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

{"title":"Quantifying Session Content in the Delivery of Parent Coached Exposure Therapy.","authors":"Stephen P H Whiteside,&nbsp;Elle Brennan,&nbsp;Bridget K Biggs,&nbsp;Nicholas Sawchuk,&nbsp;Deanna R Hofschulte,&nbsp;Mike S Tiede","doi":"10.1080/23794925.2021.1931986","DOIUrl":"https://doi.org/10.1080/23794925.2021.1931986","url":null,"abstract":"<p><p>Despite exposure therapy having been identified as the active ingredient in the treatment of childhood anxiety disorders (CADs), available protocols deliver a variety of anxiety management strategies (AMS) in addition to exposure. To increase the effectiveness and efficiency of treatment, Parent Coached Exposure Therapy (PCET): 1) begins exposure early (e.g., session 2 or 3) to increase session time spent on exposure, 2) does not include other AMS, and 3) involves parents at all times. The current manuscript uses audio recordings from a previous pilot study to descriptively quantify the manner in which these key components of PCET are implemented by therapists closely involved in the development of the protocol. Results indicate that implementation of PCET accurately reflected the protocol in that the majority of session time was devoted to exposure activities (.60, s.d. = 0.2), AMS were effectively excluded from treatment (.01, s.d. = .03), and that parents and youth attended almost the entirety of session time together (.98, s.d. = 0.1). These findings suggest that PCET differs meaningfully from traditional CBT for CADs and provide preliminary guidelines for how much time per session to dedicate to in-session exposure work while delivering PCET.</p>","PeriodicalId":72992,"journal":{"name":"Evidence-based practice in child and adolescent mental health","volume":"7 3","pages":"306-316"},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/23794925.2021.1931986","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10451068","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Health Equity and Enrollment in Preventive Parenting Programs: A Qualitative Study of Filipino Parents.","authors":"Joyce R Javier,&nbsp;Alexis Deavenport-Saman,&nbsp;Ellynore Florendo,&nbsp;Kamil Evy A Bantol,&nbsp;Lawrence A Palinkas","doi":"10.1080/23794925.2021.2013141","DOIUrl":"https://doi.org/10.1080/23794925.2021.2013141","url":null,"abstract":"<p><p>This qualitative study identified the parent health beliefs and normative beliefs related to child behavioral and mental health problems and examined the benefits and barriers of enrolling in an evidence-based parenting intervention among Filipino parents of school-aged children. A secondary aim was to also use the results to inform the development of a theory-based video intervention to increase enrollment in parenting interventions. Semi-structured interviews were conducted with fifteen parents who had or had not participated in the Incredible Years® parenting program, an evidence-based parenting intervention. Interviews were recorded and transcribed verbatim. Using a \"Coding Consensus, Co-occurrence, and Comparison\" methodology, emergent themes were mapped into a matrix against a priori-coded health belief model (HBM) and Theory of Planned Behavior (TPB) constructs. Parents believed that perceived susceptibility could be influenced by including knowledge of health disparities affecting Filipino youth in the U.S. Perceived severity was related to behavioral and mental health concerns about school, family dynamics, bullying and parent coping strategies. Perceived benefits included strengthening parent-child relationships, creating support systems, and learning positive parenting skills. Perceived barriers included logistics, stigma, and the perception of the relevance of the program, cultural factors such as generational differences about parenting, and family issues. Social norms and subjective norms related to parent participation were also discussed. Applying the HBM and TPB to enrollment in parenting interventions may explain low enrollment rates. Future interventions need to target perceived susceptibility to future behavioral health problems, barriers, and benefits to enrollment, and influence subjective and social norms.</p>","PeriodicalId":72992,"journal":{"name":"Evidence-based practice in child and adolescent mental health","volume":"7 2","pages":"245-259"},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9246343/pdf/nihms-1788608.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10464405","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Single-arm Pilot Trial of Hatha Yoga for Adolescents with Depression.","authors":"Lisa A Uebelacker,&nbsp;Jennifer C Wolff,&nbsp;Jenny Guo,&nbsp;Katherine Conte,&nbsp;Ryan Segur,&nbsp;Celeste M Caviness,&nbsp;Hyun Seon Park,&nbsp;Summer Peterson,&nbsp;Geoffrey Tremont,&nbsp;Rochelle K Rosen,&nbsp;Shirley Yen","doi":"10.1080/23794925.2021.1993110","DOIUrl":"https://doi.org/10.1080/23794925.2021.1993110","url":null,"abstract":"<p><p>The prevalence of adolescent depression is increasing, particularly among girls. Existing evidence-based treatments have limitations and/or may not be acceptable to all adolescents and parents. There is evidence that hatha yoga may be useful as an adjunctive treatment for depression in adults. The purpose of the current study was to assess acceptability and feasibility of hatha yoga for depression in teens. We conducted a single-arm pilot trial of 12 weeks of manualized yoga classes specifically targeted toward teens with elevated depression symptoms. We assessed acceptability and feasibility by several metrics and compared our results against a priori benchmarks. We also collected qualitative feedback on the classes. We enrolled 11 teens. We met a priori benchmarks for recruitment and retention rates, credibility of the yoga classes, satisfaction with classes, and (lack of) adverse events causally related to classes. Class attendance and amount of home practice fell below planned benchmarks. Qualitative feedback was positive from the majority, although not all, participants. Results from this study may be used to further refine yoga classes for depressed teens.