Outcomes of child psychiatric treatment
Version of Record online: 22 NOV 2012
© 2012 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd
Acta Psychiatrica Scandinavica
Volume 128, Issue 1, pages 34–44, July 2013
How to Cite
Outcomes of child psychiatric treatment, , , , .
- Issue online: 9 JUN 2013
- Version of Record online: 22 NOV 2012
- Manuscript Accepted: 10 OCT 2012
- Celsing Foundation, Jerring Foundation, Solstickan Foundation, and the Swedish Psychiatric Foundation
- Stockholm County Council
- Karolinska Institutet. Grant Numbers: ALF 20100305, K2010-61P-21568-01-4
- mental disorders/therapy;
- outcome assessment;
- psychiatric status rating scales
The aim of this study was to investigate outcomes of child psychiatric outpatient treatment as usual and to identify outcome predictors, with special regard to attention-deficit/hyperactivity disorder (ADHD), mood disorder, obsessive-compulsive disorder and conduct disorder.
Routinely collected data from 12 613 outpatients between July 2006 and January 2010 in Stockholm, Sweden were analysed. The outcome measure was change in Children's Global Assessment Scale (CGAS) ratings between first visit and case closure (∆CGAS).
CGAS improved during the course of treatment across all diagnostic groups, ranging from a mean change of 4 (mental retardation) to 16 (suicide attempts). ∆CGAS was two times higher in the mood disorder group compared with the ADHD group. In the mood disorder group, several psychotherapies were associated with better outcome but not medication. In the ADHD group, psychotherapeutic interventions were also associated with better outcome, but those who received treatment with central stimulants received less non-medical interventions.
Whereas the functional impairment and the level of improvement in mood disorder corresponded to previous efficacy studies, the ADHD patients were more impaired and improved less after treatment. This should prompt a critical discussion as to whether ADHD patients receive the best available treatment in CAMHS in Stockholm and elsewhere.