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dc.contributor.authorBergström, Tomi
dc.contributor.authorKurtti, Mia
dc.contributor.authorMiettunen, Jouko
dc.contributor.authorYliruka, Laura
dc.contributor.authorValtanen, Kari
dc.date.accessioned2023-09-01T10:07:11Z
dc.date.available2023-09-01T10:07:11Z
dc.date.issued2023
dc.identifier.citationBergström, T., Kurtti, M., Miettunen, J., Yliruka, L., & Valtanen, K. (2023). Out-of-home interventions for adolescents who were treated according to the Open Dialogue model for mental health care. <i>Child Abuse and Neglect</i>, <i>145</i>, Article 106408. <a href="https://doi.org/10.1016/j.chiabu.2023.106408" target="_blank">https://doi.org/10.1016/j.chiabu.2023.106408</a>
dc.identifier.otherCONVID_184559591
dc.identifier.urihttps://jyx.jyu.fi/handle/123456789/88847
dc.description.abstractAbstract Background The Open Dialogue approach (OD) emphasizes community-based psychiatric treatment for adolescents, but its success in achieving this is poorly documented. Objective To analyse out-of-home intervention usage in a national sample of adolescent psychiatric patients and determine if OD is linked to increased time until out-of-home intervention. Participants and setting The register-based cohort study included all adolescents aged 13–20 who received psychiatric treatment in Finland between 2003 and 2008. The research group (n = 780) included adolescents whose treatment was initiated in the Western Lapland catchment area, where OD covered the entire psychiatric service. The comparison group (n = 44,088) included the rest of Finland. National register data encompassed the period from treatment onset until the end of the 10-year follow-up or death. The primary outcomes of interest were the times to the first and second out-of-home intervention, including foster care, supportive housing, and hospitalization. The secondary outcomes included the clinical/demographic characteristics of adolescents treated out-of-home. Methods The hypothesis was tested via an inverse probability of treatment–weighted Cox hazard model, plus within- and between-group comparisons to analyse the secondary outcome. Results OD was associated with increased time to the first (adjusted hazard ratio [aHR]: 0.61, 95%CI: 0.52–0.72) and second (aHR: 0.75, 95%CI: 0.58–0.96) out-of-home interventions. In both service types, there was a subgroup of adolescents with repeated out-of-home interventions, who also demonstrated poorer long-term outcomes. Conclusion OD-based psychiatric services for adolescents are associated with fewer out-of-home interventions. The clinical significance of the findings warrants further research.en
dc.format.mimetypeapplication/pdf
dc.language.isoeng
dc.publisherElsevier
dc.relation.ispartofseriesChild Abuse and Neglect
dc.rightsCC BY 4.0
dc.subject.otherchild protection system
dc.subject.othereffectiveness
dc.subject.otherhospitalization
dc.subject.otherlong-term outcomes
dc.subject.othermental health
dc.subject.otherpsychiatry
dc.subject.othersupportive housing
dc.titleOut-of-home interventions for adolescents who were treated according to the Open Dialogue model for mental health care
dc.typearticle
dc.identifier.urnURN:NBN:fi:jyu-202309014881
dc.contributor.laitosPsykologian laitosfi
dc.contributor.laitosDepartment of Psychologyen
dc.type.urihttp://purl.org/eprint/type/JournalArticle
dc.type.coarhttp://purl.org/coar/resource_type/c_2df8fbb1
dc.description.reviewstatuspeerReviewed
dc.relation.issn0145-2134
dc.relation.volume145
dc.type.versionpublishedVersion
dc.rights.copyright© 2023 the Authors
dc.rights.accesslevelopenAccessfi
dc.subject.ysomielenterveys
dc.subject.ysolastensuojelu
dc.subject.ysopsykiatriset potilaat
dc.subject.ysointerventio
dc.subject.ysonuoret
dc.subject.ysohoito
dc.subject.ysopsykiatria
dc.subject.ysokohorttitutkimus
dc.format.contentfulltext
jyx.subject.urihttp://www.yso.fi/onto/yso/p1949
jyx.subject.urihttp://www.yso.fi/onto/yso/p2289
jyx.subject.urihttp://www.yso.fi/onto/yso/p5889
jyx.subject.urihttp://www.yso.fi/onto/yso/p41
jyx.subject.urihttp://www.yso.fi/onto/yso/p11617
jyx.subject.urihttp://www.yso.fi/onto/yso/p824
jyx.subject.urihttp://www.yso.fi/onto/yso/p4372
jyx.subject.urihttp://www.yso.fi/onto/yso/p25606
dc.rights.urlhttps://creativecommons.org/licenses/by/4.0/
dc.relation.doi10.1016/j.chiabu.2023.106408
jyx.fundinginformationSupported, in part, by Finnish State Research Funding (VTR) granted by The Ministry of Social Affairs and Health, Finland. The funding source had no involvement in design, collection, analysis, and interpretation of the data.
dc.type.okmA1


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