Evidence-based practice in child and adolescent mental health最新文献

{"title":"Advocacy in Practice: The Role of Mental Health Providers in Creating Systems of Support for Transgender and Gender Expansive Youth.","authors":"Christy L Olezeski, Nicolas G Meade, Allura L Ralston","doi":"10.1080/23794925.2025.2491062","DOIUrl":"https://doi.org/10.1080/23794925.2025.2491062","url":null,"abstract":"<p><strong>Background: </strong>Transgender and gender expansive (TGE) youth have seen both an increase in access to mental health and medical services in the previous two decades, and also a sharp increase in bills limiting access to care and supports in the past 3 years.</p><p><strong>Objective: </strong>Psychologists have a unique role to play in working with TGE youth, as we have been trained in research methodology, clinical practice and human behavior. As such, psychologists can effectively advocate for the best practices when working with TGE youth.</p><p><strong>Results: </strong>In this article, we provide a brief overview of general concerns of TGE youth from a mental health perspective and then outline various ways in which psychologists can use their training and experience to advocate for best practices when working with TGE youth utilizing a social justice framework.</p>","PeriodicalId":524240,"journal":{"name":"Evidence-based practice in child and adolescent mental health","volume":"11 2","pages":"298-308"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149140428","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Awards.","authors":"","doi":"10.1080/23794925.2026.2725396","DOIUrl":"https://doi.org/10.1080/23794925.2026.2725396","url":null,"abstract":"","PeriodicalId":524240,"journal":{"name":"Evidence-based practice in child and adolescent mental health","volume":"11 3","pages":"546"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149140380","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Developing a DBT-Informed Adolescent Partial Hospitalization Program to Increase Equity and Access.","authors":"Miriam Rubenson, Casey McGinnis, Carly Von Hoffmann, Kashika Arora, Blaise Carney, Shannon Simmons, Alex Baker, Marissa Renella, Christina Kettman, Alysha D Thompson","doi":"10.1080/23794925.2024.2440915","DOIUrl":"https://doi.org/10.1080/23794925.2024.2440915","url":null,"abstract":"<p><strong>Background: </strong>Rising mental health problems and systemic barriers have reduced available services for adolescents with acute mental illness in recent years.</p><p><strong>Objective: </strong>This article describes the development of a partial hospitalization program (PHP) to treat adolescents with a wide range of severe mental health problems and high-risk behaviors in a major metropolitan hospital.</p><p><strong>Method: </strong>We describe our advocacy efforts to fund higher levels of care for patients with public insurance, the evidence-based clinical programming developed, and early implementation challenges, including managing high patient risk outside of a locked facility.</p><p><strong>Results: </strong>Our program opened in 2023 and served 96 adolescents with severe mental health conditions and diverse demographic backgrounds in the first year, 51% of whom were covered by Medicaid.</p><p><strong>Conclusions: </strong>This article is intended to provide a practical guide and example for clinicians and program developers interested in increasing access to evidence-based treatments at higher levels of care for underserved patients.</p>","PeriodicalId":524240,"journal":{"name":"Evidence-based practice in child and adolescent mental health","volume":"11 1","pages":"87-101"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149140261","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Pandemic Silver Linings: Examining I-PCIT in a New Telehealth Era.","authors":"Sarah Tannenbaum, Rachel E Kim, Marina Wilson, Alayna L Park, Caraline McDonnell, Catherine Waye, Rhea Chase","doi":"10.1080/23794925.2024.2447586","DOIUrl":"10.1080/23794925.2024.2447586","url":null,"abstract":"<p><strong>Introduction: </strong>COVID-19 has led to increased stress for children and families worldwide, increasing and exacerbating the emotional and functional impact of mental and behavioral health disorders. Fortunately, telehealth offers a psychological service delivery option for treating mental and behavioral health disorders when in-person services may not be plausible or preferred. During non-pandemic times, internet delivery of PCIT (I-PCIT) has been shown to be similarly effective as standard PCIT delivered in clinic. However, the added stresses of a pandemic may negatively impact the effectiveness of I-PCIT.</p><p><strong>Methods: </strong>Therefore, the purpose of this study was to compare treatment outcomes, using the ECBI, in families receiving in-person PCIT prior to the pandemic to families who participated in I-PCIT during COVID-19.