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Biomedical subjects

J T Gossett

Publications and source records attributed to J T Gossett.

At least 19 recordsLinked to original sources
PubMed1989

Psychiatric inpatient treatment for adolescents.

A substantial increase in severely disturbed adolescents, along with the dissemination of relevant clinical theory and research-proven clinical procedures, have resulted in an expanded utilization of hospital treatment for adolescents. More than ever, the clinician needs guidelines for decision-making regarding hospitalization, treatment goals, length of stay, and treatment models. Despite the expense, despite the frustration, and beyond the pain of failure and uncertainty, we are compelled to employ our current knowledge if we are not to waste the many young people who can be brought to productive adulthood through hospital treatment.

Adolescent↗
PubMed1984

Follow-up of children treated in psychiatric hospitals: a review of studies.

Approximately 15,000 children are currently in residential psychiatric treatment in the United States. Their response to treatment and their long-term adaptation remain only partially understood. The authors review 24 child inpatient follow-up studies and discuss their methodologies. Findings are presented along 10 dimensions relevant to long-term outcome. Good prognosis was positively correlated with adequate intelligence, nonpsychotic and nonorganic diagnoses, absence of antisocial features and bizarre symptoms, healthy family functioning, adequate length of stay, and involvement in aftercare. The authors discuss factors suggesting caution in the interpretation of these findings. They emphasize the importance of longitudinal research in developing empirically based, increasingly effective treatment programs.

Aftercare↗
PubMed1980

Follow-up of adolescents treated in a psychiatric hospital: measurement of outcome.

Treatment planning that is highly individualized and systematically improved must be based on careful assessments of the effectiveness of current technics. This report describes the long-term (three to eight years) outcome of psychiatric hospitalization for 120 severely disturbed adolescent patients as it is measured on three dimensions: peer and social functioning, relationship with parents, and educational and occupational functioning. The measurement scales and the follow-up procedures are practical and easily used.

Adolescent↗
PubMed1977

Follow-up of adolescents treated in a psychiatric hospital. Predictors of outcome.

In the context of a long-term follow-up of 60 hospitalized adolescent psychiatric patients (26 months to four years after discharge), we examined correlates of outcome. The variables were as follows: (1) severity of psychopathology; (2) onset of symptomatology (process or reactive); (3) type of hospital treatment termination; (4) continuation of individual psychotherapy following discharge; (5) physically destructive behavior before hospitalization; and (6) energy level. Follow-up was by personal clinical interview exploring the expatient's current living conditions, peer relationships, current psychopathology and drug or alcohol use, legal difficulties, academic and work functioning, subjective contentment, and plans for the future. An evaluation was also obtained from parents and/or spouse. Statistical analyses of the interrelationships among the predictor variables and outcome demonstrated the importance of a multivariate approach.

Acting Out↗
PubMed1975

Follow-up of adolescents treated in a psychiatric hospital: operational solutions to some methodological problems of clinical research.

Procedural problems inhibiting follow-up research on psychiatric patients are discussed, and solutions offered, in the areas of ethical concerns, study design, selection of variables, collection of data, and researcher-clinician relationship. Early communication with patients about methods and goals, and maintenance of rapport and feedback between research and treatment staffs may overcome many difficulties of long-term research, and even aid treatment.

Adolescent↗