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

{"title":"An Open Trial of a Brief Engagement Program for Caregivers of Children with ADHD","authors":"Sébastien Normand, Joanna Guiet, Virginie LeBlanc, Jennifer A. Mautone, Jason M. Fogler, Alexandre Prud’homme-Maisonneuve, Thomas J. Power, Jenelle Nissley-Tsiopinis","doi":"10.1080/23794925.2023.2261442","DOIUrl":"https://doi.org/10.1080/23794925.2023.2261442","url":null,"abstract":"ABSTRACTThis open trial evaluated the feasibility, acceptability, and preliminary efficacy of Bootcamp for ADHD (BC-ADHD), a novel, four-session, group intervention designed to prepare caregivers as informed consumers to engage in multimodal evidence-based treatments (EBTs) for ADHD. Participants were 59 primary caregivers (85% biologic mothers) of children recently diagnosed with ADHD within a co-located, subspecialty pediatric clinic (ages 5–11; 73% male). Results indicated BC-ADHD was feasible to deliver, as evidenced by high levels of program usability (i.e. content and process fidelity), and caregiver behavioral engagement (M attendance = 88%; M homework adherence = 2.95 homework, SD = 1.15, 0–4 range). Families were also very satisfied (M = 6.06, 1–7 range). At post-treatment, BC-ADHD resulted in increases in caregiver empowerment and acceptability of behavioral treatment and reductions in concerns about both behavioral (adverse effects and feasibility) and medication (adverse effects) treatments (absolute Cohen’s d = 0.27 to 0.35). At 6-month follow-up, effects were sustained for increases in caregiver empowerment and for reductions in concerns about both behavioral and medication treatments (absolute ds = 0.36 to 0.40). Sleeper effects were observed for increased medication acceptability and decreased affiliate stigma (absolute ds = 0.26 to 0.29). Child impairment was also reduced at follow-up (d = -0.58). The percentage of caregivers who initiated behavior therapy (Kendall’s w = 0.63) or medication (Kendall’s w = 0.15) increased from baseline to 6-month follow-up. These findings provide initial support for BC-ADHD as a promising engagement program to foster positive caregiver attitudes and initiation of EBTs. Disclosure statementNo potential conflict of interest was reported by the author(s).Additional informationFundingThis work was supported by internal funding from the Institut du Savoir Montfort (ISM). We are grateful to the families who participated in this study and to pediatricians who provided referrals. The researchers also extend their deepest gratitude to Dr. Jennifer Betkowski (1977-2018) for the training and consultation she has provided to them in motivational interviewing.","PeriodicalId":72992,"journal":{"name":"Evidence-based practice in child and adolescent mental health","volume":"15 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135193532","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":"Door-To-Door Video-Enhanced Prevalence Study of Tourette Disorder Among African Americans","authors":"Catherine Striley, Kevin J. Black, Natalie E. Chichetto, Lauren Vagelakos","doi":"10.1080/23794925.2023.2253544","DOIUrl":"https://doi.org/10.1080/23794925.2023.2253544","url":null,"abstract":"ABSTRACTTourette syndrome (TS) affects about 0.5% of the population worldwide, but only sparse and conflicting data exist on TS prevalence among minority samples. Here we used VISITTS (a survey preceded by a short video showing tic phenomenology) and community outreach to provide estimates of tic disorder prevalence in African Americans. Community health workers (CHWs) left flyers at households in a predominantly minority neighborhood and approached people at a community health fair. Of 606 such contacts, 222 individuals agreed to discuss the study. Of these, 70% enrolled, of whom 82% identified as Black and 64% female. The VISITTS was well received. Lifetime prevalence of TS or another chronic tic disorder (TS/CTD) was 3.2%, and 31% endorsed any lifetime simple tic. The number of enrolled Black participants is remarkable compared to earlier TS studies, allowing one of the first prevalence estimates in this population (TS 2.3%, TS/CTD 3.9%). Tic disorders were endorsed only by Black respondents, though the small White sample precluded statistical comparison. Women had higher rates than men of TS (M:F = 0:1) and of any lifetime simple tic (M:F = 0.85), differing significantly from the expected 4:1 ratio (p = .009 and p < .001, respectively). For TS/CTD the ratio was 1.2:1 (p > .15). We conclude that VISITTS is a feasible tic screening tool in a minority population, that CHW community outreach increases enrollment of Black participants, that TS/CTD is no less common in this population, and that tics were as common in female as in male respondents. AcknowledgmentsThe authors acknowledge funding for this