ISBN-13: 9783639077148 / Angielski / Miękka / 2008 / 88 str.
This study documents the high rate of parent and family concerns among the families of adolescents (ages 11-18) entering publicly-funded outpatient mental health treatment in San Diego County, and examines the effects of treatment on family contextual concerns. Significant improvements are observed in caregiver strain and family relationship quality six months after treatment entry, but not in other family contextual outcomes (parental depression, social support). Parent, family, and adolescent outcomes are significantly correlated, with the strongest association between reduction of youth externalizing problems and reduction of parental strain and depression. Better parent-therapist alliance predicts better parental depression, strain and family relationship outcomes. Family systems theoretical orientation predicts greater reduction of parental strain. Increased attention to family concerns may be critical for improving the effectiveness of "real world" youth mental health services and to create more stable environments in which youths therapeutic gains can be fostered and maintained.