Abstract
There is a well-known subgroup of children and adolescents with complex medical conditions who have many psychosocial challenges that put them at risk for repeated and, at times, avoidable hospitalizations. Intensive behavioral health interventions that address the multitude of problems associated with complex medical conditions have proven effective in improving adherence to treatment, improving overall psychosocial functioning, and reducing avoidable hospitalizations. Based largely on this research, we adapted and augmented a family-based problem-solving intervention for youth with complex medical conditions who have been repeatedly hospitalized. The intervention involves intensive family based problem solving augmented with care coordination and case management. The intervention is implemented in the family's home, in the hospital, in the clinic, over e-mail, via video teleconferencing, and by text. To our knowledge, this effort is a first in the application of intensive behavioral health care for youth with complex medical conditions who are repeatedly hospitalized. We describe the theoretical and empirical underpinnings of the intervention, provide a description of the intervention using a case example, and present "lessons learned" from our efforts toward reducing hospitalizations and utilization of services in a population of youth with complex medical conditions who have repeatedly experienced avoidable hospitalizations.
| Original language | English (US) |
|---|---|
| Pages (from-to) | 137-145 |
| Number of pages | 9 |
| Journal | Clinical Practice in Pediatric Psychology |
| Volume | 1 |
| Issue number | 2 |
| DOIs | |
| State | Published - 2013 |
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Keywords
- Chronic illness
- Repeat hospitalizations
- Treatment
ASJC Scopus subject areas
- Clinical Psychology
- Developmental and Educational Psychology
- Applied Psychology
- Pediatrics, Perinatology, and Child Health
Cite this
Novel Interventions in Children's Health Care (NICH) : Innovative treatment for youth with complex medical conditions. / Harris, Michael; Spiro, Kim; Heywood, Matthew; Wagner, David V.; Hoehn, Dana; Hatten, Alyson; Labby, David.
In: Clinical Practice in Pediatric Psychology, Vol. 1, No. 2, 2013, p. 137-145.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Novel Interventions in Children's Health Care (NICH)
T2 - Innovative treatment for youth with complex medical conditions
AU - Harris, Michael
AU - Spiro, Kim
AU - Heywood, Matthew
AU - Wagner, David V.
AU - Hoehn, Dana
AU - Hatten, Alyson
AU - Labby, David
PY - 2013
Y1 - 2013
N2 - There is a well-known subgroup of children and adolescents with complex medical conditions who have many psychosocial challenges that put them at risk for repeated and, at times, avoidable hospitalizations. Intensive behavioral health interventions that address the multitude of problems associated with complex medical conditions have proven effective in improving adherence to treatment, improving overall psychosocial functioning, and reducing avoidable hospitalizations. Based largely on this research, we adapted and augmented a family-based problem-solving intervention for youth with complex medical conditions who have been repeatedly hospitalized. The intervention involves intensive family based problem solving augmented with care coordination and case management. The intervention is implemented in the family's home, in the hospital, in the clinic, over e-mail, via video teleconferencing, and by text. To our knowledge, this effort is a first in the application of intensive behavioral health care for youth with complex medical conditions who are repeatedly hospitalized. We describe the theoretical and empirical underpinnings of the intervention, provide a description of the intervention using a case example, and present "lessons learned" from our efforts toward reducing hospitalizations and utilization of services in a population of youth with complex medical conditions who have repeatedly experienced avoidable hospitalizations.
AB - There is a well-known subgroup of children and adolescents with complex medical conditions who have many psychosocial challenges that put them at risk for repeated and, at times, avoidable hospitalizations. Intensive behavioral health interventions that address the multitude of problems associated with complex medical conditions have proven effective in improving adherence to treatment, improving overall psychosocial functioning, and reducing avoidable hospitalizations. Based largely on this research, we adapted and augmented a family-based problem-solving intervention for youth with complex medical conditions who have been repeatedly hospitalized. The intervention involves intensive family based problem solving augmented with care coordination and case management. The intervention is implemented in the family's home, in the hospital, in the clinic, over e-mail, via video teleconferencing, and by text. To our knowledge, this effort is a first in the application of intensive behavioral health care for youth with complex medical conditions who are repeatedly hospitalized. We describe the theoretical and empirical underpinnings of the intervention, provide a description of the intervention using a case example, and present "lessons learned" from our efforts toward reducing hospitalizations and utilization of services in a population of youth with complex medical conditions who have repeatedly experienced avoidable hospitalizations.
KW - Chronic illness
KW - Repeat hospitalizations
KW - Treatment
UR - http://www.scopus.com/inward/record.url?scp=84901392729&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=84901392729&partnerID=8YFLogxK
U2 - 10.1037/cpp0000016
DO - 10.1037/cpp0000016
M3 - Article
AN - SCOPUS:84901392729
VL - 1
SP - 137
EP - 145
JO - Clinical Practice in Pediatric Psychology
JF - Clinical Practice in Pediatric Psychology
SN - 2169-4826
IS - 2
ER -