study by the Tourette Association of America research grant “Uncovering Disparities in TS Prevalence and Identification Between Caucasians and African-Americans.” The VISIT-TS was developed as a part of the TAA-funded research grant “Finding Tics in the Community without Putting a Doctor on Every Corner” (PI: Black; Co-PI: Striley). HealthStreet was partially funded by the Washington University Clinical and Translational Award (NCRR RR024992). A preprint version of this manuscript appears on the Open Science Framework (Striley et al., Citation2022).Disclosure statementNo potential conflict of interest was reported by the author(s).Notes1 This participant also endorsed “adjusting your clothes over and over,” which could be a complex motor tic, though without any simple motor tic or further interview, it probably is not. If it was, the diagnosis would be Tic Disorder Not Otherwise Specified by DSMIVTR criteria and no tic diagnosis by DSM5 criteria, since for either, TS requires “multiple” motor tics (see Black, Citation2020).Additional informationFundingThe work was supported by the National Center for Research Resources [UL1RR024992]; Tourette Association of America [Uncovering Disparities in TS Prevalence and Identi].","PeriodicalId":72992,"journal":{"name":"Evidence-based practice in child and adolescent mental health","volume":"45 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135194087","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":"Parent-Adolescent Informant Discrepancies and Clinician Alignment: Implications for the Assessment of Adolescent Social Anxiety Disorder","authors":"Corinne N. Carlton, Emma Larkin, Jolee A. Sloss, Thomas H. Ollendick","doi":"10.1080/23794925.2023.2261448","DOIUrl":"https://doi.org/10.1080/23794925.2023.2261448","url":null,"abstract":"ABSTRACTThe present study had the following aims: 1) Evaluate the degree of discrepancy between parents and their adolescents when reporting social anxiety; 2) Determine if reporting discrepancies between parents and adolescents predict social anxiety severity and impairment ratings following treatment and; 3) Assess if clinician-rated social anxiety severity more strongly aligns with parent- or adolescent-reported social anxiety. Participants included 58 adolescents (12–16 years of age; Mage = 14.29, SD = 1.30; 70.7% female) who participated in a randomized clinical trial. Participants and their parents separately completed the diagnostic interview and self-report measures regarding social anxiety. Results indicate significant parent-adolescent discrepancies regarding the adolescent’s social anxiety; however, parent and adolescent discrepancies were lower on specific feared social situations. Additionally, results demonstrate that correspondence in parent-adolescent reporting was associated with improved treatment outcomes. Lastly, results indicate that clinicians more strongly aligned themselves with parental report of social anxiety. AcknowledgmentsWe would like to acknowledge the graduate students, research assistants, and undergraduate students who assisted us with various aspects of this project. We also wish to express appreciation to the adolescents and families who participated in this clinical research.Disclosure statementNo potential conflict of interest was reported by the author(s).Data availability statementData is available upon request. We report how we determined our sample size, all data exclusions, all manipulations, and all measures in the study.Statement of human rightsThis study received approval from the Virginia Tech’s Institutional Review Board, and all participants provided informed consent to participant in the study.Notes1 In the original RCT (Ollendick et al., Citation2019) in addition to the above-mentioned age range, inclusion criteria for the original study included: (1) a diagnosis of SAD via clinical interview; (2) an FSIQ of 80+; (3) stable psychotropic medication and; (4) no current treatment for social-anxiety related difficulties.","PeriodicalId":72992,"journal":{"name":"Evidence-based practice in child and adolescent mental health","volume":"22 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135193767","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":"Predictors of Treatment Outcome and Length of Stay in a Partial Hospital Program for Pediatric Obsessive-Compulsive Disorder","authors":"Abbe M. Garcia, Brady Case, Jennifer B. Freeman, Michael Walther, Giulia Righi, Erin O’Connor, Bryana Killion, Elizabeth Brannan, Lauren Milgram, Maddi Gervasio, Caroline Forest, Eve Stein, Kristen G. Benito","doi":"10.1080/23794925.2023.2253540","DOIUrl":"https://doi.org/10.1080/23794925.2023.2253540","url":null,"abstract":"ABSTRACTPartial hospital programs (PHPs) represent an important part of the continuum of care for youth with severe and/or