Sg. Zimet et al., HOME BEHAVIORS OF CHILDREN IN 3 TREATMENT SETTINGS - AN OUTPATIENT-CLINIC, A DAY HOSPITAL, AND AN INPATIENT HOSPITAL, Journal of the American Academy of Child and Adolescent Psychiatry, 33(1), 1994, pp. 56-59
Objective: To compare parents' ratings of home behaviors of three grou
ps of children: those entering an outpatient clinic, a day hospital, a
nd an inpatient hospital. It was hypothesized that the home behaviors
of children starting day and inpatient hospital treatment would be rat
ed as significantly more deviant than those of children beginning outp
atient treatment, and there would be no significant differences in beh
avior ratings of children beginning day and inpatient hospital treatme
nt. Method: A standardized behavior checklist was completed by the pri
mary parent at the time treatment was begun. Scores on four factor sca
les were obtained, and a multivariate analysis of covariance was carri
ed out. Results: The hypotheses were partially supported. Children beg
inning day and inpatient hospitalization were seen as more disordered,
anxious, and aggressive than were those starting outpatient treatment
; children starting day treatment were reported as more learning disab
led than were those in both outpatient and inpatient settings; and chi
ldren entering the inpatient setting were perceived as more aggressive
than were those in day treatment. Conclusion: Aggressive behavior and
learning disability appear to be determinants of choice of treatment
setting. The progression from least to most restrictive placement was
demonstrated for aggressive behavior only.