Evidence-based practice in child and adolescent mental health最新文献_第8页

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

Feasibility and Satisfaction with Virtual Trainings for Evidence-Based Child Trauma Treatments during the COVID-19 Pandemic COVID-19大流行期间基于证据的儿童创伤治疗虚拟培训的可行性和满意度

Evidence-based practice in child and adolescent mental health Pub Date : 2022-08-29 DOI: 10.1080/23794925.2022.2111726

Sufna G. John, Daryl T. Cooley, Allison B. Smith, L. Roberts, Elissa H. Dougherty, Glenn R. Mesman, Joy R. Pemberton, Karin L. Vanderzee, Janice K. Church, Chad M. Sievers

{"title":"Feasibility and Satisfaction with Virtual Trainings for Evidence-Based Child Trauma Treatments during the COVID-19 Pandemic","authors":"Sufna G. John, Daryl T. Cooley, Allison B. Smith, L. Roberts, Elissa H. Dougherty, Glenn R. Mesman, Joy R. Pemberton, Karin L. Vanderzee, Janice K. Church, Chad M. Sievers","doi":"10.1080/23794925.2022.2111726","DOIUrl":"https://doi.org/10.1080/23794925.2022.2111726","url":null,"abstract":"ABSTRACT The COVID-19 pandemic necessitated a change to virtual formats for evidence-based treatment trainings, including child trauma treatments. However, there has been limited research on trainee perceptions of virtual training. The present study examined trainee experiences in statewide dissemination of Child-Parent Psychotherapy (CPP), Trauma-Focused Cognitive Behavior Therapy (TF-CBT) and Parent–Child Interaction Therapy (PCIT) in both virtual and in-person formats. In all models, participants reported several benefits of virtual trainings related to pragmatics, balancing personal obligations, overall physical and emotional comfort, and increased access. Within treatment models, there were some relative weaknesses noted about virtual training compared to the in-person format. Virtual PCIT participants perceived lower knowledge gains and stated that the teaching format was not as conducive to learning. Virtual TF-CBT participants noted lower intention to use the treatment model and assessment measures. Virtual CPP participants did not note any perceived weaknesses. Despite these relative weaknesses noted, overall feasibility and satisfaction remained high across both formats, supporting virtual training as a feasible and acceptable format. Written feedback demonstrated significant variability in format preference, suggesting that multiple format options could create a more inclusive and accessible space. Lessons learned include increasing technological competencies and breaks, acknowledging the benefits and challenges of virtual training, and holding benevolence for trainees and trainers. The results of this study have implications for clinicians, trainers, and stakeholders seeking virtual dissemination and implementation methods.","PeriodicalId":72992,"journal":{"name":"Evidence-based practice in child and adolescent mental health","volume":"8 1","pages":"305 - 320"},"PeriodicalIF":0.0,"publicationDate":"2022-08-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45255237","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

Implementation of an Electronic Safety Plan within a Measurement Feedback System 在测量反馈系统中实施电子安全计划

Evidence-based practice in child and adolescent mental health Pub Date : 2022-06-27 DOI: 10.1080/23794925.2022.2081946

Emma D. Whitmyre, Christianne Esposito-Smythers, D. Goldberg, Gabriella Scalzo, Annamarie B. Defayette, Roberto López

