What Works for Whom? A Critical Review of Treatments for Children and Adolescents

by Fonagy, Peter; Target, Mary; Cottrell, David; Phillips, Jeannette; Kurtz, Zarrina; Kurtz, Arabella; Leach, Kathy; Allison, Elizabeth

• ISBN13: 9781572307513
• ISBN10: 157230751X
• Edition: 1st
• Format: Hardcover
• Copyright: 2002-06-04
• Publisher: The Guilford Press

Summary

This comprehensive book evaluates the evidence for the full range of widely used child and adolescent mental health treatments, providing vital knowledge to inform clinical decision making. Organized around major presenting problems, the book synthesizes findings from hundreds of carefully selected studies on both psychosocial and pharmacological approaches. Each chapter introduces the clinical problem at hand, systematically reviews the available outcome research, and spells out recommendations for evidence-based practice. Written by experienced researchers and practitioners, the volume emphasizes the importance of tailoring all interventions to the needs of the individual child.

Author Biography

Note: Full author field contains Americanized versions of affiliations, which are OK for use in US promotions. The actual, unedited affilations are as follows:

Peter Fonagy, PhD, FBA, University College London, UK; Director, Child and Family Center, Menninger Foundation, Topeka, Kansas
Mary Target, PhD, University College London, UK
David Cottrell, MA, FRCPsych, University of Leeds, UK
Jeannette Phillips, MB, BS, MRCP(UK), MRCPsych, West Kent Health & Social Care Trust, UK
Zarrina Kurtz, MB, BS, MSC, FRCP, FRCPCH, FFPHM, private practice, London, UK

bios:
Peter Fonagy, PhD, FBA, is Freud Memorial Professor of Psychoanalysis and Director of the Sub-department of Clinical Health Psychology at University College London, UK. He is also Director of the Child and Family Center at the Menninger Foundation, Kansas, and Director of Research at the Anna Freud Centre, London.

Mary Target, PhD, is a Senior Lecturer in the Sub-department of Clinical Health Psychology at University College London, and Deputy Director of Research at the Anna Freud Centre.

David Cottrell, MA, FRCPsych, holds the Foundation Chair in Child and Adolescent Psychiatry at the University of Leeds, UK, where he is also Director of Learning and Teaching at the School of Medicine and Associate Professor of Psychology.

Jeannette Phillips, MB, BS, MRCP(UK) MRCPsych, MRCPCH, is a consultant psychiatrist in Dartford and Gravesham, UK, where she and her team are working to rebuild a community service.

Zarrina Kurtz, MB, BS, MSc FRCP, FRCPCH, FFPHM, is an independent consultant in public health and health policy. In recent years, she has focused on the development and implementation of policy and service evaluation in child and adolescent mental health.