</p><p><strong>Results: </strong>Preliminary data found that the treatment was successful regardless of delivery method (<i>t</i> = -13.84, <i>p</i> < .001) and that children receiving I-PCIT during the pandemic improved at similar rates to those receiving standard PCIT prior to COVID-19 (<i>t</i> = 1.34, <i>p</i> > .05). Additionally, caregivers acquired CDI skills at similar rates regardless of the delivery method (<i>t</i> = -1.15, <i>p</i> > .05).</p><p><strong>Discussion: </strong>Despite concerns of increased parental stress and child behavioral challenges during the pandemic, I-PCIT remains an effective, robust treatment program. This promising effectiveness data, coupled with caregiver report of increased accessibility, highlights the unique strengths of telehealth services. Perhaps one of the silver linings of the pandemic is the reduction in barriers to treatment made possible by telehealth, emphasizing the need for behavioral health services to continue to incorporate internet delivery beyond pandemic times.</p>","PeriodicalId":524240,"journal":{"name":"Evidence-based practice in child and adolescent mental health","volume":"11 1","pages":"131-139"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149140424","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Building the Spanish-Speaking Workforce: A Bilingual Training Model.","authors":"Ashely N Marchante-Hoffman, Hannah Jones, Allen Garcia, Meena Khowaja, Ana Diaz-LePage, Cheyenne Hughes-Reid","doi":"10.1080/23794925.2024.2440925","DOIUrl":"https://doi.org/10.1080/23794925.2024.2440925","url":null,"abstract":"<p><strong>Background: </strong>Training opportunities for Spanish-speaking mental health clinicians are insufficient, and often non-existent in many healthcare settings, despite the increasing Latinx population and high levels of mental health needs.</p><p><strong>Objective: </strong>Given the many complexities involved in providing mental health services in Spanish, it is critical to develop ample training opportunities for bilingual trainees before they practice independently.</p><p><strong>Method: </strong>To address this need, we developed a comprehensive bilingual training program for pre-doctoral and post-doctoral psychology trainees working in a pediatric hospital setting. The program utilizes a three-pronged approach to training, which includes placement in at least one clinical rotation with a high volume of Latinx, Spanish-speaking families, individual bilingual supervision with a licensed psychologist, and a group-based, biweekly bilingual seminar facilitated in Spanish.</p><p><strong>Results: </strong>Since its inception in 2016, the bilingual training program has had several positive outcomes. Bilingual trainees reported high satisfaction with supervision and bilingual seminar and increased confidence providing culturally responsive services in Spanish following the training year. The intentional recruitment and retention of bilingual trainees and staff psychologists has also increased substantially since the start of this program, with the number of staff psychologists increasing from zero in 2016 to six in 2023. Five of the six psychologists completed their internship and fellowship at this institution.</p><p><strong>Conclusions: </strong>Incorporating bilingual training into our program has enhanced the training experience and improved recruitment and retention of bilingual clinicians in our organization. Future directions include assessment of long-term outcomes for bilingual trainees, as well as patient satisfaction when they have access to culturally responsive, Spanish-speaking mental health clinicians.</p>","PeriodicalId":524240,"journal":{"name":"Evidence-based practice in child and adolescent mental health","volume":"11 1","pages":"27-38"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149140306","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Reducing Barriers to Evidence-Based Services: A High School-University Partnership to Adapt the Unified Protocol for Urban, Underserved Youth with Elevated Internalizing Symptoms.","authors":"Ariela Kaiser, Nellie Shippen, Anne Stevens, Bethany Garcia, Anjali Patel, Jennifer Corona, Natalia Torres, Michael Meinzer","doi":"10.1080/23794925.2024.2440920","DOIUrl":"https://doi.org/10.1080/23794925.2024.2440920","url":null,"abstract":"<p><strong>Background: </strong>Rates of depression and anxiety in adolescents are rising and access to effective treatment remains limited. Public schools are instrumental in reducing barriers to treatment.</p><p><strong>Objective: </strong>The present study describes a community-engaged approach to the adaptation and open trial of The Unified Protocol for Transdiagnostic Treatment of Emotional Disorders in Adolescents (UP-A; Ehrenreich-May et al. 2018) delivered as a group-based intervention in a Chicago Public High School among predominantly low-income Black and Latine adolescents experiencing elevated depression symptoms (i.e. \"Healthy Minds, Happy Lives program;\" HMHL).