{"title":"Implementation of an Electronic Safety Plan within a Measurement Feedback System","authors":"Emma D. Whitmyre, Christianne Esposito-Smythers, D. Goldberg, Gabriella Scalzo, Annamarie B. Defayette, Roberto López","doi":"10.1080/23794925.2022.2081946","DOIUrl":"https://doi.org/10.1080/23794925.2022.2081946","url":null,"abstract":"ABSTRACT Safety planning is a critical evidence-based intervention used to prevent suicide attempts. One novel approach to the dissemination and implementation of safety planning in community-based settings is through the use of a Measurement Feedback System (MFS) that delivers Measurement Based Care (MBC). Integration of a standardized electronic safety plan template (ESPT) into a MFS that delivers MBC allows for the integration of evidence-based suicide assessment with safety planning. Using a mixed methods approach, the purpose of this study was to evaluate the implementation process for a developmentally sensitive ESPT for at-risk youth and their caregivers. Specifically, we examined factors that promote and hinder the adoption and effective completion of the ESPT. Thirty-six clinicians completed a pre-implementation training and used the ESPT with youth who reported suicidal thoughts or behavior, and were asked to complete a semi-structured interview around their use of the ESPT. Clinicians reported twice as many facilitators than barriers to implementation. The most common barriers included a desire for closer clinical supervision in ESPT use and lack of mastery of the MFS that housed the ESPT. The most common facilitators included the “user-friendly” structure of the ESPT, importance to clinical care, and supervisor support around use of the ESPT. Results suggest that it is feasible to implement ESPTs in community-based clinics with appropriate administrative support. Data obtained in the present study may be used to further improve clinician uptake and adoption of ESPTs.","PeriodicalId":72992,"journal":{"name":"Evidence-based practice in child and adolescent mental health","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-06-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46728524","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

Trainee Perspectives on Internship and Fellowship Training Experiences in Pediatric Health Service Psychology during a Global Pandemic 全球大流行期间儿科卫生服务心理学实习和奖学金培训经验的见习者观点

Evidence-based practice in child and adolescent mental health Pub Date : 2022-06-13 DOI: 10.1080/23794925.2022.2081947

Callie Gilchrest, Kyle D Srnka, Lauren Gardner, W. Frye, J. Katzenstein, Marissa A Feldman

{"title":"Trainee Perspectives on Internship and Fellowship Training Experiences in Pediatric Health Service Psychology during a Global Pandemic","authors":"Callie Gilchrest, Kyle D Srnka, Lauren Gardner, W. Frye, J. Katzenstein, Marissa A Feldman","doi":"10.1080/23794925.2022.2081947","DOIUrl":"https://doi.org/10.1080/23794925.2022.2081947","url":null,"abstract":"ABSTRACT The impact of COVID-19 on the psychology training community has included modifications to internship and postdoctoral fellowship training programs to assure the safety of patients, trainees, and staff. Studies assessing the impact of COVID-19 on training in health service psychology are emerging; however, few studies have provided the opportunity for psychology trainees to candidly report about their experiences during the ongoing pandemic. This paper aims to describe how the pandemic effected internship and fellowship training experiences from the trainee’s perspective. Participants included 58 trainees from pediatric psychology internship and postdoctoral fellowship programs in the United States. A survey containing open- and close-ended questions was distributed to trainees via their training directors to assess training experiences during COVID-19. Qualitative analysis of responses revealed four themes describing 1) reduced depth and breadth of training opportunities, 2) social isolation and limited professional and personal support, 3) increased use of telepsychology and reduced in-person training, and 4) increased levels of stress and burnout combined with decreased morale. Many internship trainees described pandemic-related challenges to completion of dissertation, and postdoctoral fellows experienced altered or delayed professional trajectories due to financial, mental health, and career readiness factors. Implications and future directions include the need for increased support both professionally and personally for trainees who are completing internship and postdoctoral fellowship training in the midst of COVID-19.","PeriodicalId":72992,"journal":{"name":"Evidence-based practice in child and adolescent mental health","volume":"7 1","pages":"363 - 373"},"PeriodicalIF":0.0,"publicationDate":"2022-06-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43857256","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

Single-Session Computer-Delivered Intervention for Parental Accommodation and Overcontrolling Behaviors: A Pilot Study 单次计算机干预对父母迁就和过度控制行为的影响:一项试点研究

Evidence-based practice in child and adolescent mental health Pub Date : 2022-05-17 DOI: 10.1080/23794925.2022.2051214

