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

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Performance of a Tic Screening Tool (MOVeIT) in Comparison to Expert Clinician Assessment in a Developmental-Behavioral Pediatrics Clinic Sample 发展-行为儿科临床样本中Tic筛查工具(MOVeIT)与专家临床医生评估的比较
Evidence-based practice in child and adolescent mental health Pub Date : 2023-11-08 DOI: 10.1080/23794925.2023.2272948
Jennifer A. Vermilion, Rebecca H. Bitsko, Melissa L. Danielson, Kristen P. Bonifacio, Shannon L. Dean, Susan L. Hyman, Erika F. Augustine, Jonathan W. Mink, Peter E. Morrison, Amy E. Vierhile, Stephen B. Sulkes, Edwin van Wijngaarden, Heather R. Adams
{"title":"Performance of a Tic Screening Tool (MOVeIT) in Comparison to Expert Clinician Assessment in a Developmental-Behavioral Pediatrics Clinic Sample","authors":"Jennifer A. Vermilion, Rebecca H. Bitsko, Melissa L. Danielson, Kristen P. Bonifacio, Shannon L. Dean, Susan L. Hyman, Erika F. Augustine, Jonathan W. Mink, Peter E. Morrison, Amy E. Vierhile, Stephen B. Sulkes, Edwin van Wijngaarden, Heather R. Adams","doi":"10.1080/23794925.2023.2272948","DOIUrl":"https://doi.org/10.1080/23794925.2023.2272948","url":null,"abstract":"ABSTRACTYouth with intellectual and developmental disabilities typically have higher rates of tics and stereotypies compared to children with otherwise typical development. Differentiating between these two pediatric movement disorders can be challenging due to overlapping clinical features, but is relevant due to distinct treatment modalities. The current study evaluated sensitivity and specificity of a tic screening measure, the Motor or Vocal Inventory of Tics (MOVeIT) in a pediatric sample enriched for stereotypy and tics. Children (n = 199, age 2–15 years old) receiving care in a developmental-behavioral pediatrics clinic underwent a gold-standard diagnostic assessment by a tic expert; these evaluations were compared to the MOVeIT. The MOVeIT demonstrated good sensitivity (89.8%) and relatively lower specificity (57.1%) compared to tic expert for detecting tics in the overall sample. Specificity of the MOVeIT to identify tics improved to 75% when excluding children with co-occurring stereotypy. For children with tics and co-occurring stereotypy, sensitivity remained high (91.9%) but specificity was low (39.1%). The area under the curve (AUC) value to detect tics on the MOVeIT compared to the tic expert gold standard was significantly higher for children without stereotypy (AUC = 85.7%) than those with stereotypy (AUC = 64.3%, p < .01). Overall, the ability to detect tics was better in those without co-occurring stereotypy symptoms. Further work is needed to establish the utility of the MOVeIT in populations where there is a high likelihood of co-occurring tics and stereotypy and in general population settings. Accurate distinction between tics and stereotypy will guide choices for intervention and anticipatory guidance for families. AcknowledgmentsWe thank the children and their parents for participation in this study. We gratefully acknowledge the contributions of the clinical providers in the Developmental and Behavioral Pediatrics clinic who engaged with the study: Lynn Cole, DNP; Jenniffer Herrera, MD; Angela Liberatore, NP; Lorna Patanella, NP; Jessica Reiffer, MD; Melissa Ryan, NP; Johanna Stump-Siembor, NP.Disclosure statementNo potential conflict of interest was reported by the author(s).Supplementary materialSupplemental data for this article can be accessed online at https://doi.org/10.1080/23794925.2023.2272948Additional informationFundingThis study was supported by the Association of University Centers on Disabilities (AUCD) cooperative agreement which was funded by the Centers for Disease Control and Prevention [Grant award U38OT000140]. Dr. Mink received salary support from IDDRC [grant P50HD103536] for preparation of the manuscript.","PeriodicalId":72992,"journal":{"name":"Evidence-based practice in child and adolescent mental health","volume":"20 4","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-11-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135340404","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}
引用次数: 0
The Youth CopeNYP Program: A Model for Brief, Evidence-Based Treatment in Pediatric Primary Care During the COVID-19 Pandemic 青年哥本哈根项目:COVID-19大流行期间儿科初级保健的循证简短治疗模式
Evidence-based practice in child and adolescent mental health Pub Date : 2023-11-07 DOI: 10.1080/23794925.2023.2272945
Corinne Catarozoli, Cori Green, Sonia Ruparell, Justin Mohatt
