1. Objectifs

Intentions :
The aim of this study was to «better examining intervention tailoring to the clinical profiles of youths and families. More specifically, the purpose of the study was [t]o identify different profiles of families that received an intensive family intervention program based on youth characteristics (internalizing and externalizing behavior problems) and family characteristics (family functioning, parenting practices, and parent–child relationship) at program entry and [t]o compare the interventions received by families with different clinical profiles.» (p. 2)

2. Méthode

Échantillon/Matériau :
«The study sample was composed of 256 adolescents and their families that received services under the CAFÉ [crisis-adolescent-family-childhood] program in 2010–2011.» (p. 2) «Implemented in Quebec since 2001, [this] program is a brief intensive family intervention program developed to respond to family crisis situations.» (p. 2) «For the purpose of this study, the CAFE program was implemented in seven different sites by 41 practitioners.» (p. 3) «Youth and family characteristics were documented using a standardized evaluation protocol at program entry. […] The data concerning the clinical process were collected through the systematic use of logs kept by the practitioners for each intervention that they delivered to families. The logs served to document the duration of each session and the two main intervention targets addressed by the practitioners.» (p. 3)

Instruments :
Questionnaires

Type de traitement des données :
Analyse statistique
Analyse de contenu

3. Résumé

«LPA has led to four distinct profiles: a profile with particularly severe problems across all variables, (n = 22), a profile with less severe problems (n = 95) and two profiles with moderate problems, one (n = 61) with more relational problems and the other (n = 59) with problems related more to the adolescent’s behaviors» (résumé) «[R]esults clearly revealed the heterogeneity of the clinical profiles of families receiving the CAFE program. The four profiles identified based on adolescent report clearly illustrate the spectrum of problems that adolescents and families may present […]. Our results show first and foremost that about 10% of the families presented a particularly severe profile […]. The profile is characterized by a cumulative risk that must be taken into account when planning intervention. [R]esults show also that roughly 25% of our sample presented a clinical profile centered on adolescent behavior problems (internalizing and externalizing) and their management (negative parenting practices). […] Our analysis of [the third] clinical […] showed also that over one quarter of the families (25.7%) presented problems essentially of a relational nature (family functioning, parent–child relationship, positive parenting practices) and adolescent behavior problems of a less severe nature. These two more moderate profiles (relations and behaviors) clearly translate the heterogeneity of problems presented by families receiving this type of program and highlight once again the importance of revising the change indicators used to evaluate these programs—indicators at present focused primarily on adolescent problems […]. Finally, the clinical profiles identified showed that 40% of the sample presented less severe problems across all of the dimensions assessed.» (p. 5-6)