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J Behav Health Serv Res ; 47(1): 126-138, 2020 01.
Article in English | MEDLINE | ID: mdl-31165416

ABSTRACT

Retention in treatment for children with behavior problems is critical to achieve successful outcomes, and clinical evidence suggests the behavioral health needs and retention of military-connected and civilian families differ meaningfully. Military and civilian children in outpatient behavioral treatment were compared in terms of presenting problems as well as appointment adherence (n = 446 children and their parents). Demographics and rates of externalizing behavior were similar across the two groups. More military than civilian children had internalizing problems. Military parents had more parenting distress and depressive symptoms. Fewer military families dropped out of treatment early. Within-military comparisons demonstrated that children whose parent had recently deployed were more likely to have internalizing problems and poor adaptive skills. Although retention was better among military families, the early treatment drop-out proportions (20-30%) for both groups highlight a barrier to effective behavioral intervention.


Subject(s)
Child Behavior Disorders/psychology , Military Personnel/psychology , Parents/psychology , Patient Acceptance of Health Care/psychology , Patient Acceptance of Health Care/statistics & numerical data , Adult , Child , Child Behavior Disorders/epidemiology , Child Behavior Disorders/therapy , Child Health Services , Child, Preschool , Female , Humans , Male , Mental Disorders/epidemiology , Mental Disorders/psychology , Mental Disorders/therapy , Mid-Atlantic Region , Middle Aged , Military Personnel/statistics & numerical data , Outpatients , Retrospective Studies , Young Adult
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