{"title":"The Youth CopeNYP Program: A Model for Brief, Evidence-Based Treatment in Pediatric Primary Care During the COVID-19 Pandemic","authors":"Corinne Catarozoli, Cori Green, Sonia Ruparell, Justin Mohatt","doi":"10.1080/23794925.2023.2272945","DOIUrl":"https://doi.org/10.1080/23794925.2023.2272945","url":null,"abstract":"ABSTRACTThe COVID-19 pandemic unfolded onto a preexisting national mental health crisis, resulting in significant increases in mental health problems among youth. Pediatric primary care practices subsequently faced an influx of families presenting for behavioral health concerns with few accessible options for evidence-based treatment. Youth CopeNYP was launched as a short-term, virtual intervention program using evidence-based principles offered to children, adolescents, and parents within the pediatric primary care setting. We describe the development and implementation of this service, including establishing a workforce, creating a referral workflow and handoff system with pediatricians, and developing a clinical manual using evidence-based practices. Adaptation from a crisis response service to a sustainable program to address the ongoing youth mental health crisis in pediatric primary care is discussed. 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":"16 4","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-11-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135432549","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}
引用次数: 0
Multiple-Baseline Design Study of Deliberate Practice for Learning Psychotherapeutic Techniques 有意识练习学习心理治疗技术的多基线设计研究
Evidence-based practice in child and adolescent mental health Pub Date : 2023-10-24 DOI: 10.1080/23794925.2023.2272949
John Young, McCall Schruff, Carolyn Humphrey, Jeffrey M. Pavlacic
{"title":"Multiple-Baseline Design Study of Deliberate Practice for Learning Psychotherapeutic Techniques","authors":"John Young, McCall Schruff, Carolyn Humphrey, Jeffrey M. Pavlacic","doi":"10.1080/23794925.2023.2272949","DOIUrl":"https://doi.org/10.1080/23794925.2023.2272949","url":null,"abstract":"ABSTRACTDeliberate practice is a framework for expertise development that has been applied in many fields but rarely to studies of psychotherapy skill development. The current multiple-baseline study sought to examine the effects of deliberate practice on initial psychotherapy skill acquisition in three completely novice students. In addition to quantitative measures of performance, qualitative feedback concerning their methods of orienting to tasks was also collected regularly. Participants were given a minimal set of instructions to conduct and record psychotherapy role-play exercises, two of whom were provided with opportunities for focal deliberate practice beginning after their 3rd or 5th sessions. Results indicated that deliberate practice was associated with rapid, precipitous increases in reliably coded, structured evaluation of skill, which in many cases approached the cutoff for competent professional CBT practice. The potential of these methods to enhance learning and establish lifelong methods of skill improvement at all performance levels is discussed. 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":"117 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135266014","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}
引用次数: 0
A Population-Based Study of the Utility of Screening for Tics and the Relative Contribution of Tics and Psychiatric Comorbidity to Academic and Social Impairment in Adolescents 一项基于人群的研究:抽动症筛查的效用以及抽动症和精神共病对青少年学业和社交障碍的相对贡献
Evidence-based practice in child and adolescent mental health Pub Date : 2023-10-13 DOI: 10.1080/23794925.2023.2263856
Jessica N. Smith, Julie Sarno Owens, Steven W. Evans, Rebecca H. Bitsko, Joseph R. Holbrook
{"title":"A Population-Based Study of the Utility of Screening for Tics and the Relative Contribution of Tics and Psychiatric Comorbidity to Academic and Social Impairment in Adolescents","authors":"Jessica N. Smith, Julie Sarno Owens, Steven W. Evans, Rebecca H. Bitsko, Joseph R. Holbrook","doi":"10.1080/23794925.2023.2263856","DOIUrl":"https://doi.org/10.1080/23794925.2023.2263856","url":null,"abstract":"ABSTRACTThis study examined the performance of a brief screening tool for tics in adolescents. Academic and social impairment in students by tic screen status and emotional/behavioral problem status were examined. Data were collected as part of an epidemiologic study, the Project to Learn about Youth – Mental Health. Participants were 2,312 secondary school students at the Ohio site (47.4% female; 94.4% non-Hispanic white) and their teachers. Students completed 6 items from the Motor tic, Obsessions and compulsions, Vocal tic Evaluation Survey (MOVES-6) and the Strengths and Difficulties Questionnaire (SDQ). Teachers completed the Proxy Report