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The `Clinician's Illusion': More Evidence?

Astor Home & Child Guidance Centers, Poughkeepsie, USA

The utilization rates reported in communities that offer mental-health services to children were compared. In one community, the demonstration site of the Fort Bragg Demonstration Project, a full continuum of services were made available free of charge to residents with maximal availability of services. In the other communities, one of which offered a full continuum of services, Dutchess County, New York, services were provided for a fee and access was restricted. A much larger number of children were admitted to treatment and placed in out-of-home programs in the Fort Bragg Demonstration site, where no substantial difference in outcomes for continuum-treated as opposed to traditionally-treated children was observed. The argument is made that the utilization rates reflect that clinicians who work in communities who rapidly introduce a full continuum of care at no cost to the client are subject to the `Clinician's Illusion', the belief that all troubled children need mental-health treatment and will make no substantial improvements unless treated.

Key Words: child treatment • children's mental health • clinician's illusion • Fort Bragg • Demonstration Project • utilization rates

Clinical Child Psychology and Psychiatry, Vol. 2, No. 4, 579-590 (1997)
DOI: 10.1177/1359104597024010


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