Using Partnerships to Adapt Evidence-Based Treatments for Practice Settings

Southam‐Gerow, Michael A.; Allin, Robert B.; Hershberger, Alyssa M.; Haskell, Al; Macphee, Michele; Morgan, John R.

doi:10.1037/e533922007-001

Cited by 6 publications

(7 citation statements)

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“…Indeed, our study suggests that the greatest barriers to implementation involve factors found more commonly in public mental health systems. Accordingly, we suggest a few options for future clinical research (a) alter ''lab'' clinics to include publicly referred youth or (b) seek partnerships with public mental health or community practice organizations and conduct treatment adaptation work there (e.g., Southam-Gerow 2005). Either direction affords an excellent opportunity to lead to the next generation of treatment innovation (Chorpita 2002;Southam-Gerow et al in press).…”

Section: Discussionmentioning

confidence: 96%

Are Children with Anxiety Disorders Privately Referred to a University Clinic Like Those Referred from the Public Mental Health System?

Southam‐Gerow

Chorpita

Miller

et al. 2007

Adm Policy Ment Health

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Compared two groups of children with anxiety disorders served at a single mental health clinic whose referral source differed: private referrals (i.e., parent/legal guardian initiated) and public referrals (e.g., via state contracts--Departments of Health and Education, juvenile justice system). Comparisons were made across three domains of variables: (a) symptoms/diagnoses, (b) functioning, and (c) environments. Few symptom differences emerged. However, large differences were evident for contextual variables like family income and life stressors. Overall, the pattern of differences point to possible directions for adaptation of treatments for use with children with anxiety disorders served in public mental health systems.

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Section: Discussionmentioning

confidence: 96%

Are Children with Anxiety Disorders Privately Referred to a University Clinic Like Those Referred from the Public Mental Health System?

Southam‐Gerow

Chorpita

Miller

et al. 2007

Adm Policy Ment Health

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“…As noted, studies like this one rarely occur in public mental health settings. Many agencies have limited research budgets and expertise; as a result, clinic databases are not always developed to “maximize the research yield.” One potentially promising way to improve this problem may be through community-university partnerships (e.g., Southam-Gerow, 2005). Within a partnership, scientists and community partners can work together to (a) identify the problems and issues that are most pertinent to the agency and (b) develop methods to examine and solve those problems.…”

Section: Discussionmentioning

confidence: 99%

Who Stays in Treatment? Child and Family Predictors of Youth Client Retention in a Public Mental Health Agency

Miller

Southam‐Gerow

Allin

2008

Child Youth Care Forum

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The present study examined possible predictors of youth client retention in therapy in a large community-based sample. We used several conceptualizations of retention, including (a) "intake retention" (i.e., returned to treatment after intake session); (b) "mutual termination" (i.e., termination agreed upon by family and therapist), (c) "mean treatment duration" (i.e., completing the mean number of sessions in the agency), and (d) "total treatment duration" (i.e., total number of sessions). Archival data from over 400 children and adolescents who sought treatment at a large public mental health clinic were analyzed using regression analyses. Although different predictors were identified across the various conceptualizations, a few robust predictors emerged including ethnicity and client symptom severity. Clinical implications and future research directions are discussed.Keywords public mental health; child mental health; attrition Epidemiological studies estimate that 10-20% of children have mental health problems involving functional impairment (United States Public Health Service, 1999). Fortunately, a body of research has accumulated demonstrating the potency of several treatment approaches with youth, referred to as evidence-based or empirically-supported treatments (hereafter, EBTs; e.g., Chorpita & Southam-Gerow, 2006;McMahon, Wells, & Kotler, 2006;Weisz et al., 2006). However, for any treatment to be effective, it is likely that clients must attend therapy sessions and follow treatment recommendations. Indeed, some research has suggested that dropping out of therapy early leads to an attenuation of outcomes (e.g., Boggs et al., 2004; Prinz & Miller, 1994). Unfortunately, studies have shown that client attrition is commonplace, with between 40 and 60% of clients ceasing treatment before termination is recommended (Baekeland & Lundwall, 1975;Wierzbicki & Pekarik, 1993). Accordingly, researchers have sought to identify risk factors for attrition so that clients at risk for early termination can be identified early in the therapy process. Such factors can guide research in the development and implementation of strategies for enhancing therapy attendance (e.g., Nock & Kazdin, 2005 NIH-PA Author ManuscriptNIH-PA Author Manuscript NIH-PA Author ManuscriptSeveral related constructs have been discussed within the spectrum of therapy adherence (e.g., Meichenbaum & Turk, 1987), including therapy initiation (i.e., the process of calling a mental health provider, scheduling an appointment, and attending at least one session), attrition/ retention, and adherence to therapy recommendations, often operationalized as homework compliance. The focus of the present investigation, attrition/retention, has been defined in a variety of ways in the literature: 1) the client discontinuing therapy before the therapist feels the client is ready for treatment termination (Garcia & Weisz, 2002;Klein, Stone, Hicks, & Pritchard, 2003); 2) the client missing a scheduled session (Wierzbicki & Pekarik, 1993); 3) the client fail...

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“…One way proposed to implement EBTs and bridge the gap between science and practice is to develop and test EBTs in collaboration with community mental health clinics and adapt them in order to fit the needs of the client population in the community setting and treatment providers in the service clinic . According to this perspective, the adaptation of these treatments will require greater levels of collaboration between researchers and community mental health stakeholders (Southam-Gerow, 2005).…”

Section: A Partnership Approach To Treatment Adaptationmentioning

confidence: 99%

Adapting Evidence-Based Treatments for Youth in a Community Mental Health Setting: Single-Case Design

Quinoy¹,

Hourigan²,

Southam‐Gerow³

et al. 2011

PsycEXTRA Dataset

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Using Partnerships to Adapt Evidence-Based Treatments for Practice Settings

Cited by 6 publications

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Are Children with Anxiety Disorders Privately Referred to a University Clinic Like Those Referred from the Public Mental Health System?

Are Children with Anxiety Disorders Privately Referred to a University Clinic Like Those Referred from the Public Mental Health System?

Who Stays in Treatment? Child and Family Predictors of Youth Client Retention in a Public Mental Health Agency

Adapting Evidence-Based Treatments for Youth in a Community Mental Health Setting: Single-Case Design

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