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

{"title":"Delivery of Cognitive Behavioral Therapy With Diverse, Underresourced Youth Using Telehealth: Advancing Equity Through Consumer Perspectives","authors":"M. Castro, R. J. Rodríguez, Bradley O. Hudson, V. R. Weersing, M. Kipke, Brad Peterson, A. West","doi":"10.1080/23794925.2022.2062687","DOIUrl":"https://doi.org/10.1080/23794925.2022.2062687","url":null,"abstract":"ABSTRACT The purpose of this qualitative study was to capture the perspectives of individuals representing an urban, predominantly Latinx community who are underresourced by mental health services about the use of telehealth to deliver mental health treatment. The COVID-19 pandemic required hospital- and community-based mental health programs to pivot to telehealth with alarming speed and very little opportunity to assess the feasibility, acceptability, and disparate impact on unique populations of patients. This study aimed to assess perceived strengths and limitations of telehealth mental health service delivery via qualitative focus group methods. Three focus groups were conducted with 13 youth (aged 8–17) who were being treated at an urban, academic children’s hospital serving a predominantly Latinx community mental health population; two focus groups were conducted with 19 parents of said children; and one focus group was conducted with four mental health providers providing services to this population. A coding schema was designed to capture themes relevant to the following: (1) privacy and confidentiality; (2) perceived limitations of telehealth; (3) comfort with telehealth; (4) therapeutic relationship; (5) perceived strengths of telehealth; (6) perceived safety of telehealth; and (7) advice for providers engaging in telehealth. Findings were illustrative of both perceived strengths and limitations across these domains that can inform optimized telehealth mental health services moving forward.","PeriodicalId":72992,"journal":{"name":"Evidence-based practice in child and adolescent mental health","volume":"8 1","pages":"206 - 220"},"PeriodicalIF":0.0,"publicationDate":"2022-05-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48414106","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Father Participation in Parent-Child Interaction Therapy: Predictors and Therapist Perspectives","authors":"Corinna C. Klein, J. González, M. Tremblay, M. Barnett","doi":"10.1080/23794925.2022.2051213","DOIUrl":"https://doi.org/10.1080/23794925.2022.2051213","url":null,"abstract":"ABSTRACT Although engaging fathers effectively can bolster and sustain treatment outcomes, fathers participate in their children’s treatment at lower rates than mothers and have been left out of the literature on caregiver engagement. Because provider attitudes and behaviors shape the course of treatment, therapist perspectives on father attendance and engagement should be investigated. A mixed-method study design examined rates and predictors of father attendance in treatment and therapist perspectives on father engagement in Parent-Child Interaction Therapy (PCIT). Quantitative data were gathered through a survey distributed to PCIT therapists (n = 267) to identify the effects of: 1) therapist and caseload characteristics, 2) therapist confidence working with fathers, 3) therapist use of father engagement strategies, and 4) organizational practices for engaging fathers, on father attendance rates. Qualitative interviews with 23 therapists were thematically analyzed to expand upon therapist experiences engaging fathers. Therapists reported that on average, 60.97% of cases with a father available had regular session attendance by the father. Only frequency of therapist use of father engagement strategies predicted father attendance rate. Qualitative interviews expanded on the many barriers therapists face to engaging fathers and the variety of strategies they employ to engage fathers. Rates of father attendance in PCIT are higher than what has been previously reported in the literature but still show room for improvement. Despite barriers, therapists remain dedicated to developing solutions to elicit father engagement. Future research should evaluate whether therapist-reported engagement strategies effectively increase father participation and can be more widely disseminated.","PeriodicalId":72992,"journal":{"name":"Evidence-based practice in child and adolescent mental health","volume":"8 1","pages":"393 - 407"},"PeriodicalIF":0.0,"publicationDate":"2022-04-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42021546","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Drills in the PCIT Child-Directed Interaction Phase: A Compilation with Recommendations for Appropriate Use","authors":"Joy R. Pemberton, Lauren B. Quetsch, Glenn R. Mesman, Karin L. Vanderzee, Elissa H. Dougherty, Caitlin A. Williams, Richard F. Davis, Allison R. Morton","doi":"10.1080/23794925.2022.2062689","DOIUrl":"https://doi.org/10.1080/23794925.2022.2062689","url":null,"abstract":"ABSTRACT Parent-Child Interaction Therapy (PCIT), an evidence-based parent-training treatment, is unique from many other parent-training programs in that it utilizes coaching (i.e., in-vivo support) and feedback to enhance targeted parenting skills. One important skill-building technique in PCIT is a “drill” (within-session skill practice for a brief, focused time). Although the PCIT protocol states that drill exercises should be used starting in the fourth coaching session, limited guidance