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Predictors of Use of Evidence-Based Practices for Children and Adolescents in Usual Care

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Administration and Policy in Mental Health and Mental Health Services Research Aims and scope Submit manuscript

Abstract

Practice data from 74 therapists providing public mental health services to 519 youth ages 5–19 were examined. Multilevel modeling suggested child and therapist characteristics predicted use of practices derived from the evidence-base (PDEB) and use of practices with minimal evidence support (PMES). Longer episode length predicted greater receipt of PDEB; older youth, males, and youth in out-of-home levels of care were more likely to receive PMES; and youth receiving an evidence-based treatment program were less likely to receive PMES. Professional specialty and theoretical orientation significantly predicted PDEB whereas therapist characteristics did not predict PMES. Implementation implications are discussed.

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References

  • Aarons, G. A. (2004). Mental health provider attitudes toward adoption of evidence-based practice: The evidence-based practice attitude scale (EBPAS). Mental health services research, 6(2), 61–74.

    Article  PubMed Central  PubMed  Google Scholar 

  • Aarons, G. A., Glisson, C., Hoagwood, K., Kelleher, K., Landsverk, J., & Cafri, G. (2010). Psychometric properties and US National norms of the evidence-based practice attitude scale (EBPAS). Psychological Assessment, 22(2), 356.

    Article  PubMed  Google Scholar 

  • Aarons, G. A., Hurlburt, M., & Horwitz, S. M. (2011). Advancing a conceptual model of evidence-based practice implementation in public service sectors. Administration and Policy in Mental Health and Mental Health Services Research, 38(1), 4–23.

    Article  PubMed Central  PubMed  Google Scholar 

  • Aarons, G. A., & Sommerfeld, D. H. (2012). Leadership, innovation climate, and attitudes toward evidence-based practice during a statewide implementation. Journal of the American Academy of Child and Adolescent Psychiatry, 51(4), 423–431.

    Article  PubMed  Google Scholar 

  • Aarons, G. A., Sommerfeld, D. H., & Walrath-Greene, C. M. (2009). Evidence-based practice implementation: The impact of public versus private sector organization type on organizational support, provider attitudes, and adoption of evidence-based practice. Implementation Science, 4(1), 83.

    Article  PubMed Central  PubMed  Google Scholar 

  • American Psychological Association Task Force on Promotion and Dissemination of Psychological Procedures, Division of Clinical Psychology. (1995). Training in and dissemination of empirically-validated psychological treatments: Report and recommendations. The Clinical Psychologist, 48, 3–23.

    Google Scholar 

  • Barth, R. P., Lee, B. R., Lindsey, M. A., Collins, K. S., Strieder, F., Chorpita, B. F., et al. (2012). Evidence-based practice at a crossroads the timely emergence of common elements and common factors. Research on Social Work Practice, 22(1), 108–119.

    Article  Google Scholar 

  • Borntrager, C., Chorpita, B. F., Higa-McMillan, C. K., Daleiden, E. L., & Starace, N. (2013a). Usual care for trauma-exposed youth: Are clinician-reported therapy techniques evidence-based? Children and Youth Services Review, 35(1), 133–141.

    Article  Google Scholar 

  • Borntrager, C. F., Chorpita, B. F., Orimoto, T., Love, A., & Mueller, C. W. (2013b). Validity of clinician’s self-reported practice elements on the monthly treatment and progress summary. The Journal of Behavioral Health Services and Research. doi:10.1007/s11414-013-9363-x.

  • Brookman-Frazee, L., Haine, R., Baker-Ericzén, M., Zoffness, R., & Garland, A. (2010). Factors associated with use of evidence-based practice strategies in usual care youth psychotherapy. Administration and Policy in Mental Health, 37, 254–269.

    Article  PubMed Central  PubMed  Google Scholar 

  • Child and Adolescent Mental Health Division. (2008). Instructions and codebook for provider monthly summaries. Honolulu: Hawaii Department of Health, Child and Adolescent Mental Health Division.

    Google Scholar 

  • Chorpita, B.F. & Daleiden, E. L. (2007). 2007 Biennial report: Effective psychosocial interventions for youth with behavioral and emotional needs. Child and Adolescent Mental Health Division, Hawaii Department of Health.

  • Chorpita, B. F., Daleiden, E. L., Ebesutani, C., Young, J., Becker, K. D., Nakamura, B. J., et al. (2011). Evidence-based treatments for children and adolescents: An updated review of indicators of efficacy and effectiveness. Clinical Psychology, 18(2), 154–172.

    Google Scholar 

  • Daleiden, E., Lee, J., & Tolman, R. (2004). Child and Adolescent Mental Health Division: 2004 annual report. Honolulu: Child and Adolescent Mental Health Division.

    Google Scholar 

  • Damschroder, L. J., Aron, D. C., Keith, R. E., Kirsh, S. R., Alexander, J. A., & Lowery, J. C. (2009). Fostering implementation of health services research findings into practice: A consolidated framework for advancing implementation science. Implement Science, 4(1), 50.

    Article  Google Scholar 

  • Denneny, D. & Mueller, C. (2012). Do empirically supported packages or their practices predict superior therapy outcomes for youth with conduct disorders. Poster presented at the Forty-Sixth Annual Convention of the Association for Behavioral and Cognitive Therapies, National Harbor, MD.

  • Field, A. (2009). Discovering statistics using SPSS. CA: Sage publications.

    Google Scholar 

  • Garland, A., Brookman-Frazee, L., Hurlburt, M., Accurso, E., Zoffness, R., Haine-Schlagel, R., et al. (2010a). Mental health care for children with disruptive behavior problems: A view inside therapists’ offices. Psychiatric Services, 61(8), 788–795.

