Evidence-based practice in child and adolescent mental health最新文献_第6页

Building a Summer Treatment Program in the Real World 在现实世界中建立暑期治疗项目

Evidence-based practice in child and adolescent mental health Pub Date : 2022-12-22 DOI: 10.1080/23794925.2022.2151527

S. Tannenbaum, Katie C. Hart, S. Moody, Vasco M. Lopes, Carla C. Allan

引用次数: 0

Cultivating Strength-Based Assessment: Psychometric Evaluation of the Social-Emotional, Evidence-Based Developmental Strengths (SEEDS) Youth Self-Report with Ethnically Diverse Grade School Youth 培养基于力量的评估：社会情感、基于证据的发展力量（SEEDS）青少年自我报告的心理测量评估

Evidence-based practice in child and adolescent mental health Pub Date : 2022-12-01 DOI: 10.1080/23794925.2022.2148309

Marina M. Matsui, Brad J. Nakamura

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A Self-Efficacy Measure for Use During Exposure in CBT Therapy for Childhood Anxiety Disorders CBT治疗儿童焦虑症暴露期间使用的自我效能测量

Evidence-based practice in child and adolescent mental health Pub Date : 2022-11-22 DOI: 10.1080/23794925.2022.2148380

M. K. Cancilliere, Aleksandra M. Fryc, E. Flannery-Schroeder

{"title":"A Self-Efficacy Measure for Use During Exposure in CBT Therapy for Childhood Anxiety Disorders","authors":"M. K. Cancilliere, Aleksandra M. Fryc, E. Flannery-Schroeder","doi":"10.1080/23794925.2022.2148380","DOIUrl":"https://doi.org/10.1080/23794925.2022.2148380","url":null,"abstract":"ABSTRACT Cognitive-behavioral therapy (CBT) with exposure is an effective treatment for childhood anxiety disorders; however, by nature it may involve much discomfort, often rendering engagement during exposure a challenge. An examination of factors related to engagement during exposure in CBT for anxiety is needed; yet, a search of the extant literature found few appropriate assessment tools. Thus, the current study focuses on developing and testing a measure of self-efficacy specific to exposure tasks, a construct likely to contribute to engagement during exposures. Twenty-four parent-child dyads were recruited, and parent, child, and clinician assessments were completed. Analyses revealed significant increases in self-efficacy in tandem with reductions in anxiety symptoms and increases in social and family functioning. Internal consistency was acceptable to excellent across time. Observed effect sizes were promising, warranting greater investigation of the self-efficacy measure. Further investigation into factors contributing to child engagement during exposure in CBT for anxiety is needed.","PeriodicalId":72992,"journal":{"name":"Evidence-based practice in child and adolescent mental health","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-11-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42081418","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

Adaptation of a Transdiagnostic Cognitive-Behavioral Treatment for Adolescents with Comorbid Mental Health Conditions and High Risk Behavior 跨诊断认知行为治疗对青少年共病心理健康状况和高危行为的适应性

Evidence-based practice in child and adolescent mental health Pub Date : 2022-10-06 DOI: 10.1080/23794925.2022.2124556

Christianne Esposito-Smythers, Sarah F. Fischer, Emma D. Whitmyre, Annamarie B. Defayette, Katherine D. Maultsby, Keith D. Renshaw