is present – leaving specifics and implementation to therapist discretion. This paper compiles drills used by PCIT therapists and trainers to provide practitioners with a variety of drill options and suggestions for utilization. We include a description of each drill, examples of clinical situations for which each drill may be appropriate, and recommendations for introducing a drill in session, with discussion regarding the importance of using culturally-sensitive language. Case vignettes are included to illustrate recommendations outlined within the paper and the application of specific drills.","PeriodicalId":72992,"journal":{"name":"Evidence-based practice in child and adolescent mental health","volume":"8 1","pages":"364 - 375"},"PeriodicalIF":0.0,"publicationDate":"2022-04-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44457046","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Role of Intolerance of Uncertainty in Treatment for Pediatric Anxiety Disorders and Obsessive-Compulsive Disorder","authors":"Jacqueline Sperling","doi":"10.1080/23794925.2022.2051215","DOIUrl":"https://doi.org/10.1080/23794925.2022.2051215","url":null,"abstract":"This study investigated the role of intolerance of uncertainty (IU) in an intensive group-based cognitive behavioral therapy (CBT) program with family involvement for children with anxiety disorders and obsessive-compulsive disorder (OCD). One hundred four children and adolescents, aged 8–19 years, who were patients in an intensive outpatient group-based treatment program and their parents participated in this intervention-based study. From both children’s and parents’ perspectives at admission, higher IU in children was associated with both higher levels of anxiety and functional impairment. Both children and parents reported significant reductions in children’s IU by discharge, and these reductions were associated with greater reductions in children’s anxiety and functional impairment. However, children who reported higher levels of IU at admission, reported fewer reductions in their anxiety and functional impairment. These findings demonstrate an association between IU and children’s anxiety and OCD intensive treatment outcomes. Those with higher levels of IU may benefit from more interventions that address tolerating uncertainty.","PeriodicalId":72992,"journal":{"name":"Evidence-based practice in child and adolescent mental health","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-04-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44218863","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Novel Application of System Support Mapping for Sustainment of Trauma-focused Mental Health Intervention in School-Based Health Centers: A Case Study","authors":"Erum Nadeem, Elizabeth Mcnamee, Jason M. Lang, Diana L. Perry, K. Lich","doi":"10.1080/23794925.2022.2056928","DOIUrl":"https://doi.org/10.1080/23794925.2022.2056928","url":null,"abstract":"ABSTRACT Efforts to improve access to mental health care and the quality of available services are a central issue in advancing mental health equity for children and adolescents. This current case study represents a large-scale effort to develop and implement a sustainment plan for the Cognitive Behavioral Intervention for Trauma in Schools (CBITS), an evidence-based program to support youth with traumatic stress symptoms, in an urban community. A diverse group of stakeholders including federally qualified health centers, state and federal government representatives, researchers, and local advocacy groups worked together to identify a method for assessing the program’s assets and needs, execute the selected method, and analyze the results to formulate a concrete action plan. This case study includes a novel application of System Support Mapping, a process that guides stakeholders to consider and document a system from their own perspective by creating a “map” of the roles, responsibility, needs, and resources. This process was applied for the first time as a method used to support and enhance sustainment of promising or evidence-based practices in a real-time, real-world context. Stakeholders identified the following sustainment priorities: 1) Funding to support non-billable service components; 2) Board of Education, teacher, and principal buy-in and support; and 3) Obtaining consent from guardians for screening and CBITS services. Results are discussed with respect to their alignment with sustainment factors in the literature and the ways in which local data collection through the System Support Mapping process led to actionable steps toward program sustainment.","PeriodicalId":72992,"journal":{"name":"Evidence-based practice in child and adolescent mental health","volume":"8 1","pages":"286 - 302"},"PeriodicalIF":0.0,"publicationDate":"2022-04-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41435696","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Advancing Equity in Youth Mental Health Services: Introduction to the Special Issue (Part I)","authors":"O. Gudiño, Ernestine C. Briggs","doi":"10.1080/23794925.2022.2070885","DOIUrl":"https://doi.org/10.1080/23794925.2022.2070885","url":null,"abstract":"Despite longstanding disparities in access to and quality of mental health services, efforts within the field of child and adolescent mental health have primarily focused on documenting these disparities. While identifying disparities is a critical first step, additional work is needed to develop an evidence base that can be leveraged to