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September 1977

Follow-up of Adolescents Treated in a Psychiatric HospitalPredictors of Outcome

Author Affiliations

From Timberlawn Foundation (Drs Gossett and Lewis, Mr. Barnhart, and Ms Phillips) and Timberlawn Psychiatric Hospital (Drs Gossett and Lewis), Dallas.

Arch Gen Psychiatry. 1977;34(9):1037-1042. doi:10.1001/archpsyc.1977.01770210051004

• In the context of a long-term follow-up of 60 hospitalized adolescent psychiatric patients (26 months to four years after discharge), we examined correlates of outcome. The variables were as follows: (1) severity of psychopathology; (2) onset of symptomatology (process or reactive); (3) type of hospital treatment termination; (4) continuation of individual psychotherapy following discharge; (5) physically destructive behavior before hospitalization; and (6) energy level.

Follow-up was by personal clinical interview exploring the expatient's current living conditions, peer relationships, current psychopathology and drug or alcohol use, legal difficulties, academic and work functioning, subjective contentment, and plans for the future. An evaluation was also obtained from parents and/or spouse.

Statistical analyses of the interrelationships among the predictor variables and outcome demonstrated the importance of a multivariate approach.