PMID- 17375813 OWN - NLM STAT- MEDLINE DCOM- 20070509 LR - 20181201 IS - 1359-1045 (Print) IS - 1359-1045 (Linking) VI - 12 IP - 1 DP - 2007 Jan TI - Outcome of patients attending a specialist educational and mental health service for social anxiety disorders. PG - 117-24 AB - The purpose of this study was to evaluate the outcome of adolescents with anxiety-based school attendance problems enrolled in a specialist adolescent educational and mental health program that provides educational assistance and social skills development, and to suggest key elements that may account for its apparent effectiveness. Young people attending the Sulman Program in Sydney, Australia, between March 2003 and December 2004 were identified. Baseline information was gathered from the medical records, pre and postintervention personal development questionnaires were given to students, and pre and postratings of function were made. Those attending the program showed improvement in their general level of functioning indicated by completion of a year-long course of study (17 of 24), preparation for employment (17), increased independent travel (5), and self-rated improvement in social skills, stress tolerance and emotional literacy. Pre and poststaff ratings on the Health of the Nation Outcomes Scales Child and Adolescent (HoNOSCA), Children's Global Assessment Scale (CGAS) and Global Assessment of Functioning (GAF) indicated improvement in personal and social functioning. Parental satisfaction was rated as high. The findings confirm the effectiveness of, and need for, flexible programs to support adolescents with social anxiety disorder and other longer-term mental health problems to offset the adverse consequences of early withdrawal from educational and social environments. Several elements may help to explain the program's effectiveness and provide guidance for similar programs elsewhere. FAU - Mcshane, Gerard AU - Mcshane G AD - St Joseph's College, Australia. gerrymcshane@hotmail.com FAU - Bazzano, Cheryl AU - Bazzano C FAU - Walter, Garry AU - Walter G FAU - Barton, Giles AU - Barton G LA - eng PT - Journal Article PL - England TA - Clin Child Psychol Psychiatry JT - Clinical child psychology and psychiatry JID - 9604507 SB - IM MH - Adolescent MH - Australia MH - Child MH - Female MH - Humans MH - Male MH - Mental Health Services/*statistics & numerical data MH - Patient Compliance/*statistics & numerical data MH - *Patient Education as Topic MH - Phobic Disorders/*epidemiology/*therapy MH - Surveys and Questionnaires MH - Treatment Outcome EDAT- 2007/03/23 09:00 MHDA- 2007/05/10 09:00 CRDT- 2007/03/23 09:00 PHST- 2007/03/23 09:00 [pubmed] PHST- 2007/05/10 09:00 [medline] PHST- 2007/03/23 09:00 [entrez] AID - 10.1177/1359104507071090 [doi] PST - ppublish SO - Clin Child Psychol Psychiatry. 2007 Jan;12(1):117-24. doi: 10.1177/1359104507071090.