Clinical Child Psychology and Psychiatry

 

Advanced Search

Journal Navigation

Journal Home

Subscriptions

Archive

Contact Us

Table of Contents

Click here for more information

Sign In to gain access to subscriptions and/or personal tools.
This Article
Right arrow Abstract Freely available
Right arrow Free Full Text (Free PDF) Free
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Right arrow Citation Map
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Alert me to new issues of the journal
Right arrow Add to Saved Citations
Right arrow Download to citation manager
Right arrowRequest Permissions
Right arrow Request Reprints
Right arrow Add to My Marked Citations
Citing Articles
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Vostanis, P.
Right arrow Articles by Window, S.
Right arrow Search for Related Content
PubMed
Right arrow Articles by Vostanis, P.
Right arrow Articles by Window, S.
Social Bookmarking
Add to CiteULike   Add to Connotea   Add to Del.icio.us   Add to Digg   Add to Reddit   Add to Technorati  
What's this?
Clinical Child Psychology and Psychiatry, Vol. 11, No. 4, 513-528 (2006)
DOI: 10.1177/1359104506067874

Evaluation of a Family Support Service: Short-term Outcome

Panos Vostanis

University of Leicester, UK

Lisa Anderson

University of Leicester, UK

Suzanne Window

National Clinical Governance Support Team, UK

The aim of this study was to evaluate the short-term impact of two types of family support services (FSS) for children with behavioural problems (N = 51 and 49 respectively). These were compared with children (N = 40) matched for presenting problems and referred to specialist CAMHS in a locality without FSS. Pre and postintervention measures were the Health of the Nation Outcome Scales (HoNOSCA), the Strengths and Difficulties Questionnaire (SDQ), and a service utilization checklist. Although all three groups were associated with decrease of child behavioural scores, the two family support services provided an earlier response and resulted in significantly higher reduction of HoNOSCA and SDQ scores. The two FSS types implemented different ‘levels’ of interventions, as FSSB resulted in a more favourable short-term outcome and appeared to operate more closely to specialist services, while FSS-A appeared to adopt a more preventive role. Family support services have an important role within a comprehensive child mental health service, but the specificity of their interventions for different target client groups requires further investigation.

Key Words: child behaviour • child mental health services • family support • parenting intervention