eliminate disparities. Fortunately, there has been a growing emphasis on diversity, equity, and inclusion in training, practice, research, and policy (e.g., Bernard et al., 2021; Clauss-Ehlers et al., 2019; Collins et al., 2021; U.S. Department of Health and Human Services, Office of Public Health and Science, Office of Minority Health (US DHHS), 2008). A racial reckoning in the United States and the ongoing impacts of the COVID-19 pandemic globally have also brought inequity to the forefront of society’s consciousness. Awareness of the need to dismantle institutional structures that maintain inequity and a motivation to achieve social justice provide a key opportunity to advance health equity. This special issue highlights work that advances our ability to achieve equity in youth mental health services. We rely on definitions of equity that emphasize the provision of resources based on need, fair access to those services, a goal of supporting optimal levels of health, and a focus on the social determinants of wellbeing (American Psychological Association (APA), 2021; Braverman et al., 2017). By centering equity and diversity at all levels, the articles in this special issue contribute to an evidence base that is equipped to support action. Part I of the special issue includes articles that synthesize and advance knowledge on the needs of diverse populations and examine key issues impacting equity in access to needed services. Part II of the special issue includes articles focused on engagement, service delivery and effectiveness, and the sustainability of services within systems. Articles in this first part of the special issue utilize systematic review, qualitative, quantitative, and community-engaged methods to address important questions related to health equity across unique populations, clinical needs, and service settings. DeLuca et al. (2022) use a minority stress and intersectional lens in their review of the literature on youth at clinical high risk for psychosis. The authors first describe the relevant social and policy contexts influencing inequities in identification and treatment of youth who could be served by specialty clinics targeting youth at clinical high risk for psychosis. They subsequently provide a narrative review of the literature across a comprehensive range of areas, making explicit connections to issues of equity. They end with a call-to-action and provide specific recommendations for advancing equity for this population. In a systematic narrative review of the literature, Xin et al. (2022) consider randomized controlled trials of cognitive behavior therapy (CBT) conducted with Asian ","PeriodicalId":72992,"journal":{"name":"Evidence-based practice in child and adolescent mental health","volume":"7 1","pages":"173 - 175"},"PeriodicalIF":0.0,"publicationDate":"2022-04-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43323157","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Racial and Ethnic Disparities in Access to Mental Health Services for African and Arab American Youth: An Audit Study","authors":"Kalani Gates, A. Damashek, Kailyn Alderman, B. Babcock, Brendan Skinner","doi":"10.1080/23794925.2022.2070884","DOIUrl":"https://doi.org/10.1080/23794925.2022.2070884","url":null,"abstract":"ABSTRACT Racial disparities exist in the quality of and access to mental health services for people of color. Provider bias has been found to avert African American adults from accessing services. However, it is unknown whether provider bias affects service access for African and Arab American youth. Moreover, little is known about the role of client gender and community variables such as urbanicity (i.e., urban versus non-urban) in access to care for youth. Audit methodology examined whether client race/ethnicity and gender predicted providers’ responses to help-seeking messages in an urban and non-urban area of Michigan. Voice actresses created audio recordings portraying a White, African American, or Arab American mother requesting a therapy appointment for her adolescent. Recordings were left on providers’ voicemails in Metro Detroit and Southwest Michigan. Data were collected on whether the providers: (i) called back, and (ii) initiated or denied services. The effect of client characteristics on the odds of a provider calling back differed by location. In the non-urban location, White clients had a 3.4–3.8 times greater odds of receiving a callback than the African and Arab American clients. Additionally, in the urban location, female clients had a 2 times greater odds of receiving a callback than the male clients. Findings from this study suggest that provider bias limited access to mental health services for African and Arab American adolescents in the non-urban location, highlighting the need for strategies to address disparities in access to mental health services for youth of color.","PeriodicalId":72992,"journal":{"name":"Evidence-based practice in child and adolescent mental health","volume":"7 1","pages":"260 - 274"},"PeriodicalIF":0.0,"publicationDate":"2022-04-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47730101","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Adapting a Cognitive Dissonance-based Eating Disorders Prevention Program for Adolescent Girls with Type 1 Diabetes","authors":"Paige J. Trojanowski, R. Mehlenbeck, Sarah F. Fischer","doi":"10.1080/23794925.2022.2042876","DOIUrl":"https://doi.org/10.1080/23794925.2022.2042876","url":null,"abstract":"ABSTRACT Adolescent girls with Type 