refractory OCD, yet little is known about clinical or utilization outcomes in this setting. The current study aimed to characterize symptom improvement and length of stay (LOS) among 185 youth with OCD treated in a PHP setting and to identify demographic, clinical, and treatment characteristics that predict these outcomes. Results demonstrate a 77.3% treatment response rate and a median LOS of 52 days. Holding other predictors constant, less symptom improvement was observed for youth with lower symptom severity at admission, in a racial or ethnic minoritized group, without comorbid anxiety, and receiving more treatment hours per day. Shorter LOS was observed among youth with public (vs. commercial) insurance, receiving more hours of treatment per day, and not taking a serotonin reuptake inhibitor (SRI). Clinical implications and directions for future research are discussed, including a critical need to understand and improve outcomes for minoritized youth. Disclosure statementNo potential conflict of interest was reported by the author(s).","PeriodicalId":72992,"journal":{"name":"Evidence-based practice in child and adolescent mental health","volume":"5 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135059129","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":"Characterizing Autism Training Experiences in Clinical Psychology Ph.D. Programs: Recommendations for Improving Training to Enhance Care","authors":"Yael G. Dai, Daina M. Tagavi, Mary Troxel, Devon Oosting, Alice S. Carter","doi":"10.1080/23794925.2023.2253549","DOIUrl":"https://doi.org/10.1080/23794925.2023.2253549","url":null,"abstract":"ABSTRACTAutistic individuals consistently experience long waitlists to access assessment and intervention. Additionally, they report difficulty obtaining integrated services for their co-occurring medical and mental health disorders. The current study seeks to explore the way that graduate school training may contribute to the specialized and siloed nature of autism spectrum disorder (ASD) assessment and intervention. Multiple sources of data were collected to understand training opportunities related to ASD, child mental health, and the integration of ASD and child mental health in American Psychological Association- (APA) accredited Clinical Psychology Ph.D. programs. Data were collected from information publicly available online, and from clinical psychology doctoral students and graduate program directors (GPD). Results indicate that most programs do not employ a faculty member whose work focuses on ASD. Additionally, ASD experience is encouraged, but not a required element of program curriculum. Therefore, most doctoral students do not obtain training in ASD assessment or intervention during graduate school. Even doctoral students who pursued ASD training experiences reported that they do not feel prepared to meet the mental health needs of autistic individuals. We discuss implications and provide recommendations for how doctoral programs can promote students’ proficiency and comfort diagnosing and supporting autistic individuals. AcknowledgmentsWe extend our sincere gratitude to the graduate program directors and doctoral students who participated in this study.Disclosure statementDrs. Dai and Tagavi are licensed clinical psychologists and were postdoctoral fellows working in university labs focused on autism research while writing this publication. Ms. Troxel and Ms. Oosting are graduate students in an APA-Accredited Clinical Psychology Ph.D. program (advisor: Dr. Carter). Dr. Carter is a licensed clinical psychologist whose research focuses on autism and early childhood mental health. Dr. Carter is also the co-creator of the Infant-Toddler Social and Emotional Assessment (ITSEA) and the Brief Infant-Toddler Social and Emotional Assessment (BITSEA). She receives royalties on the sale of the ITSEA and BITSEA. The other authors do not have any conflict of interest to report.","PeriodicalId":72992,"journal":{"name":"Evidence-based practice in child and adolescent mental health","volume":"8 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134910522","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":"Efficacy of Vitamin D Supplementation on Internalizing Problems Among Children and Adolescents: A Systematic Review of Randomized Controlled Trials","authors":"Yiqi Wang, T. Kral, Jianghong Liu","doi":"10.1080/23794925.2023.2224111","DOIUrl":"https://doi.org/10.1080/23794925.2023.2224111","url":null,"abstract":"","PeriodicalId":72992,"journal":{"name":"Evidence-based practice in child and adolescent mental health","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-07-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47071613","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":"EPCAMH Call for Papers: Special Issue on Bilingual