Questionnaire for tics and SDQ. Based on responses to the MOVES-6, 11.1% of students screened positive for tics. Internal consistency was adequate (α = 0.76); inter-rater consistency between teachers and students was low (0.03). Based on student self-report, those who screened positive for tics self-reported more academic and social impairment than students who screened negative for tics; teacher-report of impairment was similar between those with a positive or negative tic screen. Students who screened positive for tics and reported internalizing difficulties reported more academic and social impairment than students with only a positive tic screen. Teachers perceived those screening positive for tics and externalizing difficulties as the most socially impaired. In conclusion, a positive self-reported tic screen was associated with self-reported academic and social impairment. Findings reveal the independent contribution of tics to impairment, even when internalizing and externalizing problems are present, and the potential utility of a school-based screening for tics in adolescents. Disclosure statementNo potential conflict of interest was reported by the author(s).Additional informationFundingThe data presented in this article were obtained in a project supported by the Disability Research and Dissemination Center (DRDC) through its Grant Number [5U01DD001007-03] from the Centers for Disease Control and Prevention (CDC). The contents of the article are solely the responsibility of the authors and do not necessarily represent the official views of the DRDC or the CDC.","PeriodicalId":72992,"journal":{"name":"Evidence-based practice in child and adolescent mental health","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135854827","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}
引用次数: 0
EPCAMH Call for Papers: Special Issue on Bilingual Youth Mental Health Services EPCAMH 征稿启事:双语青少年心理健康服务特刊
Evidence-based practice in child and adolescent mental health Pub Date : 2023-10-02 DOI: 10.1080/23794925.2023.2282324
{"title":"EPCAMH Call for Papers: Special Issue on Bilingual Youth Mental Health Services","authors":"","doi":"10.1080/23794925.2023.2282324","DOIUrl":"https://doi.org/10.1080/23794925.2023.2282324","url":null,"abstract":"","PeriodicalId":72992,"journal":{"name":"Evidence-based practice in child and adolescent mental health","volume":"24 1","pages":"560 - 560"},"PeriodicalIF":0.0,"publicationDate":"2023-10-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139324440","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}
引用次数: 0
An Open Trial of a Brief Engagement Program for Caregivers of Children with ADHD ADHD儿童看护者简短参与计划的公开试验
Evidence-based practice in child and adolescent mental health Pub Date : 2023-09-29 DOI: 10.1080/23794925.2023.2261442
Sébastien Normand, Joanna Guiet, Virginie LeBlanc, Jennifer A. Mautone, Jason M. Fogler, Alexandre Prud’homme-Maisonneuve, Thomas J. Power, Jenelle Nissley-Tsiopinis
{"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}
引用次数: 0
Door-To-Door Video-Enhanced Prevalence Study of Tourette Disorder Among African Americans 非裔美国人抽动秽语障碍的挨家挨户视频增强患病率研究
Evidence-based practice in child and adolescent mental health Pub Date : 2023-09-29 DOI: 10.1080/23794925.2023.2253544
Catherine Striley, Kevin J. Black, Natalie E. Chichetto, Lauren Vagelakos
{"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}
引用次数: 0
Parent-Adolescent Informant Discrepancies and Clinician Alignment: Implications for the Assessment of Adolescent Social Anxiety Disorder 亲子信息差异与临床医师一致性:青少年社交焦虑障碍评估的意义
Evidence-based practice in child and adolescent mental health Pub Date : 2023-09-29 DOI: 10.1080/23794925.2023.2261448
Corinne N. Carlton, Emma Larkin, Jolee A. Sloss, Thomas H. Ollendick
{"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}
引用次数: 0
Predictors of Treatment Outcome and Length of Stay in a Partial Hospital Program for Pediatric Obsessive-Compulsive Disorder 儿童强迫症部分医院治疗结果和住院时间的预测因素
Evidence-based practice in child and adolescent mental health Pub Date : 2023-09-19 DOI: 10.1080/23794925.2023.2253540
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
{"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}
引用次数: 0
Characterizing Autism Training Experiences in Clinical Psychology Ph.D. Programs: Recommendations for Improving Training to Enhance Care 临床心理学博士课程中自闭症训练经验的特征:改进训练以加强护理的建议
Evidence-based practice in child and adolescent mental health Pub Date : 2023-09-14 DOI: 10.1080/23794925.2023.2253549
Yael G. Dai, Daina M. Tagavi, Mary Troxel, Devon Oosting, Alice S. Carter
{"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}
引用次数: 0
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