</p>","PeriodicalId":72992,"journal":{"name":"Evidence-based practice in child and adolescent mental health","volume":"7 3","pages":"317-326"},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9733676/pdf/nihms-1751699.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10451565","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Equity in Mental Health Services for Youth at Clinical High Risk for Psychosis: Considering Marginalized Identities and Stressors.","authors":"Joseph S DeLuca,&nbsp;Derek M Novacek,&nbsp;Laura H Adery,&nbsp;Shaynna N Herrera,&nbsp;Yulia Landa,&nbsp;Cheryl M Corcoran,&nbsp;Elaine F Walker","doi":"10.1080/23794925.2022.2042874","DOIUrl":"https://doi.org/10.1080/23794925.2022.2042874","url":null,"abstract":"<p><p>Prevention and early intervention programs have been initiated worldwide to serve youth at Clinical High Risk for Psychosis (CHR-P), who are adolescents and young adults experiencing subclinical psychosis and functional impairment. The primary goals of these efforts are to prevent or mitigate the onset of clinical psychosis, while also treating comorbid issues. It is important to consider issues of diversity, equity, and inclusion in CHR-P work, especially as these programs continue to proliferate around the world. Further, there is a long history in psychiatry of misdiagnosing and mistreating psychosis in individuals from racial and ethnic minority groups. Although there have been significant developments in early intervention psychosis work, there is evidence that marginalized groups are underserved by current CHR-P screening and intervention efforts. These issues are compounded by the contexts of continued social marginalization and significant mental health disparities in general child/adolescent services. Within this narrative review and call to action, we use an intersectional and minority stress lens to review and discuss current issues related to equity in CHR-P services, offer evidence-based recommendations, and propose next steps. In particular, our intersectional and minority stress lenses incorporate perspectives for a range of marginalized and underserved identities related to race, ethnicity, and culture; faith; immigration status; geography/residence; gender identity; sexual orientation; socioeconomic status/class; and ability status.</p>","PeriodicalId":72992,"journal":{"name":"Evidence-based practice in child and adolescent mental health","volume":"7 2","pages":"176-197"},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9258423/pdf/nihms-1789234.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9162508","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Pre-Implementation Organizational Environment Associated with Pediatric Integrated Care Readiness in Primary Care.","authors":"Nicole A Stadnick,&nbsp;Martina G Penalosa,&nbsp;Kassandra Martinez,&nbsp;Lauren Brookman-Frazee,&nbsp;Daniel P Gizzo,&nbsp;Timothy Sahms,&nbsp;Cynthia L Kuelbs,&nbsp;Gregory A Aarons","doi":"10.1080/23794925.2021.1875344","DOIUrl":"https://doi.org/10.1080/23794925.2021.1875344","url":null,"abstract":"<p><strong>Objective: </strong>To characterize pre-implementation organizational factors associated with Access To Tailored Autism Integrated Care (ATTAIN), an integrated care model for children with autism and identified or suspected co-occurring mental health needs.</p><p><strong>Methods: </strong>Pediatric primary care providers (n=36) completed surveys as part of a pilot study testing ATTAIN feasibility. Measures assessed: background characteristics; implementation climate; organizational readiness; evidence-based practice (EBP) attitudes; knowledge, confidence and comfort caring for children with autism.</p><p><strong>Results: </strong>Compared to providers from a network of primary care practices and an integrated healthcare system, providers from a Federally Qualified Health Center (FQHC) reported less positive perceptions of climate supportive of EBP implementation and, specifically, selection for openness and rewards for EBPs. Implementation climate was associated with autism knowledge, comfort with mental health referral and follow up, and organizational change efficacy.</p><p><strong>Conclusions: </strong>Findings advance understanding of pre-implementation organizational context factors important to assess for EBP implementation in diverse pediatric care settings.