was conducted on N = 8,995 episodes of care [Female = 5,469, 61%; meanAge = 13.66 (SD = 2.87) years] using anonymised administrative data from young people's mental health services. / Results: Compared to young people with no change in mental health difficulties, those showing positive meaningful changes in mental health difficulties were less likely to have case closure due to non-mutual agreement (Odds Ratio or OR = 0.58, 95% Confidence Interval or CI = 0.50–0.61). Similarly, they were less likely to transfer (OR = 0.61, 95% CI = 0.49–0.74) or end treatment for other reasons (OR = 0.59, 95% CI = 0.50–0.70) than by case closure due to mutual agreement. / Conclusion: The findings suggest that young people accessing mental health services whose symptoms meaningfully improve are more likely to mutually agree to end treatment, adding to the evidence that symptom improvement may be appropriate to examine as an indicator of a good outcome of accessing mental health services.

Type: Article
Title: Young People Who Meaningfully Improve Are More Likely to Mutually Agree to End Treatment
Location: Switzerland
Open access status: An open access version is available from UCL Discovery
DOI: 10.3389/fpsyg.2021.641770
Publisher version: https://doi.org/10.3389/fpsyg.2021.641770
Language: English
Additional information: Copyright © 2021 Edbrooke-Childs, Costa da Silva, Čuš, Liverpool, Pinheiro Mota, Pietrabissa, Bardsley, Sales, Ulberg, Jacob and Ferreira. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY) (http://creativecommons.org/licenses/by/4.0/). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
Keywords: case closure, dropout, meaningful change, mental health, outcome, youth
UCL classification: UCL
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences > Div of Psychology and Lang Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences > Div of Psychology and Lang Sciences > Clinical, Edu and Hlth Psychology
URI: https://discovery.ucl.ac.uk/id/eprint/10127304
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