Evidence-based practice in child and adolescent mental health最新文献_第7页

Piloting an Evidence-Based Assessment Protocol for Incarcerated Adolescents. 为在押青少年试行基于证据的评估方案

Evidence-based practice in child and adolescent mental health Pub Date : 2023-01-01 Epub Date: 2022-03-30 DOI: 10.1080/23794925.2022.2051216

Crosby A Modrowski, Kaitlin M Sheerin, Timothy Owens, Shannon M Pine, Lynne-Marie Shea, Elisabeth Frazier, Elizabeth Lowenhaupt

引用次数: 0

Mental health services use and social support among Latinx families with adolescents who engage in suicidal behavior. 有自杀行为青少年的拉美裔家庭的心理健康服务使用情况和社会支持。

Evidence-based practice in child and adolescent mental health Pub Date : 2023-01-01 Epub Date: 2023-03-03 DOI: 10.1080/23794925.2023.2183433

Victor Buitron, Gisela Jiménez-Colón, Yovanska Duarté-Vélez

{"title":"Mental health services use and social support among Latinx families with adolescents who engage in suicidal behavior.","authors":"Victor Buitron, Gisela Jiménez-Colón, Yovanska Duarté-Vélez","doi":"10.1080/23794925.2023.2183433","DOIUrl":"10.1080/23794925.2023.2183433","url":null,"abstract":"Latinx communities experience a significant child mental health disparity. Research is needed to examine mental health services use and social support in Latinx adolescents, with particular attention to acculturative factors and youth who have high levels of clinical severity. The current study examined whether acculturation and enculturation, and related proxies, are associated with prior history of services use and social support in Latinx families with adolescents who had a recent suicidal crisis. Participants were 110 youths, recently admitted to psychiatric hospitalization, ages 12 to 17 years and their caregivers. Results indicated that approximately 20% of the overall sample did not access any formal mental health services (e.g., outpatient mental health care, primary care support, school staff support) before high acuity hospital care. First generation status and higher caregiver enculturation were associated with a lower likelihood of formal mental health services use, even when controlling for clinical covariates. Adolescent preference for Spanish was associated with lower social support. Findings suggest that families with higher enculturation and first-generation immigrant families (both caregivers and youth born outside of the U.S.), in the context of severe clinical impairment, experience systemic and sociocultural barriers conducive to limited engagement with mental health support. Implications for improving the accessibility of mental health supports are reviewed.","PeriodicalId":72992,"journal":{"name":"Evidence-based practice in child and adolescent mental health","volume":"8 2","pages":"194-205"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10299760/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9741359","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}

引用次数: 0

Mental Health Therapist Perspectives on the Role of Executive Functioning in Children's Mental Health Services. 心理健康治疗师对执行功能在儿童心理健康服务中的作用的看法。

Evidence-based practice in child and adolescent mental health Pub Date : 2023-01-01 Epub Date: 2022-01-10 DOI: 10.1080/23794925.2021.2013142

Kelsey S Dickson, Lauren Kenworthy, Laura Anthony, Lauren Brookman-Frazee

{"title":"Mental Health Therapist Perspectives on the Role of Executive Functioning in Children's Mental Health Services.","authors":"Kelsey S Dickson, Lauren Kenworthy, Laura Anthony, Lauren Brookman-Frazee","doi":"10.1080/23794925.2021.2013142","DOIUrl":"10.1080/23794925.2021.2013142","url":null,"abstract":"Executive functioning is considered a key transdiagnostic factor underlying multiple mental health conditions. Evidence-based interventions targeting executive functioning skills exist and there are ongoing efforts to implement these interventions in routine community-based care. However, there is limited research characterizing therapist perspectives regarding addressing executive functioning within community-based mental health services. The current mixed-methods study aims to characterize mental health therapist perspectives regarding the role of executive functioning in youth clinical presentation and the psychotherapy process and outcomes as well as their experience and training related to executive functioning. Forty-three therapists completed a survey about their perspectives about executive functioning and 14 participated in subsequent focus groups to expand survey results. Results indicated that therapists perceive executive functioning challenges as impacting a large portion of children on their caseload, present across multiple mental health conditions, and that executive functioning is frequently a focus of psychotherapy. Therapists also identified executive functioning challenges as a barrier to therapy engagement and effectiveness. However, therapists reported limited knowledge and training as well as significant motivation for executive functioning training, including executive functioning interventions. Findings confirm the significant role of executive functioning in youth presenting for mental health services and the psychotherapy process and outcomes. Findings also highlight the need for further translation of evidence-based interventions and tools. Challenges as well as potential solutions to inform ongoing and future work seeking to translate and implement evidence-based executive functioning interventions in community mental health services are discussed.","PeriodicalId":72992,"journal":{"name":"Evidence-based practice in child and adolescent mental health","volume":"8 1","pages":"39-54"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10027378/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9187380","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}

引用次数: 1

Evaluation of new instruments for screening and diagnosis of tics and tic disorders in a well-characterized sample of youth with tics and recruited controls. 评价新仪器筛选和诊断抽动症和抽动障碍的一个特征良好的样本青年抽动症和招募对照

