Definition and concept

Home treatment involves therapeutic work with children, adolescents and families in their own familiar environment. Treatment may be undertaken in a natural, foster or adoptive family, residential home or group, or other institution which cares for children and adolescents. The term ‘home treatment’ does not imply any specific therapeutic approach, but may include a variety of techniques combined in a treatment plan. In practice, behavioural therapy and parent training are the most frequently used methods in home treatment. It is possible, however, to utilize other treatment methods in certain circumstances, if there is a more appropriate method for the disorder, symptoms are not severe, and there is sufficient motivation and support present.

Home treatment is based on the following general principles.

1. (i) The place in which treatment is undertaken is the patient's usual environment. Both diagnostic assessment and therapy are undertaken in the patient's home.

2. (ii) Sessions are undertaken by one or more therapists who visit the patient regularly. These include specific interventions involving the patient and his parents.

3. (iii) The patient's parents or care-givers often act as co-therapists. It is therefore essential that they are well informed and receive appropriate support from the therapist.

4. (iv) The course and improvement of symptoms in the patient and his family will usually be empirically evaluated. Standardized tests, questionnaires and specific problem-orientated notes can be very helpful.

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