</p>","PeriodicalId":72992,"journal":{"name":"Evidence-based practice in child and adolescent mental health","volume":"7 1","pages":"5-11"},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/23794925.2021.1875344","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10463881","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Understanding ADHD in Black Adolescents in Urban Schools: A Qualitative Examination of Factors that Influence ADHD Presentation, Coping Strategies, and Access to Care.","authors":"Nellie Shippen,&nbsp;Sha Raye Horn,&nbsp;Patricia Triece,&nbsp;Andrea Chronis-Tuscano,&nbsp;Michael C Meinzer","doi":"10.1080/23794925.2021.2013140","DOIUrl":"https://doi.org/10.1080/23794925.2021.2013140","url":null,"abstract":"<p><p>The high school years are a challenging developmental period for adolescents with attention-deficit/hyperactivity disorder (ADHD), their families, and those who work with them in the school system. Moreover, racially minoritized families and schools in low-resource, urban settings often experience additional adverse experiences that can make access to evidence-based mental health care particularly difficult. This qualitative investigation into the experiences of Black high school students with ADHD, their caregivers, teachers, and school mental health providers (SMHPs) aimed to understand this community's experiences with ADHD across development and to explore the barriers/facilitators to adequate services. Through focus group interviews with stakeholders (i.e., 6 adolescents with a diagnosis of ADHD, 5 caregivers of adolescents with ADHD, 6 teachers, 5 school mental health providers), themes emerged related to (1) developmental changes observed in ADHD presentation in high school students and (2) contextual factors (including barriers/facilitators to optimal school and home functioning). These themes led to the development of an ecological model that show various contextual factors influencing the experiences of Black adolescents with ADHD in under-resourced urban public high schools (e.g., adolescents' coping strategies, caregiver involvement, teacher burden or lack of ADHD-knowledge, socioeconomic status, access to care). This qualitative study represents the first step of a treatment development project assessing the implementation of a depression prevention intervention for Black adolescents with ADHD in urban public-school settings. Clinical implications (e.g., coordination of care between home and schools, increasing attention to social determinants of health, ensuring culturally competent discussion of ADHD and its treatment) are discussed.</p>","PeriodicalId":72992,"journal":{"name":"Evidence-based practice in child and adolescent mental health","volume":"7 2","pages":"213-229"},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9122271/pdf/nihms-1766934.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10516167","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Adverse Childhood Experiences and Mental Health in an Adolescent Partial Hospital Program.","authors":"Abby J deSteiguer,&nbsp;Elisabeth A Frazier,&nbsp;Daniella J Gelman,&nbsp;Molly A Hedrick,&nbsp;Lauren Micalizzi","doi":"10.1080/23794925.2021.1986869","DOIUrl":"https://doi.org/10.1080/23794925.2021.1986869","url":null,"abstract":"ABSTRACT Childhood adversity has been associated with myriad physical, emotional, and mental health symptoms across the lifespan, including higher risk for substance abuse, depression, suicidal ideation, and premature mortality. The current study evaluates the association between cumulative adverse childhood experiences and mental health distress at admission and discharge in an adolescent partial hospital program. Data were collected from 157 adolescents through clinical assessments administered during admission and discharge procedures (Youth Outcomes Questionnaire Self-Report (YOQ-SR), Treatment Support Measure (TSM), and Center for Youth Wellness Adverse Childhood Experiences Questionnaire Teen (CYW ACE-Q Teen)). Regression analyses were conducted to assess how cumulative ACEs predict admission mental health distress (Intrapersonal Distress, Critical Items, and Total Score) as well as mental health distress at discharge, above and beyond other clinically relevant factors. While ACEs significantly predicted overall distress at admission (p = .026), there were no other significant associations between ACEs and outcomes at admission, nor ACEs and any outcomes at discharge. This suggests experiences of adversity may not hinder or influence outcomes over the course of treatment in this setting. Experiences of adversity were highly endorsed in this sample; thus, further understanding of experiences of trauma and resilience in acute treatment settings is a critical area for future research to improve interventions for adolescents. Abbreviations: ACE(s): Adverse Childhood Experience(s); ACE-Q: Adverse Childhood Experience Questionnaire; APHP: Adolescent Partial Hospitalization Program; LOS: Length of Stay; NSSI: Non-Suicidal Self-Injury; PHP: Partial Hospitalization Program; Y-OQ: Youth Outcome Questionnaire; Y-OQ-SR: Youth Outcome Questionnaire Self-Report; TSM: Treatment Support Measure","PeriodicalId":72992,"journal":{"name":"Evidence-based practice in child and adolescent mental health","volume":"7 4","pages":"452-462"},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9718448/pdf/nihms-1783067.