    Article  PubMed Central  PubMed  Google Scholar 

  • Garland, A. F., Hurlburt, M. S., Brookman-Frazee, L., Taylor, R. M., & Accurso, E. C. (2010b). Methodological challenges of characterizing usual care psychotherapeutic practice. Administration and Policy in Mental Health and Mental Health Services Research, 37(3), 208–220.

    Article  PubMed Central  PubMed  Google Scholar 

  • Higa-McMillan, C. K., Jackson, D., & Daleiden, E. L. (2011). The Venn Diagram of usual care and evidence-based care: Identifying non-overlapping areas to fine-tune dissemination of evidence-based practices for child anxiety. In C. K. Higa-McMillan (Chair), Comparing Usual Care and Evidence-Based Care for Children and Adolescents: Advancing Dissemination in the twentyfirst Century. Symposium presented at the annual meeting of the Association of Behavioral and Cognitive Therapies, Toronto.

  • Hodges, K. (1998). Child and adolescent functional assessment scale (CAFAS). Ann Arbor: Functional Assessment Systems.

    Google Scholar 

  • Hodges, K., & Gust, J. (1995). Measures of impairment for children and adolescents. Journal of Mental Health Administration, 22, 403–413.

    Article  CAS  PubMed  Google Scholar 

  • Hodges, K., & Wong, M. M. (1996). Psychometric characteristics of a multidimensional measure to assess impairment: The child and adolescent functional assessment scale (CAFAS). Journal of Child and Family Studies, 5, 445–467.

    Article  Google Scholar 

  • Jensen-Doss, A., Hawley, K. M., Lopez, M., & Osterberg, L. D. (2009). Using evidence-based treatments: The experiences of youth providers working under a mandate. Professional Psychology, 40(4), 417.

    Article  Google Scholar 

  • Nakamura, B. J., Chorpita, B. F., Hirsch, M., Daleiden, E., Slavin, L., Amundson, M. J., et al. (2011a). Large-scale implementation of evidence-based treatments for children 10 years later: hawaii’s evidence-based services initiative in children’s mental health. Clinical Psychology, 18(1), 24–35.

    Google Scholar 

  • Nakamura, B. J., Higa-McMillan, C. K., & Chorpita, B. F. (2012). Sustaining Hawaii’s evidence-based service system in children’s mental health. In D. H. Barlow & K. McHugh (Eds.), The dissemination of evidence-based psychological treatments. New York: Oxford University Press.

    Google Scholar 

  • Nakamura, B., Higa-McMillan, C., Okamura, C., & Shimabukuro, S. (2011b). Knowledge of and attitudes towards evidence-based practices in community child mental health practitioners. Administration and Policy in Mental Health, 38, 287–300.

    Article  PubMed  Google Scholar 

  • Nelson, T. D., & Steele, R. G. (2007). Predictors of practitioner self-reported use of evidence-based practices: Practitioner training, clinical setting, and attitudes toward research. Administration and Policy in Mental Health and Mental Health Services Research, 34(4), 319–330.

    Article  PubMed  Google Scholar 

  • Orimoto, T. E., Higa-McMillan, C. K., Mueller, C. W., & Daleiden, E. L. (2012). Assessment of therapy practices in community treatment for children and adolescents. Psychiatric Services, 63(4), 343–350.

    Article  PubMed  Google Scholar 

  • Proctor, E. K., Landsverk, J., Aarons, G., Chambers, D., Glisson, C., & Mittman, B. (2009). Implementation research in mental health services: An emerging science with conceptual, methodological, and training challenges. Administration and Policy in Mental Health and Mental Health Services Research, 36(1), 24–34.

    Article  PubMed  Google Scholar 

  • Reding, M. E. J., Chorpita, B. F., Lau, A. S., & Innes-Gomberg, D. (2007). Providers’ attitudes toward evidence-based practices: Is it just about providers, or do the practices matter, too? Administration and Policy in Mental Health and Mental Health Services Research, 34(4), 411–419.

    Article  Google Scholar 

  • Stephan, S., Westin, A., Lever, N., Medoff, D., Youngstrom, E., & Weist, M. (2012). Do school-based clinicians’ knowledge and use of common elements correlate with better treatment quality? School Mental Health, 4(3), 170–180.

  • Stumpf, R. E., Higa-McMillan, C. K., & Chorpita, B. F. (2009). Implementation of evidence-based services for youth assessing provider knowledge. Behavior Modification, 33(1), 48–65.

    Article  PubMed  Google Scholar 

  • Tabachnick, B. G., & Fidell, L. S. (2007). Using Multivariate Statistics (6th ed.). Needham Heights: Allyn & Bacon.

    Google Scholar 

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Authors and Affiliations

  1. Department of Psychology, University of Hawaii at Hilo, 200 W. Kawili St., Hilo, HI, 96720, USA

    Charmaine K. Higa-McMillan & Ashley Morris

  2. University of Hawaii at Manoa, Honolulu, HI, USA

    Brad J. Nakamura

  3. Child and Adolescent Mental Health Division, Hawaii Department of Health, Honolulu, HI, USA

    David S. Jackson & Lesley Slavin

Authors
  1. Charmaine K. Higa-McMillan
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  2. Brad J. Nakamura
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  3. Ashley Morris
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  4. David S. Jackson
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  5. Lesley Slavin
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Correspondence to Charmaine K. Higa-McMillan.

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Higa-McMillan, C.K., Nakamura, B.J., Morris, A. et al. Predictors of Use of Evidence-Based Practices for Children and Adolescents in Usual Care. Adm Policy Ment Health 42, 373–383 (2015). https://doi.org/10.1007/s10488-014-0578-9

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  • DOI: https://doi.org/10.1007/s10488-014-0578-9

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