References

  • Angold, A., Costello, J., Burns, B., Erkanli, A., & Farmer, E. (2000). Effectiveness of nonresidential specialty mental health services for children and adolescents in the ‘real world’ . Journal of the American Academy of Child and Adolescent Psychiatry, 39, 154-160 .[CrossRef][Medline] [Order article via Infotrieve]
  • Appleton, P. L., & Hammond-Rowley, S. (2000). Addressing the population burden of child and adolescent mental health problems: A primary care model . Child Psychology and Psychiatry Review, 5, 9-16 .
  • Arcelus, J., & Vostanis, P. (2003). Child psychiatric disorders among primary mental health service attenders . British Journal of General Practice, 53, 214-216 .[Medline] [Order article via Infotrieve]
  • Barlow, J. (1999). Systematic review of the effectiveness of parent-training programmes in improving behaviour problems in children aged 3-10 years. Oxford: Department of Health, Health Services Research Unit .
  • Berg, I. K., & Kelly, S. (1999). Building solutions in child protective services. New York: Norton .
  • Bor, W., Sanders, M., & Markie-Dadds, C. (2002). The effects of the Triple P: Postive Parenting Program on preschool children with co-occurring disruptive behavior and attentional/hyperactive difficulties . Journal of Abnormal Child Psychology, 30, 571-587 .[CrossRef][Medline] [Order article via Infotrieve]
  • Bower, P., Garralda, E., Kramer, T., Harrington, R., & Sibbald, B. (2001). The treatment of child and adolescent mental health problems in primary care: A systematic review . Family Practice, 18, 373-382 .[Abstract/Free Full Text]
  • Bower, P., Gask, L., May, C., & Mead, N. (2001). Domains of consultation research in primary care . Patient Education and Counselling, 45, 3-11 .[CrossRef][Medline] [Order article via Infotrieve]
  • Brestan, E., & Eyberg, S. (1998). Effective psychosocial treatments of conduct-disordered children and adolescents: 29 years, 82 studies, and 5272 kids . Journal of Clinical Child Psychology, 27, 180-189 .[CrossRef][Medline] [Order article via Infotrieve]
  • Chaffin, M., Bonner, B., & Hill, R. (2001). Family preservation and family support programs: Child maltreatment outcomes across client risk levels and program types . Child Abuse and Neglect, 25, 1269-1289 .[CrossRef][Medline] [Order article via Infotrieve]
  • Chorpita, B., Barlow, D., Albano, A. M., & Daleiden, E. (1998). Methodological strategies in child clinical trials: Advancing the efficacy and effectiveness of psychosocial treatments . Journal of Abnormal Child Psychology, 26, 7-16 .[CrossRef][Medline] [Order article via Infotrieve]
  • Cornah, D., Sonuga-Barke, E., Stevenson, J., & Thompson, M. (2003). The impact of maternal mental health and child’s behavioural difficulties on attributions about child behaviours . British Journal of Clinical Psychology, 42, 69-79 .[CrossRef][Medline] [Order article via Infotrieve]
  • Cox, A., Pound, A., Mills, M., Puckering, C., & Owen, A. (1991). Evaluation of a home visiting and befriending scheme for young mothers . Journal of the Royal Society of Medicine, 84, 217-220 .[Abstract]
  • Davis, H., Day, C., Cox, A., & Cutler, L. (2000). Child and adolescent mental health needs assessment and service implications in an inner city area . Clinical Child Psychology and Psychiatry, 5, 169-188 .[Abstract/Free Full Text]
  • Davis, H., & Spurr, P. (1998). Parent counselling: An evaluation of a community child mental health service . Journal of Child Psychology and Psychiatry, 39, 365-375 .[CrossRef][Medline] [Order article via Infotrieve]
  • Day, C., & Davis, H. (1999). Community child mental health services: A framework for the development of parenting initiatives . Clinical Child Psychology and Psychiatry, 4, 475-482 .[Abstract/Free Full Text]
  • Day, C., Davis, H., & Hind, R. (1998). The development of a community child and family mental health service . Child: Care, Health and Development, 24, 487-500 .[CrossRef][Medline] [Order article via Infotrieve]
  • De Shazer, S. (1988). Clues: Investigating solutions in brief therapy. New York: Norton .
  • Durlak, J., & Wells, A. (1998). Evaluation of indicated preventive intervention (secondary prevention) mental health programs for children and adolescents . American Journal of Community Psychology, 26, 775-802 .[CrossRef][Medline] [Order article via Infotrieve]
  • Fendrick, M., Johnson, T., Wislar, T., & Nageotte, C. (1999). Accuracy of mental health service reporting: Results from a reverse record-check study . American Journal of the Academy of Child and Adolescent Psychiatry, 38, 147-155 .