Table of Contents

Introduction and Review of Outcome Methodology: The Importance of Outcome Measurement	1	(41)
Evidence-Based Medicine and Its Justifications	1	(1)
Some Philosophical Concerns about Evidence-Based Medicine	2	(2)
What Is ``Outcome'' or Whose Outcome Is It Anyway?	4	(12)
Problems of Evidence in Child Mental Health Outcomes	16	(21)
The Current Review	37	(5)
Epidemiology	42	(24)
Definition	42	(1)
Prevalence	43	(7)
Age and Sex	50	(1)
Natural History	51	(3)
Comorbidity	54	(3)
Risk Factors	57	(4)
Service Use and Referred Populations	61	(3)
Summary	64	(1)
Implications	65	(1)
Anxiety Disorders	66	(23)
Definition	66	(1)
Prevalence	66	(2)
Clinical Presentation	68	(2)
Treatment	70	(17)
Physical Treatments	70	(4)
Behavioral and Cognitive-Behavioral Treatments	74	(11)
Psychodynamic Psychotherapy	85	(2)
Summary	87	(1)
Implications	88	(1)
Depressive Disorders	89	(17)
Definition	89	(1)
Prevalence	90	(1)
Clinical Presentation	91	(3)
Treatment	94	(9)
Physical Treatments	94	(2)
Psychosocial Treatments	96	(7)
Summary	103	(1)
Implications	104	(2)
Disturbance of Conduct	106	(87)
Peter Fonagy
Arabella Kurtz
Definition	106	(2)
Prevalence	108	(1)
Clinical Presentation	109	(5)
Assessment	114	(1)
Treatment of Oppositional Defiant Disorder and Conduct Disorder	115	(78)
Psychosocial Treatment Interventions for Preadolescents	115	(35)
Psychosocial Treatment Interventions for Adolescents	150	(32)
Physical Therapies for Children and Adolescents	182	(11)
Attention-Deficit/Hyperactivity Disorder	193	(35)
Definition	193	(1)
Prevalence	194	(1)
Clinical Presentation	195	(4)
Treatment	199	(26)
Physical Therapies	199	(18)
Psychosocial Therapies	217	(8)
Consultation and Training	225	(1)
Summary	225	(1)
Implications	226	(2)
Tourette's Disorder	228	(12)
Definition	228	(1)
Prevalence	229	(1)
Clinical Presentation	229	(2)
Treatment	231	(7)
Physical Therapies	231	(6)
Behavioral Therapies	237	(1)
Psychotherapy and Other Psychosocial Approaches	238	(1)
Summary	238	(1)
Implications	239	(1)
Psychotic Disorders	240	(23)
Schizophrenia	240	(10)
Treatment	243	(2)
Physical Treatments	245	(4)
Psychosocial Treatments	249	(1)
Schizoaffective Disorders	250	(1)
Mania and Bipolar Disorders	251	(9)
Treatment	253	(2)
Physical Treatments	255	(4)
Psychosocial Treatments	259	(1)
Rapid-Cycling Bipolar Disorder	260	(1)
Summary	260	(2)
Implications	262	(1)
Pervasive Developmental Disorders	263	(22)
Childhood Autism	263	(15)
Treatment	268	(1)
Physical Therapies	269	(4)
Behavioral Therapies	273	(4)
Humanistic and Counseling Approaches	277	(1)
Educational Approaches	277	(1)
Nonautistic Pervasive Developmental Disorders	278	(5)
Atypical Autism or Pervasive Developmental Disorder, Not Otherwise Specified	278	(1)
Asperger's Disorder	279	(2)
Rett's Disorder	281	(1)
Childhood Disintegrative Disorder	282	(1)
Summary	283	(1)
Implications	284	(1)
Self-Harming Disorders	285	(41)
Eating Disorders	285	(19)
Treatment	292	(1)
Physical Therapies	292	(3)
Psychosocial Therapies	295	(9)
Suicide	304	(10)
Prevention of Parasuicide and Suicide	309	(5)
Substance Misuse	314	(12)
Treatment	320	(1)
Physical Therapies	320	(1)
Psychosocial Therapies	321	(5)
Children with Physical Symptoms	326	(33)
Physical Symptoms with No Identifiable Physical Cause	327	(7)
Treatment	331	(3)
Summary Implications	334	(1)
Preparation for Painful Procedures	334	(7)
Treatment	335	(5)
Summary and Implications	340	(1)
Children with Chronic Illness	341	(18)
Treatment	343	(14)
Summary and Implications	357	(2)
Specific Developmental Disorders	359	(12)
Definitions	359	(2)
Prevalence	361	(1)
Clinical Presentation	361	(4)
Treatment	365	(4)
Summary	369	(1)
Implications	370	(1)
Conclusions and Implications	371	(34)
Interpreting Research Evidence	371	(3)
Summary of the Evidence Base for Interventions in Child and Adolescent Mental Health Services	374	(19)
Psychopharmacological Treatments	374	(4)
Other Physical Treatments	378	(1)
Cognitive-Behavioral Treatments (Including Problem-Solving Skills Training and Social Skills Training)	378	(4)
Parent Skills Training	382	(2)
Psychodynamic Therapies	384	(1)
Family/Systemic Therapies	385	(1)
Multimodal Interventions	385	(1)
Interventions in School Settings	386	(1)
Hospitalization/Alternative Care Settings	386	(1)
Implications for Service Delivery	387	(3)
Implications for Training	390	(1)
Implications for Further Research	390	(3)
Trends in the Development of Therapeutic Approaches in Child and Family Disorders	393	(9)
Summary	402	(3)
Appendix 1. Glossary of Psychopharmacological Treatments	405	(6)
Appendix 2. Search Terms	411	(4)
References	415	(98)
Index	513