{"title":"Adaptation of a Transdiagnostic Cognitive-Behavioral Treatment for Adolescents with Comorbid Mental Health Conditions and High Risk Behavior","authors":"Christianne Esposito-Smythers, Sarah F. Fischer, Emma D. Whitmyre, Annamarie B. Defayette, Katherine D. Maultsby, Keith D. Renshaw","doi":"10.1080/23794925.2022.2124556","DOIUrl":"https://doi.org/10.1080/23794925.2022.2124556","url":null,"abstract":"Millions of adolescents seek treatment for mental health concerns and high-risk behaviors (e.g., suicidality, non-suicidal self-injury, substance use) each year. Use of services for mental health crises have only increased since the onset of the COVID-19 pandemic. Evidence-based treatments that can be readily employed in community settings are sorely needed to address the growing adolescent mental health crisis. To be most effective, they must be able to accommodate the common comorbidity and high-risk behaviors present among the treatment-seeking adolescent population, and be designed in a manner that can be readily adopted by clinicians that serve these youth within community-based organizations. Following the Replicating Effective Programs (REP) framework, we describe the adaptation and pre-implementation process of a transdiagnostic and modular cognitive-behavioral treatment, which integrates motivational interviewing and dialectical behavior therapy techniques, to address multiple adolescent mental health conditions and high-risk behaviors. Using a mixed-methods design, we collected data from community clinicians and/or other stakeholders on perceptions of the training protocol and treatment manual, self-efficacy and knowledge in manual use, use of modules with clients, and treatment adherence, to inform our REP efforts around modifications to the training and treatment manual. We present these data and describe modifications made using the Framework for Reporting Adaptations and Modifications (FRAME) to evidence-based interventions. Overall, data support our intensive training model and transdiagnostic treatment for use by clinicians in community settings. Stakeholder engagement, adaptations to the training and treatment materials, and participation in post-training consultation, appeared to facilitate successful pre-implementation efforts. Copyright © 2022 SCCAP.","PeriodicalId":72992,"journal":{"name":"Evidence-based practice in child and adolescent mental health","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-10-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45223031","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

Harnessing Parent–Child Interaction Therapy for the Behavioral Treatment of a Child with Tuberous Sclerosis Complex and Autism Spectrum Disorder 利用亲子互动疗法对患有结节性硬化症和自闭症谱系障碍儿童的行为治疗

Evidence-based practice in child and adolescent mental health Pub Date : 2022-10-03 DOI: 10.1080/23794925.2022.2127134

Abigail Peskin, W. Rothenberg, Jason F. Jent

{"title":"Harnessing Parent–Child Interaction Therapy for the Behavioral Treatment of a Child with Tuberous Sclerosis Complex and Autism Spectrum Disorder","authors":"Abigail Peskin, W. Rothenberg, Jason F. Jent","doi":"10.1080/23794925.2022.2127134","DOIUrl":"https://doi.org/10.1080/23794925.2022.2127134","url":null,"abstract":"ABSTRACT Tuberous sclerosis complex (TSC) is a complex, rare genetic disorder often comorbid with severe autism spectrum disorder (ASD) with language and cognitive deficits. Despite the combination of TSC and ASD often leading to significant disruptive child behaviors, studies to treat ASD caused by TSC have thus far focused on pharmacological rather than behavioral interventions. This single-case study presents a 7-year-old Hispanic male “Michael,” diagnosed with TSC and ASD, and treated using Parent–Child Interaction Therapy (PCIT) adapted to his language and developmental level. Upon graduation from PCIT, Michael’s aggression and disruptive behavior decreased across clinic, home, and school settings (per parent report), and several social communication behaviors had emerged and increased including functional play, looking toward others, and directing smiles and other emotions. This case study highlights the promise of PCIT for children with lower cognitive and language functioning, demonstrates the potential of naturalistic parent-coaching interventions for older children with ASD, and provides a detailed clinical strategy for the behavioral treatment of TSC and ASD.","PeriodicalId":72992,"journal":{"name":"Evidence-based practice in child and adolescent mental health","volume":"8 1","pages":"376 - 392"},"PeriodicalIF":0.0,"publicationDate":"2022-10-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49663111","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

Factors Associated with Readmissions to a Child Psychiatric Inpatient Unit 儿童精神科住院病人再入院的相关因素

Evidence-based practice in child and adolescent mental health Pub Date : 2022-10-02 DOI: 10.1080/23794925.2022.2127135

Melody English, Shannon McCullough, Mackenzie S. Sommerhalder, D. Day, Miranda Lingenfelter, S. Edwards, Kristin Scardamalia