  • Gale, F., & Vostanis, P. (2003). Developing the primary mental health worker role within child and adolescent mental health services . Clinical Child Psychology and Psychiatry, 8, 227-240 .[Abstract]
  • Garralda, M. E., Bowman, F. M., & Mandalia, S. (1999). Children with psychiatric disorders who are frequent attenders to primary care . European Child and Adolescent Psychiatry, 8, 34-44 .[Medline] [Order article via Infotrieve]
  • Goodman, R. (2001). Psychometric properties of the Strengths and Difficulties Questionnaire . Journal of the American Academy of Child and Adolescent Psychiatry, 40, 1337-1345 .[CrossRef][Medline] [Order article via Infotrieve]
  • Goodman, R., Ford, T., Simmons, H., Gatward, R., & Meltzer, H. (2000). Using the Strengths and Difficulties Questionnaire (SDQ) to screen for child psychiatric disorders in a community sample . British Journal of Psychiatry, 177, 534-553 .[Abstract/Free Full Text]
  • Gowers, S., Harrington, R., Whitton, A., Beevor, A., Lelliott, A., Jezzard, R., & Wing, J. (1999). Health of the Nation Outcome Scales for Children and Adolescents (HoNOSCA): Glossary for HoNOSCA score sheet . British Journal of Psychiatry, 174, 428-431 .[Free Full Text]
  • Gowers, S., Harrington, R., Whitton, A., Lelliott, P., Beevor, A., Wing, J., & Jezzard, R. (1999). Brief scale for measuring the outcomes of emotional and behavioural disorders in children: Health of the Nation Outcome Scales for Children and Adolescents (HoNOSCA) . British Journal of Psychiatry, 174, 413-416 .[Abstract/Free Full Text]
  • Gray, B. (2002). Emotional labour and befriending in family support and child protection in Tower Hamlets . Child and Family Social Work, 7, 13-22 .[CrossRef]
  • Harrington, R., Cartwright-Hatton, S., & Stein, A. (2002). Randomised trials . Journal of Child Psychology and Psychiatry, 43, 695-704 .[CrossRef][Medline] [Order article via Infotrieve]
  • Harrington, R., Peters, S., Green, J., Byford, S., Woods, A., & McGowan, R. (2000). Randomised comparison of the effectiveness and costs of community and hospital based mental health services for children with behavioural disorders . British Medical Journal, 321, 1047-1050 .[Abstract/Free Full Text]
  • Horowitz, S., Leaf, P., & Leventhal, C. (1998). Identification of psychosocial problems in pediatric primary care: Do family attitudes make a difference? Archives of Pediatrics and Adolescent Medicine, 152, 367-371 .[Abstract/Free Full Text]
  • Jones, E., Lucey, C., & Wadland, L. (2000). Triage: A waiting list initiative in a child mental health service . Psychiatric Bulletin, 24, 57-59 .[Abstract/Free Full Text]
  • Kramer, T., & Garralda, E. (2000). Child and adolescent mental health problems in primary care . Advances in Psychiatric Treatment, 6, 287-294 .[Free Full Text]
  • Lethem, J. (2002). Brief solution-focused therapy . Child and Adolescent Mental Health, 7, 189-192 .
  • Metkalf, L. (1997). Parenting towards solutions. Englewood Cliffs, NJ: Simon & Schuster .
  • Parton, N., & Matthews, R. (2001). New directions in child protection and family support in Western Australia . Child and Family Social Work, 6, 97-113 .
  • Richardson, J., & Joughin, C. (2002). Parent-training programmes for the management of young children with conduct disorders: Findings from research. London: Gaskell .
  • Sanders, M., Turner, K., & Markie-Dadds, C. (2002). The development and dissemination of the Triple P-Positive Parenting Program: A multilevel, evidence-based system of parenting and family support . Prevention Science, 3, 173-189 .
  • Scott, S. (1998). Intensive interventions to improve parenting . Archives of Disease in Childhood, 79, 90-93 .[Free Full Text]
  • Scott, S., Spender, Q., Doolan, M., Jacobs, B., & Aspland, H. (2001). Multicentre controlled trial of parenting groups for childhood antisocial behaviour in clinical practice . British Medical Journal, 323, 194-197 .[Abstract/Free Full Text]
  • Stormshak, E., Kaminski, R., & Goodman, M. (2002). Enhancing the parenting skills of Head Start families during the transition to kindergarten . Prevention Science, 3, 223-234 .
  • Taggart, A., Short, S., & Barclay, L. (2000). ‘She has made me feel human again’: An evaluation of a volunteer home-based visiting project for mothers . Health and Social Care in the Community, 8, 1-8 .[CrossRef]
  • Taylor, T., Schmidt, F., Pepler, D., & Hodgins, C. (1998). A comparison of eclectic treatment with Webster-Stratton’s parents and children series in a children’s mental health centre: A randomised controlled trial . Behavior Therapy, 29, 221-240 .[CrossRef]