Evidence-based practice in child and adolescent mental health Pub Date : 2023-01-01 DOI: 10.1080/23794925.2023.2178040

H R Adams, E F Augustine, K Bonifacio, A E Collins, M L Danielson, J W Mink, P Morrison, E van Wijngaarden, J Vermilion, A Vierhile, R H Bitsko

{"title":"Evaluation of new instruments for screening and diagnosis of tics and tic disorders in a well-characterized sample of youth with tics and recruited controls.","authors":"H R Adams, E F Augustine, K Bonifacio, A E Collins, M L Danielson, J W Mink, P Morrison, E van Wijngaarden, J Vermilion, A Vierhile, R H Bitsko","doi":"10.1080/23794925.2023.2178040","DOIUrl":"10.1080/23794925.2023.2178040","url":null,"abstract":"Tics and tic disorders can significantly impact children, but limited screening tools and diagnostic challenges may delay access to care. The current study attempted to address these gaps by evaluating sensitivity and specificity of the Motor or Vocal Inventory of Tics (MOVeIT), a tic symptom screener, and the Description of Tic Symptoms (DoTS), a brief diagnostic assessment for tic disorders. Children (n=100, age 6-17 years old) with tic disorders attending a Tourette specialty clinic and a community-recruited sample without tics completed a gold-standard assessment by a tic expert; these evaluations were compared to child self-report and parent and teacher report versions of the MOVeIT, and child and parent versions of the DoTS. The parent and child MOVeIT met or exceeded pre-specified 85% sensitivity and specificity criteria for detecting the presence of tics when compared to a gold-standard tic expert diagnosis. The Teacher MOVeIT had lower sensitivity (71.4%) but good specificity (95.7%) for identifying any tic symptoms compared to gold standard. For determination of the presence or absence of any tic disorder, sensitivity of both parent and child DoTS was 100%; specificity of the parent DoTS was 92.7% and child DoTS specificity was 75.9%. More work may be needed to refine the teacher MOVeIT, but it is also recognized that tic expression may vary by setting. While the MOVeIT and DoTS parent and child questionnaires demonstrated adequate sensitivity and specificity for determining the presence of tics and tic disorders in this well-defined sample, additional testing in a general population is warranted.","PeriodicalId":72992,"journal":{"name":"Evidence-based practice in child and adolescent mental health","volume":" ","pages":"216-230"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11177539/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46879769","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}

引用次数: 0

Adapting to Unprecedented Times: Community Clinician Modifications to Parent-Child Interaction Therapy during COVID-19. 适应前所未有的时代：新冠肺炎期间社区临床医生对亲子互动治疗的修改

Evidence-based practice in child and adolescent mental health Pub Date : 2023-01-01 Epub Date: 2023-08-11 DOI: 10.1080/23794925.2023.2238741

B Erika Luis Sanchez, Corinna C Klein, Madeleine Tremblay, Medini Rastogi, Frederique Corcoran, Miya L Barnett

{"title":"Adapting to Unprecedented Times: Community Clinician Modifications to Parent-Child Interaction Therapy during COVID-19.","authors":"B Erika Luis Sanchez, Corinna C Klein, Madeleine Tremblay, Medini Rastogi, Frederique Corcoran, Miya L Barnett","doi":"10.1080/23794925.2023.2238741","DOIUrl":"10.1080/23794925.2023.2238741","url":null,"abstract":"Parent-Child Interaction Therapy (PCIT) is an evidence-based practice that effectively prevents and treats child disruptive behaviors and child physical maltreatment and reduces parenting stress. PCIT was adapted for telehealth delivery, internet-delivered PCIT (iPCIT), before the COVID-19 pandemic but was not widely implemented until the rapid transition to telehealth during stay-at-home orders. To understand how clinicians adapted PCIT during COVID-19, we followed up on a previous study investigating community clinician adaptations of PCIT pre-COVID-19 using the Lau et al. (2017) Augmenting and Reducing Framework. Clinicians (N = 179) who responded to the follow-up survey and reported delivering PCIT remotely completed a quantitative measure of adaptations at both time points (Fall 2019; Summer 2020) to assess how adaptations to PCIT changed following lockdown measures. Clinicians (n = 135) also provided qualitative descriptions of adaptations made early in the COVID-19 pandemic. Clinicians in the full sample were 74.3% Non-Hispanic White and 14% Latinx. Most clinicians had a master's degree (66.5%), were licensed (80.4%), and were PCIT-certified (70.4%). Paired samples t-tests showed that clinicians reported similar levels of augmenting t(179) = -0.09, p=.926) and reducing adaptations t(179) = -0.77, p=.442) at both time points. Unlike quantitative findings, qualitative findings indicated that clinicians described engaging in many types of adaptations in response to the pandemic. Clinicians discussed engaging in augmenting adaptations by extending treatment length and integrating other practices into treatment. Clinicians also discussed engaging in reducing adaptations. Implications and future directions will be discussed.","PeriodicalId":72992,"journal":{"name":"Evidence-based practice in child and adolescent mental health","volume":"8 1","pages":"348-363"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10656036/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42703341","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}

引用次数: 0

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

引用次数: 0

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