Youth Mental Health Services","authors":"","doi":"10.1080/23794925.2023.2255047","DOIUrl":"https://doi.org/10.1080/23794925.2023.2255047","url":null,"abstract":"","PeriodicalId":72992,"journal":{"name":"Evidence-based practice in child and adolescent mental health","volume":"104 1","pages":"408 - 408"},"PeriodicalIF":0.0,"publicationDate":"2023-07-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139363570","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 and Acceptability of Augmenting Therapy for Youth with Automated Text Messaging During COVID-19","authors":"S. Darrow, Manon Ironside, Courtney C. Armstrong, Kate Travis, Adrián Aguilera, L. Haack","doi":"10.1080/23794925.2023.2224112","DOIUrl":"https://doi.org/10.1080/23794925.2023.2224112","url":null,"abstract":"ABSTRACT Sheltering-in-place (SIP) was a crucial intervention for managing the COVID-19 pandemic and may be implemented in future public health crises but, unfortunately, had vast unintended mental health consequences. Interventions to decrease depression and anxiety often rely on creating routines with multiple sources of positive reinforcement and social connectedness. SIP obliterated daily routines and thus, may have led to increased isolation, depression, and anxiety. Interventions to support effective coping may help prevent and manage these outcomes. An automated text messaging intervention encouraging the use of evidence-based skills reinforced during therapy is a promising solution. The current manuscript describes our pilot study of Healthy@Home: an empirically based text intervention augmenting youth mental health services implemented during the initial months of COVID-19 SIP. We discuss the advantages and challenges of implementing a text intervention and present findings on engagement and acceptability from 14 adolescents over the course of participation in a 60-day pilot text-messaging intervention study.","PeriodicalId":72992,"journal":{"name":"Evidence-based practice in child and adolescent mental health","volume":"8 1","pages":"335 - 347"},"PeriodicalIF":0.0,"publicationDate":"2023-07-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41804397","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":"EPCAMH Call for Papers: Special Issue on Professional Education","authors":"Jennifer B. Reese","doi":"10.1080/23794925.2023.2255051","DOIUrl":"https://doi.org/10.1080/23794925.2023.2255051","url":null,"abstract":"Evidence-Based Practice in Child and Adolescent Mental Health (EPCAMH) is now accepting papers for a special issue on best practices and innovative approaches to professional education across the developmental trajectory of psychology, educational programs aimed at other behavioral health professionals, and psychology’s role in these efforts. This special issue will be guest edited by Jennifer Reese, Psy.D. and Robert Friedberg, Ph.D. Submissions are due October 31, 2023. Effective behavioral healthcare is a precious resource as the need for services continues to outpace the number of providers entering the workforce. This necessitates ensuring that the behavioral healthcare workforce is appropriately educated to provide evidence-based care, from the time they are preparing to become practitioners to when they are well into their careers as updated practice guidelines are developed. Additionally, as innovative models for delivering care are researched and developed to assist in meeting the demand for services, effective means by which to disseminate these strategies to those engaging in applied work is paramount. In particular, recognition that the majority of the pediatric behavioral health workforce is comprised of master’s prepared clinicians will be welcomed. This special issue focuses on highlighting examples of professional education with particular attention to implementation and sustainability. Papers may focus on a wide range of relevant examples, including:","PeriodicalId":72992,"journal":{"name":"Evidence-based practice in child and adolescent mental health","volume":"1 1","pages":"409 - 409"},"PeriodicalIF":0.0,"publicationDate":"2023-07-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139364030","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":"School-Based Opportunities for Adolescent Recovery (SOARing): The Acceptability and Feasibility of a DBT Skills Training Program for At-Risk Adolescents","authors":"Erica Mazzone, Chalita Antommarchi, Gabriela Bagnara, Hannah Jutzy, Abby Alido, M. Boustani","doi":"10.1080/23794925.2023.2224113","DOIUrl":"https://doi.org/10.1080/23794925.2023.2224113","url":null,"abstract":"","PeriodicalId":72992,"journal":{"name":"Evidence-based practice in child and adolescent mental health","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49192651","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}