  • Ukoumunne, O., Gulliford, M., Chinn, S., Sterne, J., Burney, P., & Donner, A. (1999). Evaluation of health interventions at area and organisation level . British Medical Journal, 319, 376-379 .[Free Full Text]
  • Vostanis, P., Meltzer, H., Goodman, R., & Ford, T. (2003). Service utilisation by children with conduct disorders: Findings from the GB National Study . European Child and Adolescent Psychiatry, 12, 231-238 .[CrossRef][Medline] [Order article via Infotrieve]
  • Walker, S. (2001). Family support and social work practice: Opportunities for child mental health work . Social Work and Sciences Review, 9, 25-40 .
  • Walker, S. (2003). Multidisciplinary family support in child and adolescent mental health services . Clinical Child Psychology and Psychiatry, 8, 215-226 .[Abstract]
  • Webster-Stratton, C. (1984). Randomised trial of two parent-training programs for families with conduct-disordered children . Journal of Consulting and Clinical Psychology, 52, 666-678 .[CrossRef][Medline] [Order article via Infotrieve]
  • Webster-Stratton, C. (1998). Preventing conduct problems in Head Start children: Strengthening parenting competencies . Journal of Consulting and Clinical Psychology, 66, 715-730 .[CrossRef][Medline] [Order article via Infotrieve]
  • Webster-Stratton, C., Reid, J., & Hammond, M. (2001). Social skills and problem-solving training for children with early-onset conduct problems: Who benefits? Journal of Child Psychology and Psychiatry, 42, 943-952 .[CrossRef][Medline] [Order article via Infotrieve]
  • Weiss, B. (1998). Routine monitoring of the effectiveness of child psychotherapy . Journal of Child Psychology and Psychiatry, 39, 943-950 .[CrossRef][Medline] [Order article via Infotrieve]
  • Wheeler, J. (1995). Believing in miracles: The implications and possibilities of using solution-focused therapy in a child mental health setting . Association of Child Psychology and Psychiatry Review, 17, 255-261 .
  • Window, S., Anderson, L., & Vostanis, P. (2004). A multi-agency service for child behavioural problems . Community Practitioner, 77, 180-184 .
  • Window, S., Richards, M., & Vostanis, P. (2004). Parents’ and children’s perceptions of a family support service for child behavioural problems . Social Work Practice, 18, 113-131 .[CrossRef]
  • Wu, P., Hoven, C., Bird, H., Moore, R., Cohen, P., Alegria, M., Dulcan, M., et al. (1999). Depressive and disruptive disorders and mental health service use utilisation in children and adolescents . Journal of the American Academy of Child and Adolescent Psychiatry, 38, 1081-1090 .[CrossRef][Medline] [Order article via Infotrieve]
  • Yoshikawa, H. (1994). Prevention as cumulative protection: Effects of early family support and education on chronic delinquency and its risks . Psychological Bulletin, 115, 28-54 .[CrossRef][Medline] [Order article via Infotrieve]
  • Zahner, G., & Daskalakis, C. (1997). Factors associated with mental health, general health, and school-based service use for child psychopathology . American Journal of Public Health, 87, 1440-1448 .[Abstract/Free Full Text]
  • Zimmerman, T., Jacobsen, R., MacIntyre, M., & Watson, C. (1996). Solution-focused parenting groups: An empirical study . Journal of Family Therapy, 19, 159-172 .
  • Zimmerman, T., Prest, L., & Wetzel, B. (1997). Solution-focused couples therapy groups: An empirical study . Journal of Family Therapy, 19, 125-144 .[CrossRef]

Add to CiteULike CiteULike   Add to Connotea Connotea   Add to Del.icio.us Del.icio.us   Add to Digg Digg   Add to Reddit Reddit   Add to Technorati Technorati    What's this?



This Article
Right arrow Abstract Freely available
Right arrow Free Full Text (Free PDF) Free
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Right arrow Citation Map
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Alert me to new issues of the journal
Right arrow Add to Saved Citations
Right arrow Download to citation manager
Right arrowRequest Permissions
Right arrow Request Reprints
Right arrow Add to My Marked Citations
Citing Articles
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Vostanis, P.
Right arrow Articles by Window, S.
Right arrow Search for Related Content
PubMed
Right arrow Articles by Vostanis, P.
Right arrow Articles by Window, S.
Social Bookmarking
Add to CiteULike   Add to Connotea   Add to Del.icio.us   Add to Digg   Add to Reddit   Add to Technorati  
What's this?