1 diabetes (T1D) are at high risk for developing eating disorders (EDs), a comorbidity that undermines treatment adherence and contributes to serious medical complications. Despite these concerns, no teen prevention programs exist that address risk factors specific to T1D. This study aimed to adapt an existing, empirically supported cognitive dissonance-based ED prevention program (Body Project) for teen girls with T1D. Young women with T1D, parents, and multidisciplinary medical professionals participated in semi-structured focus groups and individual interviews centered on understanding T1D-specific factors that influence body image development and eating and gathering suggestions for modifying the program to address T1D-specific factors. Multiple themes were identified related to complicating factors: diabetes stereotypes and misinformation, illness non-acceptance, demands of T1D management, adolescent-doctor relations, and family factors. Three themes related to protective factors also emerged: illness acceptance, validation and normalization of experiences, and family factors. Stakeholder feedback on program structure was also gathered. The adapted manual protocol is described in detail in addition to how findings extend current theoretical models of ED development in young women with T1D. The adapted ED prevention program, Body Project (T1D Style), centers on promoting illness acceptance, encouraging self-affirmation, teaching effective communication skills, and enhancing social support in addition to the original program’s focus on challenging and resisting sociocultural appearance pressures.","PeriodicalId":72992,"journal":{"name":"Evidence-based practice in child and adolescent mental health","volume":"8 1","pages":"88 - 104"},"PeriodicalIF":0.0,"publicationDate":"2022-03-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49640022","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Child and Adolescent Psychiatric Inpatient Care: Contemporary Practices and Introduction of the 5S Model","authors":"Casey D. Calhoun, Elizabeth A. Nick, Kyrill Gurtovenko, Aaron J. Vaughn, S. Simmons, R. Taylor, Eileen Twohy, Jessica E. Flannery, Alysha D. Thompson","doi":"10.1080/23794925.2022.2034551","DOIUrl":"https://doi.org/10.1080/23794925.2022.2034551","url":null,"abstract":"ABSTRACT Children and adolescents admitted to psychiatric inpatient units typically present with severe psychopathology, trauma histories, and risk to self or others. Unfortunately, inpatient care has proven to be largely ineffective in changing the course of mental illness for these youth, with many experiencing readmission or continued risk following discharge. A critical examination of child and adolescent psychiatric inpatient practices, and guiding models of care, are greatly needed. This comprehensive review provides an overview of contemporary inpatient care, highlighting specific areas where empirically-informed guidance is present and lacking. The content reviewed includes: scope and structure of inpatient care, intake and evaluation, safety and security, therapeutic interventions, and discharge planning. Following our review, we present the 5S model as a guiding framework for inpatient care and continued research. Lastly, given the critical importance of inpatient care and the sparse empirical literature in this area, we issue a call for research investigating all aspects of inpatient care from admission to post-discharge.","PeriodicalId":72992,"journal":{"name":"Evidence-based practice in child and adolescent mental health","volume":"7 1","pages":"477 - 492"},"PeriodicalIF":0.0,"publicationDate":"2022-03-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49260705","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Implementation of Behavioral Activation within a Care Pathway for Adolescent Depression at an Academic Medical Center","authors":"R. Lewandowski, J. Jenness, Carolyn N. Spiro, Kathryn Delonga, K. Crowe, Kavita Tahilani, Katie Happer, Paul Sullivan, Kathleen S Camacho, Jiyon Kim, Karen Fleiss, Alan Schlechter, B. Watson, Mark J. Knepley, C. Martell, K. Hoagwood, S. Horwitz, E. McCauley","doi":"10.1080/23794925.2022.2042870","DOIUrl":"https://doi.org/10.1080/23794925.2022.2042870","url":null,"abstract":"ABSTRACT This paper describes the implementation of Behavioral Activation (BA) as the core psychotherapy treatment within a broader clinician-led effort to establish a care pathway for adolescent depression in an academic medical center that served public and private hospital systems. This quality improvement effort required a standardized yet flexible approach to psychotherapy to be used by clinicians with a range of experience and training backgrounds while serving diverse clinical populations in child psychiatry and pediatric clinics. This paper highlights implementation of BA in treating adolescent depression across these varying systems. In particular, the paper emphasizes the application of BA as a principle-driven, treatment that enables flexibility across settings while remaining rooted in scientific evidence. The paper also reviews lessons learned from this effort that may support efforts to implement BA in other clinical settings and systems.","PeriodicalId":72992,"journal":{"name":"Evidence-based practice in child and adolescent mental health","volume":"8 1","pages":"73 - 87"},"PeriodicalIF":0.0,"publicationDate":"2022-03-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44025463","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}