</p><p><strong>Methods: </strong>This study utilized qualitative and quantitative analyses to evaluate: (1) the systematic adaptation process that aimed to balance fidelity (to the original UP-A intervention) and flexibility (e.g. the school-based group delivery, and community partner input), (2) the initial feasibility and acceptability of the HMHL intervention by analyzing salient themes from focus groups, and (3) pre- to post-intervention changes in symptoms, in order to inform intervention refinement and methodological considerations for a pilot clinical trial. Our adaptation process utilized the Framework for Reporting Adaptations and Modifications to Evidence-based Interventions and relied on the engagement of key school-staff partners (<i>N</i> = 8) and student-trial participants with elevated depression symptoms (<i>N</i> = 16). Focus group content was coded and thematically analyzed. Outcome trends were evaluated using reliable change indices.</p><p><strong>Results: </strong>Preliminary feasibility was promising, with participants attending an average of 7 out of 8 hMHL sessions and retention was excellent with 100% of participants completing the program. Additionally, most trial participants demonstrated a clinically meaningful reduction in depression symptoms and increased emotional state awareness following the intervention.</p><p><strong>Conclusions: </strong>HMHL may be a feasible and acceptable intervention for increasing access to care for youth who may otherwise not have access to evidence-based services. Recommendations are provided for enhancing both the content and delivery of the intervention.</p>","PeriodicalId":524240,"journal":{"name":"Evidence-based practice in child and adolescent mental health","volume":"11 1","pages":"68-86"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149140379","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Clinicians' Impressions of the Developmental Appropriateness of the Ask-Suicide Screening Questions for Children Aged 6-12.","authors":"Katherine Sarkisian, Meredith Adams, Meredith Chapman, Jeffrey A Bridge, Elyse Llamocca, Amanda J Thompson, Mindy Westlund Schreiner, Xueting Xia, Jennifer L Hughes","doi":"10.1080/23794925.2026.2633991","DOIUrl":"https://doi.org/10.1080/23794925.2026.2633991","url":null,"abstract":"<p><strong>Background: </strong>Although the suicide rate for children ages 8-12 is increasing, there is not a developmentally adapted suicide risk screener for children younger than 10. Current practices to screen preteen children for suicide risk often include unstructured interviewing and/or suicide risk screeners that are validated for use with older children. It is clinically important to understand the limitations of existing suicide risk screeners when they are used with preteens to inform the design of developmentally appropriate measures and to tailor support for clinicians.</p><p><strong>Objective: </strong>To characterize the rate at which clinicians in an outpatient crisis clinic indicated that they felt the Ask Suicide-Screening Questions (ASQ) was developmentally inappropriate for children between the ages of 6 and 12.</p><p><strong>Methods: </strong>We analyzed electronic medical record data from an outpatient psychiatric crisis clinic, including a suicide risk screening interface that allows clinicians to administer the screener during a clinical encounter or indicate that they feel it is developmentally inappropriate.</p><p><strong>Results: </strong>The percentages of suicide risk screening instances where the clinician marked the ASQ as developmentally inappropriate were 72.5% for 6-year-olds, 55.8% for 7-year-olds, 30.1% for 8-year-olds, 11.5% for 9-year-olds, 4.9% for 10-year-olds, 0.9% for 11-year-olds, and 0.5% for 12-year-olds. These results were similar in analyses stratified by race, but the ASQ was determined to be developmentally inappropriate significantly more often for boys than girls (<i>p</i> < .001; 2.8% of screens with girls aged 6-12 vs. 9.0% of screens with boys aged 6-12).</p><p><strong>Conclusions: </strong>These findings clearly highlight the urgent need to design and test a developmentally adapted suicide risk screener that can be used with preteen children, especially those who are age 10 and younger.</p>","PeriodicalId":524240,"journal":{"name":"Evidence-based practice in child and adolescent mental health","volume":"11 3","pages":"508-513"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149140446","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Enhancing Professional Development for Educators Supporting Autistic Students.","authors":"Supianto","doi":"10.1080/23794925.2025.2457619","DOIUrl":"https://doi.org/10.1080/23794925.2025.2457619","url":null,"abstract":"","PeriodicalId":524240,"journal":{"name":"Evidence-based practice in child and adolescent mental health","volume":"11 1","pages":"162-163"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149140324","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"To Relax or Not to Relax for Anxious Youth? Findings from a Survey of Exposure Specialists.","authors":"Emily M Becker-Haimes, Jesslyn Jamison, Sophia Young, Megan Brady, Katherine Houlahan, Emily L Bilek","doi":"10.1080/23794925.2025.2541348","DOIUrl":"https://doi.org/10.1080/23794925.2025.2541348","url":null,"abstract":"<p><strong>Background: </strong>Relaxation is a commonly used, albeit controversial, therapy technique to support anxious youth. Increasingly, clinical trial data suggest little added benefit, and potentially a contraindication, for the use of relaxation strategies for pediatric anxiety and obsessive-compulsive disorders above and beyond that of exposure therapy. However, many clinicians, even those with substantial experience delivering exposure therapy, will at times incorporate relaxation into their treatment. How and when it is best to do so remains poorly articulated in the clinical trial literature. Delineating guidelines for how and when to incorporate relaxation into exposure-based treatments would advance training and implementation efforts aimed at increasing access to high-quality care for anxious youth.</p><p><strong>Objective: </strong>To gather empirical data on the perspectives of clinicians with expertise in delivering exposure therapy to anxious youth about how they think about and use relaxation, as well as mindfulness (a distinct but related technique), in treatment.</p><p><strong>Methods: </strong>We conducted an electronic survey of identified specialists in pediatric exposure therapy treatment to elicit their perspectives (<i>N</i> = 79; 69.6% female, 11.5 years of experience on average, 59.5% doctoral degree).</p><p><strong>Results: </strong>More than 80% of clinicians in the sample reported relaxation techniques should be used sparingly (if at all) within exposure practices. The sample also exhibited strong consensus that relaxation strategies have utility in the treatment of some anxious youth as an independent coping strategy. However, there was limited consensus regarding the extent to which relaxation should be incorporated and for what clinical presentations. Mindfulness was viewed as more helpful and clinically necessary than relaxation.</p><p><strong>Conclusions: </strong>Additional work is needed to refine recommendations for how and when to incorporate relaxation into pediatric anxiety treatment.</p>","PeriodicalId":524240,"journal":{"name":"Evidence-based practice in child and adolescent mental health","volume":"11 1","pages":"164-178"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149140432","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Feasibility, Usability, and Promise of a Parent Management Training Using a Generative Artificial Intelligence Platform.","authors":"Carlos Felipe Rivera-Cepeda, Daniella Vaclavik, Daniel M Bagner, Antonio Y Hardan, E L Bunge","doi":"10.1080/23794925.2025.2602466","DOIUrl":"https://doi.org/10.1080/23794925.2025.2602466","url":null,"abstract":"<p><strong>Background: </strong>Access to behavioral parenting interventions remains limited due to barriers such as cost, time constraints, and transportation, emphasizing the need for more accessible and reliable means to support caregivers of children with behavioral problems.</p><p><strong>Objective: </strong>Assess the feasibility of a Generative Artificial Intelligence (GAI) platform (ParenteAI.V1) to facilitate and enhance the delivery of Parent Management Training (PMT).</p><p><strong>Method: </strong>Participants were 22 caregivers of children ages 6-12 years seeking services for disruptive behaviors. The intervention consisted of 8 modules of Parent Management Training (PMT) on the ParenteAI platform through a conversational agent, Pat. A psychology student facilitated the delivery of 4 of the modules during 4 live sessions, where they guided caregivers through the platform and their interactions with Pat. The remaining 4 PMT modules were completed independently by caregivers between the live sessions where they interacted with Pat alone.</p><p><strong>Results: </strong>Seventeen participants completed the study protocol. Caregivers reported high satisfaction with the intervention, likelihood of recommending it, and a strong therapeutic alliance with Pat. Caregivers exchanged a high number of messages with Pat and completed most PMT modules. There were significant pre- to post-intervention decreases in child externalizing (<i>p</i> < .001, <i>d</i> = 1.00) and internalizing (<i>p</i> = .019, <i>d</i> = 0.63) symptoms, as well as significant decreases in caregiver depression (<i>p</i> = .005, <i>r</i> = 0.68), anxiety (<i>p</i> = .002, <i>r</i> = 0.79), and stress (<i>p</i> = .008, d = 0.74).</p><p><strong>Conclusions: </strong>Overall, caregiver feasibility, utility, and satisfaction were high. Caregivers reported significant improvements in their children's behavior and in their own mental health. These findings highlight the feasibility, usability, and potential scalability of combining therapists with AI for addressing barriers to traditional parenting programs.</p>","PeriodicalId":524240,"journal":{"name":"Evidence-based practice in child and adolescent mental health","volume":"11 2","pages":"309-328"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149140404","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}