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10808702","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Training Directors’ Perspectives of Psychology Intern and Postdoctoral Fellow Training Experiences during COVID-19: A Changing Landscape","authors":"Lauren Gardner, Marissa A Feldman, Joy Bowers-Campbell, J. Katzenstein, W. Frye","doi":"10.1080/23794925.2021.2007820","DOIUrl":"https://doi.org/10.1080/23794925.2021.2007820","url":null,"abstract":"ABSTRACT The COVID-19 pandemic has affected professional training in health service psychology. Although training provided by psychology internship and postdoctoral fellowship programs has continued, programs have altered the opportunities available to assure the safety of patients and providers. This paper aims to describe training directors’ (TD) perspectives of how COVID-19 has impacted training experiences. Participants included 63 TDs from child and adolescent psychology internship and postdoctoral fellowship programs, most of which are located in the United States. A survey containing open- and close-ended questions was distributed to TDs to assess alterations to training experiences due to COVID-19. Responses described increased use of telehealth, video/virtual supervision, safety precautions/procedures, reduced in-person clinical opportunities, and decreased morale. Assessment, communication and interpersonal skills, intervention, and consultation and interprofessional/interdisciplinary skills were the profession-wide competencies most negatively impacted. Qualitative analysis revealed five themes describing how COVID-19 (1) affected the depth and breadth of training; (2) reduced organic, in the moment experiences; (3) increased stress and decreased trainee and staff morale; (4) limited in-person assessment training; and (5) altered and reduced interdisciplinary collaboration. The ongoing pandemic has had positive and negative impacts on the experiences of trainees completing internship and postdoctoral fellowship programs. Although TDs reported increased opportunity to train in telehealth service provision, it is imperative that trainees are able to gain clinical experiences in the context of this pandemic that meet training expectations in depth and breadth of skills needed to assure readiness to transition into the field of independent practice as emerging psychologists.","PeriodicalId":72992,"journal":{"name":"Evidence-based practice in child and adolescent mental health","volume":"7 1","pages":"374 - 384"},"PeriodicalIF":0.0,"publicationDate":"2021-12-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47463460","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":"Identifying and Treating Anxiety in Youth with Autism Spectrum Disorder/Intellectual Developmental Disorder: A Review","authors":"Ashley T. Winch, Samantha J. Klaver, Samantha D. Simpson, Catrina A. Calub, K. Alexander","doi":"10.1080/23794925.2021.2013139","DOIUrl":"https://doi.org/10.1080/23794925.2021.2013139","url":null,"abstract":"ABSTRACT Recent research has suggested that anxiety is among the most common co-occurring mental health difficulties for children and adolescents with autism spectrum disorder (ASD). For youth with co-occurring intellectual disability disorder (IDD), these rates are estimated to be even higher. Despite the estimated high prevalence of anxiety for youth with comorbid ASD and IDD, there is still great uncertainty in the field regarding the best practices for identifying, diagnosing and treating anxiety within this unique population. Thus, the primary goal of the current paper is to review the existing literature regarding best practices and modifications for the assessment and treatment of anxiety in children and adolescents with comorbid ASD and IDD to assist clinicians working with this substantially underserved population.","PeriodicalId":72992,"journal":{"name":"Evidence-based practice in child and adolescent mental health","volume":"7 1","pages":"160 - 172"},"PeriodicalIF":0.0,"publicationDate":"2021-12-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44326868","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":"Family Experiences and Feedback: An Examination of Attrition in Parent-Child Interaction Therapy","authors":"Brittany K. Liebsack, A. Herschell, J. Hart, D. Kolko, C. Jackson","doi":"10.1080/23794925.2021.2007819","DOIUrl":"https://doi.org/10.1080/23794925.2021.2007819","url":null,"abstract":"ABSTRACT Attrition is a significant problem in child psychotherapyand has serious implications for overall treatment effectiveness. Predictors of attrition include those at the client, therapist, and treatment levels. The current study investigated factors associated with attrition in Parent-Child Interaction Therapy (PCIT), an evidence-based parent training program for families with young children with disruptive behavior disorders. The sample of 67 caregivers were treated by 25 therapists from 19 different licensed psychiatric outpatient clinics across one state and were part of a larger study (RO1 MH09750; PI: Herschell). The effects of caregivers’ attitudes toward therapy, expectations of therapy, perceived therapist cultural competence, and commitment to treatment were examined using Binomial Logistic Regression. Therapy expectations and commitment to treatment added significantly to the model predicting attrition. Fleiss’ kappa was used to examine caregiver-therapist agreement on completion status, reasons PCIT ended, barriers to treatment experienced by families, and caregiver compliance with post-treatment therapist referrals. Results suggest low agreement across each variable, indicating that therapists may not be aware of caregiver barriers or reasons they leave PCIT prematurely. Limitations, suggestions for future research, and clinical implications are discussed.","PeriodicalId":72992,"journal":{"name":"Evidence-based practice in child and adolescent mental health","volume":"8 1","pages":"10 - 23"},"PeriodicalIF":0.0,"publicationDate":"2021-12-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44754247","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}