{"title":"Factors Associated with Readmissions to a Child Psychiatric Inpatient Unit","authors":"Melody English, Shannon McCullough, Mackenzie S. Sommerhalder, D. Day, Miranda Lingenfelter, S. Edwards, Kristin Scardamalia","doi":"10.1080/23794925.2022.2127135","DOIUrl":"https://doi.org/10.1080/23794925.2022.2127135","url":null,"abstract":"ABSTRACT Readmission of youth to psychiatric inpatient care has several negative consequences, including increased risk of suicide and need for more frequent hospitalizations, disruption of education, and high cost of care for families as well as hospitals. Previously identified factors predicting readmission to psychiatric inpatient care for youth have included a wide variety of clinical diagnoses, indicating inconsistency in the association between diagnoses and risk of readmission. Instead, the current study focuses on behavioral definitions derived from chief complaints for psychiatric inpatient readmissions. The present study explores the relationship between chief complaint and readmission for patients ages 5–12 who were readmitted within 30 days post-discharge and over 30 days post-discharge from an inpatient psychiatric unit. Results demonstrated that when compared to patients without aggression as their identified chief complaint, patients whose chief complaint was identified as aggression-only and aggression-plus-other-factors were more likely to be readmitted within 30 days post-discharge and to have significantly more 30-day readmissions. Additionally, compared to patients without SI as their identified chief complaint, patients with SI-only as their identified chief complaint were found to be less likely to be readmitted within 30 days and have significantly fewer 30-day readmissions. These results suggest that physical aggression is a unique factor that may increase the risk of readmission for patients 5–12 years old. The results may be particularly useful in identifying crucial treatment components when establishing standards of care for inpatient psychiatric units, though further investigation is needed.","PeriodicalId":72992,"journal":{"name":"Evidence-based practice in child and adolescent mental health","volume":"7 1","pages":"493 - 502"},"PeriodicalIF":0.0,"publicationDate":"2022-10-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47260770","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: 1

Inpatient Psychiatric Care for Children and Adolescents: Increasing the Integration of Service and Science 儿童和青少年住院精神病护理：加强服务与科学的结合

Evidence-based practice in child and adolescent mental health Pub Date : 2022-10-02 DOI: 10.1080/23794925.2022.2127132

M. Patriquin, Alysha D. Thompson, Kelly Walker Lowry, J. Leffler, Elizabeth K. Reynolds

引用次数: 0

Introduction to the Second Special Issue: Acute, Intensive, and Residential Services 第二期特刊导言:急性、密集和住宿服务

Evidence-based practice in child and adolescent mental health Pub Date : 2022-10-02 DOI: 10.1080/23794925.2022.2127136

Alysha D. Thompson, J. Leffler, Aaron J. Vaughn

引用次数: 0

Exploring Agreement Between Adolescent Self-Reported PTSD Symptoms and Clinical Diagnoses on a Psychiatric Inpatient Unit 探讨青少年自我报告的PTSD症状与精神科住院病人临床诊断的一致性

Evidence-based practice in child and adolescent mental health Pub Date : 2022-09-30 DOI: 10.1080/23794925.2022.2127133

