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- Title
EFFICACY OF THE COOPERATIVE ASSESSMENT METHOD (COOPAS) TO IMPROVE THE PSYCHIATRIC CARE OF HELP-SEEKING ADOLESCENTS.
- Authors
Biagiarelli, Mario; Curto, Martina; Listanti, Giulia; Andraos, Maria Paola; Pazzelli, Floriana; Aprile, Veronica; Pelaccia, Simona; Mantovani, Beatrice; Caccia, Federica; Carpentieri, Renato; Trabucchi, Guido; Tambelli, Renata; Girardi, Paolo; Ferracuti, Stefano; Baldessarini, Ross J.; Sarlatto, Cinzia
- Abstract
Objective: Eff ective treatment of adolescents with psychopathological disorders is essential to reduce later morbidity and disability. To evaluate the clinical value of a new adolescent Cooperative Assessment scheme (COOPAS) as indicated by establishing therapeutic alliance, improving symptoms, and particularly by reducing dropouts. Method: Consecutive help-seeking adolescents (N=136) were recruited, evaluated with an 8-week COOPAS protocol and followed for 6 months to document dropouts during treatment. Clinical rating scales [Hamilton Depression and Anxiety scales (HAM-D, HAM-A), Global Functioning Role and Social Scales (GF-RS, GF-SS), Structured Interview for Prodromal Symptoms (SIPS), Clinical Global Impression (CGI), Working Alliance Inventory-Therapist version (WAI-T), Therapist Response Questionnaire (TRQ), Psychotherapy Relationship Questionnaire (PRQ)] were administered at intake, 4 weeks later, and at the end of COOPAS evaluation (8 weeks). Results: Final HAM-A and HAM-D scores improved by 25%; CGI, GFSS and GF-RS also improved significantly. Similarly, WAI-T showed significant improvements in all three subscales, and patient-clinician relationships (PRQ) showed decreases in Anxious/Preoccupied and Avoidant/Counterdependent dimensions with increases of the Secure/Engaged measure. After 6 months, dropout rate was 8.82%. Conclusions: COOPAS assessment was followed by reduced depressive and anxiety symptoms, good therapeutic alliance, and low dropout in adolescents.
- Subjects
MENTAL health services; TEENAGERS; THERAPEUTIC alliance; PSYCHOTHERAPY; SCHOOL dropouts; HAMILTON Depression Inventory
- Publication
Clinical Neuropsychiatry, 2019, Vol 16, Issue 5/6, p189
- ISSN
1724-4935
- Publication type
Article
- DOI
10.36131/clinicalnpsych2019050601