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An Experimental Study of the Effectiveness of Intensive In-Home Crisis Services for Children and Their Families

Program Outcomes

Doctoral program in the College of Nursing at the University of South Florida, mevans{at}hsc.usf.edu

Roger A. Boothroyd

Department of Mental Health Law and Policy at the Louis de la Parte Florida Mental Health Institute at the University of South Florida

Mary I. Armstrong

Division of State and Local Support in the Department of Child and Family Studies at the Louis de la Parte Florida Mental Health Institute, University of South Florida

Paul E. Greenbaum

Department of Child and Family Studies at the Louis de la Parte Florida Mental Health Institute at the University of South Florida

Eric C. Brown

Department of Child and Family Studies at the Louis de la Parte Florida Mental Health Institute at the University of South Florida

Anne D. Kuppinger

NewYork State Office of Mental Health in the Bureau of Children and Families

In this article, we describe the outcomes associated with a 3-year research demonstration project. It is the second of a two-part article concerned with this research conducted in the Bronx, New York, to examine the efficacy of three models of intensive in-home services—Home-Based Crisis Intervention (HBCI), Enhanced Home-Based Crisis Intervention (HBCI⁺),and Crisis Case Management—as alternatives to hospitalization for children experiencing a psychiatric crisis. In Part I (Evans, Boothroyd, & Armstrong, 1997), we described the features of the three program models, the research design, data collection measures, and the presenting characteristics of the children and families. In Part 2, we describe the success of maintaining children at home (82%) and the increases in family adaptability, children's self-concept, and parental self-efficacy both at discharge and at 6 months postdischarge. Enrollees in two of the models (HBCI and HBCI+) experienced a significant increase in family cohesion,although this was not maintained at 6 months postdischarge. While enrollees in the enhanced program showed significant increase in social support at discharge, all enrollees experienced this at 6 months postdischarge.

Journal of Emotional and Behavioral Disorders, Vol. 11, No. 2, 92-102 (2003)
DOI: 10.1177/106342660301100203


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