C. White, A. Ugueto

{"title":"Exploring Agreement Between Adolescent Self-Reported PTSD Symptoms and Clinical Diagnoses on a Psychiatric Inpatient Unit","authors":"C. White, A. Ugueto","doi":"10.1080/23794925.2022.2127133","DOIUrl":"https://doi.org/10.1080/23794925.2022.2127133","url":null,"abstract":"ABSTRACT A significant number of adolescents in the U.S. experience traumatic events, putting them at risk for developing Posttraumatic Stress Disorder (PTSD). Despite this risk, PTSD is not a commonly assigned diagnosis in psychiatric settings. The current study examined rates of psychiatrist-reported PTSD (PR-PTSD) diagnoses compared to probable PTSD diagnoses based on adolescent self-reported PTSD (SR-PTSD) symptoms on a psychiatric inpatient unit (n = 151, age 13–17). Self-report measures included questions on exposure to trauma and The Child PTSD Symptom Scale for DSM-5 (CPSS-5). Approximately 60% of participants met criteria for a “probable PTSD diagnosis” on the CPSS-5; however, only 10 out of 151 (6.6%) and 58 out of 151 (38.4%) were given PR-PTSD at admission and at discharge, respectively. Chi-square analyses indicated adolescents with SR-PTSD were more likely to have previous psychiatric admissions, χ2(1, N = 149) = 3.87, p = .049. There was also a significant association between SR-PTSD and suicide risk, χ2(3, N = 148) = 9.93, p = .019. Both the null and low suicide risk groups contributed the most to predicting SR-PTSD based on the standardized residuals being ±1.96. Additionally, SR-PTSD and insurance status were significantly associated, χ2(1, N = 147) = 4.48, p = .034. All of the cells equally contributed to the significance. When comparing diagnosis given at admission to SR-PTSD, agreement was poor (κ=.070, p = .043), and there was no agreement between diagnosis given at discharge and SR-PTSD (κ=.116, p = .074). Findings from the study highlight a discrepancy in SR-PTSD and PR-PTSD in adolescent psychiatric settings.","PeriodicalId":72992,"journal":{"name":"Evidence-based practice in child and adolescent mental health","volume":"7 1","pages":"463 - 476"},"PeriodicalIF":0.0,"publicationDate":"2022-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45764037","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: 2

Evaluation of the Virtual Youth Mental Health First Aid Training for Asian Americans During COVID-19 新冠肺炎期间亚裔美国人虚拟青少年心理健康急救培训评估

Evidence-based practice in child and adolescent mental health Pub Date : 2022-09-08 DOI: 10.1080/23794925.2022.2111727

Mazneen Havewala, Cixin Wang, Diksha Bali, A. Chronis-Tuscano

{"title":"Evaluation of the Virtual Youth Mental Health First Aid Training for Asian Americans During COVID-19","authors":"Mazneen Havewala, Cixin Wang, Diksha Bali, A. Chronis-Tuscano","doi":"10.1080/23794925.2022.2111727","DOIUrl":"https://doi.org/10.1080/23794925.2022.2111727","url":null,"abstract":"ABSTRACT Asian American youth experience high rates of racism and mental health difficulties, yet are less likely to seek mental health services compared to their non-Asian peers. Due to restrictions on in-person interactions imposed by the COVID-19 pandemic, many mental health services have been delivered virtually since March 2020. Youth Mental Health First Aid (YMHFA) virtual training is a manualized program designed to educate adults on recognizing signs and symptoms of common adolescent mental health challenges, and how they could effectively intervene. However, there is no published research on the effectiveness of the YMHFA-virtual version. Also, there is limited research on the effectiveness of YMHFA among Asian Americans, a vulnerable population. Utilizing a pre-post design, we evaluated the effects of the virtual YMHFA that we adapted for Asian Americans. Thirty-five Asian/American adults (Mage = 47.0, SDage = 8.98) participated in the YMHFA-virtual training and completed pre- and post- surveys. Significant increases were found in participants’ mental health literacy (MHL), mental health knowledge, confidence in using the mental health first aid skills, help-seeking intentions, and help-seeking attitudes, while a significant decrease was found in their stigma toward mental illnesses. The effect sizes varied from small (e.g., attitudes) to large (MHL and confidence in using MHFA skills). These promising findings have several implications. The culturally adapted YMHFA-virtual version may be an effective way to reach Asian Americans and promote mental health awareness, helpful attitudes, and confidence in supporting youth with mental health challenges in a culturally sensitive and non-threatening manner among this population.","PeriodicalId":72992,"journal":{"name":"Evidence-based practice in child and adolescent mental health","volume":"8 1","pages":"321 - 334"},"PeriodicalIF":0.0,"publicationDate":"2022-09-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46103152","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