Abigail E. Candelari, A. Viana

{"title":"Single-Session Computer-Delivered Intervention for Parental Accommodation and Overcontrolling Behaviors: A Pilot Study","authors":"Abigail E. Candelari, A. Viana","doi":"10.1080/23794925.2022.2051214","DOIUrl":"https://doi.org/10.1080/23794925.2022.2051214","url":null,"abstract":"ABSTRACT Despite repeated calls regarding the need to target parental accommodation and overcontrol in child anxiety treatment, brief protocols specifically targeting these behaviors in parents of clinically anxious youth are currently limited in number. The present investigation piloted and refined a theoretically informed, internet-delivered, single-session intervention (SSI) specifically aimed at reducing parental accommodation and overcontrolling behaviors. Socioeconomically and racially diverse parents of clinically anxious children (N = 12; M age =10.08 years, SD = 1.74, range = 7–14 years) were recruited in two phases. In Phase One, three online focus groups with two parents each (n = 6) received the intervention and provided qualitative and quantitative feedback on the feasibility and acceptability of the intervention program. Parental feedback from the focus groups was used to revise the program. In Phase Two, the revised program was administered to six new parents to examine the program’s acceptability and feasibility for increasing psychoeducational knowledge regarding child anxiety, parental accommodation, and overcontrol. Across both phases, the intervention was well-received by parents in terms of relevance, acceptability, and feasibility. Parents demonstrated significant increases in knowledge of parental accommodation, overcontrol, and child anxiety from pre- to post-intervention. Qualitative data indicated that parents benefited from the unique online format as well as the content. Findings support the feasibility and acceptability of an accessible and time-efficient SSI designed to target problematic parenting behaviors among parents of clinically anxious children.","PeriodicalId":72992,"journal":{"name":"Evidence-based practice in child and adolescent mental health","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-05-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41371313","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

Dialectical Behavior Therapy for Adolescents: Treatment Outcomes in an Outpatient Community Setting 青少年辩证行为治疗：门诊社区环境下的治疗结果

Evidence-based practice in child and adolescent mental health Pub Date : 2022-05-02 DOI: 10.1080/23794925.2022.2056929

Atara Hiller, Christopher D Hughes

{"title":"Dialectical Behavior Therapy for Adolescents: Treatment Outcomes in an Outpatient Community Setting","authors":"Atara Hiller, Christopher D Hughes","doi":"10.1080/23794925.2022.2056929","DOIUrl":"https://doi.org/10.1080/23794925.2022.2056929","url":null,"abstract":"ABSTRACT The goal of this study was to evaluate the effectiveness of dialectical behavior therapy for adolescents (DBT-A) with borderline personality disorder (BPD) features under routine health-care conditions, particularly an urban hospital that primarily treats low income and ethnic minority individuals. Ninety-one adolescents (age 11–18) participated in at least one cycle of an outpatient DBT-A program, with the option to continue in additional cycles. The majority, 39% (N = 35), identified as Hispanic/Latinx, 29% (N = 27) as non-Hispanic White, and 20% (N = 18) as Black; 84% (N = 76) identified as female. Prior to beginning treatment, adolescents completed baseline assessments on BPD symptoms (BPD subscale of the Structured Clinical Interview for DSM-IV; Life Problems Inventory), lifetime history of suicidal and non-suicidal self-injurious behaviors (Lifetime-Suicide Attempt Self-Injury Interview), depression (Beck Depression Inventory), and higher level of care utilization. After each treatment cycle, participants completed these measures again; they and their caregivers also completed a DBT acceptability questionnaire (DBT-A Satisfaction Survey). Results yielded statistical and clinical significance, and reliable change (reduction) in suicidal behavior, non-suicidal self-injurious behavior, BPD symptoms (impulsivity, identity disturbance, interpersonal problems, and emotion dysregulation), depression, and service utilization (effect sizes ranging from medium to large) with high client satisfaction. These findings expand upon previous DBT-A effectiveness research by engaging a larger and more diverse sample with broader inclusion criteria that is consistent with outpatient community settings, reporting on the clinical significance of DBT-A, and assessing outcomes beyond one cycle of treatment.","PeriodicalId":72992,"journal":{"name":"Evidence-based practice in child and adolescent mental health","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-05-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43195533","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